401k Plan data: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN plan

PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN
Plan identification number	001

PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

PREMIER MEDICAL, PC has sponsored the creation of one or more 401k plans.

Company Name: PREMIER MEDICAL, PC

Employer identification number (EIN): 631257475

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01 DENNIS JONES
001 2017-01-01 DENNIS JONES
001 2016-01-01 DENNIS JONES
001 2015-01-01 DENNIS JONES
001 2014-01-01 SHERRI S. HICKMAN 2015-05-21
001 2013-01-01 SHERRI S. HICKMAN 2014-05-06
001 2012-01-01 SHERRI S. HICKMAN 2013-06-17
001 2011-01-01 C. RANDY HAMMOND 2012-05-02
001 2009-01-01 C. RANDY HAMMOND

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-01-01
001	2018-01-01	DENNIS JONES
001	2017-01-01	DENNIS JONES
001	2016-01-01	DENNIS JONES
001	2015-01-01	DENNIS JONES
001	2014-01-01	SHERRI S. HICKMAN	2015-05-21
001	2013-01-01	SHERRI S. HICKMAN	2014-05-06
001	2012-01-01	SHERRI S. HICKMAN	2013-06-17
001	2011-01-01	C. RANDY HAMMOND	2012-05-02
001	2009-01-01	C. RANDY HAMMOND

Plan Statistics for PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2019: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 11
Number of other retired or separated participants entitled to future benefits 2018-01-01 3
Total of all active and inactive participants 2018-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 14
Number of participants with account balances 2018-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 11
Number of retired or separated participants receiving benefits 2017-01-01 10
Number of other retired or separated participants entitled to future benefits 2017-01-01 4
Total of all active and inactive participants 2017-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 25
Number of participants with account balances 2017-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 5
2016: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 17
Number of other retired or separated participants entitled to future benefits 2016-01-01 4
Total of all active and inactive participants 2016-01-01 21
Total participants 2016-01-01 21
Number of participants with account balances 2016-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 17
Number of other retired or separated participants entitled to future benefits 2015-01-01 4
Total of all active and inactive participants 2015-01-01 21
Total participants 2015-01-01 21
Number of participants with account balances 2015-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2009: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 22
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 25
Number of participants with account balances 2009-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2019: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	11
Number of other retired or separated participants entitled to future benefits	2018-01-01	3
Total of all active and inactive participants	2018-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	14
Number of participants with account balances	2018-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	11
Number of retired or separated participants receiving benefits	2017-01-01	10
Number of other retired or separated participants entitled to future benefits	2017-01-01	4
Total of all active and inactive participants	2017-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	25
Number of participants with account balances	2017-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	5
2016: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	17
Number of other retired or separated participants entitled to future benefits	2016-01-01	4
Total of all active and inactive participants	2016-01-01	21
Total participants	2016-01-01	21
Number of participants with account balances	2016-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	17
Number of other retired or separated participants entitled to future benefits	2015-01-01	4
Total of all active and inactive participants	2015-01-01	21
Total participants	2015-01-01	21
Number of participants with account balances	2015-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2009: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	22
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	25
Number of participants with account balances	2009-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2019 : PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$543,594
Expenses. Total of all expenses incurred	2019-12-31	$5,898,370
Benefits paid (including direct rollovers)	2019-12-31	$5,884,642
Total plan assets at end of year	2019-12-31	$0
Total plan assets at beginning of year	2019-12-31	$5,354,776
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$0
Other income received	2019-12-31	$543,594
Net income (gross income less expenses)	2019-12-31	$-5,354,776
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$5,354,776
Total contributions received or receivable from employer(s)	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$13,728
2018 : PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-336,470
Expenses. Total of all expenses incurred	2018-12-31	$1,546,086
Benefits paid (including direct rollovers)	2018-12-31	$1,486,326
Total plan assets at end of year	2018-12-31	$5,354,776
Total plan assets at beginning of year	2018-12-31	$7,237,332
Value of fidelity bond covering the plan	2018-12-31	$50,000
Total contributions received or receivable from participants	2018-12-31	$70,437
Other income received	2018-12-31	$-488,496
Net income (gross income less expenses)	2018-12-31	$-1,882,556
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$5,354,776
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$7,237,332
Total contributions received or receivable from employer(s)	2018-12-31	$81,589
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$59,760
2017 : PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$1,235,165
Expenses. Total of all expenses incurred	2017-12-31	$208,791
Benefits paid (including direct rollovers)	2017-12-31	$159,211
Total plan assets at end of year	2017-12-31	$7,237,332
Total plan assets at beginning of year	2017-12-31	$6,210,958
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$153,318
Contributions received from other sources (not participants or employers)	2017-12-31	$18,229
Other income received	2017-12-31	$907,269
Net income (gross income less expenses)	2017-12-31	$1,026,374
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$7,237,332
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$6,210,958
Total contributions received or receivable from employer(s)	2017-12-31	$156,349
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$49,580
2016 : PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$707,952
Expenses. Total of all expenses incurred	2016-12-31	$130,128
Benefits paid (including direct rollovers)	2016-12-31	$105,790
Total plan assets at end of year	2016-12-31	$6,210,958
Total plan assets at beginning of year	2016-12-31	$5,633,134
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$152,623
Other income received	2016-12-31	$355,740
Net income (gross income less expenses)	2016-12-31	$577,824
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$6,210,958
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$5,633,134
Total contributions received or receivable from employer(s)	2016-12-31	$199,589
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$24,338
2015 : PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$172,996
Expenses. Total of all expenses incurred	2015-12-31	$133,306
Benefits paid (including direct rollovers)	2015-12-31	$91,145
Total plan assets at end of year	2015-12-31	$5,633,134
Total plan assets at beginning of year	2015-12-31	$5,593,444
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$163,759
Contributions received from other sources (not participants or employers)	2015-12-31	$262,410
Other income received	2015-12-31	$-253,173
Net income (gross income less expenses)	2015-12-31	$39,690
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$5,633,134
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$5,593,444
Assets. Value of participant loans	2015-12-31	$47,394
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$42,161
2010 : PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$686,431
Expenses. Total of all expenses incurred	2010-12-31	$142,585
Benefits paid (including direct rollovers)	2010-12-31	$122,570
Total plan assets at end of year	2010-12-31	$3,978,025
Total plan assets at beginning of year	2010-12-31	$3,434,179
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$148,452
Other income received	2010-12-31	$321,584
Net income (gross income less expenses)	2010-12-31	$543,846
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,978,025
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,434,179
Total contributions received or receivable from employer(s)	2010-12-31	$216,395
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$20,015
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN

2019: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PREMIER MEDICAL, PC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2009: PREMIER MEDICAL, PC 401(K) 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 - Trust	Yes

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Company Name:	PREMIER MEDICAL, PC
Employer identification number (EIN):	631257475
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)