401k Plan data: PRIME CARE MEDICAL 401K PLAN plan

PRIME CARE MEDICAL 401K PLAN 401k Plan overview

Plan Name	PRIME CARE MEDICAL 401K PLAN
Plan identification number	002

PRIME CARE MEDICAL 401K PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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

PRIME CARE MEDICAL CENTER INC has sponsored the creation of one or more 401k plans.

Company Name: PRIME CARE MEDICAL CENTER INC

Employer identification number (EIN): 364159057

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRIME CARE MEDICAL 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 NICHOLAS TZANETAKOS NICHOLAS TZANETAKOS 2014-07-22
002 2012-01-01 NICHOLAS TZANETAKOS NICHOLAS TZANETAKOS 2013-07-22
002 2011-01-01 NICHOLAS TZANETAKOS NICHOLAS TZANETAKOS 2012-06-21
002 2010-01-01 NICHOLAS TZANETAKOS NICHOLAS TZANETAKOS 2011-07-27
002 2009-01-01 NICHOLAS TZANETAKOS NICHOLAS TZANETAKOS 2010-07-22
002 2007-01-01 NICHOLAS TZANETAKOS

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	NICHOLAS TZANETAKOS	NICHOLAS TZANETAKOS	2014-07-22
002	2012-01-01	NICHOLAS TZANETAKOS	NICHOLAS TZANETAKOS	2013-07-22
002	2011-01-01	NICHOLAS TZANETAKOS	NICHOLAS TZANETAKOS	2012-06-21
002	2010-01-01	NICHOLAS TZANETAKOS	NICHOLAS TZANETAKOS	2011-07-27
002	2009-01-01	NICHOLAS TZANETAKOS	NICHOLAS TZANETAKOS	2010-07-22
002	2007-01-01	NICHOLAS TZANETAKOS

Plan Statistics for PRIME CARE MEDICAL 401K PLAN

401k plan membership statisitcs for PRIME CARE MEDICAL 401K PLAN

Measure Date Value
2013: PRIME CARE MEDICAL 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 9
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: PRIME CARE MEDICAL 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 9
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 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 9
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PRIME CARE MEDICAL 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8
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 0
Total of all active and inactive participants 2011-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 8
Number of participants with account balances 2011-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: PRIME CARE MEDICAL 401K PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 10
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 10
Number of participants with account balances 2010-01-01 10
2009: PRIME CARE MEDICAL 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
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 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 5
Number of participants with account balances 2009-01-01 5
2007: PRIME CARE MEDICAL 401K PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 5
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-01-01 0
Total participants 2007-01-01 5
Number of participants with account balances 2007-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 0

Measure	Date	Value
2013: PRIME CARE MEDICAL 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	9
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: PRIME CARE MEDICAL 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	9
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	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	9
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PRIME CARE MEDICAL 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8
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	0
Total of all active and inactive participants	2011-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	8
Number of participants with account balances	2011-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: PRIME CARE MEDICAL 401K PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	10
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	10
Number of participants with account balances	2010-01-01	10
2009: PRIME CARE MEDICAL 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
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	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	5
Number of participants with account balances	2009-01-01	5
2007: PRIME CARE MEDICAL 401K PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	5
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	5
Number of participants with account balances	2007-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0

Financial Data on PRIME CARE MEDICAL 401K PLAN

Measure	Date	Value
2013 : PRIME CARE MEDICAL 401K PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$-679,975
Total income from all sources	2013-12-31	$42,063
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$637,912
Other income received	2013-12-31	$42,063
Net income (gross income less expenses)	2013-12-31	$42,063
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	$637,912
2012 : PRIME CARE MEDICAL 401K PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$136,327
Total plan assets at end of year	2012-12-31	$637,912
Total plan assets at beginning of year	2012-12-31	$501,585
Total contributions received or receivable from participants	2012-12-31	$83,715
Other income received	2012-12-31	$33,184
Net income (gross income less expenses)	2012-12-31	$136,327
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$637,912
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$501,585
Total contributions received or receivable from employer(s)	2012-12-31	$19,428
2011 : PRIME CARE MEDICAL 401K PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$83,773
Expenses. Total of all expenses incurred	2011-12-31	$5,652
Benefits paid (including direct rollovers)	2011-12-31	$5,652
Total plan assets at end of year	2011-12-31	$501,585
Total plan assets at beginning of year	2011-12-31	$423,464
Total contributions received or receivable from participants	2011-12-31	$78,657
Other income received	2011-12-31	$-14,716
Net income (gross income less expenses)	2011-12-31	$78,121
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$501,585
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$423,464
Total contributions received or receivable from employer(s)	2011-12-31	$19,832
2010 : PRIME CARE MEDICAL 401K PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$145,550
Expenses. Total of all expenses incurred	2010-12-31	$28,415
Benefits paid (including direct rollovers)	2010-12-31	$28,415
Total plan assets at end of year	2010-12-31	$423,464
Total plan assets at beginning of year	2010-12-31	$306,329
Total contributions received or receivable from participants	2010-12-31	$66,703
Other income received	2010-12-31	$36,096
Net income (gross income less expenses)	2010-12-31	$117,135
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$423,464
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$306,329
Total contributions received or receivable from employer(s)	2010-12-31	$42,751

Form 5500 Responses for PRIME CARE MEDICAL 401K PLAN

2013: PRIME CARE MEDICAL 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PRIME CARE MEDICAL 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PRIME CARE MEDICAL 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
2010: PRIME CARE MEDICAL 401K PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PRIME CARE MEDICAL 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
2007: PRIME CARE MEDICAL 401K PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PRIME CARE MEDICAL CENTER INC
Employer identification number (EIN):	364159057
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)