FAMILY MEDICAL CLINIC OF DALLAS, PA RETIREMENT TR 401k Plan overview

FAMILY MEDICAL CLINIC OF DALLAS, PA RETIREMENT TR Benefits

401k Sponsoring company profile

Company Name:	FAMILY MEDICAL CLINIC OF DALLAS, PA
Employer identification number (EIN):	752852396
NAIC Classification:	621493
NAIC Description:	Freestanding Ambulatory Surgical and Emergency Centers

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	CLOVIS HARBOR	2020-11-19	CLOVIS HARBOR	2020-11-19
001	2019-01-01	CLOVIS HARBOR	2020-07-27
001	2018-01-01	CLOVIS HARBOR	2019-08-21	CLOVIS HARBOR	2019-08-21
001	2017-01-01	CLOVIS HARBOR	2018-08-29
001	2016-01-01	CLOVIS HARBOR	2017-10-04	CLOVIS HARBOR	2017-10-04
001	2015-01-01	DEANNA REED	2016-07-14
001	2014-01-01	DEANNA REED	2015-06-18	DEANNA REED	2015-06-18
001	2013-01-01	SARO MERAS	2014-07-08	SARO MERAS	2014-07-08
001	2012-01-01	SARO MERAS	2013-07-03	SARO MERAS	2013-07-03
001	2011-01-01	DEANNA REED	2012-07-03	DEANNA REED	2012-07-03
001	2010-01-01	DEANNA REED	2011-06-13
001	2009-01-01	DEANNA REED
001	2009-01-01

Plan Statistics for FAMILY MEDICAL CLINIC OF DALLAS, PA RETIREMENT TR

Measure	Date	Value
2009: FAMILY MEDICAL CLINIC OF DALLAS, PA RETIREMENT TR 2009 401k membership
Total participants, beginning-of-year	2009-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	42
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	1
Total of all active and inactive participants	2009-01-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	43
Number of participants with account balances	2009-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Form 5500 Responses for FAMILY MEDICAL CLINIC OF DALLAS, PA RETIREMENT TR

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