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   Basic Info (Short Form)

Company:
Simon W. Hendershot, Iii, Attorney At Law

Plan:
Simon W. Hendershot, III 401K Plan
 
Form 5500 | Basic Information
Plan Information
Plan Year 01/01/2012 — 12/31/2012
Effective Date of Plan 01/01/2007
Net Assets as of 12/31/2012 $710,536
Plan Number 1
Plan Type Single Employer
Did the plan file for an extension of time or the DFVC Program? Yes

Participant Information as of 12/31/2012
Total 14
Total number of participants as of 01/01/2012 13
Number of participants with account balances 12

Financial Information as of 12/31/2012
Total Assets (EOY) $710,536
Total Liabilities (EOY) $0
Net Assets (EOY) $710,536
Financial Information as of 01/01/2012
Total Assets (BOY) $515,952
Total Liabilities (BOY) $0
Net Assets (BOY) $515,952
Income
Cash from Employers $69,305
Cash from Participants $62,099
Others (including rollovers) $0
Other Income $74,009
Total Income $205,413
Net Income $194,584
Expenses
Total Benefit Payments $4,432
Corrective Distributions $0
Administrative Service Providers $0
Other Expenses $6,397
Total Expenses $10,829
Total Transfers $0
Plan Sponsor Information
Address 1800 Bering Drive
Houston, TX 77057
Telephone (713) 783-3110
EIN 26-1143825
Industry Code 541110
Named Administrator Simon W. Hendershot, III

Benefits Provided Under the Plan
Code Benefit Description
2A Age/Service Weighted or New Comparability or Similar Plan Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New Comparability or Similar Plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the threshold or additional rate allowed under the permitted disparity rules of section 401(l)
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G 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.
2J 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.
2K 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 contributions 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.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3B Self-Employed Plan Plan covering Self-Employed individuals.
3D 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.

Question   Answer Amount
1. During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No  
2. Were there any nonexempt transactions with any party-in-interest? No  
3. Was this plan covered by a fidelity bond? Yes $40,000
4. Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No  
5. Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No  
6. Has the plan failed to provide any benefit when due under the plan? No  
7. If this is an individual account plan, was there a blackout period? No  
8. If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3?