401k Plan data: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. plan

HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 401k Plan overview

Plan Name	HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC.
Plan identification number	002

HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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.

401k Sponsoring company profile

AIRMED, INC. has sponsored the creation of one or more 401k plans.

Company Name: AIRMED, INC.

Employer identification number (EIN): 134204653

NAIC Classification: 481000
NAIC Description: Air Transportation

Additional information about AIRMED, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 2000-05-05

Company Identification Number: 20001294951

Legal Registered Office Address: 2215-B RENAISSANCE DR

LAS VEGAS
United States of America (USA)
89119

More information about AIRMED, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 LEE VOGT
002 2012-01-01 LEE VOGT
002 2011-12-01 LEE VOGT

Plan id#	Filing Submission Date	Name of Administrator
002	2013-01-01	LEE VOGT
002	2012-01-01	LEE VOGT
002	2011-12-01	LEE VOGT

Plan Statistics for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC.

401k plan membership statisitcs for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC.

Measure Date Value
2013: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 12
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2011 401k membership
Total participants, beginning-of-year 2011-12-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 11
Number of retired or separated participants receiving benefits 2011-12-01 0
Number of other retired or separated participants entitled to future benefits 2011-12-01 0
Total of all active and inactive participants 2011-12-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-12-01 0
Total participants 2011-12-01 11
Number of participants with account balances 2011-12-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-12-01 0

Measure	Date	Value
2013: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	12
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2011 401k membership
Total participants, beginning-of-year	2011-12-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	11
Number of retired or separated participants receiving benefits	2011-12-01	0
Number of other retired or separated participants entitled to future benefits	2011-12-01	0
Total of all active and inactive participants	2011-12-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-12-01	0
Total participants	2011-12-01	11
Number of participants with account balances	2011-12-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-12-01	0

Financial Data on HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC.

Measure	Date	Value
2013 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2013 401k financial data
Total income from all sources	2013-12-31	$29,015
Expenses. Total of all expenses incurred	2013-12-31	$374,781
Benefits paid (including direct rollovers)	2013-12-31	$365,853
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$345,766
Total contributions received or receivable from participants	2013-12-31	$2,893
Expenses. Other expenses not covered elsewhere	2013-12-31	$3,279
Other income received	2013-12-31	$22,716
Net income (gross income less expenses)	2013-12-31	$-345,766
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$345,766
Assets. Value of participant loans	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$3,406
Value of certain deemed distributions of participant loans	2013-12-31	$2,952
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,697
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2012 401k financial data
Total income from all sources	2012-12-31	$124,963
Expenses. Total of all expenses incurred	2012-12-31	$50,816
Benefits paid (including direct rollovers)	2012-12-31	$46,364
Total plan assets at end of year	2012-12-31	$345,766
Total plan assets at beginning of year	2012-12-31	$271,619
Total contributions received or receivable from participants	2012-12-31	$61,221
Other income received	2012-12-31	$42,880
Net income (gross income less expenses)	2012-12-31	$74,147
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$345,766
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$271,619
Assets. Value of participant loans	2012-12-31	$2,900
Total contributions received or receivable from employer(s)	2012-12-31	$20,862
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$4,452
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2011 401k financial data
Transfers to/from the plan	2011-12-31	$262,254
Total income from all sources	2011-12-31	$9,594
Expenses. Total of all expenses incurred	2011-12-31	$229
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$271,619
Total plan assets at beginning of year	2011-12-31	$262,254
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$7,139
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$44
Other income received	2011-12-31	$-247
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$9,365
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$271,619
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$262,254
Total contributions received or receivable from employer(s)	2011-12-31	$2,658
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$229
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC.

2013: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO AIR MED, INC. 2011 form 5500 responses
2011-12-01	Type of plan entity	Mulitple employer plan
2011-12-01	First time form 5500 has been submitted	Yes
2011-12-01	Submission has been amended	Yes
2011-12-01	This submission is the final filing	No
2011-12-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2011-12-01	Plan is a collectively bargained plan	No
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan funding arrangement – Trust	Yes
2011-12-01	Plan benefit arrangement - Trust	Yes

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Company Name:	AIRMED, INC.
Employer identification number (EIN):	134204653
NAIC Classification:	481000
NAIC Description:	Air Transportation

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	2000-05-05
Company Identification Number:	20001294951
Legal Registered Office Address:	2215-B RENAISSANCE DR LAS VEGAS United States of America (USA) 89119