401k Plan data: ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN plan

ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 401k Plan overview

Plan Name	ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN
Plan identification number	001

ARIZONA GASTROENTEROLOGY & LIVER CLINIC 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.
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

ARIZONA GASTROENTEROLOGY & LIVER CLINIC, PC has sponsored the creation of one or more 401k plans.

Company Name: ARIZONA GASTROENTEROLOGY & LIVER CLINIC, PC

Employer identification number (EIN): 593796431

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 KULBIR BAL 2014-10-03
001 2011-01-01 PREPARER ON BEHALF OF ADMINISTRATOR
001 2009-01-01 KULBIR BAL

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2012-01-01	KULBIR BAL	2014-10-03
001	2011-01-01	PREPARER ON BEHALF OF ADMINISTRATOR
001	2009-01-01	KULBIR BAL

Plan Statistics for ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN

401k plan membership statisitcs for ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN

Measure Date Value
2011: ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 10
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
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 2
Total of all active and inactive participants 2009-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 11
Number of participants with account balances 2009-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	10
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
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	2
Total of all active and inactive participants	2009-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	11
Number of participants with account balances	2009-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN

Measure	Date	Value
2011 : ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$80,013
Total plan assets at end of year	2011-12-31	$428,553
Total plan assets at beginning of year	2011-12-31	$348,540
Total contributions received or receivable from participants	2011-12-31	$79,340
Other income received	2011-12-31	$-21,683
Net income (gross income less expenses)	2011-12-31	$80,013
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$428,553
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$348,540
Total contributions received or receivable from employer(s)	2011-12-31	$22,356
2010 : ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$78,980
Expenses. Total of all expenses incurred	2010-12-31	$147,095
Benefits paid (including direct rollovers)	2010-12-31	$147,095
Total plan assets at end of year	2010-12-31	$348,540
Total plan assets at beginning of year	2010-12-31	$416,655
Total contributions received or receivable from participants	2010-12-31	$44,177
Other income received	2010-12-31	$18,442
Net income (gross income less expenses)	2010-12-31	$-68,115
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$348,540
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$416,655
Total contributions received or receivable from employer(s)	2010-12-31	$16,361

Form 5500 Responses for ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN

2011: ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ARIZONA GASTROENTEROLOGY & LIVER CLINIC PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91640030

Policy instance

Insurance contract or identification number	91640030
Number of Individuals Covered	11
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91640030

Policy instance

Insurance contract or identification number	91640030
Number of Individuals Covered	11
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $887
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GIC

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Company Name:	ARIZONA GASTROENTEROLOGY & LIVER CLINIC, PC
Employer identification number (EIN):	593796431
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)