401k Plan data: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN plan

BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 401k Plan overview

Plan Name	BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN
Plan identification number	002

BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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

BAY AREA HEALTH CLINIC PC has sponsored the creation of one or more 401k plans.

Company Name: BAY AREA HEALTH CLINIC PC

Employer identification number (EIN): 382920883

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

Additional information about BAY AREA HEALTH CLINIC PC

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: 446050

More information about BAY AREA HEALTH CLINIC PC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2018-01-01
002 2017-01-01 NAEEM AHMED, M.D.
002 2016-01-01 NAEEM AHMED, M.D.
002 2015-01-01 NAEEM AHMED, M.D.
002 2014-01-01 NAEEM AHMED, M.D.
002 2013-01-01 NAEEM AHMED, M.D. NAEEM AHMED, M.D. 2014-07-29
002 2012-01-01 NAEEM AHMED, M.D. NAEEM AHMED, M.D. 2013-07-22
002 2011-01-01 DHANA D SHRESTHA MD
002 2010-01-01 DHANA D SHRESTHA MD DHANA D SHRESTHA MD 2011-07-05
002 2009-01-01 DHANA D SHRESTHA MD DHANA D SHRESTHA MD 2010-09-22

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2018-01-01
002	2017-01-01	NAEEM AHMED, M.D.
002	2016-01-01	NAEEM AHMED, M.D.
002	2015-01-01	NAEEM AHMED, M.D.
002	2014-01-01	NAEEM AHMED, M.D.
002	2013-01-01	NAEEM AHMED, M.D.	NAEEM AHMED, M.D.	2014-07-29
002	2012-01-01	NAEEM AHMED, M.D.	NAEEM AHMED, M.D.	2013-07-22
002	2011-01-01	DHANA D SHRESTHA MD
002	2010-01-01	DHANA D SHRESTHA MD	DHANA D SHRESTHA MD	2011-07-05
002	2009-01-01	DHANA D SHRESTHA MD	DHANA D SHRESTHA MD	2010-09-22

Plan Statistics for BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN

401k plan membership statisitcs for BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN

Measure Date Value
2022: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 12
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 11
Total of all active and inactive participants 2022-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 24
Number of participants with account balances 2022-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 14
Number of retired or separated participants receiving benefits 2021-01-01 8
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 22
Number of participants with account balances 2021-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 16
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 6
Total of all active and inactive participants 2020-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 22
Number of participants with account balances 2020-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 18
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 20
Number of participants with account balances 2019-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 15
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 15
Number of participants with account balances 2018-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 14
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 1
Total of all active and inactive participants 2017-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 15
Number of participants with account balances 2017-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 13
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 13
Number of participants with account balances 2016-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 15
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 15
Number of participants with account balances 2015-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 14
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 16
Number of participants with account balances 2014-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 12
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 1
Total of all active and inactive participants 2013-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 13
Number of participants with account balances 2013-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 17
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 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 17
Number of participants with account balances 2012-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 18
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 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 18
Number of participants with account balances 2011-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 19
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 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 19
Number of participants with account balances 2010-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 18
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 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 18
Number of participants with account balances 2009-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	12
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	11
Total of all active and inactive participants	2022-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	24
Number of participants with account balances	2022-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	14
Number of retired or separated participants receiving benefits	2021-01-01	8
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	22
Number of participants with account balances	2021-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	16
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	6
Total of all active and inactive participants	2020-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	22
Number of participants with account balances	2020-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	18
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	20
Number of participants with account balances	2019-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	15
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	15
Number of participants with account balances	2018-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	14
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	1
Total of all active and inactive participants	2017-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	15
Number of participants with account balances	2017-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	13
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	13
Number of participants with account balances	2016-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	15
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	15
Number of participants with account balances	2015-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	14
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	16
Number of participants with account balances	2014-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	12
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	1
Total of all active and inactive participants	2013-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	13
Number of participants with account balances	2013-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	17
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	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	17
Number of participants with account balances	2012-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	18
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	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	18
Number of participants with account balances	2011-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	19
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	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	19
Number of participants with account balances	2010-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	18
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	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	18
Number of participants with account balances	2009-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN

Measure	Date	Value
2022 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-915,901
Expenses. Total of all expenses incurred	2022-12-31	$1,216,836
Benefits paid (including direct rollovers)	2022-12-31	$1,206,682
Total plan assets at end of year	2022-12-31	$5,025,117
Total plan assets at beginning of year	2022-12-31	$7,157,854
Total contributions received or receivable from participants	2022-12-31	$118,666
Other income received	2022-12-31	$-1,170,351
Net income (gross income less expenses)	2022-12-31	$-2,132,737
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$5,025,117
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$7,157,854
Assets. Value of participant loans	2022-12-31	$24,560
Total contributions received or receivable from employer(s)	2022-12-31	$135,784
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$10,154
2021 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$2,225,520
Expenses. Total of all expenses incurred	2021-12-31	$45,508
Benefits paid (including direct rollovers)	2021-12-31	$36,122
Total plan assets at end of year	2021-12-31	$7,157,854
Total plan assets at beginning of year	2021-12-31	$4,977,842
Total contributions received or receivable from participants	2021-12-31	$146,707
Other income received	2021-12-31	$1,938,414
Net income (gross income less expenses)	2021-12-31	$2,180,012
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$7,157,854
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$4,977,842
Assets. Value of participant loans	2021-12-31	$35,422
Total contributions received or receivable from employer(s)	2021-12-31	$140,399
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$9,386
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$356,330
Expenses. Total of all expenses incurred	2020-12-31	$60,069
Benefits paid (including direct rollovers)	2020-12-31	$55,432
Total plan assets at end of year	2020-12-31	$4,977,842
Total plan assets at beginning of year	2020-12-31	$4,681,581
Total contributions received or receivable from participants	2020-12-31	$150,593
Other income received	2020-12-31	$170,954
Net income (gross income less expenses)	2020-12-31	$296,261
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$4,977,842
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$4,681,581
Total contributions received or receivable from employer(s)	2020-12-31	$34,783
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$4,637
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$1,069,162
Expenses. Total of all expenses incurred	2019-12-31	$31,490
Benefits paid (including direct rollovers)	2019-12-31	$29,281
Total plan assets at end of year	2019-12-31	$4,681,581
Total plan assets at beginning of year	2019-12-31	$3,643,909
Total contributions received or receivable from participants	2019-12-31	$128,627
Other income received	2019-12-31	$775,006
Net income (gross income less expenses)	2019-12-31	$1,037,672
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$4,681,581
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$3,643,909
Total contributions received or receivable from employer(s)	2019-12-31	$165,529
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$2,209
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$60,510
Expenses. Total of all expenses incurred	2018-12-31	$17,411
Benefits paid (including direct rollovers)	2018-12-31	$6,160
Total plan assets at end of year	2018-12-31	$3,643,909
Total plan assets at beginning of year	2018-12-31	$3,600,810
Expenses. Other expenses not covered elsewhere	2018-12-31	$11,251
Other income received	2018-12-31	$-143,266
Net income (gross income less expenses)	2018-12-31	$43,099
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$3,643,909
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,600,810
Total contributions received or receivable from employer(s)	2018-12-31	$203,776
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$675,754
Expenses. Total of all expenses incurred	2017-12-31	$13,704
Total plan assets at end of year	2017-12-31	$3,600,810
Total plan assets at beginning of year	2017-12-31	$2,938,760
Other income received	2017-12-31	$478,454
Net income (gross income less expenses)	2017-12-31	$662,050
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,600,810
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,938,760
Total contributions received or receivable from employer(s)	2017-12-31	$197,300
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$13,704
2016 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$407,062
Expenses. Total of all expenses incurred	2016-12-31	$3,960
Benefits paid (including direct rollovers)	2016-12-31	$3,960
Total plan assets at end of year	2016-12-31	$2,938,760
Total plan assets at beginning of year	2016-12-31	$2,535,658
Other income received	2016-12-31	$203,733
Net income (gross income less expenses)	2016-12-31	$403,102
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,938,760
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$2,535,658
Total contributions received or receivable from employer(s)	2016-12-31	$203,329
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$213,507
Expenses. Total of all expenses incurred	2015-12-31	$700
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$2,535,658
Total plan assets at beginning of year	2015-12-31	$2,322,851
Total contributions received or receivable from participants	2015-12-31	$0
Other income received	2015-12-31	$4,453
Net income (gross income less expenses)	2015-12-31	$212,807
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,535,658
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,322,851
Total contributions received or receivable from employer(s)	2015-12-31	$209,054
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$700
2014 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$314,565
Expenses. Total of all expenses incurred	2014-12-31	$15,795
Benefits paid (including direct rollovers)	2014-12-31	$15,787
Total plan assets at end of year	2014-12-31	$2,322,851
Total plan assets at beginning of year	2014-12-31	$2,024,081
Other income received	2014-12-31	$100,872
Net income (gross income less expenses)	2014-12-31	$298,770
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,322,851
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,024,081
Total contributions received or receivable from employer(s)	2014-12-31	$213,693
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$8
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$389,069
Expenses. Total of all expenses incurred	2013-12-31	$464,161
Benefits paid (including direct rollovers)	2013-12-31	$463,891
Total plan assets at end of year	2013-12-31	$2,024,081
Total plan assets at beginning of year	2013-12-31	$2,099,173
Other income received	2013-12-31	$189,576
Net income (gross income less expenses)	2013-12-31	$-75,092
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,024,081
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,099,173
Total contributions received or receivable from employer(s)	2013-12-31	$199,493
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$270
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$320,890
Expenses. Total of all expenses incurred	2012-12-31	$19,214
Benefits paid (including direct rollovers)	2012-12-31	$18,894
Total plan assets at end of year	2012-12-31	$2,099,173
Total plan assets at beginning of year	2012-12-31	$1,797,497
Other income received	2012-12-31	$99,108
Net income (gross income less expenses)	2012-12-31	$301,676
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,099,173
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,797,497
Total contributions received or receivable from employer(s)	2012-12-31	$221,782
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$320
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$243,809
Expenses. Total of all expenses incurred	2011-12-31	$3,582
Benefits paid (including direct rollovers)	2011-12-31	$3,216
Total plan assets at end of year	2011-12-31	$1,797,497
Total plan assets at beginning of year	2011-12-31	$1,557,270
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-8,007
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$240,227
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,797,497
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,557,270
Total contributions received or receivable from employer(s)	2011-12-31	$251,816
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	$366
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
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	$329,748
Expenses. Total of all expenses incurred	2010-12-31	$309,722
Benefits paid (including direct rollovers)	2010-12-31	$309,485
Total plan assets at end of year	2010-12-31	$1,557,270
Total plan assets at beginning of year	2010-12-31	$1,537,244
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$74,197
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$20,026
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,557,270
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,537,244
Total contributions received or receivable from employer(s)	2010-12-31	$255,551
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$237
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN

2022: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BAY AREA HEALTH CLINIC PC EMPLOYEES PS 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: BAY AREA HEALTH CLINIC PC EMPLOYEES PS 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: BAY AREA HEALTH CLINIC PC EMPLOYEES PS 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 is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: BAY AREA HEALTH CLINIC PC EMPLOYEES PS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

139551

Policy instance

Insurance contract or identification number	139551
Number of Individuals Covered	27
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,325
Total amount of fees paid to insurance company	USD $781
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $2,325
Insurance broker organization code?	3
Amount paid for insurance broker fees	781
Additional information about fees paid to insurance broker	ADMINISTRATIVE ALLOWANCE

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

139551

Policy instance

Insurance contract or identification number	139551
Number of Individuals Covered	25
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,108
Total amount of fees paid to insurance company	USD $490
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $2,108
Insurance broker organization code?	3
Amount paid for insurance broker fees	490
Additional information about fees paid to insurance broker	ADMINISTRATIVE ALLOWANCE

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

139551

Policy instance

Insurance contract or identification number	139551
Number of Individuals Covered	25
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,705
Total amount of fees paid to insurance company	USD $2,195
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $2,705
Insurance broker organization code?	3
Amount paid for insurance broker fees	2195
Additional information about fees paid to insurance broker	ADMINISTRATIVE ALLOWANCE

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

Policy instance

Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,473
Total amount of fees paid to insurance company	USD $1,610
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $2,473
Insurance broker organization code?	3
Amount paid for insurance broker fees	1610
Additional information about fees paid to insurance broker	ADMINISTRATIVE ALLOWANCE

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Company Name:	BAY AREA HEALTH CLINIC PC
Employer identification number (EIN):	382920883
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	446050