401k Plan data: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN plan

MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 401k Plan overview

Plan Name	MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN
Plan identification number	002

MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) 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

MIDDLE GEORGIA WOMEN'S HEALTH, LLC has sponsored the creation of one or more 401k plans.

Company Name: MIDDLE GEORGIA WOMEN'S HEALTH, LLC

Employer identification number (EIN): 582515196

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 B. CAMERON PRIDGEN B. CAMERON PRIDGEN 2016-10-10
002 2014-01-01 B. CAMERON PRIDGEN B. CAMERON PRIDGEN 2015-10-12
002 2013-01-01 B. CAMERON PRIDGEN B. CAMERON PRIDGEN 2014-10-08
002 2012-01-01 B. CAMERON PRIDGEN B. CAMERON PRIDGEN 2013-10-05
002 2011-01-01 B. CAMERON PRIDGEN B. CAMERON PRIDGEN 2012-10-14
002 2009-01-01 B. CAMERON PRIDGEN B. CAMERON PRIDGEN 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	B. CAMERON PRIDGEN	B. CAMERON PRIDGEN	2016-10-10
002	2014-01-01	B. CAMERON PRIDGEN	B. CAMERON PRIDGEN	2015-10-12
002	2013-01-01	B. CAMERON PRIDGEN	B. CAMERON PRIDGEN	2014-10-08
002	2012-01-01	B. CAMERON PRIDGEN	B. CAMERON PRIDGEN	2013-10-05
002	2011-01-01	B. CAMERON PRIDGEN	B. CAMERON PRIDGEN	2012-10-14
002	2009-01-01	B. CAMERON PRIDGEN	B. CAMERON PRIDGEN	2010-10-12

Plan Statistics for MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN

401k plan membership statisitcs for MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN

Measure Date Value
2015: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 4
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 3
Total of all active and inactive participants 2014-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 7
Number of participants with account balances 2014-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
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 3
Total of all active and inactive participants 2013-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 7
Number of participants with account balances 2013-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
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 3
Total of all active and inactive participants 2012-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 7
Number of participants with account balances 2012-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 3
Total of all active and inactive participants 2011-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE 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 2
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 3
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

Measure	Date	Value
2015: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	4
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	3
Total of all active and inactive participants	2014-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	7
Number of participants with account balances	2014-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
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	3
Total of all active and inactive participants	2013-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	7
Number of participants with account balances	2013-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
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	3
Total of all active and inactive participants	2012-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	7
Number of participants with account balances	2012-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	3
Total of all active and inactive participants	2011-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE 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	2
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	3
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

Financial Data on MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN

Measure	Date	Value
2015 : MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$7,454
Expenses. Total of all expenses incurred	2015-12-31	$461,722
Benefits paid (including direct rollovers)	2015-12-31	$459,452
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$454,268
Value of fidelity bond covering the plan	2015-12-31	$40,000
Other income received	2015-12-31	$7,454
Net income (gross income less expenses)	2015-12-31	$-454,268
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$454,268
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$2,270
Funding deficiency by the employer to the plan for this plan year	2015-12-31	$0
Minimum employer required contribution for this plan year	2015-12-31	$0
Amount contributed by the employer to the plan for this plan year	2015-12-31	$0
2014 : MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$21,949
Expenses. Total of all expenses incurred	2014-12-31	$30,301
Benefits paid (including direct rollovers)	2014-12-31	$24,000
Total plan assets at end of year	2014-12-31	$454,268
Total plan assets at beginning of year	2014-12-31	$462,620
Value of fidelity bond covering the plan	2014-12-31	$40,000
Other income received	2014-12-31	$21,949
Net income (gross income less expenses)	2014-12-31	$-8,352
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$454,268
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$462,620
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$6,301
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$19,730
Expenses. Total of all expenses incurred	2013-12-31	$8,846
Total plan assets at end of year	2013-12-31	$462,620
Total plan assets at beginning of year	2013-12-31	$451,736
Value of fidelity bond covering the plan	2013-12-31	$40,000
Other income received	2013-12-31	$19,730
Net income (gross income less expenses)	2013-12-31	$10,884
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$462,620
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$451,736
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$8,846
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2012 : MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$41,234
Expenses. Total of all expenses incurred	2012-12-31	$7,069
Total plan assets at end of year	2012-12-31	$451,736
Total plan assets at beginning of year	2012-12-31	$417,571
Value of fidelity bond covering the plan	2012-12-31	$40,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$196
Other income received	2012-12-31	$41,234
Net income (gross income less expenses)	2012-12-31	$34,165
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$451,736
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$417,571
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$6,873
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$10,666
Expenses. Total of all expenses incurred	2011-12-31	$7,071
Total plan assets at end of year	2011-12-31	$417,571
Total plan assets at beginning of year	2011-12-31	$413,976
Value of fidelity bond covering the plan	2011-12-31	$40,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$287
Other income received	2011-12-31	$10,666
Net income (gross income less expenses)	2011-12-31	$3,595
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$417,571
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$413,976
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$6,784
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$49,206
Expenses. Total of all expenses incurred	2010-12-31	$6,394
Total plan assets at end of year	2010-12-31	$413,976
Total plan assets at beginning of year	2010-12-31	$371,164
Value of fidelity bond covering the plan	2010-12-31	$40,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$125
Other income received	2010-12-31	$34,583
Net income (gross income less expenses)	2010-12-31	$42,812
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$413,976
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$371,164
Total contributions received or receivable from employer(s)	2010-12-31	$14,623
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$6,269
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$14,623
Amount contributed by the employer to the plan for this plan year	2010-12-31	$14,623
2009 : MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2009 401k financial data
Minimum employer required contribution for this plan year	2009-12-31	$12,853
Amount contributed by the employer to the plan for this plan year	2009-12-31	$12,853

Form 5500 Responses for MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN

2015: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE 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: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE 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: MIDDLE GEORGIA WOMEN'S HEALTH, LLC MONEY PURCHASE 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:	MIDDLE GEORGIA WOMEN'S HEALTH, LLC
Employer identification number (EIN):	582515196
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)