401k Plan data: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN plan

REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 401k Plan overview

Plan Name	REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN
Plan identification number	001

REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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

REZA DAVID SEIRAFI MD PC has sponsored the creation of one or more 401k plans.

Company Name: REZA DAVID SEIRAFI MD PC

Employer identification number (EIN): 631223509

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2018-01-01
001 2017-01-01 TRUDIE SEIRAFI
001 2016-01-01 TRUDIE SEIRAFI
001 2015-01-01 TRUDIE SEIRAFI
001 2014-01-01 TRUDIE SEIRAFI
001 2013-01-01 TRUDIE SEIRAFI
001 2012-01-01 TRUDIE SEIRAFI
001 2011-01-01 TRUDIE SEIRAFI
001 2009-01-01 TRUDIE SEIRAFI

Plan Statistics for REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN

401k plan membership statisitcs for REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN

Measure Date Value
2018: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2
Total of all active and inactive participants 2018-01-01 0
Total participants 2018-01-01 0
2017: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Total participants 2017-01-01 0
2016: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Total participants 2016-01-01 0
2015: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
2014: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
2013: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 3
2012: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
2011: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total of all active and inactive participants 2011-01-01 0
Total participants 2011-01-01 0
2009: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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 0
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 4
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
2018: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2
Total of all active and inactive participants	2018-01-01	0
Total participants	2018-01-01	0
2017: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Total participants	2017-01-01	0
2016: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Total participants	2016-01-01	0
2015: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
2014: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
2013: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	3
2012: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total of all active and inactive participants	2011-01-01	0
Total participants	2011-01-01	0
2009: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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	0
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	4
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 REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN

Measure	Date	Value
2018 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-105
Expenses. Total of all expenses incurred	2018-12-31	$386
Benefits paid (including direct rollovers)	2018-12-31	$386
Total plan assets at end of year	2018-12-31	$0
Total plan assets at beginning of year	2018-12-31	$491
Other income received	2018-12-31	$-105
Net income (gross income less expenses)	2018-12-31	$-491
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$491
2017 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$81
Total plan assets at end of year	2017-12-31	$491
Total plan assets at beginning of year	2017-12-31	$410
Other income received	2017-12-31	$81
Net income (gross income less expenses)	2017-12-31	$81
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$491
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$410
2016 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$29
Total plan assets at end of year	2016-12-31	$410
Total plan assets at beginning of year	2016-12-31	$381
Other income received	2016-12-31	$29
Net income (gross income less expenses)	2016-12-31	$29
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$410
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$381
2015 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$111
Expenses. Total of all expenses incurred	2015-12-31	$16,044
Benefits paid (including direct rollovers)	2015-12-31	$16,044
Total plan assets at end of year	2015-12-31	$381
Total plan assets at beginning of year	2015-12-31	$16,314
Other income received	2015-12-31	$111
Net income (gross income less expenses)	2015-12-31	$-15,933
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$381
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$16,314
2014 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$936
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$16,314
Total plan assets at beginning of year	2014-12-31	$15,378
Other income received	2014-12-31	$936
Net income (gross income less expenses)	2014-12-31	$936
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$16,314
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$15,378
2013 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$3,564
Expenses. Total of all expenses incurred	2013-12-31	$17,254
Benefits paid (including direct rollovers)	2013-12-31	$17,187
Total plan assets at end of year	2013-12-31	$15,378
Total plan assets at beginning of year	2013-12-31	$29,068
Expenses. Other expenses not covered elsewhere	2013-12-31	$67
Other income received	2013-12-31	$3,564
Net income (gross income less expenses)	2013-12-31	$-13,690
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$15,378
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$29,068
2012 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$1,888
Expenses. Total of all expenses incurred	2012-12-31	$771
Total plan assets at end of year	2012-12-31	$29,068
Total plan assets at beginning of year	2012-12-31	$27,951
Expenses. Other expenses not covered elsewhere	2012-12-31	$771
Other income received	2012-12-31	$1,888
Net income (gross income less expenses)	2012-12-31	$1,117
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$29,068
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$27,951
2011 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-241
Expenses. Total of all expenses incurred	2011-12-31	$364
Total plan assets at end of year	2011-12-31	$27,951
Total plan assets at beginning of year	2011-12-31	$28,556
Expenses. Other expenses not covered elsewhere	2011-12-31	$364
Other income received	2011-12-31	$-241
Net income (gross income less expenses)	2011-12-31	$-605
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$27,951
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$28,556
2010 : REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$1,768
Expenses. Total of all expenses incurred	2010-12-31	$348
Total plan assets at end of year	2010-12-31	$28,556
Total plan assets at beginning of year	2010-12-31	$27,136
Value of fidelity bond covering the plan	2010-12-31	$25,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$348
Other income received	2010-12-31	$1,768
Net income (gross income less expenses)	2010-12-31	$1,420
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$28,556
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$27,136

Form 5500 Responses for REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN

2018: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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: REZA DAVID SEIRAFI MD PC PROFIT SHARING RETIREMENT 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:	REZA DAVID SEIRAFI MD PC
Employer identification number (EIN):	631223509
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)