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| Plan Name | CANTON REGIONAL CHAMBER HEALTH FUND |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HOLMES FAMILY MEDICINE, INC. |
| Employer identification number (EIN): | 341774347 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about HOLMES FAMILY MEDICINE, INC.
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 1994-07-13 |
| Company Identification Number: | 876158 |
| Legal Registered Office Address: |
151 PARKVIEW DR - MILLERSBURG United States of America (USA) 44654 |
More information about HOLMES FAMILY MEDICINE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 0 |
| Total participants | 2019-01-01 | 0 |
| Number of participants with account balances | 2019-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data | ||
| Transfers to/from the plan | 2019-12-31 | $-95 |
| Total plan liabilities at end of year | 2019-12-31 | $8,232 |
| Total income from all sources | 2019-12-31 | $87,746 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $77,309 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $15,000 |
| Total plan assets at end of year | 2019-12-31 | $18,574 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $3 |
| Net income (gross income less expenses) | 2019-12-31 | $10,437 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $10,342 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $87,746 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $62,306 |
| 2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 ) | |||||||||||||||||||||
| Policy contract number | HF1200 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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