401k Plan data: FIXED TAX DEFERRED ANNUITY plan

FIXED TAX DEFERRED ANNUITY 401k Plan overview

Plan Name	FIXED TAX DEFERRED ANNUITY
Plan identification number	003

FIXED TAX DEFERRED ANNUITY Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

PREMIER HEALTHCARE SOLUTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name: PREMIER HEALTHCARE SOLUTIONS, INC.

Employer identification number (EIN): 561366879

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIXED TAX DEFERRED ANNUITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2014-11-01 CRAIG MCKASSON CRAIG MCKASSON 2016-05-05
003 2013-11-01 CRAIG MCKASSON CRAIG MCKASSON 2015-05-26
003 2012-11-01 CRAIG MCKASSON CRAIG MCKASSON 2014-04-30
003 2011-01-01 CRAIG MCKASSON CRAIG MCKASSON 2013-09-17
003 2010-11-01 CRAIG MCKASSON
003 2009-11-01 CRAIG MCKASSON
003 2009-11-01 CRAIG MCKASSON
003 2008-11-01 CRAIG MCKASSON
003 2007-11-01 CRAIG MCKASSON
003 2006-11-01 CRAIG MCKASSON
003 2005-11-01 CRAIG MCKASSON
003 2004-11-01 CRAIG MCKASSON
003 2003-11-01 CRAIG MCKASSON

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2014-11-01	CRAIG MCKASSON	CRAIG MCKASSON	2016-05-05
003	2013-11-01	CRAIG MCKASSON	CRAIG MCKASSON	2015-05-26
003	2012-11-01	CRAIG MCKASSON	CRAIG MCKASSON	2014-04-30
003	2011-01-01	CRAIG MCKASSON	CRAIG MCKASSON	2013-09-17
003	2010-11-01	CRAIG MCKASSON
003	2009-11-01	CRAIG MCKASSON
003	2009-11-01	CRAIG MCKASSON
003	2008-11-01	CRAIG MCKASSON
003	2007-11-01	CRAIG MCKASSON
003	2006-11-01	CRAIG MCKASSON
003	2005-11-01	CRAIG MCKASSON
003	2004-11-01	CRAIG MCKASSON
003	2003-11-01	CRAIG MCKASSON

Plan Statistics for FIXED TAX DEFERRED ANNUITY

401k plan membership statisitcs for FIXED TAX DEFERRED ANNUITY

Measure Date Value
2014: FIXED TAX DEFERRED ANNUITY 2014 401k membership
Total participants, beginning-of-year 2014-11-01 9
Total number of active participants reported on line 7a of the Form 5500 2014-11-01 0
Total of all active and inactive participants 2014-11-01 0
Total participants 2014-11-01 0
2013: FIXED TAX DEFERRED ANNUITY 2013 401k membership
Total participants, beginning-of-year 2013-11-01 9
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 9
Total of all active and inactive participants 2013-11-01 9
Total participants 2013-11-01 9
2012: FIXED TAX DEFERRED ANNUITY 2012 401k membership
Total participants, beginning-of-year 2012-11-01 9
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 9
Total of all active and inactive participants 2012-11-01 9
Total participants 2012-11-01 9
2011: FIXED TAX DEFERRED ANNUITY 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 9
Total of all active and inactive participants 2011-01-01 9
Total participants 2011-01-01 9
2010: FIXED TAX DEFERRED ANNUITY 2010 401k membership
Total participants, beginning-of-year 2010-11-01 9
Total number of active participants reported on line 7a of the Form 5500 2010-11-01 9
Total of all active and inactive participants 2010-11-01 9
Total participants 2010-11-01 9
2009: FIXED TAX DEFERRED ANNUITY 2009 401k membership
Total participants, beginning-of-year 2009-11-01 9
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 9
Total of all active and inactive participants 2009-11-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-11-01 0
Total participants 2009-11-01 9
2008: FIXED TAX DEFERRED ANNUITY 2008 401k membership
Total participants, beginning-of-year 2008-11-01 9
Total number of active participants reported on line 7a of the Form 5500 2008-11-01 9
Total of all active and inactive participants 2008-11-01 9
Total participants 2008-11-01 9

Measure	Date	Value
2014: FIXED TAX DEFERRED ANNUITY 2014 401k membership
Total participants, beginning-of-year	2014-11-01	9
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	0
Total of all active and inactive participants	2014-11-01	0
Total participants	2014-11-01	0
2013: FIXED TAX DEFERRED ANNUITY 2013 401k membership
Total participants, beginning-of-year	2013-11-01	9
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	9
Total of all active and inactive participants	2013-11-01	9
Total participants	2013-11-01	9
2012: FIXED TAX DEFERRED ANNUITY 2012 401k membership
Total participants, beginning-of-year	2012-11-01	9
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	9
Total of all active and inactive participants	2012-11-01	9
Total participants	2012-11-01	9
2011: FIXED TAX DEFERRED ANNUITY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	9
Total of all active and inactive participants	2011-01-01	9
Total participants	2011-01-01	9
2010: FIXED TAX DEFERRED ANNUITY 2010 401k membership
Total participants, beginning-of-year	2010-11-01	9
Total number of active participants reported on line 7a of the Form 5500	2010-11-01	9
Total of all active and inactive participants	2010-11-01	9
Total participants	2010-11-01	9
2009: FIXED TAX DEFERRED ANNUITY 2009 401k membership
Total participants, beginning-of-year	2009-11-01	9
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	9
Total of all active and inactive participants	2009-11-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-11-01	0
Total participants	2009-11-01	9
2008: FIXED TAX DEFERRED ANNUITY 2008 401k membership
Total participants, beginning-of-year	2008-11-01	9
Total number of active participants reported on line 7a of the Form 5500	2008-11-01	9
Total of all active and inactive participants	2008-11-01	9
Total participants	2008-11-01	9

Financial Data on FIXED TAX DEFERRED ANNUITY

Measure	Date	Value
2015 : FIXED TAX DEFERRED ANNUITY 2015 401k financial data
Transfers to/from the plan	2015-07-06	$-481,071
Total income from all sources	2015-07-06	$10,590
Expenses. Total of all expenses incurred	2015-07-06	$0
Total plan assets at end of year	2015-07-06	$0
Total plan assets at beginning of year	2015-07-06	$470,481
Other income received	2015-07-06	$10,590
Net income (gross income less expenses)	2015-07-06	$10,590
Net plan assets at end of year (total assets less liabilities)	2015-07-06	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-07-06	$470,481

Form 5500 Responses for FIXED TAX DEFERRED ANNUITY

2014: FIXED TAX DEFERRED ANNUITY 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	Submission has been amended	No
2014-11-01	This submission is the final filing	Yes
2014-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-11-01	Plan is a collectively bargained plan	No
2014-11-01	Plan funding arrangement – Insurance	Yes
2014-11-01	Plan benefit arrangement – Insurance	Yes
2013: FIXED TAX DEFERRED ANNUITY 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Submission has been amended	No
2013-11-01	This submission is the final filing	No
2013-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-11-01	Plan is a collectively bargained plan	No
2013-11-01	Plan funding arrangement – Insurance	Yes
2013-11-01	Plan benefit arrangement – Insurance	Yes
2012: FIXED TAX DEFERRED ANNUITY 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	No
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-11-01	Plan is a collectively bargained plan	No
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2011: FIXED TAX DEFERRED ANNUITY 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: FIXED TAX DEFERRED ANNUITY 2010 form 5500 responses
2010-11-01	Type of plan entity	Single employer plan
2010-11-01	Submission has been amended	No
2010-11-01	This submission is the final filing	No
2010-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-11-01	Plan is a collectively bargained plan	No
2010-11-01	Plan funding arrangement – Insurance	Yes
2010-11-01	Plan benefit arrangement – Insurance	Yes
2009: FIXED TAX DEFERRED ANNUITY 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	Submission has been amended	Yes
2009-11-01	This submission is the final filing	No
2009-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-11-01	Plan is a collectively bargained plan	No
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes
2008: FIXED TAX DEFERRED ANNUITY 2008 form 5500 responses
2008-11-01	Type of plan entity	Single employer plan
2008-11-01	Submission has been amended	No
2008-11-01	This submission is the final filing	No
2008-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-11-01	Plan is a collectively bargained plan	No
2007: FIXED TAX DEFERRED ANNUITY 2007 form 5500 responses
2007-11-01	Type of plan entity	Single employer plan
2007-11-01	Submission has been amended	No
2007-11-01	This submission is the final filing	No
2007-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-11-01	Plan is a collectively bargained plan	No
2006: FIXED TAX DEFERRED ANNUITY 2006 form 5500 responses
2006-11-01	Type of plan entity	Single employer plan
2006-11-01	Submission has been amended	No
2006-11-01	This submission is the final filing	No
2006-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-11-01	Plan is a collectively bargained plan	No
2005: FIXED TAX DEFERRED ANNUITY 2005 form 5500 responses
2005-11-01	Type of plan entity	Single employer plan
2005-11-01	Submission has been amended	No
2005-11-01	This submission is the final filing	No
2005-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-11-01	Plan is a collectively bargained plan	No
2004: FIXED TAX DEFERRED ANNUITY 2004 form 5500 responses
2004-11-01	Type of plan entity	Single employer plan
2004-11-01	Submission has been amended	No
2004-11-01	This submission is the final filing	No
2004-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-11-01	Plan is a collectively bargained plan	No
2003: FIXED TAX DEFERRED ANNUITY 2003 form 5500 responses
2003-11-01	Type of plan entity	Single employer plan
2003-11-01	Submission has been amended	No
2003-11-01	This submission is the final filing	No
2003-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-11-01	Plan is a collectively bargained plan	No

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Company Name:	PREMIER HEALTHCARE SOLUTIONS, INC.
Employer identification number (EIN):	561366879