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| Plan Name | ICSO 401K SAVINGS PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | FLORIDA MEDICAL MALPRACTICE, JUA |
| Employer identification number (EIN): | 591625412 |
| NAIC Classification: | 525100 |
| NAIC Description: | Insurance and Employee Benefit Funds |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2021-01-01 | ||||
| 002 | 2020-01-01 | CHARLES P. KWOLEK | 2021-05-19 | FRANKIE COWIE | 2021-04-21 |
| 002 | 2019-01-01 | CHARLES P. KWOLEK | 2020-09-09 | FRANKIE COWIE | 2020-08-10 |
| 002 | 2018-01-01 | CHARLES P. KWOLEK JR. | 2019-07-10 | FRANKIE COWIE | 2019-05-29 |
| 002 | 2017-01-01 | CHARLES P. KWOLEK JR. | 2018-06-27 | FRANKIE COWIE | 2018-06-22 |
| 002 | 2016-01-01 | CHARLES P. KWOLEK, JR. | 2017-07-12 | PRESTON E. COWIE | 2017-06-27 |
| 002 | 2013-01-01 | CHARLES KWOLEK | 2014-06-12 | FRANKIE COWIE | 2014-06-06 |
| 002 | 2012-01-01 | CHARLES P. KWOLEK, JR. | 2013-10-02 | FRANKIE COWIE | 2013-06-13 |
| 002 | 2011-01-01 | CHARLES P. KWOLEK, JR. | 2012-09-14 | FRANKIE COWIE | 2012-08-24 |
| 002 | 2010-01-01 | JOHN GOLEMBESKI | 2011-09-21 | FRANKIE COWIE | 2011-09-13 |
| Measure | Date | Value |
|---|---|---|
| 2022: ICSO 401K SAVINGS PLAN 2022 401k membership | ||
| Total number of particpants at beginning of year | 2022-06-10 | 4 |
| Total number of particpants at end of year | 2022-06-10 | 2 |
| Number of Participants With Account Balances | 2022-06-10 | 2 |
| Measure | Date | Value |
|---|---|---|
| 2022 : ICSO 401K SAVINGS PLAN 2022 401k financial data | ||
| Total expenses incurred by plan in this plan year | 2022-06-10 | 145 |
| Net assets as of the end of the plan year | 2022-06-10 | 246414 |
| Total assets as of the beginning of the plan year | 2022-06-10 | 191178 |
| Value of plan covered by a fidelity bond | 2022-06-10 | 1000000 |
| Participant contributions to plan in this plan year | 2022-06-10 | 23955 |
| Other expenses paid from plan in this plan year | 2022-06-10 | 145 |
| Other income to plan in this plan year | 2022-06-10 | 17329 |
| Plan net income in this plan year | 2022-06-10 | 55236 |
| Net assets as of the end of the plan year | 2022-06-10 | 246414 |
| Net assets as of the beginning of the plan year | 2022-06-10 | 191178 |
| Employer contributions to plan in this plan year | 2022-06-10 | 14097 |
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