401k Plan data: JOHN MAI SAFE HARBOR 401(K) PLAN plan

JOHN MAI SAFE HARBOR 401(K) PLAN 401k Plan overview

Plan Name	JOHN MAI SAFE HARBOR 401(K) PLAN
Plan identification number	001

JOHN MAI SAFE HARBOR 401(K) PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.

401k Sponsoring company profile

FUQUA HEALTH AND REHAB PA has sponsored the creation of one or more 401k plans.

Company Name: FUQUA HEALTH AND REHAB PA

Employer identification number (EIN): 861062397

NAIC Classification: 621310
NAIC Description: Offices of Chiropractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN MAI SAFE HARBOR 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 JOHN MAI JOHN MAI 2017-02-07
001 2013-01-01 MICHAEL TO
001 2012-01-01 MICHAEL TO MICHAEL TO 2013-09-16
001 2011-01-01 MICHAEL TO
001 2009-01-01 JOHN MAI 2010-12-28
001 2009-01-01 JOHN MAI
001 2008-01-01 JOHN MAI 2010-12-28
001 2007-01-01 JOHN MAI
001 2006-01-01 JOHN MAI

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	JOHN MAI	JOHN MAI	2017-02-07
001	2013-01-01	MICHAEL TO
001	2012-01-01	MICHAEL TO	MICHAEL TO	2013-09-16
001	2011-01-01	MICHAEL TO
001	2009-01-01		JOHN MAI	2010-12-28
001	2009-01-01	JOHN MAI
001	2008-01-01		JOHN MAI	2010-12-28
001	2007-01-01	JOHN MAI
001	2006-01-01	JOHN MAI

Plan Statistics for JOHN MAI SAFE HARBOR 401(K) PLAN

401k plan membership statisitcs for JOHN MAI SAFE HARBOR 401(K) PLAN

Measure Date Value
2014: JOHN MAI SAFE HARBOR 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JOHN MAI SAFE HARBOR 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2
Total of all active and inactive participants 2013-01-01 2
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JOHN MAI SAFE HARBOR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
Total of all active and inactive participants 2012-01-01 3
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 2
2011: JOHN MAI SAFE HARBOR 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
Total of all active and inactive participants 2011-01-01 3
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 2
2009: JOHN MAI SAFE HARBOR 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
Total of all active and inactive participants 2009-01-01 4
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 2
2008: JOHN MAI SAFE HARBOR 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 2
Total of all active and inactive participants 2008-01-01 2
Total participants 2008-01-01 2
Number of participants with account balances 2008-01-01 2
2007: JOHN MAI SAFE HARBOR 401(K) PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 3
Total of all active and inactive participants 2007-01-01 3
Total participants 2007-01-01 3
Number of participants with account balances 2007-01-01 2
2006: JOHN MAI SAFE HARBOR 401(K) PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 2
Total of all active and inactive participants 2006-01-01 2
Total participants 2006-01-01 2
Number of participants with account balances 2006-01-01 2

Measure	Date	Value
2014: JOHN MAI SAFE HARBOR 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JOHN MAI SAFE HARBOR 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2
Total of all active and inactive participants	2013-01-01	2
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JOHN MAI SAFE HARBOR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
Total of all active and inactive participants	2012-01-01	3
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	2
2011: JOHN MAI SAFE HARBOR 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
Total of all active and inactive participants	2011-01-01	3
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	2
2009: JOHN MAI SAFE HARBOR 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Total of all active and inactive participants	2009-01-01	4
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	2
2008: JOHN MAI SAFE HARBOR 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	2
Total of all active and inactive participants	2008-01-01	2
Total participants	2008-01-01	2
Number of participants with account balances	2008-01-01	2
2007: JOHN MAI SAFE HARBOR 401(K) PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	3
Total of all active and inactive participants	2007-01-01	3
Total participants	2007-01-01	3
Number of participants with account balances	2007-01-01	2
2006: JOHN MAI SAFE HARBOR 401(K) PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	2
Total of all active and inactive participants	2006-01-01	2
Total participants	2006-01-01	2
Number of participants with account balances	2006-01-01	2

Financial Data on JOHN MAI SAFE HARBOR 401(K) PLAN

Measure	Date	Value
2014 : JOHN MAI SAFE HARBOR 401(K) PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total income from all sources	2014-12-31	$7,381
Expenses. Total of all expenses incurred	2014-12-31	$267,378
Benefits paid (including direct rollovers)	2014-12-31	$267,378
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$259,997
Total contributions received or receivable from participants	2014-12-31	$3,000
Other income received	2014-12-31	$2,381
Net income (gross income less expenses)	2014-12-31	$-259,997
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$259,997
Total contributions received or receivable from employer(s)	2014-12-31	$2,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : JOHN MAI SAFE HARBOR 401(K) PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$49,619
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$259,997
Total plan assets at beginning of year	2013-12-31	$210,378
Total contributions received or receivable from participants	2013-12-31	$3,600
Other income received	2013-12-31	$42,109
Net income (gross income less expenses)	2013-12-31	$49,619
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$259,997
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$210,378
Total contributions received or receivable from employer(s)	2013-12-31	$3,910
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$3,910
Amount contributed by the employer to the plan for this plan year	2013-12-31	$3,910
2012 : JOHN MAI SAFE HARBOR 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$22,244
Total plan assets at end of year	2012-12-31	$210,378
Total plan assets at beginning of year	2012-12-31	$188,134
Total contributions received or receivable from participants	2012-12-31	$3,600
Other income received	2012-12-31	$18,644
Net income (gross income less expenses)	2012-12-31	$22,244
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$210,378
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$188,134
Total contributions received or receivable from employer(s)	2012-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$1,790
Minimum employer required contribution for this plan year	2012-12-31	$1,790
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : JOHN MAI SAFE HARBOR 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$13,113
Total plan assets at end of year	2011-12-31	$188,134
Total plan assets at beginning of year	2011-12-31	$175,021
Total contributions received or receivable from participants	2011-12-31	$7,400
Other income received	2011-12-31	$3,833
Net income (gross income less expenses)	2011-12-31	$13,113
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$188,134
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$175,021
Total contributions received or receivable from employer(s)	2011-12-31	$1,880
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$1,880
Amount contributed by the employer to the plan for this plan year	2011-12-31	$1,880
2010 : JOHN MAI SAFE HARBOR 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$43,600
Total plan assets at end of year	2010-12-31	$175,021
Total plan assets at beginning of year	2010-12-31	$131,421
Total contributions received or receivable from participants	2010-12-31	$12,000
Other income received	2010-12-31	$29,408
Net income (gross income less expenses)	2010-12-31	$43,600
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$175,021
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$131,421
Total contributions received or receivable from employer(s)	2010-12-31	$2,192
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$1,880
Amount contributed by the employer to the plan for this plan year	2010-12-31	$1,880
2009 : JOHN MAI SAFE HARBOR 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$2,192
Minimum employer required contribution for this plan year	2009-12-31	$2,192
2008 : JOHN MAI SAFE HARBOR 401(K) PLAN 2008 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2008-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2008-12-31	$0
Minimum employer required contribution for this plan year	2008-12-31	$3,552
Amount contributed by the employer to the plan for this plan year	2008-12-31	$3,552
2007 : JOHN MAI SAFE HARBOR 401(K) PLAN 2007 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2007-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2007-12-31	$2,736
Minimum employer required contribution for this plan year	2007-12-31	$2,736
2006 : JOHN MAI SAFE HARBOR 401(K) PLAN 2006 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2006-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2006-12-31	$2,122
Minimum employer required contribution for this plan year	2006-12-31	$2,122

Form 5500 Responses for JOHN MAI SAFE HARBOR 401(K) PLAN

2014: JOHN MAI SAFE HARBOR 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JOHN MAI SAFE HARBOR 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JOHN MAI SAFE HARBOR 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JOHN MAI SAFE HARBOR 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: JOHN MAI SAFE HARBOR 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes
2008: JOHN MAI SAFE HARBOR 401(K) PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes
2007: JOHN MAI SAFE HARBOR 401(K) PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes
2006: JOHN MAI SAFE HARBOR 401(K) PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	First time form 5500 has been submitted	Yes
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Trust	Yes
2006-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FUQUA HEALTH AND REHAB PA
Employer identification number (EIN):	861062397
NAIC Classification:	621310
NAIC Description:	Offices of Chiropractors