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CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 401k Plan overview

Plan NameCEMS OF OHIO, INC. DBA MEDCARE AMBULANCE
Plan identification number 001

CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE has sponsored the creation of one or more 401k plans.

Company Name:CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE
Employer identification number (EIN):800249549
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01LAILA POWERS
0012016-01-01JODY HURTUBISE
0012015-01-01JODY HURTUBISE
0012014-01-01JODY HURTUBISE
0012013-01-01JODY HURTUBISE
0012012-01-01JODY HURTUBISE

Plan Statistics for CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE

401k plan membership statisitcs for CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE

Measure Date Value
2019: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2019 401k membership
Total participants, beginning-of-year2019-01-01259
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2018 401k membership
Total participants, beginning-of-year2018-01-01389
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01259
Total of all active and inactive participants2018-01-01259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01259
Number of participants with account balances2018-01-01259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0112
2017: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2017 401k membership
Total participants, beginning-of-year2017-01-01477
Total number of active participants reported on line 7a of the Form 55002017-01-01323
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0166
Total of all active and inactive participants2017-01-01389
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01389
Number of participants with account balances2017-01-01266
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2016 401k membership
Total participants, beginning-of-year2016-01-01446
Total number of active participants reported on line 7a of the Form 55002016-01-01286
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01191
Total of all active and inactive participants2016-01-01477
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01477
Number of participants with account balances2016-01-01367
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0182
2015: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2015 401k membership
Total participants, beginning-of-year2015-01-01337
Total number of active participants reported on line 7a of the Form 55002015-01-01283
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01163
Total of all active and inactive participants2015-01-01446
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01446
Number of participants with account balances2015-01-01346
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0114
2014: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2014 401k membership
Total participants, beginning-of-year2014-01-01348
Total number of active participants reported on line 7a of the Form 55002014-01-01328
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-01337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01337
Number of participants with account balances2014-01-01262
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0118
2013: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2013 401k membership
Total participants, beginning-of-year2013-01-01209
Total number of active participants reported on line 7a of the Form 55002013-01-01347
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-01348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01348
Number of participants with account balances2013-01-01165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0125
2012: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2012 401k membership
Total participants, beginning-of-year2012-01-01122
Total number of active participants reported on line 7a of the Form 55002012-01-01209
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01209
Number of participants with account balances2012-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE

Measure Date Value
2019 : CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2019 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-02-19$3,897
Total income from all sources (including contributions)2019-02-19$7,027
Total of all expenses incurred2019-02-19$343,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-02-19$343,103
Value of total assets at end of year2019-02-19$0
Value of total assets at beginning of year2019-02-19$339,973
Total dividends received (eg from common stock, registered investment company shares)2019-02-19$6,881
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-02-19Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-02-19$0
Total dividends received from registered investment company shares (eg mutual funds)2019-02-19$6,881
Was this plan covered by a fidelity bond2019-02-19Yes
Value of fidelity bond cover2019-02-19$1,000,000
If this is an individual account plan, was there a blackout period2019-02-19No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-02-19$0
Were there any nonexempt tranactions with any party-in-interest2019-02-19No
Participant contributions at end of year2019-02-19$0
Participant contributions at beginning of year2019-02-19$685
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-02-19$3,897
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-02-19No
Value of net income/loss2019-02-19$-336,076
Value of net assets at end of year (total assets less liabilities)2019-02-19$0
Value of net assets at beginning of year (total assets less liabilities)2019-02-19$336,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-02-19No
Were any loans by the plan or fixed income obligations due to the plan in default2019-02-19No
Were any leases to which the plan was party in default or uncollectible2019-02-19No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-02-19$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-02-19$124,700
Value of interest in pooled separate accounts at end of year2019-02-19$0
Value of interest in pooled separate accounts at beginning of year2019-02-19$214,586
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-02-19$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-02-19$2
Net investment gain/loss from pooled separate accounts2019-02-19$146
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-02-19No
Was there a failure to transmit to the plan any participant contributions2019-02-19Yes
Has the plan failed to provide any benefit when due under the plan2019-02-19No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-02-19$343,103
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-02-19No
Did the plan have assets held for investment2019-02-19No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-02-19No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-02-19Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-02-19Yes
Opinion of an independent qualified public accountant for this plan2019-02-19Disclaimer
Accountancy firm name2019-02-19PLANTE MORAN PLLC
Accountancy firm EIN2019-02-19381357951
2018 : CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$840
Total income from all sources (including contributions)2018-12-31$-68,698
Total of all expenses incurred2018-12-31$370,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$364,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$-59,356
Value of total assets at end of year2018-12-31$339,973
Value of total assets at beginning of year2018-12-31$776,249
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$6,585
Total interest from all sources2018-12-31$649
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$3,275
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$3,275
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Participant contributions at end of year2018-12-31$685
Participant contributions at beginning of year2018-12-31$6,168
Participant contributions at beginning of year2018-12-31$16,136
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$3,897
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$840
Administrative expenses (other) incurred2018-12-31$6,585
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-439,333
Value of net assets at end of year (total assets less liabilities)2018-12-31$336,076
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$775,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$124,700
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$239,350
Value of interest in pooled separate accounts at end of year2018-12-31$214,586
Value of interest in pooled separate accounts at beginning of year2018-12-31$316,096
Interest on participant loans2018-12-31$224
Interest earned on other investments2018-12-31$425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$2
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$56,301
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-17,048
Net investment gain or loss from common/collective trusts2018-12-31$3,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$-59,356
Employer contributions (assets) at beginning of year2018-12-31$142,198
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$364,050
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31PLANTE MORAN PLLC
Accountancy firm EIN2018-12-31381357951
2017 : CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$840
Total income from all sources (including contributions)2017-12-31$250,430
Total of all expenses incurred2017-12-31$93,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$90,900
Expenses. Certain deemed distributions of participant loans2017-12-31$750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$214,468
Value of total assets at end of year2017-12-31$776,249
Value of total assets at beginning of year2017-12-31$618,318
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,689
Total interest from all sources2017-12-31$477
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$2,578
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$2,578
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$69,009
Participant contributions at end of year2017-12-31$6,168
Participant contributions at beginning of year2017-12-31$6,886
Participant contributions at end of year2017-12-31$16,136
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$3,261
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$8
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$840
Administrative expenses (other) incurred2017-12-31$1,689
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$157,091
Value of net assets at end of year (total assets less liabilities)2017-12-31$775,409
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$618,318
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$239,350
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$174,989
Value of interest in pooled separate accounts at end of year2017-12-31$316,096
Value of interest in pooled separate accounts at beginning of year2017-12-31$314,947
Interest on participant loans2017-12-31$300
Interest earned on other investments2017-12-31$177
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$56,301
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,217
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$29,683
Net investment gain/loss from pooled separate accounts2017-12-31$3,224
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$142,198
Employer contributions (assets) at end of year2017-12-31$142,198
Employer contributions (assets) at beginning of year2017-12-31$120,271
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$90,900
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31PLANTE MORAN, PLLC
Accountancy firm EIN2017-12-31381357951
2016 : CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$151,712
Total of all expenses incurred2016-12-31$65,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$62,201
Expenses. Certain deemed distributions of participant loans2016-12-31$1,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$137,987
Value of total assets at end of year2016-12-31$618,318
Value of total assets at beginning of year2016-12-31$531,680
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,148
Total interest from all sources2016-12-31$382
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$2,729
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$2,729
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$48,822
Participant contributions at end of year2016-12-31$6,886
Participant contributions at beginning of year2016-12-31$3,764
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$894
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$8
Administrative expenses (other) incurred2016-12-31$1,148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$86,638
Value of net assets at end of year (total assets less liabilities)2016-12-31$618,318
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$531,680
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$174,989
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$130,491
Value of interest in pooled separate accounts at end of year2016-12-31$314,947
Value of interest in pooled separate accounts at beginning of year2016-12-31$270,531
Interest on participant loans2016-12-31$238
Interest earned on other investments2016-12-31$144
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,217
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$12,592
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$8,032
Net investment gain/loss from pooled separate accounts2016-12-31$2,582
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$88,271
Employer contributions (assets) at end of year2016-12-31$120,271
Employer contributions (assets) at beginning of year2016-12-31$114,302
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$62,201
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31PLANTE MORAN, PLLC
Accountancy firm EIN2016-12-31381357951
2015 : CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$176,208
Total of all expenses incurred2015-12-31$29,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$28,961
Expenses. Certain deemed distributions of participant loans2015-12-31$360
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$175,279
Value of total assets at end of year2015-12-31$531,680
Value of total assets at beginning of year2015-12-31$384,982
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$189
Total interest from all sources2015-12-31$235
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,603
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,603
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$47,011
Participant contributions at end of year2015-12-31$3,764
Participant contributions at beginning of year2015-12-31$4,603
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$12,851
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Administrative expenses (other) incurred2015-12-31$189
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$146,698
Value of net assets at end of year (total assets less liabilities)2015-12-31$531,680
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$384,982
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$130,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$72,072
Value of interest in pooled separate accounts at end of year2015-12-31$270,531
Value of interest in pooled separate accounts at beginning of year2015-12-31$169,969
Interest on participant loans2015-12-31$174
Interest earned on other investments2015-12-31$61
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$12,592
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$6,186
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-3,241
Net investment gain/loss from pooled separate accounts2015-12-31$2,332
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$115,417
Employer contributions (assets) at end of year2015-12-31$114,302
Employer contributions (assets) at beginning of year2015-12-31$132,152
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$28,961
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31PLANTE MORAN, PLLC
Accountancy firm EIN2015-12-31381357951
2014 : CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$194,154
Total of all expenses incurred2014-12-31$2,827
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,577
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$186,923
Value of total assets at end of year2014-12-31$387,930
Value of total assets at beginning of year2014-12-31$196,603
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$250
Total interest from all sources2014-12-31$109
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$625
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$625
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$53,113
Participant contributions at end of year2014-12-31$4,603
Participant contributions at beginning of year2014-12-31$1,305
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$1,658
Administrative expenses (other) incurred2014-12-31$250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$191,327
Value of net assets at end of year (total assets less liabilities)2014-12-31$387,930
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$196,603
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$72,072
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$27,308
Value of interest in pooled separate accounts at end of year2014-12-31$172,917
Value of interest in pooled separate accounts at beginning of year2014-12-31$61,905
Interest on participant loans2014-12-31$82
Interest earned on other investments2014-12-31$27
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$6,186
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$5,880
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$2,660
Net investment gain/loss from pooled separate accounts2014-12-31$3,837
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$132,152
Employer contributions (assets) at end of year2014-12-31$132,152
Employer contributions (assets) at beginning of year2014-12-31$100,205
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,577
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31PLANTE MORAN, PLLC
Accountancy firm EIN2014-12-31381357951
2013 : CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$132,579
Total of all expenses incurred2013-12-31$75
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$129,525
Value of total assets at end of year2013-12-31$196,603
Value of total assets at beginning of year2013-12-31$64,099
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$75
Total interest from all sources2013-12-31$43
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$161
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$161
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$29,320
Participant contributions at end of year2013-12-31$1,305
Administrative expenses (other) incurred2013-12-31$75
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$132,504
Value of net assets at end of year (total assets less liabilities)2013-12-31$196,603
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$64,099
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$27,308
Value of interest in pooled separate accounts at end of year2013-12-31$61,905
Interest on participant loans2013-12-31$18
Interest earned on other investments2013-12-31$25
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$5,880
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,097
Net investment gain/loss from pooled separate accounts2013-12-31$753
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$100,205
Employer contributions (assets) at end of year2013-12-31$100,205
Employer contributions (assets) at beginning of year2013-12-31$64,099
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31PLANTE MORAN, PLLC
Accountancy firm EIN2013-12-31381357951
2012 : CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$64,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$64,099
Value of total assets at end of year2012-12-31$64,099
Value of total assets at beginning of year2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$64,099
Value of net assets at end of year (total assets less liabilities)2012-12-31$64,099
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$64,099
Employer contributions (assets) at end of year2012-12-31$64,099
Employer contributions (assets) at beginning of year2012-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31PLANTE MORAN, PLLC
Accountancy firm EIN2012-12-31381357951

Form 5500 Responses for CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE

2019: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CEMS OF OHIO, INC. DBA MEDCARE AMBULANCE 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069503
Policy instance 1
Insurance contract or identification numberTT069503
Number of Individuals Covered0
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069503
Policy instance 1
Insurance contract or identification numberTT069503
Number of Individuals Covered259
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069503
Policy instance 1
Insurance contract or identification numberTT069503
Number of Individuals Covered266
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069503
Policy instance 1
Insurance contract or identification numberTT069503
Number of Individuals Covered346
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069503
Policy instance 1
Insurance contract or identification numberTT069503
Number of Individuals Covered262
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069503
Policy instance 1
Insurance contract or identification numberTT069503
Number of Individuals Covered165
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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

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