401k Plan data: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN plan

FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 401k Plan overview

Plan Name	FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN
Plan identification number	001

FLORENCE INTERNAL MEDICINE ASOC PA 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.
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.

401k Sponsoring company profile

FLORENCE INTERNAL MEDICINE ASSOC PA has sponsored the creation of one or more 401k plans.

Company Name: FLORENCE INTERNAL MEDICINE ASSOC PA

Employer identification number (EIN): 570606112

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 KAY PARKER AS TRUSTEE KAY PARKER AS SECRETARY 2012-10-15
001 2010-01-01 KAY PARKER AS TRUSTEE KAY PARKER AS SECRETARY 2011-02-15
001 2009-01-01 KAY PARKER AS TRUSTEE KAY PARKER AS SECRETARY 2011-02-15
001 2008-01-01 KAY PARKER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	KAY PARKER AS TRUSTEE	KAY PARKER AS SECRETARY	2012-10-15
001	2010-01-01	KAY PARKER AS TRUSTEE	KAY PARKER AS SECRETARY	2011-02-15
001	2009-01-01	KAY PARKER AS TRUSTEE	KAY PARKER AS SECRETARY	2011-02-15
001	2008-01-01	KAY PARKER

Plan Statistics for FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN

401k plan membership statisitcs for FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN

Measure Date Value
2011: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Total of all active and inactive participants 2011-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 0
2010: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING 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 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 1
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 5
2009: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING 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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
2008: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 5
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 5
Number of participants with account balances 2008-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0

Measure	Date	Value
2011: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Total of all active and inactive participants	2011-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	0
2010: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING 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	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	1
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	5
2009: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING 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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2008: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	5
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	5
Number of participants with account balances	2008-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0

Financial Data on FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN

Measure	Date	Value
2011 : FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total income from all sources	2011-12-31	$86
Expenses. Total of all expenses incurred	2011-12-31	$714,497
Benefits paid (including direct rollovers)	2011-12-31	$694,948
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$714,411
Other income received	2011-12-31	$86
Net income (gross income less expenses)	2011-12-31	$-714,411
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$714,411
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$19,549
2010 : FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$753,824
Expenses. Total of all expenses incurred	2010-12-31	$103,544
Benefits paid (including direct rollovers)	2010-12-31	$90,620
Total plan assets at end of year	2010-12-31	$714,411
Total plan assets at beginning of year	2010-12-31	$64,131
Other income received	2010-12-31	$753,824
Net income (gross income less expenses)	2010-12-31	$650,280
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$714,411
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$64,131
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$12,924
2008 : FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2008 401k financial data
Total plan liabilities at end of year	2008-12-31	$0
Total plan liabilities at beginning of year	2008-12-31	$0
Total income from all sources	2008-12-31	$-14,466
Expenses. Total of all expenses incurred	2008-12-31	$15,330
Total plan assets at end of year	2008-12-31	$56,490
Total plan assets at beginning of year	2008-12-31	$86,286
Expenses. Other expenses not covered elsewhere	2008-12-31	$15,330
Other income received	2008-12-31	$-29,796
Net income (gross income less expenses)	2008-12-31	$-29,796
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$56,490
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$86,286
Total contributions received or receivable from employer(s)	2008-12-31	$15,330
2007 : FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2007 401k financial data
Total plan liabilities at end of year	2007-12-31	$0
Total plan liabilities at beginning of year	2007-12-31	$0
Total income from all sources	2007-12-31	$32,333
Expenses. Total of all expenses incurred	2007-12-31	$15,330
Total plan assets at end of year	2007-12-31	$86,286
Total plan assets at beginning of year	2007-12-31	$69,283
Expenses. Other expenses not covered elsewhere	2007-12-31	$15,330
Other income received	2007-12-31	$17,003
Net income (gross income less expenses)	2007-12-31	$17,003
Net plan assets at end of year (total assets less liabilities)	2007-12-31	$86,286
Net plan assets at beginning of year (total assets less liabilities)	2007-12-31	$69,283
Total contributions received or receivable from employer(s)	2007-12-31	$15,330
2006 : FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2006 401k financial data
Total plan liabilities at end of year	2006-12-31	$0
Total plan liabilities at beginning of year	2006-12-31	$0
Total income from all sources	2006-12-31	$14,908
Expenses. Total of all expenses incurred	2006-12-31	$45,330
Total plan assets at end of year	2006-12-31	$69,283
Total plan assets at beginning of year	2006-12-31	$99,705
Expenses. Other expenses not covered elsewhere	2006-12-31	$15,330
Other income received	2006-12-31	$-422
Net income (gross income less expenses)	2006-12-31	$-30,422
Net plan assets at end of year (total assets less liabilities)	2006-12-31	$69,283
Net plan assets at beginning of year (total assets less liabilities)	2006-12-31	$99,705
Total contributions received or receivable from employer(s)	2006-12-31	$15,330
Value of certain deemed distributions of participant loans	2006-12-31	$30,000

Form 5500 Responses for FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN

2011: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING 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: FLORENCE INTERNAL MEDICINE ASOC PA 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
2008: FLORENCE INTERNAL MEDICINE ASOC PA PROFIT SHARING PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FLORENCE INTERNAL MEDICINE ASSOC PA
Employer identification number (EIN):	570606112
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)