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STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameSTOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN
Plan identification number 002

STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Life insurance

401k Sponsoring company profile

STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC has sponsored the creation of one or more 401k plans.

Company Name:STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC
Employer identification number (EIN):942375709
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0804038

More information about STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01AJAY RAMANAKUMAR2024-09-10 AJAY RAMANAKUMAR2024-09-10
0022022-01-01RICHARD WATERS2023-10-02 RICHARD WATERS2023-10-02
0022021-01-01ABBAS A CHOTHIA2022-09-10 ABBAS A CHOTHIA2022-09-10
0022020-01-01ABBAS A CHOTHIA2021-07-21 ABBAS A CHOTHIA2021-07-21
0022019-01-01ABBAS A CHOTHIA2020-07-10 ABBAS A CHOTHIA2020-07-10
0022018-01-01
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01
0022013-01-01
0022012-01-01GEORGE CHAROS MD GEORGE CHAROS MD2013-05-24
0022011-01-01PENSION FILERS
0022009-10-01ASSOCIATED PENSION CONSULTANTS

Plan Statistics for STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN

Measure Date Value
2023: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0187
Total number of active participants reported on line 7a of the Form 55002023-01-0158
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0130
Total of all active and inactive participants2023-01-0188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-0188
Number of participants with account balances2023-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-014
2022: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0183
Total number of active participants reported on line 7a of the Form 55002022-01-0160
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0125
Total of all active and inactive participants2022-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0185
Number of participants with account balances2022-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0178
Total number of active participants reported on line 7a of the Form 55002021-01-0157
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0118
Total of all active and inactive participants2021-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0175
Number of participants with account balances2021-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0179
Total number of active participants reported on line 7a of the Form 55002020-01-0153
Number of other retired or separated participants entitled to future benefits2020-01-0120
Total of all active and inactive participants2020-01-0173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-0174
Number of participants with account balances2020-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-016
2019: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0171
Total number of active participants reported on line 7a of the Form 55002019-01-0158
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0116
Total of all active and inactive participants2019-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0174
Number of participants with account balances2019-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-015
2018: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0170
Total number of active participants reported on line 7a of the Form 55002018-01-0155
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0113
Total of all active and inactive participants2018-01-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0168
Number of participants with account balances2018-01-0168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-015
2017: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0167
Total number of active participants reported on line 7a of the Form 55002017-01-0155
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-019
Total of all active and inactive participants2017-01-0164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0164
Number of participants with account balances2017-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0160
Total number of active participants reported on line 7a of the Form 55002016-01-0155
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-017
Total of all active and inactive participants2016-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0162
Number of participants with account balances2016-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0168
Total number of active participants reported on line 7a of the Form 55002015-01-0154
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-014
Total of all active and inactive participants2015-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0158
Number of participants with account balances2015-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-013
2014: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0167
Total number of active participants reported on line 7a of the Form 55002014-01-0153
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-018
Total of all active and inactive participants2014-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0161
Number of participants with account balances2014-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0160
Total number of active participants reported on line 7a of the Form 55002013-01-0150
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0110
Total of all active and inactive participants2013-01-0160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0160
Number of participants with account balances2013-01-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-013
2012: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0163
Total number of active participants reported on line 7a of the Form 55002012-01-0153
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0158
Number of participants with account balances2012-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012
2011: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0163
Total number of active participants reported on line 7a of the Form 55002011-01-0154
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-016
Total of all active and inactive participants2011-01-0160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0160
Number of participants with account balances2011-01-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-014
2009: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-0164
Total number of active participants reported on line 7a of the Form 55002009-10-0155
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-018
Total of all active and inactive participants2009-10-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-0163
Number of participants with account balances2009-10-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN

Measure Date Value
2023 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2023 401k financial data
Total plan liabilities at end of year2023-12-31$75,000
Total plan liabilities at beginning of year2023-12-31$221,285
Total income from all sources2023-12-31$6,840,294
Expenses. Total of all expenses incurred2023-12-31$660,154
Benefits paid (including direct rollovers)2023-12-31$564,060
Total plan assets at end of year2023-12-31$31,753,699
Total plan assets at beginning of year2023-12-31$25,719,844
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$130,135
Other income received2023-12-31$5,929,149
Net income (gross income less expenses)2023-12-31$6,180,140
Net plan assets at end of year (total assets less liabilities)2023-12-31$31,678,699
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$25,498,559
Assets. Value of assets in partnership/joint-venture interests2023-12-31$826,872
Total contributions received or receivable from employer(s)2023-12-31$781,010
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$96,094
2022 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$221,285
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-5,432,380
Expenses. Total of all expenses incurred2022-12-31$1,388,296
Benefits paid (including direct rollovers)2022-12-31$1,267,744
Total plan assets at end of year2022-12-31$25,719,844
Total plan assets at beginning of year2022-12-31$32,319,235
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$114,265
Other income received2022-12-31$-6,331,086
Net income (gross income less expenses)2022-12-31$-6,820,676
Net plan assets at end of year (total assets less liabilities)2022-12-31$25,498,559
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$32,319,235
Assets. Value of assets in partnership/joint-venture interests2022-12-31$924,795
Total contributions received or receivable from employer(s)2022-12-31$784,441
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$120,552
2021 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$70,456
Total income from all sources2021-12-31$6,352,809
Expenses. Total of all expenses incurred2021-12-31$1,145,336
Benefits paid (including direct rollovers)2021-12-31$1,010,692
Total plan assets at end of year2021-12-31$32,319,235
Total plan assets at beginning of year2021-12-31$27,182,218
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$96,707
Other income received2021-12-31$5,489,409
Net income (gross income less expenses)2021-12-31$5,207,473
Net plan assets at end of year (total assets less liabilities)2021-12-31$32,319,235
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$27,111,762
Assets. Value of assets in partnership/joint-venture interests2021-12-31$212,999
Total contributions received or receivable from employer(s)2021-12-31$766,693
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$134,644
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$70,456
Total plan liabilities at beginning of year2020-12-31$1,000
Total income from all sources2020-12-31$5,653,016
Expenses. Total of all expenses incurred2020-12-31$2,790,207
Benefits paid (including direct rollovers)2020-12-31$2,673,391
Total plan assets at end of year2020-12-31$27,182,218
Total plan assets at beginning of year2020-12-31$24,249,953
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$82,372
Other income received2020-12-31$4,890,852
Net income (gross income less expenses)2020-12-31$2,862,809
Net plan assets at end of year (total assets less liabilities)2020-12-31$27,111,762
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$24,248,953
Assets. Value of assets in partnership/joint-venture interests2020-12-31$490,748
Total contributions received or receivable from employer(s)2020-12-31$679,792
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$116,816
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$1,000
Total plan liabilities at beginning of year2019-12-31$375
Total income from all sources2019-12-31$5,695,664
Expenses. Total of all expenses incurred2019-12-31$1,477,985
Benefits paid (including direct rollovers)2019-12-31$1,356,793
Total plan assets at end of year2019-12-31$24,249,953
Total plan assets at beginning of year2019-12-31$20,031,649
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$72,889
Other income received2019-12-31$4,951,068
Net income (gross income less expenses)2019-12-31$4,217,679
Net plan assets at end of year (total assets less liabilities)2019-12-31$24,248,953
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$20,031,274
Assets. Value of assets in partnership/joint-venture interests2019-12-31$342,093
Total contributions received or receivable from employer(s)2019-12-31$671,707
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$121,192
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$375
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-364,569
Expenses. Total of all expenses incurred2018-12-31$2,474,300
Benefits paid (including direct rollovers)2018-12-31$2,347,917
Total plan assets at end of year2018-12-31$20,031,649
Total plan assets at beginning of year2018-12-31$22,870,143
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$65,888
Contributions received from other sources (not participants or employers)2018-12-31$1,001
Other income received2018-12-31$-1,084,282
Net income (gross income less expenses)2018-12-31$-2,838,869
Net plan assets at end of year (total assets less liabilities)2018-12-31$20,031,274
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$22,870,143
Assets. Value of assets in partnership/joint-venture interests2018-12-31$265,463
Total contributions received or receivable from employer(s)2018-12-31$652,824
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$126,383
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$718
Total income from all sources2017-12-31$4,079,202
Expenses. Total of all expenses incurred2017-12-31$543,777
Benefits paid (including direct rollovers)2017-12-31$422,089
Total plan assets at end of year2017-12-31$22,870,143
Total plan assets at beginning of year2017-12-31$19,335,436
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$56,452
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$3,388,109
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$3,535,425
Net plan assets at end of year (total assets less liabilities)2017-12-31$22,870,143
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$19,334,718
Assets. Value of assets in partnership/joint-venture interests2017-12-31$344,994
Total contributions received or receivable from employer(s)2017-12-31$634,641
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$121,688
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$718
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$2,100,373
Expenses. Total of all expenses incurred2016-12-31$273,822
Benefits paid (including direct rollovers)2016-12-31$181,490
Total plan assets at end of year2016-12-31$19,335,436
Total plan assets at beginning of year2016-12-31$17,508,167
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$49,227
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$117,825
Other income received2016-12-31$1,313,721
Net income (gross income less expenses)2016-12-31$1,826,551
Net plan assets at end of year (total assets less liabilities)2016-12-31$19,334,718
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$17,508,167
Assets. Value of assets in partnership/joint-venture interests2016-12-31$3,580
Total contributions received or receivable from employer(s)2016-12-31$619,600
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$92,332
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$714,421
Expenses. Total of all expenses incurred2015-12-31$457,778
Benefits paid (including direct rollovers)2015-12-31$376,577
Total plan assets at end of year2015-12-31$17,508,167
Total plan assets at beginning of year2015-12-31$17,251,524
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$72,546
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$22,200
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$256,643
Net plan assets at end of year (total assets less liabilities)2015-12-31$17,508,167
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$17,251,524
Assets. Value of assets in partnership/joint-venture interests2015-12-31$4,364
Total contributions received or receivable from employer(s)2015-12-31$619,675
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$81,201
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$1,608,474
Expenses. Total of all expenses incurred2014-12-31$310,552
Benefits paid (including direct rollovers)2014-12-31$241,562
Total plan assets at end of year2014-12-31$17,251,524
Total plan assets at beginning of year2014-12-31$15,953,602
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$38,446
Other income received2014-12-31$1,030,518
Net income (gross income less expenses)2014-12-31$1,297,922
Net plan assets at end of year (total assets less liabilities)2014-12-31$17,251,524
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$15,953,602
Assets. Value of assets in partnership/joint-venture interests2014-12-31$4,138
Total contributions received or receivable from employer(s)2014-12-31$539,510
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$68,990
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$2,769,129
Expenses. Total of all expenses incurred2013-12-31$417,213
Benefits paid (including direct rollovers)2013-12-31$355,090
Total plan assets at end of year2013-12-31$15,953,602
Total plan assets at beginning of year2013-12-31$13,601,686
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$36,797
Other income received2013-12-31$2,204,307
Net income (gross income less expenses)2013-12-31$2,351,916
Net plan assets at end of year (total assets less liabilities)2013-12-31$15,953,602
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$13,601,686
Assets. Value of assets in partnership/joint-venture interests2013-12-31$4,398
Total contributions received or receivable from employer(s)2013-12-31$528,025
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$62,123
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year2012-12-31$25,000
Total income from all sources2012-12-31$1,703,124
Expenses. Total of all expenses incurred2012-12-31$348,883
Benefits paid (including direct rollovers)2012-12-31$296,004
Total plan assets at end of year2012-12-31$13,601,686
Total plan assets at beginning of year2012-12-31$12,272,445
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$34,293
Other income received2012-12-31$1,169,552
Net income (gross income less expenses)2012-12-31$1,354,241
Net plan assets at end of year (total assets less liabilities)2012-12-31$13,601,686
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$12,247,445
Assets. Value of assets in partnership/joint-venture interests2012-12-31$4,399
Total contributions received or receivable from employer(s)2012-12-31$499,279
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$52,879
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$25,000
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$390,734
Expenses. Total of all expenses incurred2011-12-31$101,131
Benefits paid (including direct rollovers)2011-12-31$49,887
Total plan assets at end of year2011-12-31$12,272,445
Total plan assets at beginning of year2011-12-31$11,957,842
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$37,150
Other income received2011-12-31$-146,840
Net income (gross income less expenses)2011-12-31$289,603
Net plan assets at end of year (total assets less liabilities)2011-12-31$12,247,445
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$11,957,842
Assets. Value of assets in partnership/joint-venture interests2011-12-31$4,643
Total contributions received or receivable from employer(s)2011-12-31$500,424
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$51,244
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$1,709,295
Expenses. Total of all expenses incurred2010-12-31$1,927,127
Benefits paid (including direct rollovers)2010-12-31$1,886,295
Total plan assets at end of year2010-12-31$11,957,842
Total plan assets at beginning of year2010-12-31$12,175,674
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$42,536
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$1,215,036
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$-217,832
Net plan assets at end of year (total assets less liabilities)2010-12-31$11,957,842
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$12,175,674
Assets. Value of assets in partnership/joint-venture interests2010-12-31$4,832
Total contributions received or receivable from employer(s)2010-12-31$451,723
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$40,832
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN

2023: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
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: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
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: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
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: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
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: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
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: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
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: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
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: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 2
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 1
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 2
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 1
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 2
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 1
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number2217676
Policy instance 1
Insurance contract or identification number2217676
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE (National Association of Insurance Commissioners NAIC id number: 80705 )
Policy contract number04232601
Policy instance 2
Insurance contract or identification number04232601
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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