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| Plan Name | KIRKLAND SPINECARE 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | KIRKLAND SPINECARE |
| Employer identification number (EIN): | 911577405 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2018-01-01 | KYLE OH | 2019-10-15 | ||
| 001 | 2017-01-01 | KYLE OH | 2018-10-14 | ||
| 001 | 2016-01-01 | KYLE OH | 2017-10-16 | ||
| 001 | 2015-01-01 | KYLE OH | 2016-09-25 | ||
| 001 | 2014-01-01 | KYLE OH | 2015-10-10 | ||
| 001 | 2013-01-01 | KYLE OH | 2014-09-23 | ||
| 001 | 2012-01-01 | KYLE OH | 2013-09-19 | ||
| 001 | 2011-01-01 | KYLE OH | 2013-04-11 | ||
| 001 | 2010-01-01 | KYLE OH | 2013-04-11 | ||
| 001 | 2009-01-01 | KYLE OH | |||
| 001 | 2008-01-01 | KYLE OH |
| Measure | Date | Value |
|---|---|---|
| 2009: KIRKLAND SPINECARE 401(K) PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 3 |
| 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 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 3 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 3 |
| Number of participants with account balances | 2009-01-01 | 3 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 0 |
| 2008: KIRKLAND SPINECARE 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 | 3 |
| Number of retired or separated participants receiving benefits | 2008-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2008-01-01 | 0 |
| Total of all active and inactive participants | 2008-01-01 | 3 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2008-01-01 | 0 |
| Total participants | 2008-01-01 | 3 |
| Number of participants with account balances | 2008-01-01 | 3 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2008-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2008 : KIRKLAND SPINECARE 401(K) PLAN 2008 401k financial data | ||
| Total plan liabilities at end of year | 2008-12-31 | $197 |
| Total plan liabilities at beginning of year | 2008-12-31 | $8 |
| Total income from all sources | 2008-12-31 | $-98,148 |
| Total plan assets at end of year | 2008-12-31 | $216,218 |
| Total plan assets at beginning of year | 2008-12-31 | $314,177 |
| Other income received | 2008-12-31 | $-99,160 |
| Net income (gross income less expenses) | 2008-12-31 | $-98,148 |
| Net plan assets at end of year (total assets less liabilities) | 2008-12-31 | $216,021 |
| Net plan assets at beginning of year (total assets less liabilities) | 2008-12-31 | $314,169 |
| Assets. Value of participant loans | 2008-12-31 | $59,982 |
| Total contributions received or receivable from employer(s) | 2008-12-31 | $1,012 |
| 2009: KIRKLAND SPINECARE 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 – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| 2008: KIRKLAND SPINECARE 401(K) PLAN 2008 form 5500 responses | ||
| 2008-01-01 | Type of plan entity | Single employer plan |
| 2008-01-01 | Submission has been amended | Yes |
| 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 – Insurance | Yes |
| 2008-01-01 | Plan funding arrangement – Trust | Yes |
| 2008-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2008-01-01 | Plan benefit arrangement - Trust | Yes |
| MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | RM 84578-1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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