401k Plan data: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN plan

PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 401k Plan overview

Plan Name	PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN
Plan identification number	501

PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN has sponsored the creation of one or more 401k plans.

Company Name: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN

Employer identification number (EIN): 113116446

NAIC Classification: 525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-01-01
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01
501 2016-01-01
501 2015-01-01
501 2014-01-01
501 2013-01-01
501 2012-01-01 BARBARA OTTEN
501 2011-01-01 BARBARA OTTEN
501 2009-01-01 BARBARA OTTEN
501 2009-01-01 BARBARA OTTEN

Plan Statistics for PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN

401k plan membership statisitcs for PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN

Measure Date Value
2021: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Total participants 2021-01-01 0
2020: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,636
Total of all active and inactive participants 2020-01-01 1,636
Total participants 2020-01-01 1,636
2019: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,636
Total of all active and inactive participants 2019-01-01 1,636
Total participants 2019-01-01 1,636
2018: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,636
Total of all active and inactive participants 2018-01-01 1,636
Total participants 2018-01-01 1,636
2017: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,636
Total of all active and inactive participants 2017-01-01 1,636
Total participants 2017-01-01 1,636
2016: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,636
Total of all active and inactive participants 2016-01-01 1,636
Total participants 2016-01-01 1,636
2015: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,636
Total of all active and inactive participants 2015-01-01 1,636
Total participants 2015-01-01 1,636
2014: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,636
Total of all active and inactive participants 2014-01-01 1,636
Total participants 2014-01-01 1,636
2013: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,636
Total of all active and inactive participants 2013-01-01 1,636
Total participants 2013-01-01 1,636
2012: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,636
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 1,636
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1,636
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
2011: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8,000
Number of retired or separated participants receiving benefits 2011-01-01 8,000
Total of all active and inactive participants 2011-01-01 8,000
2009: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8,000
Number of retired or separated participants receiving benefits 2009-01-01 8,000
Total of all active and inactive participants 2009-01-01 8,000

Measure	Date	Value
2021: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Total participants	2021-01-01	0
2020: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,636
Total of all active and inactive participants	2020-01-01	1,636
Total participants	2020-01-01	1,636
2019: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,636
Total of all active and inactive participants	2019-01-01	1,636
Total participants	2019-01-01	1,636
2018: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,636
Total of all active and inactive participants	2018-01-01	1,636
Total participants	2018-01-01	1,636
2017: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,636
Total of all active and inactive participants	2017-01-01	1,636
Total participants	2017-01-01	1,636
2016: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,636
Total of all active and inactive participants	2016-01-01	1,636
Total participants	2016-01-01	1,636
2015: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,636
Total of all active and inactive participants	2015-01-01	1,636
Total participants	2015-01-01	1,636
2014: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,636
Total of all active and inactive participants	2014-01-01	1,636
Total participants	2014-01-01	1,636
2013: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,636
Total of all active and inactive participants	2013-01-01	1,636
Total participants	2013-01-01	1,636
2012: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,636
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	1,636
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1,636
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
2011: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8,000
Number of retired or separated participants receiving benefits	2011-01-01	8,000
Total of all active and inactive participants	2011-01-01	8,000
2009: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8,000
Number of retired or separated participants receiving benefits	2009-01-01	8,000
Total of all active and inactive participants	2009-01-01	8,000

Financial Data on PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN

Measure	Date	Value
2021 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-11-30	$53,100
Total income from all sources (including contributions)	2021-11-30	$0
Total loss/gain on sale of assets	2021-11-30	$0
Total of all expenses incurred	2021-11-30	$28,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-11-30	$608
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-11-30	$0
Value of total assets at end of year	2021-11-30	$0
Value of total assets at beginning of year	2021-11-30	$81,159
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-11-30	$27,451
Total interest from all sources	2021-11-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-11-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-11-30	$0
Administrative expenses professional fees incurred	2021-11-30	$5,751
Was this plan covered by a fidelity bond	2021-11-30	Yes
Value of fidelity bond cover	2021-11-30	$500,000
If this is an individual account plan, was there a blackout period	2021-11-30	No
Were there any nonexempt tranactions with any party-in-interest	2021-11-30	No
Assets. Other investments not covered elsewhere at end of year	2021-11-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-11-30	$18,220
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-11-30	$53,100
Administrative expenses (other) incurred	2021-11-30	$21,700
Total non interest bearing cash at end of year	2021-11-30	$0
Total non interest bearing cash at beginning of year	2021-11-30	$62,939
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-11-30	No
Value of net income/loss	2021-11-30	$-28,059
Value of net assets at end of year (total assets less liabilities)	2021-11-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-11-30	$28,059
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-11-30	No
Were any leases to which the plan was party in default or uncollectible	2021-11-30	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-11-30	No
Was there a failure to transmit to the plan any participant contributions	2021-11-30	No
Has the plan failed to provide any benefit when due under the plan	2021-11-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-11-30	$608
Did the plan have assets held for investment	2021-11-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2021-11-30	Unqualified
Accountancy firm name	2021-11-30	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2021-11-30	274339191
2020 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$53,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$68,813
Total income from all sources (including contributions)	2020-12-31	$0
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$80,528
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$42,739
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$0
Value of total assets at end of year	2020-12-31	$81,159
Value of total assets at beginning of year	2020-12-31	$177,400
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$37,789
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$28,361
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$18,220
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$1,013
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$53,100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$68,813
Administrative expenses (other) incurred	2020-12-31	$9,428
Total non interest bearing cash at end of year	2020-12-31	$62,939
Total non interest bearing cash at beginning of year	2020-12-31	$176,387
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-80,528
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$28,059
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$108,587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$42,739
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2020-12-31	274339191
2019 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$68,813
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$64,520
Total income from all sources (including contributions)	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$15,851
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$0
Value of total assets at end of year	2019-12-31	$177,400
Value of total assets at beginning of year	2019-12-31	$188,958
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$15,851
Total interest from all sources	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$7,713
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$1,013
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$1,025
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$68,813
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$64,520
Administrative expenses (other) incurred	2019-12-31	$8,138
Total non interest bearing cash at end of year	2019-12-31	$176,387
Total non interest bearing cash at beginning of year	2019-12-31	$187,933
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$-15,851
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$108,587
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$124,438
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2019-12-31	274339191
2018 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$64,520
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$54,100
Total income from all sources (including contributions)	2018-12-31	$0
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$31,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$0
Value of total assets at end of year	2018-12-31	$188,958
Value of total assets at beginning of year	2018-12-31	$209,709
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$31,171
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$16,170
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$1,025
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$314
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$64,520
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$54,100
Administrative expenses (other) incurred	2018-12-31	$15,001
Total non interest bearing cash at end of year	2018-12-31	$187,933
Total non interest bearing cash at beginning of year	2018-12-31	$209,395
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-31,171
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$124,438
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$155,609
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2018-12-31	274339191
2017 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$54,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$46,178
Total income from all sources (including contributions)	2017-12-31	$0
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$56,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$0
Value of total assets at end of year	2017-12-31	$209,709
Value of total assets at beginning of year	2017-12-31	$258,633
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$56,846
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$40,314
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$314
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$12,392
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$54,100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$46,178
Administrative expenses (other) incurred	2017-12-31	$16,532
Total non interest bearing cash at end of year	2017-12-31	$209,395
Total non interest bearing cash at beginning of year	2017-12-31	$246,241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-56,846
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$155,609
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$212,455
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2017-12-31	274339191
2016 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$46,178
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$36,396
Total income from all sources (including contributions)	2016-12-31	$0
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$72,977
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$8,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$258,633
Value of total assets at beginning of year	2016-12-31	$321,828
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$64,005
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$44,027
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$12,392
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$12,489
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$46,178
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$36,396
Administrative expenses (other) incurred	2016-12-31	$19,978
Total non interest bearing cash at end of year	2016-12-31	$246,241
Total non interest bearing cash at beginning of year	2016-12-31	$309,339
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-72,977
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$212,455
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$285,432
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$8,972
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2016-12-31	274339191
2015 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$36,396
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$29,693
Total income from all sources (including contributions)	2015-12-31	$0
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,179,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,054,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$321,828
Value of total assets at beginning of year	2015-12-31	$2,494,959
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$124,837
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$107,095
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$12,489
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$6,627
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$36,396
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$29,693
Administrative expenses (other) incurred	2015-12-31	$17,742
Total non interest bearing cash at end of year	2015-12-31	$309,339
Total non interest bearing cash at beginning of year	2015-12-31	$2,488,332
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-2,179,834
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$285,432
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,465,266
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,054,997
Did the plan have assets held for investment	2015-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2015-12-31	274339191
2014 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$29,693
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$20,405
Total income from all sources (including contributions)	2014-12-31	$2,470,644
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$169,128
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$40,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$0
Value of total assets at end of year	2014-12-31	$2,494,959
Value of total assets at beginning of year	2014-12-31	$184,155
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$128,484
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$106,552
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$6,627
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$7,737
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$29,693
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$20,405
Other income not declared elsewhere	2014-12-31	$2,470,644
Administrative expenses (other) incurred	2014-12-31	$21,932
Total non interest bearing cash at end of year	2014-12-31	$2,488,332
Total non interest bearing cash at beginning of year	2014-12-31	$176,418
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$2,301,516
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,465,266
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$163,750
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$40,644
Did the plan have assets held for investment	2014-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2014-12-31	274339191
2013 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$20,405
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$15,432
Total income from all sources (including contributions)	2013-12-31	$0
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,456,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,312,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$0
Value of total assets at end of year	2013-12-31	$184,155
Value of total assets at beginning of year	2013-12-31	$2,635,455
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$143,549
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$123,682
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$7,737
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$15,172
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$20,405
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$15,432
Administrative expenses (other) incurred	2013-12-31	$19,867
Total non interest bearing cash at end of year	2013-12-31	$176,418
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-2,456,273
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$163,750
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,620,023
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,620,283
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,620,283
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,312,724
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	MONROE J CHALMERS CPA PC
Accountancy firm EIN	2013-12-31	274339191
2012 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$15,432
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$7,500
Total income from all sources (including contributions)	2012-12-31	$3,613
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$180,699
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$19,650
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$0
Value of total assets at end of year	2012-12-31	$2,635,455
Value of total assets at beginning of year	2012-12-31	$2,804,609
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$161,049
Total interest from all sources	2012-12-31	$3,613
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$137,647
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$15,172
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$7,724
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$15,432
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$7,500
Administrative expenses (other) incurred	2012-12-31	$23,402
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-177,086
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,620,023
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,797,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,620,283
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$2,796,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$2,796,885
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$3,613
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$19,650
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	AVERSABO & HIGGINS
Accountancy firm EIN	2012-12-31	270622985
2011 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$7,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$25,236
Total income from all sources (including contributions)	2011-12-31	$4,127
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$222,177
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$84,074
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$0
Value of total assets at end of year	2011-12-31	$2,804,609
Value of total assets at beginning of year	2011-12-31	$3,040,395
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$138,103
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$4,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$4,127
Administrative expenses professional fees incurred	2011-12-31	$24,181
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$7,724
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$7,672
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$84,074
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$7,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$25,236
Administrative expenses (other) incurred	2011-12-31	$23,922
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-218,050
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,797,109
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,015,159
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$2,796,885
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$3,032,723
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$3,032,723
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$0
Contract administrator fees	2011-12-31	$90,000
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	AVERSANO & HIGGINS
Accountancy firm EIN	2011-12-31	270622985
2010 : PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$25,236
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$20,853
Total income from all sources (including contributions)	2010-12-31	$5,855
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$263,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$133,543
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$0
Value of total assets at end of year	2010-12-31	$3,040,395
Value of total assets at beginning of year	2010-12-31	$3,293,498
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$129,798
Total interest from all sources	2010-12-31	$5,855
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$13,826
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$7,672
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$7,672
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$133,543
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$25,236
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$20,853
Administrative expenses (other) incurred	2010-12-31	$25,972
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-257,486
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,015,159
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,272,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Interest earned on other investments	2010-12-31	$5,855
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$3,032,723
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$3,285,826
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$3,285,826
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contract administrator fees	2010-12-31	$90,000
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	AVERSANO & HIGGINS
Accountancy firm EIN	2010-12-31	270622985

Form 5500 Responses for PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN

2021: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL 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	No
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: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL 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: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL 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: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL 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: PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL 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

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Company Name:	PAN AMERICAN RETIREES INTERIM SUPPLEMENTAL MEDICAL PLAN
Employer identification number (EIN):	113116446
NAIC Classification:	525100
NAIC Description:	Insurance and Employee Benefit Funds