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SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 401k Plan overview

Plan NameSUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501)
Plan identification number 501

SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES has sponsored the creation of one or more 401k plans.

Company Name:SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES
Employer identification number (EIN):236447141
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-07-01MICHAEL S. FITZGIBBONS
5012022-07-01
5012022-07-01MICHAEL S. FITZGIBBONS
5012021-07-01
5012021-07-01MICHAEL S. FITZGIBBONS
5012020-07-01
5012019-07-01

Financial Data on SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501)

Measure Date Value
2023 : SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 2023 401k financial data
Total plan liabilities at end of year2023-06-30$16,182
Total income from all sources2023-06-30$0
Expenses. Total of all expenses incurred2023-06-30$-23,132
Benefits paid (including direct rollovers)2023-06-30$-23,132
Total plan assets at end of year2023-06-30$39,324
Total plan assets at beginning of year2023-06-30$10
Value of fidelity bond covering the plan2023-06-30$30,000
Net income (gross income less expenses)2023-06-30$23,132
Net plan assets at end of year (total assets less liabilities)2023-06-30$23,142
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$10
2022 : SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 2022 401k financial data
Total plan liabilities at beginning of year2022-06-30$43,932
Total income from all sources2022-06-30$95,366
Expenses. Total of all expenses incurred2022-06-30$61,498
Benefits paid (including direct rollovers)2022-06-30$32,377
Total plan assets at end of year2022-06-30$10
Total plan assets at beginning of year2022-06-30$10,074
Value of fidelity bond covering the plan2022-06-30$30,000
Expenses. Other expenses not covered elsewhere2022-06-30$28,634
Other income received2022-06-30$8
Net income (gross income less expenses)2022-06-30$33,868
Net plan assets at end of year (total assets less liabilities)2022-06-30$10
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$-33,858
Total contributions received or receivable from employer(s)2022-06-30$95,358
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$487
2021 : SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 2021 401k financial data
Total plan liabilities at end of year2021-06-30$43,932
Total plan liabilities at beginning of year2021-06-30$18,631
Total income from all sources2021-06-30$208,704
Expenses. Total of all expenses incurred2021-06-30$240,260
Benefits paid (including direct rollovers)2021-06-30$152,897
Total plan assets at end of year2021-06-30$10,074
Total plan assets at beginning of year2021-06-30$16,329
Value of fidelity bond covering the plan2021-06-30$30,000
Total contributions received or receivable from participants2021-06-30$69,595
Expenses. Other expenses not covered elsewhere2021-06-30$80,726
Other income received2021-06-30$32
Net income (gross income less expenses)2021-06-30$-31,556
Net plan assets at end of year (total assets less liabilities)2021-06-30$-33,858
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$-2,302
Total contributions received or receivable from employer(s)2021-06-30$139,077
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$6,637
2020 : SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 2020 401k financial data
Total plan liabilities at end of year2020-06-30$18,631
Total plan liabilities at beginning of year2020-06-30$0
Total income from all sources2020-06-30$232,960
Expenses. Total of all expenses incurred2020-06-30$235,262
Benefits paid (including direct rollovers)2020-06-30$116,179
Total plan assets at end of year2020-06-30$16,329
Total plan assets at beginning of year2020-06-30$0
Value of fidelity bond covering the plan2020-06-30$30,000
Total contributions received or receivable from participants2020-06-30$69,828
Expenses. Other expenses not covered elsewhere2020-06-30$113,080
Contributions received from other sources (not participants or employers)2020-06-30$410
Other income received2020-06-30$25
Net income (gross income less expenses)2020-06-30$-2,302
Net plan assets at end of year (total assets less liabilities)2020-06-30$-2,302
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$0
Total contributions received or receivable from employer(s)2020-06-30$162,697
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$6,003

Form 5500 Responses for SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501)

2022: SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement - TrustYes
2021: SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: SUSQUEHANNA VALLEY EMERGENCY MEDICA SERVICES EMPLOYEE BENEFIT PLAN (501) 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01First time form 5500 has been submittedYes
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number31000080
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number913734
Policy instance 2
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number31000080
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number913734
Policy instance 2
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number31000080
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number913734
Policy instance 2

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