401k Plan data: DENIS B. HART, MD PS PLAN plan

DENIS B. HART, MD PS PLAN 401k Plan overview

Plan Name	DENIS B. HART, MD PS PLAN
Plan identification number	003

DENIS B. HART, MD PS PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met. Plan covering Self-Employed individuals.

401k Sponsoring company profile

DENIS B. HART, M.D. has sponsored the creation of one or more 401k plans.

Company Name: DENIS B. HART, M.D.

Employer identification number (EIN): 382307130

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENIS B. HART, MD PS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2010-01-01 DENIS B. HART
003 2009-01-01 DENIS B. HART DENIS B. HART 2010-07-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2010-01-01	DENIS B. HART
003	2009-01-01	DENIS B. HART		DENIS B. HART	2010-07-22

Plan Statistics for DENIS B. HART, MD PS PLAN

401k plan membership statisitcs for DENIS B. HART, MD PS PLAN

Measure Date Value
2010: DENIS B. HART, MD PS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 5
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 5
2009: DENIS B. HART, MD PS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 5

Measure	Date	Value
2010: DENIS B. HART, MD PS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	5
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	5
2009: DENIS B. HART, MD PS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5

Financial Data on DENIS B. HART, MD PS PLAN

Measure	Date	Value
2010 : DENIS B. HART, MD PS PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$250,119
Expenses. Total of all expenses incurred	2010-12-31	$271
Total plan assets at end of year	2010-12-31	$1,533,304
Total plan assets at beginning of year	2010-12-31	$1,283,456
Total contributions received or receivable from participants	2010-12-31	$15,760
Other income received	2010-12-31	$188,902
Net income (gross income less expenses)	2010-12-31	$249,848
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,533,304
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,283,456
Total contributions received or receivable from employer(s)	2010-12-31	$45,457
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$271

Form 5500 Responses for DENIS B. HART, MD PS PLAN

2010: DENIS B. HART, MD PS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DENIS B. HART, MD PS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DENIS B. HART, M.D.
Employer identification number (EIN):	382307130
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)