401k Plan data: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST plan

FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST
Plan identification number	002

FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.

401k Sponsoring company profile

FRANSEN, KULB AND CHALIAN UROLOGY, LTD. has sponsored the creation of one or more 401k plans.

Company Name: FRANSEN, KULB AND CHALIAN UROLOGY, LTD.

Employer identification number (EIN): 370947567

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-07-01 VICKEN CHALIAN
002 2014-07-01 THOMAS B. KULB
002 2013-07-01 THOMAS B. KULB
002 2012-07-01 THOMAS B. KULB
002 2011-07-01 THOMAS B. KULB
002 2009-07-01 THOMAS B. KULB

Plan id#	Filing Submission Date	Name of Administrator
002	2015-07-01	VICKEN CHALIAN
002	2014-07-01	THOMAS B. KULB
002	2013-07-01	THOMAS B. KULB
002	2012-07-01	THOMAS B. KULB
002	2011-07-01	THOMAS B. KULB
002	2009-07-01	THOMAS B. KULB

Plan Statistics for FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2015: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-07-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 0
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 0
Number of participants with account balances 2015-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-07-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 3
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 3
Number of participants with account balances 2014-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-07-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 3
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 3
Number of participants with account balances 2013-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-07-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 3
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 3
Number of participants with account balances 2012-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-07-01 14
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 6
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 6
Number of participants with account balances 2011-07-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-07-01 12
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 12
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 1
Total of all active and inactive participants 2009-07-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 13
Number of participants with account balances 2009-07-01 13

Measure	Date	Value
2015: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-07-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	0
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	0
Number of participants with account balances	2015-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-07-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	3
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	3
Number of participants with account balances	2014-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-07-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	3
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	3
Number of participants with account balances	2013-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-07-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	3
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	3
Number of participants with account balances	2012-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-07-01	14
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	6
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	6
Number of participants with account balances	2011-07-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-07-01	12
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	12
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	1
Total of all active and inactive participants	2009-07-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	13
Number of participants with account balances	2009-07-01	13

Financial Data on FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2016 : FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total income from all sources	2016-06-30	$-116,294
Expenses. Total of all expenses incurred	2016-06-30	$1,810,552
Benefits paid (including direct rollovers)	2016-06-30	$1,810,552
Total plan assets at end of year	2016-06-30	$0
Total plan assets at beginning of year	2016-06-30	$1,926,846
Value of fidelity bond covering the plan	2016-06-30	$300,000
Other income received	2016-06-30	$-116,294
Net income (gross income less expenses)	2016-06-30	$-1,926,846
Net plan assets at end of year (total assets less liabilities)	2016-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-06-30	$1,926,846
2015 : FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources	2015-06-30	$150,406
Total plan assets at end of year	2015-06-30	$1,926,846
Total plan assets at beginning of year	2015-06-30	$1,776,440
Value of fidelity bond covering the plan	2015-06-30	$300,000
Other income received	2015-06-30	$150,406
Net income (gross income less expenses)	2015-06-30	$150,406
Net plan assets at end of year (total assets less liabilities)	2015-06-30	$1,926,846
Net plan assets at beginning of year (total assets less liabilities)	2015-06-30	$1,776,440
2014 : FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources	2014-06-30	$295,775
Total plan assets at end of year	2014-06-30	$1,776,440
Total plan assets at beginning of year	2014-06-30	$1,480,665
Value of fidelity bond covering the plan	2014-06-30	$300,000
Other income received	2014-06-30	$295,775
Net income (gross income less expenses)	2014-06-30	$295,775
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$1,776,440
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$1,480,665
2013 : FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources	2013-06-30	$227,940
Expenses. Total of all expenses incurred	2013-06-30	$163,978
Benefits paid (including direct rollovers)	2013-06-30	$163,978
Total plan assets at end of year	2013-06-30	$1,480,665
Total plan assets at beginning of year	2013-06-30	$1,416,703
Value of fidelity bond covering the plan	2013-06-30	$200,000
Other income received	2013-06-30	$227,940
Net income (gross income less expenses)	2013-06-30	$63,962
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$1,480,665
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$1,416,703
2012 : FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources	2012-06-30	$-23,748
Expenses. Total of all expenses incurred	2012-06-30	$84,236
Benefits paid (including direct rollovers)	2012-06-30	$84,236
Total plan assets at end of year	2012-06-30	$1,416,703
Total plan assets at beginning of year	2012-06-30	$1,524,687
Value of fidelity bond covering the plan	2012-06-30	$200,000
Other income received	2012-06-30	$-23,748
Net income (gross income less expenses)	2012-06-30	$-107,984
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$1,416,703
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$1,524,687
2011 : FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources	2011-06-30	$427,583
Expenses. Total of all expenses incurred	2011-06-30	$70,852
Benefits paid (including direct rollovers)	2011-06-30	$70,852
Total plan assets at end of year	2011-06-30	$1,524,687
Total plan assets at beginning of year	2011-06-30	$1,167,956
Value of fidelity bond covering the plan	2011-06-30	$200,000
Other income received	2011-06-30	$319,896
Net income (gross income less expenses)	2011-06-30	$356,731
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$1,524,687
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$1,167,956
Total contributions received or receivable from employer(s)	2011-06-30	$107,687

Form 5500 Responses for FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST

2015: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	This submission is the final filing	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: FRANSEN, KULB AND CHALIAN UROLOGY, LTD. PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FRANSEN, KULB AND CHALIAN UROLOGY, LTD.
Employer identification number (EIN):	370947567
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)