401k Plan data: HOSPITAL DRUG STORE PROFIT SHARING PLAN plan

HOSPITAL DRUG STORE PROFIT SHARING PLAN 401k Plan overview

Plan Name	HOSPITAL DRUG STORE PROFIT SHARING PLAN
Plan identification number	001

HOSPITAL DRUG STORE PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

CRESCENT CITY PHARMACEUTICALS, INC. has sponsored the creation of one or more 401k plans.

Company Name: CRESCENT CITY PHARMACEUTICALS, INC.

Employer identification number (EIN): 720437591

NAIC Classification: 446110
NAIC Description: Pharmacies and Drug Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITAL DRUG STORE PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01 FRANK SMITH 2014-04-14 FRANK SMITH 2014-04-10
001 2012-04-01 FRANK SMITH 2013-01-29
001 2011-04-01 FRANK SMITH 2013-01-15
001 2010-04-01 FRANK SMITH 2013-01-15
001 2009-04-01 BRUCE MILLER
001 2009-04-01 BRUCE MILLER
001 2009-04-01 BRUCE MILLER
001 2009-04-01 2011-08-30
001 2008-04-01 BRUCE MILLER

Plan Statistics for HOSPITAL DRUG STORE PROFIT SHARING PLAN

401k plan membership statisitcs for HOSPITAL DRUG STORE PROFIT SHARING PLAN

Measure Date Value
2009: HOSPITAL DRUG STORE PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 7
Number of retired or separated participants receiving benefits 2009-04-01 1
Number of other retired or separated participants entitled to future benefits 2009-04-01 2
Total of all active and inactive participants 2009-04-01 10
Total participants 2009-04-01 10
2008: HOSPITAL DRUG STORE PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year 2008-04-01 10
Total number of active participants reported on line 7a of the Form 5500 2008-04-01 7
Number of retired or separated participants receiving benefits 2008-04-01 1
Number of other retired or separated participants entitled to future benefits 2008-04-01 2
Total of all active and inactive participants 2008-04-01 10
Total participants 2008-04-01 10

Measure	Date	Value
2009: HOSPITAL DRUG STORE PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	7
Number of retired or separated participants receiving benefits	2009-04-01	1
Number of other retired or separated participants entitled to future benefits	2009-04-01	2
Total of all active and inactive participants	2009-04-01	10
Total participants	2009-04-01	10
2008: HOSPITAL DRUG STORE PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year	2008-04-01	10
Total number of active participants reported on line 7a of the Form 5500	2008-04-01	7
Number of retired or separated participants receiving benefits	2008-04-01	1
Number of other retired or separated participants entitled to future benefits	2008-04-01	2
Total of all active and inactive participants	2008-04-01	10
Total participants	2008-04-01	10

Financial Data on HOSPITAL DRUG STORE PROFIT SHARING PLAN

Measure	Date	Value
2011 : HOSPITAL DRUG STORE PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-03-31	$101,380
Expenses. Total of all expenses incurred	2011-03-31	$31,166
Total plan assets at end of year	2011-03-31	$1,615,524
Total plan assets at beginning of year	2011-03-31	$2,551,319
Value of fidelity bond covering the plan	2011-03-31	$200
Assets. Value of tangible personal property	2011-03-31	$1,631,629
Other income received	2011-03-31	$76,380
Net income (gross income less expenses)	2011-03-31	$70,214
Net plan assets at end of year (total assets less liabilities)	2011-03-31	$1,615,524
Net plan assets at beginning of year (total assets less liabilities)	2011-03-31	$2,551,319
Assets. Value of participant loans	2011-03-31	$16,104
Total contributions received or receivable from employer(s)	2011-03-31	$25,000
Value of certain deemed distributions of participant loans	2011-03-31	$25,428
Expenses. Administrative service providers (salaries,fees and commissions)	2011-03-31	$5,738
2009 : HOSPITAL DRUG STORE PROFIT SHARING PLAN 2009 401k financial data
Total plan liabilities at end of year	2009-03-31	$20,621
Total income from all sources	2009-03-31	$64,894
Total plan assets at end of year	2009-03-31	$2,182,238
Total plan assets at beginning of year	2009-03-31	$2,283,728
Value of fidelity bond covering the plan	2009-03-31	$200
Assets. Value of tangible personal property	2009-03-31	$2,182,238
Contributions received from other sources (not participants or employers)	2009-03-31	$20,620
Other income received	2009-03-31	$44,274
Net income (gross income less expenses)	2009-03-31	$64,894
Net plan assets at end of year (total assets less liabilities)	2009-03-31	$2,161,617
Net plan assets at beginning of year (total assets less liabilities)	2009-03-31	$2,283,728
Assets. Value of participant loans	2009-03-31	$81,759

Form 5500 Responses for HOSPITAL DRUG STORE PROFIT SHARING PLAN

2009: HOSPITAL DRUG STORE PROFIT SHARING PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	Yes
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2008: HOSPITAL DRUG STORE PROFIT SHARING PLAN 2008 form 5500 responses
2008-04-01	Type of plan entity	Single employer plan
2008-04-01	Submission has been amended	No
2008-04-01	This submission is the final filing	No
2008-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-04-01	Plan is a collectively bargained plan	No
2008-04-01	Plan funding arrangement – Insurance	Yes
2008-04-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

721612101

Policy instance

Insurance contract or identification number	721612101
Number of Individuals Covered	10
Insurance policy start date	2008-04-01
Insurance policy end date	2009-03-31
Total amount of commissions paid to insurance broker	USD $6,273
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Life Insurance Welfare Benefit	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 $6,273
Insurance broker organization code?	3
Insurance broker name	PAUL CLAUDEL, JR.

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Company Name:	CRESCENT CITY PHARMACEUTICALS, INC.
Employer identification number (EIN):	720437591
NAIC Classification:	446110
NAIC Description:	Pharmacies and Drug Stores

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01	FRANK SMITH	2014-04-14	FRANK SMITH	2014-04-10
001	2012-04-01	FRANK SMITH	2013-01-29
001	2011-04-01	FRANK SMITH	2013-01-15
001	2010-04-01	FRANK SMITH	2013-01-15
001	2009-04-01	BRUCE MILLER
001	2009-04-01	BRUCE MILLER
001	2009-04-01	BRUCE MILLER
001	2009-04-01		2011-08-30
001	2008-04-01	BRUCE MILLER