401k Plan data: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN plan

ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number	502

ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

ISLAND CONDO MAINTENANCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: ISLAND CONDO MAINTENANCE, INC.

Employer identification number (EIN): 591674466

NAIC Classification: 561790
NAIC Description: Other Services to Buildings and Dwellings

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2014-01-01 WILLIAM S. WALTERS
502 2013-01-01 WILLIAM S. WALTERS
502 2012-01-01 WILLIAM S. WALTERS
502 2011-01-01 WILLIAM S. WALTERS
502 2009-01-01 WALTER S. WALTERS

Plan id#	Filing Submission Date	Name of Administrator
502	2014-01-01	WILLIAM S. WALTERS
502	2013-01-01	WILLIAM S. WALTERS
502	2012-01-01	WILLIAM S. WALTERS
502	2011-01-01	WILLIAM S. WALTERS
502	2009-01-01	WALTER S. WALTERS

Plan Statistics for ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2014: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 12
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 12
2013: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
Number of retired or separated participants receiving benefits 2013-01-01 0
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 12
2012: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 10
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 0
Total of all active and inactive participants 2012-01-01 10
2011: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
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 0
Total of all active and inactive participants 2011-01-01 11
2009: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 11
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 11

Measure	Date	Value
2014: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	12
2013: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
Number of retired or separated participants receiving benefits	2013-01-01	0
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	12
2012: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	10
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	0
Total of all active and inactive participants	2012-01-01	10
2011: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
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	0
Total of all active and inactive participants	2011-01-01	11
2009: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	11
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	11

Financial Data on ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2014 : ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$51,376
Expenses. Total of all expenses incurred	2014-12-31	$38,965
Benefits paid (including direct rollovers)	2014-12-31	$26,118
Total plan assets at end of year	2014-12-31	$52,200
Total plan assets at beginning of year	2014-12-31	$39,789
Total contributions received or receivable from participants	2014-12-31	$33,105
Other income received	2014-12-31	$19
Net income (gross income less expenses)	2014-12-31	$12,411
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$52,200
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$39,789
Total contributions received or receivable from employer(s)	2014-12-31	$18,252
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$12,847
2013 : ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$45,897
Expenses. Total of all expenses incurred	2013-12-31	$37,529
Benefits paid (including direct rollovers)	2013-12-31	$30,251
Total plan assets at end of year	2013-12-31	$39,789
Total plan assets at beginning of year	2013-12-31	$31,421
Total contributions received or receivable from participants	2013-12-31	$45,881
Other income received	2013-12-31	$16
Net income (gross income less expenses)	2013-12-31	$8,368
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$39,789
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$31,421
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$7,278
2012 : ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$31,231
Expenses. Total of all expenses incurred	2012-12-31	$26,615
Benefits paid (including direct rollovers)	2012-12-31	$21,406
Total plan assets at end of year	2012-12-31	$31,421
Total plan assets at beginning of year	2012-12-31	$26,805
Total contributions received or receivable from participants	2012-12-31	$31,219
Other income received	2012-12-31	$12
Net income (gross income less expenses)	2012-12-31	$4,616
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$31,421
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$26,805
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$5,209
2011 : ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$57,596
Expenses. Total of all expenses incurred	2011-12-31	$44,085
Benefits paid (including direct rollovers)	2011-12-31	$37,663
Total plan assets at end of year	2011-12-31	$26,805
Total plan assets at beginning of year	2011-12-31	$13,294
Total contributions received or receivable from participants	2011-12-31	$57,126
Other income received	2011-12-31	$470
Net income (gross income less expenses)	2011-12-31	$13,511
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$26,805
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$13,294
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$6,422
2010 : ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$92,463
Expenses. Total of all expenses incurred	2010-12-31	$87,696
Benefits paid (including direct rollovers)	2010-12-31	$80,988
Total plan assets at end of year	2010-12-31	$13,294
Total plan assets at beginning of year	2010-12-31	$8,527
Total contributions received or receivable from participants	2010-12-31	$57,008
Other income received	2010-12-31	$124
Net income (gross income less expenses)	2010-12-31	$4,767
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$13,294
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$8,527
Total contributions received or receivable from employer(s)	2010-12-31	$35,331
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$6,708

Form 5500 Responses for ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2014: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ISLAND CONDO MAINTENANCE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ISLAND CONDO MAINTENANCE, INC.
Employer identification number (EIN):	591674466
NAIC Classification:	561790
NAIC Description:	Other Services to Buildings and Dwellings