401k Plan data: AMBULATORY CARE CENTER 401K PLAN plan

AMBULATORY CARE CENTER 401K PLAN 401k Plan overview

Plan Name	AMBULATORY CARE CENTER 401K PLAN
Plan identification number	001

AMBULATORY CARE CENTER 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.

401k Sponsoring company profile

AMBULATORY CARE CENTER has sponsored the creation of one or more 401k plans.

Company Name: AMBULATORY CARE CENTER

Employer identification number (EIN): 251926741

NAIC Classification: 541214
NAIC Description: Payroll Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMBULATORY CARE CENTER 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 ROSE MARIE SCHROER ROSE MARIE SCHROER 2015-03-16
001 2011-01-01 ROSE MARIE SCHROER
001 2009-01-01 WANDA MORATELLI

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	ROSE MARIE SCHROER	ROSE MARIE SCHROER	2015-03-16
001	2011-01-01	ROSE MARIE SCHROER
001	2009-01-01	WANDA MORATELLI

Plan Statistics for AMBULATORY CARE CENTER 401K PLAN

401k plan membership statisitcs for AMBULATORY CARE CENTER 401K PLAN

Measure Date Value
2012: AMBULATORY CARE CENTER 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
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 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: AMBULATORY CARE CENTER 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 1
Total of all active and inactive participants 2011-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: AMBULATORY CARE CENTER 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 12
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 12
Number of participants with account balances 2009-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: AMBULATORY CARE CENTER 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
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	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: AMBULATORY CARE CENTER 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	1
Total of all active and inactive participants	2011-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: AMBULATORY CARE CENTER 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	12
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	12
Number of participants with account balances	2009-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on AMBULATORY CARE CENTER 401K PLAN

Measure	Date	Value
2012 : AMBULATORY CARE CENTER 401K PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$0
Expenses. Total of all expenses incurred	2012-12-31	$5,406
Benefits paid (including direct rollovers)	2012-12-31	$5,406
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$5,406
Total contributions received or receivable from participants	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$0
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-5,406
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,406
Total contributions received or receivable from employer(s)	2012-12-31	$0
2011 : AMBULATORY CARE CENTER 401K PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-14,028
Expenses. Total of all expenses incurred	2011-12-31	$92,625
Benefits paid (including direct rollovers)	2011-12-31	$92,625
Total plan assets at end of year	2011-12-31	$5,406
Total plan assets at beginning of year	2011-12-31	$112,059
Total contributions received or receivable from participants	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-14,028
Net income (gross income less expenses)	2011-12-31	$-106,653
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,406
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$112,059
Total contributions received or receivable from employer(s)	2011-12-31	$0
2010 : AMBULATORY CARE CENTER 401K PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$24,607
Total plan assets at end of year	2010-12-31	$112,059
Total plan assets at beginning of year	2010-12-31	$87,452
Total contributions received or receivable from participants	2010-12-31	$15,500
Other income received	2010-12-31	$9,107
Net income (gross income less expenses)	2010-12-31	$24,607
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$112,059
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$87,452
Assets. Value of participant loans	2010-12-31	$826

Form 5500 Responses for AMBULATORY CARE CENTER 401K PLAN

2012: AMBULATORY CARE CENTER 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: AMBULATORY CARE CENTER 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: AMBULATORY CARE CENTER 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	AMBULATORY CARE CENTER
Employer identification number (EIN):	251926741
NAIC Classification:	541214
NAIC Description:	Payroll Services