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| Plan Name | PARK CITY HEALTHCARE RETIREMENT PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | PARK CITY HEALTHCARE, INC. |
| Employer identification number (EIN): | 870653551 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2010-01-01 | WILLIAM PIDWELL | WILLIAM PIDWELL | 2010-12-21 |
| Measure | Date | Value |
|---|---|---|
| 2010: PARK CITY HEALTHCARE RETIREMENT PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 60 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 6 |
| Total of all active and inactive participants | 2010-01-01 | 66 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-01-01 | 0 |
| Total participants | 2010-01-01 | 66 |
| Number of participants with account balances | 2010-01-01 | 58 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2010 : PARK CITY HEALTHCARE RETIREMENT PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-06-30 | $-43,557 |
| Expenses. Total of all expenses incurred | 2010-06-30 | $45,994 |
| Benefits paid (including direct rollovers) | 2010-06-30 | $45,994 |
| Total plan assets at end of year | 2010-06-30 | $1,329,199 |
| Total plan assets at beginning of year | 2010-06-30 | $1,418,750 |
| Value of fidelity bond covering the plan | 2010-06-30 | $170,000 |
| Total contributions received or receivable from participants | 2010-06-30 | $24,517 |
| Contributions received from other sources (not participants or employers) | 2010-06-30 | $0 |
| Other income received | 2010-06-30 | $-68,074 |
| Net income (gross income less expenses) | 2010-06-30 | $-89,551 |
| Net plan assets at end of year (total assets less liabilities) | 2010-06-30 | $1,329,199 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-06-30 | $1,418,750 |
| Assets. Value of participant loans | 2010-06-30 | $8,221 |
| Total contributions received or receivable from employer(s) | 2010-06-30 | $0 |
| 2010: PARK CITY HEALTHCARE RETIREMENT PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
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