401k Plan data: CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN plan

CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN
Plan identification number	001

CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING 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
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.
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

CASS COUNTY MEDICAL CLINICS, INC. has sponsored the creation of one or more 401k plans.

Company Name: CASS COUNTY MEDICAL CLINICS, INC.

Employer identification number (EIN): 421473142

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-07-01 ABBEY STANGL 2018-10-16 ABBEY STANGL 2018-10-16
001 2014-07-01 JUDY RICHARDSON 2015-11-22
001 2013-07-01 JUDY RICHARDSON 2015-01-26
001 2012-07-01 SUE MARSH 2014-04-04 SUE MARSH 2014-04-04
001 2011-07-01 SUE MARSH 2013-01-31 SUE MARSH 2013-01-31
001 2010-07-01 SUE MARSH 2012-02-15 SUE MARSH 2012-02-15
001 2008-07-01 SUE MARSH SUE MARSH 2012-02-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-07-01	ABBEY STANGL	2018-10-16	ABBEY STANGL	2018-10-16
001	2014-07-01	JUDY RICHARDSON	2015-11-22
001	2013-07-01	JUDY RICHARDSON	2015-01-26
001	2012-07-01	SUE MARSH	2014-04-04	SUE MARSH	2014-04-04
001	2011-07-01	SUE MARSH	2013-01-31	SUE MARSH	2013-01-31
001	2010-07-01	SUE MARSH	2012-02-15	SUE MARSH	2012-02-15
001	2008-07-01	SUE MARSH		SUE MARSH	2012-02-15

Plan Statistics for CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN

Measure Date Value
2008: CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN 2008 401k membership
Total number of active participants reported on line 7a of the Form 5500 2008-07-01 19
Number of retired or separated participants receiving benefits 2008-07-01 0
Number of other retired or separated participants entitled to future benefits 2008-07-01 2
Total of all active and inactive participants 2008-07-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-07-01 0
Total participants 2008-07-01 21
Number of participants with account balances 2008-07-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-07-01 0

Measure	Date	Value
2008: CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN 2008 401k membership
Total number of active participants reported on line 7a of the Form 5500	2008-07-01	19
Number of retired or separated participants receiving benefits	2008-07-01	0
Number of other retired or separated participants entitled to future benefits	2008-07-01	2
Total of all active and inactive participants	2008-07-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-07-01	0
Total participants	2008-07-01	21
Number of participants with account balances	2008-07-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-07-01	0

Financial Data on CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN

Measure	Date	Value
2009 : CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN 2009 401k financial data
Total income from all sources	2009-06-30	$-32,456
Expenses. Total of all expenses incurred	2009-06-30	$7,361
Benefits paid (including direct rollovers)	2009-06-30	$5,216
Total plan assets at end of year	2009-06-30	$476,228
Total plan assets at beginning of year	2009-06-30	$516,045
Value of fidelity bond covering the plan	2009-06-30	$142,000
Other income received	2009-06-30	$-108,077
Net income (gross income less expenses)	2009-06-30	$-39,817
Net plan assets at end of year (total assets less liabilities)	2009-06-30	$476,228
Net plan assets at beginning of year (total assets less liabilities)	2009-06-30	$516,045
Total contributions received or receivable from employer(s)	2009-06-30	$75,621
Expenses. Administrative service providers (salaries,fees and commissions)	2009-06-30	$2,145
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-06-30	$0

Form 5500 Responses for CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN

2008: CASS COUNTY MEDICAL CLINICS, INC. PROFIT SHARING PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	Submission has been amended	No
2008-07-01	This submission is the final filing	No
2008-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-07-01	Plan is a collectively bargained plan	No
2008-07-01	Plan funding arrangement – Trust	Yes
2008-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CASS COUNTY MEDICAL CLINICS, INC.
Employer identification number (EIN):	421473142
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)