401k Plan data: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) plan

MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 401k Plan overview

Plan Name	MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.)
Plan identification number	502

MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

FORBES MANAGEMENT COMPANY INC. has sponsored the creation of one or more 401k plans.

Company Name: FORBES MANAGEMENT COMPANY INC.

Employer identification number (EIN): 134046333

NAIC Classification: 519100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-01-01 SEAN HEGARTY
502 2012-01-01 SEAN HEGARTY SEAN HEGARTY 2013-07-01
502 2011-01-01 THOMAS CALLAHAN THOMAS CALLAHAN 2012-07-20
502 2010-01-01 SEAN HEGARTY SEAN HEGARTY 2011-06-29

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2013-01-01	SEAN HEGARTY
502	2012-01-01	SEAN HEGARTY	SEAN HEGARTY	2013-07-01
502	2011-01-01	THOMAS CALLAHAN	THOMAS CALLAHAN	2012-07-20
502	2010-01-01	SEAN HEGARTY	SEAN HEGARTY	2011-06-29

Plan Statistics for MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.)

401k plan membership statisitcs for MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.)

Measure Date Value
2013: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2013 401k membership
Total participants, beginning-of-year 2013-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 48
Number of retired or separated participants receiving benefits 2013-01-01 1
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 49
2012: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2012 401k membership
Total participants, beginning-of-year 2012-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 49
Total of all active and inactive participants 2012-01-01 49
2011: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2011 401k membership
Total participants, beginning-of-year 2011-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 47
Total of all active and inactive participants 2011-01-01 47
2010: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2010 401k membership
Total participants, beginning-of-year 2010-01-01 56
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 45
Total of all active and inactive participants 2010-01-01 45

Measure	Date	Value
2013: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2013 401k membership
Total participants, beginning-of-year	2013-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	48
Number of retired or separated participants receiving benefits	2013-01-01	1
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	49
2012: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2012 401k membership
Total participants, beginning-of-year	2012-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	49
Total of all active and inactive participants	2012-01-01	49
2011: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2011 401k membership
Total participants, beginning-of-year	2011-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	47
Total of all active and inactive participants	2011-01-01	47
2010: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2010 401k membership
Total participants, beginning-of-year	2010-01-01	56
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	45
Total of all active and inactive participants	2010-01-01	45

Form 5500 Responses for MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.)

2013: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES MANAGEMENT COMPANY INC. (FKA MAJOR MEDICAL PLAN FOR EMPLOYEES OF FORBES INC.) 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	FORBES MANAGEMENT COMPANY INC.
Employer identification number (EIN):	134046333
NAIC Classification:	519100