401k Plan data: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN plan

MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	MEDSTAT EMS, INC. WELFARE BENEFITS PLAN
Plan identification number	501

MEDSTAT EMS, INC. WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness)

401k Sponsoring company profile

MEDSTAT EMS, INC. has sponsored the creation of one or more 401k plans.

Company Name: MEDSTAT EMS, INC.

Employer identification number (EIN): 640868008

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDSTAT EMS, INC. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-07-01 BARRY ESKRIDGE BARRY ESKRIDGE 2014-03-18
501 2011-07-01 BARRY ESKRIDGE BARRY ESKRIDGE 2014-03-18
501 2010-07-01 BARRY ESKRIDGE BARRY ESKRIDGE 2014-03-18
501 2009-07-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2012-07-01	BARRY ESKRIDGE	BARRY ESKRIDGE	2014-03-18
501	2011-07-01	BARRY ESKRIDGE	BARRY ESKRIDGE	2014-03-18
501	2010-07-01	BARRY ESKRIDGE	BARRY ESKRIDGE	2014-03-18
501	2009-07-01

Plan Statistics for MEDSTAT EMS, INC. WELFARE BENEFITS PLAN

401k plan membership statisitcs for MEDSTAT EMS, INC. WELFARE BENEFITS PLAN

Measure Date Value
2012: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 257
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 306
Total of all active and inactive participants 2012-07-01 306
2011: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 223
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 257
Total of all active and inactive participants 2011-07-01 257
2010: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 189
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 223
Total of all active and inactive participants 2010-07-01 223
2009: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 173
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 189
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 189

Measure	Date	Value
2012: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	257
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	306
Total of all active and inactive participants	2012-07-01	306
2011: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	223
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	257
Total of all active and inactive participants	2011-07-01	257
2010: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	189
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	223
Total of all active and inactive participants	2010-07-01	223
2009: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	173
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	189
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	189

Form 5500 Responses for MEDSTAT EMS, INC. WELFARE BENEFITS PLAN

2012: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: MEDSTAT EMS, INC. WELFARE BENEFITS PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	MEDSTAT EMS, INC.
Employer identification number (EIN):	640868008
NAIC Classification:	621900