401k Plan data: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN plan

PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 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.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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

PREMIER HEALTH ASSOCIATES, LLC has sponsored the creation of one or more 401k plans.

Company Name: PREMIER HEALTH ASSOCIATES, LLC

Employer identification number (EIN): 223346995

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 DARYL WILSON 2015-10-14
001 2013-01-01 JULIA GREAVER
001 2012-01-01 JACQUE KONZELMAN JACQUE KONZELMAN 2014-05-21
001 2011-01-01 JACQUE KONZELMAN
001 2010-01-01 RICHARD VAZ 2011-10-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	DARYL WILSON	2015-10-14
001	2013-01-01	JULIA GREAVER
001	2012-01-01	JACQUE KONZELMAN		JACQUE KONZELMAN	2014-05-21
001	2011-01-01	JACQUE KONZELMAN
001	2010-01-01	RICHARD VAZ	2011-10-21

Plan Statistics for PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 87
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 43
Number of other retired or separated participants entitled to future benefits 2013-01-01 14
Total of all active and inactive participants 2013-01-01 57
Total participants 2013-01-01 57
Number of participants with account balances 2013-01-01 56
2012: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 72
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 75
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 12
Total of all active and inactive participants 2012-01-01 87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 87
Number of participants with account balances 2012-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 80
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 47
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 25
Total of all active and inactive participants 2011-01-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 72
Number of participants with account balances 2011-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2013: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	87
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	43
Number of other retired or separated participants entitled to future benefits	2013-01-01	14
Total of all active and inactive participants	2013-01-01	57
Total participants	2013-01-01	57
Number of participants with account balances	2013-01-01	56
2012: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	72
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	75
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	12
Total of all active and inactive participants	2012-01-01	87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	87
Number of participants with account balances	2012-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	80
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	47
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	25
Total of all active and inactive participants	2011-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	72
Number of participants with account balances	2011-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2013 : PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total income from all sources	2013-12-31	$922,632
Expenses. Total of all expenses incurred	2013-12-31	$951,004
Benefits paid (including direct rollovers)	2013-12-31	$949,960
Total plan assets at end of year	2013-12-31	$3,548,078
Total plan assets at beginning of year	2013-12-31	$3,576,450
Total contributions received or receivable from participants	2013-12-31	$225,018
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$20,624
Other income received	2013-12-31	$565,941
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$-28,372
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,548,078
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,576,450
Assets. Value of participant loans	2013-12-31	$48,890
Total contributions received or receivable from employer(s)	2013-12-31	$111,049
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,044
2012 : PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$706,352
Expenses. Total of all expenses incurred	2012-12-31	$209,079
Benefits paid (including direct rollovers)	2012-12-31	$208,541
Total plan assets at end of year	2012-12-31	$3,576,450
Total plan assets at beginning of year	2012-12-31	$3,079,177
Total contributions received or receivable from participants	2012-12-31	$185,283
Contributions received from other sources (not participants or employers)	2012-12-31	$7,626
Other income received	2012-12-31	$414,499
Net income (gross income less expenses)	2012-12-31	$497,273
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,576,450
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,079,177
Assets. Value of participant loans	2012-12-31	$27,368
Total contributions received or receivable from employer(s)	2012-12-31	$98,944
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$538
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$226,202
Expenses. Total of all expenses incurred	2011-12-31	$54,023
Benefits paid (including direct rollovers)	2011-12-31	$53,773
Total plan assets at end of year	2011-12-31	$3,079,177
Total plan assets at beginning of year	2011-12-31	$2,906,998
Total contributions received or receivable from participants	2011-12-31	$204,749
Contributions received from other sources (not participants or employers)	2011-12-31	$12,255
Other income received	2011-12-31	$-105,618
Net income (gross income less expenses)	2011-12-31	$172,179
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,079,177
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,906,998
Assets. Value of participant loans	2011-12-31	$38,441
Total contributions received or receivable from employer(s)	2011-12-31	$114,816
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$250
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 PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN

2013: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING 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: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING 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: PREMIER HEALTH ASSOCIATES, LLC 401(K) PROFIT SHARING 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PREMIER HEALTH ASSOCIATES, LLC
Employer identification number (EIN):	223346995
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)