401k Plan data: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN plan

DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN
Plan identification number	002

DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

DANVILLE PULMONARY CLINIC, INC. has sponsored the creation of one or more 401k plans.

Company Name: DANVILLE PULMONARY CLINIC, INC.

Employer identification number (EIN): 541153187

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-11-01 SALLY ASHWORTH
002 2014-11-01 SALLY ASHWORTH
002 2013-11-01 WILLIAM HENDERSON
002 2012-11-01 WILLIAM HENDERSON WILLIAM HENDERSON 2014-08-13
002 2011-11-01 WILLIAM W. HENDERSON, IV 2012-11-05
002 2010-11-01 WILLIAM W. HENDERSON, IV 2011-11-15 WILLIAM W. HENDERSON, IV 2011-11-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2015-11-01	SALLY ASHWORTH
002	2014-11-01	SALLY ASHWORTH
002	2013-11-01	WILLIAM HENDERSON
002	2012-11-01	WILLIAM HENDERSON		WILLIAM HENDERSON	2014-08-13
002	2011-11-01	WILLIAM W. HENDERSON, IV	2012-11-05
002	2010-11-01	WILLIAM W. HENDERSON, IV	2011-11-15	WILLIAM W. HENDERSON, IV	2011-11-15

Plan Statistics for DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN

Measure Date Value
2015: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-11-01 24
Total number of active participants reported on line 7a of the Form 5500 2015-11-01 0
Number of retired or separated participants receiving benefits 2015-11-01 0
Number of other retired or separated participants entitled to future benefits 2015-11-01 0
Total of all active and inactive participants 2015-11-01 0
Total participants 2015-11-01 0
Number of participants with account balances 2015-11-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-11-01 0
2014: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-11-01 29
Total number of active participants reported on line 7a of the Form 5500 2014-11-01 0
Number of retired or separated participants receiving benefits 2014-11-01 0
Number of other retired or separated participants entitled to future benefits 2014-11-01 24
Total of all active and inactive participants 2014-11-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-11-01 0
Total participants 2014-11-01 24
Number of participants with account balances 2014-11-01 24
2013: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-11-01 26
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 25
Number of retired or separated participants receiving benefits 2013-11-01 0
Number of other retired or separated participants entitled to future benefits 2013-11-01 4
Total of all active and inactive participants 2013-11-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-11-01 0
Total participants 2013-11-01 29
Number of participants with account balances 2013-11-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-11-01 0
2012: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-11-01 23
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 24
Number of retired or separated participants receiving benefits 2012-11-01 0
Number of other retired or separated participants entitled to future benefits 2012-11-01 2
Total of all active and inactive participants 2012-11-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-11-01 0
Total participants 2012-11-01 26
Number of participants with account balances 2012-11-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-11-01 0

Measure	Date	Value
2015: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-11-01	24
Total number of active participants reported on line 7a of the Form 5500	2015-11-01	0
Number of retired or separated participants receiving benefits	2015-11-01	0
Number of other retired or separated participants entitled to future benefits	2015-11-01	0
Total of all active and inactive participants	2015-11-01	0
Total participants	2015-11-01	0
Number of participants with account balances	2015-11-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-11-01	0
2014: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-11-01	29
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	0
Number of retired or separated participants receiving benefits	2014-11-01	0
Number of other retired or separated participants entitled to future benefits	2014-11-01	24
Total of all active and inactive participants	2014-11-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-11-01	0
Total participants	2014-11-01	24
Number of participants with account balances	2014-11-01	24
2013: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-11-01	26
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	25
Number of retired or separated participants receiving benefits	2013-11-01	0
Number of other retired or separated participants entitled to future benefits	2013-11-01	4
Total of all active and inactive participants	2013-11-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-11-01	0
Total participants	2013-11-01	29
Number of participants with account balances	2013-11-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-11-01	0
2012: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-11-01	23
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	24
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	2
Total of all active and inactive participants	2012-11-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-11-01	0
Total participants	2012-11-01	26
Number of participants with account balances	2012-11-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-11-01	0

Financial Data on DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN

Measure	Date	Value
2015 : DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-21	$0
Total plan liabilities at end of year	2015-12-21	$0
Total income from all sources	2015-12-21	$15,877
Expenses. Total of all expenses incurred	2015-12-21	$3,587,812
Benefits paid (including direct rollovers)	2015-12-21	$3,582,758
Total plan assets at end of year	2015-12-21	$0
Total plan assets at beginning of year	2015-12-21	$3,571,935
Value of fidelity bond covering the plan	2015-12-21	$400,000
Total contributions received or receivable from participants	2015-12-21	$18,120
Expenses. Other expenses not covered elsewhere	2015-12-21	$0
Contributions received from other sources (not participants or employers)	2015-12-21	$0
Other income received	2015-12-21	$-30,078
Noncash contributions received	2015-12-21	$0
Net income (gross income less expenses)	2015-12-21	$-3,571,935
Net plan assets at end of year (total assets less liabilities)	2015-12-21	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-21	$3,571,935
Total contributions received or receivable from employer(s)	2015-12-21	$27,835
Value of certain deemed distributions of participant loans	2015-12-21	$0
Value of corrective distributions	2015-12-21	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-21	$5,054
Transfers to/from the plan	2015-10-31	$0
Total plan liabilities at end of year	2015-10-31	$0
Total plan liabilities at beginning of year	2015-10-31	$0
Total income from all sources	2015-10-31	$143,081
Expenses. Total of all expenses incurred	2015-10-31	$106,144
Benefits paid (including direct rollovers)	2015-10-31	$106,144
Total plan assets at end of year	2015-10-31	$3,571,935
Total plan assets at beginning of year	2015-10-31	$3,534,998
Value of fidelity bond covering the plan	2015-10-31	$400,000
Total contributions received or receivable from participants	2015-10-31	$44,093
Expenses. Other expenses not covered elsewhere	2015-10-31	$0
Contributions received from other sources (not participants or employers)	2015-10-31	$0
Other income received	2015-10-31	$71,352
Noncash contributions received	2015-10-31	$0
Net income (gross income less expenses)	2015-10-31	$36,937
Net plan assets at end of year (total assets less liabilities)	2015-10-31	$3,571,935
Net plan assets at beginning of year (total assets less liabilities)	2015-10-31	$3,534,998
Total contributions received or receivable from employer(s)	2015-10-31	$27,636
Value of certain deemed distributions of participant loans	2015-10-31	$0
Value of corrective distributions	2015-10-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-10-31	$0
2014 : DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-10-31	$0
Total plan liabilities at end of year	2014-10-31	$0
Total income from all sources	2014-10-31	$317,750
Expenses. Total of all expenses incurred	2014-10-31	$22,648
Benefits paid (including direct rollovers)	2014-10-31	$22,648
Total plan assets at end of year	2014-10-31	$3,534,998
Total plan assets at beginning of year	2014-10-31	$3,239,896
Value of fidelity bond covering the plan	2014-10-31	$400,000
Total contributions received or receivable from participants	2014-10-31	$27,808
Expenses. Other expenses not covered elsewhere	2014-10-31	$0
Contributions received from other sources (not participants or employers)	2014-10-31	$0
Other income received	2014-10-31	$286,648
Noncash contributions received	2014-10-31	$0
Net income (gross income less expenses)	2014-10-31	$295,102
Net plan assets at end of year (total assets less liabilities)	2014-10-31	$3,534,998
Net plan assets at beginning of year (total assets less liabilities)	2014-10-31	$3,239,896
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2014-10-31	$0
Total contributions received or receivable from employer(s)	2014-10-31	$3,294
Value of certain deemed distributions of participant loans	2014-10-31	$0
Value of corrective distributions	2014-10-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-10-31	$0
2013 : DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-10-31	$501,071
Expenses. Total of all expenses incurred	2013-10-31	$1,374,619
Benefits paid (including direct rollovers)	2013-10-31	$1,374,619
Total plan assets at end of year	2013-10-31	$3,239,896
Total plan assets at beginning of year	2013-10-31	$4,113,444
Value of fidelity bond covering the plan	2013-10-31	$300,000
Total contributions received or receivable from participants	2013-10-31	$43,365
Other income received	2013-10-31	$432,375
Net income (gross income less expenses)	2013-10-31	$-873,548
Net plan assets at end of year (total assets less liabilities)	2013-10-31	$3,239,896
Net plan assets at beginning of year (total assets less liabilities)	2013-10-31	$4,113,444
Total contributions received or receivable from employer(s)	2013-10-31	$25,331
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-10-31	$0

Form 5500 Responses for DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN

2015: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-11-01	Type of plan entity	Single employer plan
2015-11-01	Submission has been amended	No
2015-11-01	This submission is the final filing	Yes
2015-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-11-01	Plan is a collectively bargained plan	No
2015-11-01	Plan funding arrangement – Trust	Yes
2015-11-01	Plan benefit arrangement - Trust	Yes
2014: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	Submission has been amended	No
2014-11-01	This submission is the final filing	No
2014-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-11-01	Plan is a collectively bargained plan	No
2014-11-01	Plan funding arrangement – Trust	Yes
2014-11-01	Plan benefit arrangement - Trust	Yes
2013: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Submission has been amended	No
2013-11-01	This submission is the final filing	No
2013-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-11-01	Plan is a collectively bargained plan	No
2013-11-01	Plan funding arrangement – Trust	Yes
2013-11-01	Plan benefit arrangement - Trust	Yes
2012: DANVILLE PULMONARY CLINIC, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	No
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-11-01	Plan funding arrangement – Trust	Yes
2012-11-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DANVILLE PULMONARY CLINIC, INC.
Employer identification number (EIN):	541153187
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)