401k Plan data: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN plan

IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN
Plan identification number	001

IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Plan covering Self-Employed individuals.
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

IZZUDDIN A. MANSUR M.D. has sponsored the creation of one or more 401k plans.

Company Name: IZZUDDIN A. MANSUR M.D.

Employer identification number (EIN): 621752123

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 IZZUDDIN MANSUR IZZUDDIN MANSUR
001 2021-01-01 IZZUDDIN MANSUR IZZUDDIN MANSUR
001 2020-01-01 IZZUDDIN MANSUR 2021-10-12 IZZUDDIN MANSUR 2021-10-12
001 2019-01-01 IZZUDDIN MANSUR 2020-10-15 IZZUDDIN MANSUR 2020-10-15
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01 IZZUDDIN MANSUR IZZUDDIN MANSUR 2014-07-28
001 2012-01-01 IZZUDDIN MANSUR IZZUDDIN MANSUR 2013-07-26
001 2011-01-01 IZZUDDIN MANSUR IZZUDDIN MANSUR 2012-07-26
001 2009-01-01 IZZUDDIN MANSUR IZZUDDIN MANSUR 2010-07-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	IZZUDDIN MANSUR		IZZUDDIN MANSUR
001	2021-01-01	IZZUDDIN MANSUR		IZZUDDIN MANSUR
001	2020-01-01	IZZUDDIN MANSUR	2021-10-12	IZZUDDIN MANSUR	2021-10-12
001	2019-01-01	IZZUDDIN MANSUR	2020-10-15	IZZUDDIN MANSUR	2020-10-15
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01	IZZUDDIN MANSUR		IZZUDDIN MANSUR	2014-07-28
001	2012-01-01	IZZUDDIN MANSUR		IZZUDDIN MANSUR	2013-07-26
001	2011-01-01	IZZUDDIN MANSUR		IZZUDDIN MANSUR	2012-07-26
001	2009-01-01	IZZUDDIN MANSUR		IZZUDDIN MANSUR	2010-07-28

Plan Statistics for IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN

401k plan membership statisitcs for IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN

Measure Date Value
2022: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 4
Total of all active and inactive participants 2022-01-01 4
Total participants 2022-01-01 4
Number of participants with account balances 2022-01-01 4
2021: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 4
Total of all active and inactive participants 2021-01-01 4
Total participants 2021-01-01 4
Number of participants with account balances 2021-01-01 4
2020: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 1
Total of all active and inactive participants 2020-01-01 3
Total participants 2020-01-01 3
Number of participants with account balances 2020-01-01 3
2019: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 3
Total participants 2019-01-01 3
Number of participants with account balances 2019-01-01 3
2018: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2
Number of other retired or separated participants entitled to future benefits 2018-01-01 1
Total of all active and inactive participants 2018-01-01 3
Total participants 2018-01-01 3
Number of participants with account balances 2018-01-01 3
2017: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 3
Total of all active and inactive participants 2017-01-01 3
Total participants 2017-01-01 3
Number of participants with account balances 2017-01-01 3
2016: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
Total of all active and inactive participants 2016-01-01 3
Total participants 2016-01-01 3
Number of participants with account balances 2016-01-01 3
2015: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Total of all active and inactive participants 2015-01-01 3
Total participants 2015-01-01 3
Number of participants with account balances 2015-01-01 3
2014: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: IZZUDDIN A. MANSUR M.D. 401K 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 4
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 0
Total of all active and inactive participants 2011-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	4
Total of all active and inactive participants	2022-01-01	4
Total participants	2022-01-01	4
Number of participants with account balances	2022-01-01	4
2021: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	4
Total of all active and inactive participants	2021-01-01	4
Total participants	2021-01-01	4
Number of participants with account balances	2021-01-01	4
2020: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	1
Total of all active and inactive participants	2020-01-01	3
Total participants	2020-01-01	3
Number of participants with account balances	2020-01-01	3
2019: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	3
Total participants	2019-01-01	3
Number of participants with account balances	2019-01-01	3
2018: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2
Number of other retired or separated participants entitled to future benefits	2018-01-01	1
Total of all active and inactive participants	2018-01-01	3
Total participants	2018-01-01	3
Number of participants with account balances	2018-01-01	3
2017: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	3
Total of all active and inactive participants	2017-01-01	3
Total participants	2017-01-01	3
Number of participants with account balances	2017-01-01	3
2016: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
Total of all active and inactive participants	2016-01-01	3
Total participants	2016-01-01	3
Number of participants with account balances	2016-01-01	3
2015: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Total of all active and inactive participants	2015-01-01	3
Total participants	2015-01-01	3
Number of participants with account balances	2015-01-01	3
2014: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: IZZUDDIN A. MANSUR M.D. 401K 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	4
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	0
Total of all active and inactive participants	2011-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN

Measure	Date	Value
2022 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-582,961
Total plan assets at end of year	2022-12-31	$2,238,669
Total plan assets at beginning of year	2022-12-31	$2,821,630
Value of fidelity bond covering the plan	2022-12-31	$500,000
Other income received	2022-12-31	$-582,961
Net income (gross income less expenses)	2022-12-31	$-582,961
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$2,238,669
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$2,821,630
2021 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$298,171
Total plan assets at end of year	2021-12-31	$2,821,630
Total plan assets at beginning of year	2021-12-31	$2,523,459
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$700
Other income received	2021-12-31	$296,995
Net income (gross income less expenses)	2021-12-31	$298,171
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$2,821,630
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$2,523,459
Total contributions received or receivable from employer(s)	2021-12-31	$476
2020 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$460,549
Total plan assets at end of year	2020-12-31	$2,523,459
Total plan assets at beginning of year	2020-12-31	$2,062,910
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$29,640
Other income received	2020-12-31	$385,198
Net income (gross income less expenses)	2020-12-31	$460,549
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$2,523,459
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$2,062,910
Total contributions received or receivable from employer(s)	2020-12-31	$45,711
2019 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$406,100
Expenses. Total of all expenses incurred	2019-12-31	$79,840
Benefits paid (including direct rollovers)	2019-12-31	$79,840
Total plan assets at end of year	2019-12-31	$2,062,910
Total plan assets at beginning of year	2019-12-31	$1,736,650
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$28,640
Other income received	2019-12-31	$335,769
Net income (gross income less expenses)	2019-12-31	$326,260
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,062,910
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,736,650
Total contributions received or receivable from employer(s)	2019-12-31	$41,691
2018 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-61,203
Total plan assets at end of year	2018-12-31	$1,736,650
Total plan assets at beginning of year	2018-12-31	$1,797,853
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$28,765
Other income received	2018-12-31	$-134,618
Net income (gross income less expenses)	2018-12-31	$-61,203
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,736,650
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,797,853
Total contributions received or receivable from employer(s)	2018-12-31	$44,650
2017 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$323,235
Total plan assets at end of year	2017-12-31	$1,797,853
Total plan assets at beginning of year	2017-12-31	$1,474,618
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$27,250
Other income received	2017-12-31	$251,806
Net income (gross income less expenses)	2017-12-31	$323,235
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,797,853
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,474,618
Total contributions received or receivable from employer(s)	2017-12-31	$44,179
2016 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$175,200
Total plan assets at end of year	2016-12-31	$1,474,618
Total plan assets at beginning of year	2016-12-31	$1,299,418
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$27,250
Other income received	2016-12-31	$105,219
Net income (gross income less expenses)	2016-12-31	$175,200
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,474,618
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,299,418
Total contributions received or receivable from employer(s)	2016-12-31	$42,731
2015 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$69,242
Total plan assets at end of year	2015-12-31	$1,299,418
Total plan assets at beginning of year	2015-12-31	$1,230,176
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$27,250
Other income received	2015-12-31	$-530
Net income (gross income less expenses)	2015-12-31	$69,242
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,299,418
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,230,176
Total contributions received or receivable from employer(s)	2015-12-31	$42,522
2014 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$137,768
Total plan assets at end of year	2014-12-31	$1,230,176
Total plan assets at beginning of year	2014-12-31	$1,092,408
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$26,250
Other income received	2014-12-31	$69,648
Net income (gross income less expenses)	2014-12-31	$137,768
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,230,176
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,092,408
Total contributions received or receivable from employer(s)	2014-12-31	$41,870
2013 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$256,244
Expenses. Total of all expenses incurred	2013-12-31	$101,081
Benefits paid (including direct rollovers)	2013-12-31	$101,081
Total plan assets at end of year	2013-12-31	$1,092,408
Total plan assets at beginning of year	2013-12-31	$937,245
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$27,150
Other income received	2013-12-31	$187,314
Net income (gross income less expenses)	2013-12-31	$155,163
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,092,408
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$937,245
Total contributions received or receivable from employer(s)	2013-12-31	$41,780
2012 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$185,914
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$937,245
Total plan assets at beginning of year	2012-12-31	$751,331
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$29,925
Other income received	2012-12-31	$111,028
Net income (gross income less expenses)	2012-12-31	$185,914
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$937,245
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$751,331
Total contributions received or receivable from employer(s)	2012-12-31	$44,961
2011 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$46,871
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$751,331
Total plan assets at beginning of year	2011-12-31	$704,460
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$29,150
Other income received	2011-12-31	$-26,035
Net income (gross income less expenses)	2011-12-31	$46,871
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$751,331
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$704,460
Total contributions received or receivable from employer(s)	2011-12-31	$43,756
2010 : IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$129,550
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$704,460
Total plan assets at beginning of year	2010-12-31	$574,910
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$28,520
Other income received	2010-12-31	$57,587
Net income (gross income less expenses)	2010-12-31	$129,550
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$704,460
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$574,910
Total contributions received or receivable from employer(s)	2010-12-31	$43,443

Form 5500 Responses for IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN

2022: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: IZZUDDIN A. MANSUR M.D. 401K 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: IZZUDDIN A. MANSUR M.D. 401K 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: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: IZZUDDIN A. MANSUR M.D. 401K PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	IZZUDDIN A. MANSUR M.D.
Employer identification number (EIN):	621752123
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)