401k Plan data: BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN plan

BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN
Plan identification number	002

BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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. Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BASHIR AHMAD, M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: BASHIR AHMAD, M.D., INC.

Employer identification number (EIN): 953659513

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 MAHMUDA AHMAD MAHMUDA AHMAD 2014-08-19
002 2012-01-01 BASHIR AHMAD, M.D., PRESIDENT BASHIR AHMAD, M.D., PRESIDENT 2013-09-19
002 2011-01-01 BASHIR AHMAD, M.D., PRESIDENT BASHIR AHMAD, M.D., PRESIDENT 2012-10-08
002 2009-01-01 BASHIR AHMAD, M.D., PRESIDENT BASHIR AHMAD, M.D., PRESIDENT 2010-09-23

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	MAHMUDA AHMAD	MAHMUDA AHMAD	2014-08-19
002	2012-01-01	BASHIR AHMAD, M.D., PRESIDENT	BASHIR AHMAD, M.D., PRESIDENT	2013-09-19
002	2011-01-01	BASHIR AHMAD, M.D., PRESIDENT	BASHIR AHMAD, M.D., PRESIDENT	2012-10-08
002	2009-01-01	BASHIR AHMAD, M.D., PRESIDENT	BASHIR AHMAD, M.D., PRESIDENT	2010-09-23

Plan Statistics for BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN

401k plan membership statisitcs for BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN

Measure Date Value
2013: BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 6
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
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 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: BASHIR AHMAD, M.D., INC. 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 6
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 1
Total of all active and inactive participants 2009-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 7
Number of participants with account balances 2009-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	6
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
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	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: BASHIR AHMAD, M.D., INC. 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	6
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	1
Total of all active and inactive participants	2009-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	7
Number of participants with account balances	2009-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN

Measure	Date	Value
2013 : BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$322,699
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,951,392
Total plan assets at beginning of year	2013-12-31	$1,628,693
Value of fidelity bond covering the plan	2013-12-31	$200,000
Other income received	2013-12-31	$225,650
Net income (gross income less expenses)	2013-12-31	$322,699
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,951,392
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,628,693
Total contributions received or receivable from employer(s)	2013-12-31	$97,049
2012 : BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$272,897
Expenses. Total of all expenses incurred	2012-12-31	$215
Total plan assets at end of year	2012-12-31	$1,628,693
Total plan assets at beginning of year	2012-12-31	$1,356,011
Value of fidelity bond covering the plan	2012-12-31	$200,000
Other income received	2012-12-31	$165,009
Net income (gross income less expenses)	2012-12-31	$272,682
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,628,693
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,356,011
Total contributions received or receivable from employer(s)	2012-12-31	$107,888
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$215
2011 : BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$36,137
Expenses. Total of all expenses incurred	2011-12-31	$300
Total plan assets at end of year	2011-12-31	$1,356,011
Total plan assets at beginning of year	2011-12-31	$1,320,174
Value of fidelity bond covering the plan	2011-12-31	$200,000
Other income received	2011-12-31	$-49,549
Net income (gross income less expenses)	2011-12-31	$35,837
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,356,011
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,320,174
Total contributions received or receivable from employer(s)	2011-12-31	$85,686
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$300
2010 : BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$202,204
Expenses. Total of all expenses incurred	2010-12-31	$242,921
Benefits paid (including direct rollovers)	2010-12-31	$228,678
Total plan assets at end of year	2010-12-31	$1,320,174
Total plan assets at beginning of year	2010-12-31	$1,360,891
Value of fidelity bond covering the plan	2010-12-31	$200,000
Other income received	2010-12-31	$123,882
Net income (gross income less expenses)	2010-12-31	$-40,717
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,320,174
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,360,891
Total contributions received or receivable from employer(s)	2010-12-31	$78,322
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$14,243
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for BASHIR AHMAD, M.D., INC. PROFIT SHARING PLAN

2013: BASHIR AHMAD, M.D., INC. 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: BASHIR AHMAD, M.D., INC. 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: BASHIR AHMAD, M.D., INC. 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: BASHIR AHMAD, M.D., INC. 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BASHIR AHMAD, M.D., INC.
Employer identification number (EIN):	953659513
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)