401k Plan data: MAX J. MILLER, M.D. PROFIT SHARING PLAN plan

MAX J. MILLER, M.D. PROFIT SHARING PLAN 401k Plan overview

Plan Name	MAX J. MILLER, M.D. PROFIT SHARING PLAN
Plan identification number	001

MAX J. MILLER, M.D. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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.

401k Sponsoring company profile

MAX J. MILLER, M.D. has sponsored the creation of one or more 401k plans.

Company Name: MAX J. MILLER, M.D.

Employer identification number (EIN): 520893554

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAX J. MILLER, M.D. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 CHARLOTTE MILLER CHARLOTTE MILLER 2017-10-11
001 2015-01-01 CHARLOTTE MILLER CHARLOTTE MILLER 2016-09-29
001 2014-01-01 MAX J. MILLER M.D. MAX J. MILLER M.D. 2015-10-06
001 2013-01-01 MAX J. MILLER M.D. MAX J. MILLER M.D. 2014-09-23
001 2012-01-01 MAX J. MILLER M.D. MAX J. MILLER M.D. 2013-09-23
001 2011-01-01 MAX J. MILLER M.D. MAX J. MILLER M.D. 2012-09-04
001 2009-01-01 MAX J. MILLER M.D. MAX J. MILLER M.D. 2010-07-20

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	CHARLOTTE MILLER	CHARLOTTE MILLER	2017-10-11
001	2015-01-01	CHARLOTTE MILLER	CHARLOTTE MILLER	2016-09-29
001	2014-01-01	MAX J. MILLER M.D.	MAX J. MILLER M.D.	2015-10-06
001	2013-01-01	MAX J. MILLER M.D.	MAX J. MILLER M.D.	2014-09-23
001	2012-01-01	MAX J. MILLER M.D.	MAX J. MILLER M.D.	2013-09-23
001	2011-01-01	MAX J. MILLER M.D.	MAX J. MILLER M.D.	2012-09-04
001	2009-01-01	MAX J. MILLER M.D.	MAX J. MILLER M.D.	2010-07-20

Plan Statistics for MAX J. MILLER, M.D. PROFIT SHARING PLAN

401k plan membership statisitcs for MAX J. MILLER, M.D. PROFIT SHARING PLAN

Measure Date Value
2016: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 1
Number of participants with account balances 2016-01-01 0
2015: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1
Number of retired or separated participants receiving benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 1
Total participants 2015-01-01 1
2014: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1
Total of all active and inactive participants 2014-01-01 1
Total participants 2014-01-01 1
Number of participants with account balances 2014-01-01 1
2013: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1
Total of all active and inactive participants 2013-01-01 1
Total participants 2013-01-01 1
Number of participants with account balances 2013-01-01 1
2012: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1
Total of all active and inactive participants 2012-01-01 1
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
2011: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
Total of all active and inactive participants 2011-01-01 1
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
2009: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1
Total of all active and inactive participants 2009-01-01 1
Total participants 2009-01-01 1
Number of participants with account balances 2009-01-01 1

Measure	Date	Value
2016: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	1
Number of participants with account balances	2016-01-01	0
2015: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1
Number of retired or separated participants receiving benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	1
Total participants	2015-01-01	1
2014: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1
Total of all active and inactive participants	2014-01-01	1
Total participants	2014-01-01	1
Number of participants with account balances	2014-01-01	1
2013: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1
Total of all active and inactive participants	2013-01-01	1
Total participants	2013-01-01	1
Number of participants with account balances	2013-01-01	1
2012: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1
Total of all active and inactive participants	2012-01-01	1
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
2011: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
Total of all active and inactive participants	2011-01-01	1
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
2009: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1
Total of all active and inactive participants	2009-01-01	1
Total participants	2009-01-01	1
Number of participants with account balances	2009-01-01	1

Financial Data on MAX J. MILLER, M.D. PROFIT SHARING PLAN

Measure	Date	Value
2016 : MAX J. MILLER, M.D. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$19,462
Expenses. Total of all expenses incurred	2016-12-31	$488,590
Benefits paid (including direct rollovers)	2016-12-31	$488,590
Total plan assets at beginning of year	2016-12-31	$469,128
Other income received	2016-12-31	$19,462
Net income (gross income less expenses)	2016-12-31	$-469,128
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$469,128
2015 : MAX J. MILLER, M.D. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$12,125
Expenses. Total of all expenses incurred	2015-12-31	$44,453
Benefits paid (including direct rollovers)	2015-12-31	$44,453
Total plan assets at end of year	2015-12-31	$469,128
Total plan assets at beginning of year	2015-12-31	$501,456
Other income received	2015-12-31	$12,125
Net income (gross income less expenses)	2015-12-31	$-32,328
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$469,128
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$501,456
2014 : MAX J. MILLER, M.D. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$7,775
Expenses. Total of all expenses incurred	2014-12-31	$44,339
Benefits paid (including direct rollovers)	2014-12-31	$44,339
Total plan assets at end of year	2014-12-31	$501,456
Total plan assets at beginning of year	2014-12-31	$538,020
Other income received	2014-12-31	$7,775
Net income (gross income less expenses)	2014-12-31	$-36,564
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$501,456
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$538,020
2013 : MAX J. MILLER, M.D. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$7,409
Expenses. Total of all expenses incurred	2013-12-31	$42,068
Benefits paid (including direct rollovers)	2013-12-31	$42,068
Total plan assets at end of year	2013-12-31	$538,020
Total plan assets at beginning of year	2013-12-31	$572,679
Other income received	2013-12-31	$7,409
Net income (gross income less expenses)	2013-12-31	$-34,659
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$538,020
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$572,679
2012 : MAX J. MILLER, M.D. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$-3,557
Expenses. Total of all expenses incurred	2012-12-31	$41,028
Benefits paid (including direct rollovers)	2012-12-31	$41,028
Total plan assets at end of year	2012-12-31	$572,679
Total plan assets at beginning of year	2012-12-31	$617,264
Other income received	2012-12-31	$-3,557
Net income (gross income less expenses)	2012-12-31	$-44,585
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$572,679
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$617,264
2011 : MAX J. MILLER, M.D. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-5,676
Expenses. Total of all expenses incurred	2011-12-31	$41,404
Benefits paid (including direct rollovers)	2011-12-31	$41,404
Total plan assets at end of year	2011-12-31	$617,264
Total plan assets at beginning of year	2011-12-31	$664,344
Other income received	2011-12-31	$-5,676
Net income (gross income less expenses)	2011-12-31	$-47,080
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$617,264
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$664,344
2010 : MAX J. MILLER, M.D. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$-11,452
Expenses. Total of all expenses incurred	2010-12-31	$40,163
Benefits paid (including direct rollovers)	2010-12-31	$40,163
Total plan assets at end of year	2010-12-31	$664,344
Total plan assets at beginning of year	2010-12-31	$715,959
Other income received	2010-12-31	$-11,452
Net income (gross income less expenses)	2010-12-31	$-51,615
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$664,344
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$715,959

Form 5500 Responses for MAX J. MILLER, M.D. PROFIT SHARING PLAN

2016: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MAX J. MILLER, M.D. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MAX J. MILLER, M.D.
Employer identification number (EIN):	520893554
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)