401k Plan data: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN plan

HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 401k Plan overview

Plan Name	HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN
Plan identification number	001

HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

HUNTER HEALTH CLINIC, INC. has sponsored the creation of one or more 401k plans.

Company Name: HUNTER HEALTH CLINIC, INC.

Employer identification number (EIN): 480908355

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01
001 2012-01-01
001 2011-01-01
001 2010-01-01 MICHELLE BASE
001 2009-01-01 MICHELLE BASE
001 2008-01-01 MICHELLE BASE
001 2007-01-01 MICHELLE BASE

Plan Statistics for HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN

401k plan membership statisitcs for HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN

Measure Date Value
2013: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 250
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 249
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 84
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 166
Total of all active and inactive participants 2012-01-01 250
Total participants 2012-01-01 250
Number of participants with account balances 2012-01-01 250
2011: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 253
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 93
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 155
Total of all active and inactive participants 2011-01-01 248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 249
Number of participants with account balances 2011-01-01 249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 258
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 98
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 153
Total of all active and inactive participants 2010-01-01 251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 2
Total participants 2010-01-01 253
Number of participants with account balances 2010-01-01 233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 239
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 239
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 239
Number of participants with account balances 2009-01-01 226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	250
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	249
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	84
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	166
Total of all active and inactive participants	2012-01-01	250
Total participants	2012-01-01	250
Number of participants with account balances	2012-01-01	250
2011: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	253
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	93
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	155
Total of all active and inactive participants	2011-01-01	248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	249
Number of participants with account balances	2011-01-01	249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	258
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	98
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	153
Total of all active and inactive participants	2010-01-01	251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	2
Total participants	2010-01-01	253
Number of participants with account balances	2010-01-01	233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	239
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	239
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	239
Number of participants with account balances	2009-01-01	226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN

Measure	Date	Value
2013 : HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-03-31	$81,588
Total of all expenses incurred	2013-03-31	$2,038,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-03-31	$2,027,198
Expenses. Certain deemed distributions of participant loans	2013-03-31	$7,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-03-31	$6,437
Value of total assets at end of year	2013-03-31	$0
Value of total assets at beginning of year	2013-03-31	$1,956,528
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-03-31	$3,879
Total interest from all sources	2013-03-31	$516
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-03-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-03-31	$0
Was this plan covered by a fidelity bond	2013-03-31	No
If this is an individual account plan, was there a blackout period	2013-03-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-03-31	No
Contributions received from participants	2013-03-31	$6,789
Participant contributions at end of year	2013-03-31	$0
Participant contributions at beginning of year	2013-03-31	$22,020
Participant contributions at end of year	2013-03-31	$0
Participant contributions at beginning of year	2013-03-31	$28,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-03-31	No
Value of net income/loss	2013-03-31	$-1,956,528
Value of net assets at end of year (total assets less liabilities)	2013-03-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-03-31	$1,956,528
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-03-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-03-31	No
Were any leases to which the plan was party in default or uncollectible	2013-03-31	No
Investment advisory and management fees	2013-03-31	$3,879
Value of interest in pooled separate accounts at end of year	2013-03-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-03-31	$1,767,279
Interest on participant loans	2013-03-31	$115
Interest earned on other investments	2013-03-31	$401
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-03-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-03-31	$111,802
Net investment gain/loss from pooled separate accounts	2013-03-31	$74,635
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-03-31	No
Was there a failure to transmit to the plan any participant contributions	2013-03-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-03-31	No
Contributions received in cash from employer	2013-03-31	$-352
Employer contributions (assets) at end of year	2013-03-31	$0
Employer contributions (assets) at beginning of year	2013-03-31	$26,905
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-03-31	$2,027,198
Did the plan have assets held for investment	2013-03-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-03-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-03-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-03-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-03-31	Disclaimer
Accountancy firm name	2013-03-31	REGIER CARR & MONROE, L.L.P.
Accountancy firm EIN	2013-03-31	480573184
2012 : HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$454,855
Total of all expenses incurred	2012-12-31	$241,415
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$233,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$259,214
Value of total assets at end of year	2012-12-31	$1,956,528
Value of total assets at beginning of year	2012-12-31	$1,743,088
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$7,750
Total interest from all sources	2012-12-31	$4,150
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$142,192
Participant contributions at end of year	2012-12-31	$22,020
Participant contributions at beginning of year	2012-12-31	$17,415
Participant contributions at end of year	2012-12-31	$28,522
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$213,440
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,956,528
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,743,088
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$7,750
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,767,279
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,622,756
Interest on participant loans	2012-12-31	$1,037
Interest earned on other investments	2012-12-31	$3,113
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$111,802
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$102,917
Net investment gain/loss from pooled separate accounts	2012-12-31	$191,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$117,022
Employer contributions (assets) at end of year	2012-12-31	$26,905
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$233,665
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	REGIER CARR & MONROE, L.L.P.
Accountancy firm EIN	2012-12-31	480573184
2011 : HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$341,116
Total of all expenses incurred	2011-12-31	$119,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$105,928
Expenses. Certain deemed distributions of participant loans	2011-12-31	$7,038
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$438,618
Value of total assets at end of year	2011-12-31	$1,743,088
Value of total assets at beginning of year	2011-12-31	$1,521,220
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$6,282
Total interest from all sources	2011-12-31	$3,036
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	No
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$157,317
Participant contributions at end of year	2011-12-31	$17,415
Participant contributions at beginning of year	2011-12-31	$8,521
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$161,069
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$221,868
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,743,088
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,521,220
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$6,282
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,622,756
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,349,924
Interest on participant loans	2011-12-31	$709
Income. Interest from loans (other than to participants)	2011-12-31	$0
Interest earned on other investments	2011-12-31	$2,327
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$102,917
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$67,205
Net investment gain/loss from pooled separate accounts	2011-12-31	$-100,538
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$120,232
Employer contributions (assets) at beginning of year	2011-12-31	$95,570
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$105,928
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	REGIER CARR & MONROE
Accountancy firm EIN	2011-12-31	480573184
2010 : HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$400,578
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$134,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$126,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$272,383
Value of total assets at end of year	2010-12-31	$1,499,119
Value of total assets at beginning of year	2010-12-31	$1,232,675
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$7,202
Total interest from all sources	2010-12-31	$2,960
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$162,158
Participant contributions at end of year	2010-12-31	$8,521
Participant contributions at beginning of year	2010-12-31	$14,383
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$8,511
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$266,444
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,499,119
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,232,675
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$7,202
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,349,924
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,138,077
Interest on participant loans	2010-12-31	$1,161
Interest earned on other investments	2010-12-31	$1,799
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$67,205
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$65,408
Net investment gain/loss from pooled separate accounts	2010-12-31	$125,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$110,225
Employer contributions (assets) at end of year	2010-12-31	$73,469
Employer contributions (assets) at beginning of year	2010-12-31	$6,296
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$126,932
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MCGLADREY & PULLEN, LLP
Accountancy firm EIN	2010-12-31	420714325
2009 : HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY 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 HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN

2013: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 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	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
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)	No
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
2009: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2008: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2007: HUNTER HEALTH CLINIC, INC. TAX SHELTERED ANNUITY PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

511-62944

Policy instance

Insurance contract or identification number	511-62944
Number of Individuals Covered	0
Insurance policy start date	2013-01-01
Insurance policy end date	2013-03-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

51162944

Policy instance

Insurance contract or identification number	51162944
Number of Individuals Covered	250
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $7,534
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,534
Insurance broker organization code?	3

Potentially related plans

HUNTER HEALTH, INC. 401(K) PLAN [EIN = 311414585]

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Company Name:	HUNTER HEALTH CLINIC, INC.
Employer identification number (EIN):	480908355
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers