401k Plan data: BENJAMIN RODRIGUEZ PSP plan

BENJAMIN RODRIGUEZ PSP 401k Plan overview

Plan Name	BENJAMIN RODRIGUEZ PSP
Plan identification number	001

BENJAMIN RODRIGUEZ PSP Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

DR. BENJAMIN RODRIGUEZ has sponsored the creation of one or more 401k plans.

Company Name: DR. BENJAMIN RODRIGUEZ

Employer identification number (EIN): 660429729

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BENJAMIN RODRIGUEZ PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01
001 2013-01-01 BENJAMIN RODRIGUEZ 2014-10-15
001 2012-01-01 BENJAMIN RODRIGUEZ
001 2011-01-01 BENJAMIN RODRIGUEZ
001 2010-01-01 BENJAMIN RODRIGUEZ
001 2009-01-01 BENJAMIN RODRIGUEZ
001 2008-01-01 BENJAMIN RODRIGUEZ
001 2007-01-01 BENJAMIN RODRIGUEZ
001 2006-01-01 BENJAMIN RODRIGUEZ

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2014-01-01
001	2013-01-01	BENJAMIN RODRIGUEZ	2014-10-15
001	2012-01-01	BENJAMIN RODRIGUEZ
001	2011-01-01	BENJAMIN RODRIGUEZ
001	2010-01-01	BENJAMIN RODRIGUEZ
001	2009-01-01	BENJAMIN RODRIGUEZ
001	2008-01-01	BENJAMIN RODRIGUEZ
001	2007-01-01	BENJAMIN RODRIGUEZ
001	2006-01-01	BENJAMIN RODRIGUEZ

Plan Statistics for BENJAMIN RODRIGUEZ PSP

401k plan membership statisitcs for BENJAMIN RODRIGUEZ PSP

Measure Date Value
2012: BENJAMIN RODRIGUEZ PSP 2012 401k membership
Total participants, beginning-of-year 2012-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 5
Number of participants with account balances 2012-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BENJAMIN RODRIGUEZ PSP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 5
Number of participants with account balances 2011-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: BENJAMIN RODRIGUEZ PSP 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 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 5
Number of participants with account balances 2010-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: BENJAMIN RODRIGUEZ PSP 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: BENJAMIN RODRIGUEZ PSP 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
2007: BENJAMIN RODRIGUEZ PSP 2007 401k membership
Total participants, beginning-of-year 2007-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 5
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-01-01 0
Total participants 2007-01-01 5
Number of participants with account balances 2007-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 0
2006: BENJAMIN RODRIGUEZ PSP 2006 401k membership
Total participants, beginning-of-year 2006-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 5
Number of retired or separated participants receiving benefits 2006-01-01 0
Number of other retired or separated participants entitled to future benefits 2006-01-01 0
Total of all active and inactive participants 2006-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-01-01 0
Total participants 2006-01-01 5
Number of participants with account balances 2006-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2006-01-01 0

Measure	Date	Value
2012: BENJAMIN RODRIGUEZ PSP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	5
Number of participants with account balances	2012-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BENJAMIN RODRIGUEZ PSP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	5
Number of participants with account balances	2011-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: BENJAMIN RODRIGUEZ PSP 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	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	5
Number of participants with account balances	2010-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: BENJAMIN RODRIGUEZ PSP 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: BENJAMIN RODRIGUEZ PSP 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
2007: BENJAMIN RODRIGUEZ PSP 2007 401k membership
Total participants, beginning-of-year	2007-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	5
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	5
Number of participants with account balances	2007-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0
2006: BENJAMIN RODRIGUEZ PSP 2006 401k membership
Total participants, beginning-of-year	2006-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	5
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-01-01	0
Total participants	2006-01-01	5
Number of participants with account balances	2006-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2006-01-01	0

Financial Data on BENJAMIN RODRIGUEZ PSP

Measure	Date	Value
2012 : BENJAMIN RODRIGUEZ PSP 2012 401k financial data
Total income from all sources	2012-12-31	$21,399
Total plan assets at end of year	2012-12-31	$304,725
Total plan assets at beginning of year	2012-12-31	$283,326
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$12,556
Net income (gross income less expenses)	2012-12-31	$21,399
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$304,725
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$283,326
Total contributions received or receivable from employer(s)	2012-12-31	$8,843
2011 : BENJAMIN RODRIGUEZ PSP 2011 401k financial data
Total income from all sources	2011-12-31	$6,815
Total plan assets at end of year	2011-12-31	$283,326
Total plan assets at beginning of year	2011-12-31	$276,511
Other income received	2011-12-31	$6,815
Net income (gross income less expenses)	2011-12-31	$6,815
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$283,326
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$276,511
Total contributions received or receivable from employer(s)	2011-12-31	$0
2010 : BENJAMIN RODRIGUEZ PSP 2010 401k financial data
Total income from all sources	2010-12-31	$22,274
Total plan assets at end of year	2010-12-31	$276,511
Total plan assets at beginning of year	2010-12-31	$254,237
Other income received	2010-12-31	$22,274
Net income (gross income less expenses)	2010-12-31	$22,274
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$276,511
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$254,237
Total contributions received or receivable from employer(s)	2010-12-31	$0
2008 : BENJAMIN RODRIGUEZ PSP 2008 401k financial data
Total income from all sources	2008-12-31	$-32,875
Total plan assets at end of year	2008-12-31	$214,151
Total plan assets at beginning of year	2008-12-31	$247,026
Other income received	2008-12-31	$-32,875
Net income (gross income less expenses)	2008-12-31	$-32,875
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$214,151
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$247,026
Total contributions received or receivable from employer(s)	2008-12-31	$0
2007 : BENJAMIN RODRIGUEZ PSP 2007 401k financial data
Total income from all sources	2007-12-31	$28,595
Total plan assets at end of year	2007-12-31	$247,026
Total plan assets at beginning of year	2007-12-31	$218,430
Other income received	2007-12-31	$28,595
Net income (gross income less expenses)	2007-12-31	$28,595
Net plan assets at end of year (total assets less liabilities)	2007-12-31	$247,026
Net plan assets at beginning of year (total assets less liabilities)	2007-12-31	$218,430
Total contributions received or receivable from employer(s)	2007-12-31	$0
2006 : BENJAMIN RODRIGUEZ PSP 2006 401k financial data
Total income from all sources	2006-12-31	$18,567
Total plan assets at end of year	2006-12-31	$218,430
Total plan assets at beginning of year	2006-12-31	$199,863
Other income received	2006-12-31	$18,567
Net income (gross income less expenses)	2006-12-31	$18,567
Net plan assets at end of year (total assets less liabilities)	2006-12-31	$218,430
Net plan assets at beginning of year (total assets less liabilities)	2006-12-31	$199,863
Total contributions received or receivable from employer(s)	2006-12-31	$0

Form 5500 Responses for BENJAMIN RODRIGUEZ PSP

2012: BENJAMIN RODRIGUEZ PSP 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BENJAMIN RODRIGUEZ PSP 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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 – 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
2010: BENJAMIN RODRIGUEZ PSP 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: BENJAMIN RODRIGUEZ PSP 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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 – 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
2008: BENJAMIN RODRIGUEZ PSP 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes
2007: BENJAMIN RODRIGUEZ PSP 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	Yes
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes
2006: BENJAMIN RODRIGUEZ PSP 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	First time form 5500 has been submitted	Yes
2006-01-01	Submission has been amended	Yes
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan funding arrangement – Trust	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DR. BENJAMIN RODRIGUEZ
Employer identification number (EIN):	660429729
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)