401k Plan data: JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN plan

JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN 401k Plan overview

Plan Name	JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN
Plan identification number	001

JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related 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

JANICE M. LABRANCHE, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name: JANICE M. LABRANCHE, M.D., P.C.

Employer identification number (EIN): 861012544

NAIC Classification: 621340
NAIC Description: Offices of Physical, Occupational and Speech Therapists, and Audiologists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 JANICE M. LABRANCHE, M.D. 2013-10-16 JANICE M. LABRANCHE, M.D. 2013-10-16
001 2011-01-01 JANICE M. LABRANCHE, M.D. 2012-10-16 JANICE M. LABRANCHE, M.D. 2012-10-16
001 2010-01-01 JANICE M. LABRANCHE, M.D. 2011-10-13 JANICE M. LABRANCHE, M.D. 2011-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	JANICE M. LABRANCHE, M.D.	2013-10-16	JANICE M. LABRANCHE, M.D.	2013-10-16
001	2011-01-01	JANICE M. LABRANCHE, M.D.	2012-10-16	JANICE M. LABRANCHE, M.D.	2012-10-16
001	2010-01-01	JANICE M. LABRANCHE, M.D.	2011-10-13	JANICE M. LABRANCHE, M.D.	2011-10-13

Plan Statistics for JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN

401k plan membership statisitcs for JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN

Measure Date Value
2016: JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets 2016-12-31 856,912
Acturial value of plan assets 2016-12-31 856,912
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 2
Fundng target for terminated vested participants 2016-12-31 34,308
Active participant vested funding target 2016-12-31 953,727
Number of active participants 2016-12-31 3
Total funding liabilities for active participants 2016-12-31 953,727
Total participant count 2016-12-31 5
Total funding target for all participants 2016-12-31 988,035
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 10,337
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 10,337
Present value of excess contributions 2016-12-31 1,499
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 1,584
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 1,584
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 11,882
Total employer contributions 2016-12-31 60,000
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 53,759
Liquidity shortfalls end of Q1 2016-12-31 0
Liquidity shortfalls end of Q2 2016-12-31 0
Liquidity shortfalls end of Q3 2016-12-31 0
Liquidity shortfalls end of Q4 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 0
Net shortfall amortization installment of oustanding balance 2016-12-31 143,005
Waiver amortization installment 2016-12-31 0
Waived amount of outstanding balance 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 28,374
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 28,374
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 53,759
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0

Measure	Date	Value
2016: JANICE M. LABRANCHE, M.D., P.C. DEFINED BENEFIT PLAN 2016 401k membership
Market value of plan assets	2016-12-31	856,912
Acturial value of plan assets	2016-12-31	856,912
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	2
Fundng target for terminated vested participants	2016-12-31	34,308
Active participant vested funding target	2016-12-31	953,727
Number of active participants	2016-12-31	3
Total funding liabilities for active participants	2016-12-31	953,727
Total participant count	2016-12-31	5
Total funding target for all participants	2016-12-31	988,035
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	10,337
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	10,337
Present value of excess contributions	2016-12-31	1,499
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	1,584
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	1,584
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	11,882
Total employer contributions	2016-12-31	60,000
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	53,759
Liquidity shortfalls end of Q1	2016-12-31	0
Liquidity shortfalls end of Q2	2016-12-31	0
Liquidity shortfalls end of Q3	2016-12-31	0
Liquidity shortfalls end of Q4	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	0
Net shortfall amortization installment of oustanding balance	2016-12-31	143,005
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	28,374
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	28,374
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	53,759
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0

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Company Name:	JANICE M. LABRANCHE, M.D., P.C.
Employer identification number (EIN):	861012544
NAIC Classification:	621340
NAIC Description:	Offices of Physical, Occupational and Speech Therapists, and Audiologists