401k Plan data: THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN plan

THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN 401k Plan overview

Plan Name	THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN
Plan identification number	001

THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

THE ANIMAL CLINIC, PSC has sponsored the creation of one or more 401k plans.

Company Name: THE ANIMAL CLINIC, PSC

Employer identification number (EIN): 611110616

NAIC Classification: 541940
NAIC Description: Veterinary Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 KEITH JACOBY 2023-07-21
001 2021-01-01 KEITH JACOBY 2022-09-07
001 2020-01-01 KEITH JACOBY 2021-06-04
001 2019-01-01 KEITH JACOBY 2020-08-14
001 2018-01-01 KEITH JACOBY 2019-06-10
001 2017-01-01 KEITH JACOBY 2018-07-05
001 2016-01-01 KEITH JACOBY 2017-05-04
001 2015-01-01 KEITH JACOBY 2016-06-14
001 2014-01-01 KEITH JACOBY 2015-05-06
001 2013-01-01 KEITH JACOBY 2014-06-12
001 2012-01-01 KEITH JACOBY 2013-07-22
001 2011-01-01 KEITH J. JACOBY, DVM 2012-07-03
001 2010-01-01 H. TERRY PIKE
001 2009-01-01 H. TERRY PIKE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	KEITH JACOBY	2023-07-21
001	2021-01-01	KEITH JACOBY	2022-09-07
001	2020-01-01	KEITH JACOBY	2021-06-04
001	2019-01-01	KEITH JACOBY	2020-08-14
001	2018-01-01	KEITH JACOBY	2019-06-10
001	2017-01-01	KEITH JACOBY	2018-07-05
001	2016-01-01	KEITH JACOBY	2017-05-04
001	2015-01-01	KEITH JACOBY	2016-06-14
001	2014-01-01	KEITH JACOBY	2015-05-06
001	2013-01-01	KEITH JACOBY	2014-06-12
001	2012-01-01	KEITH JACOBY	2013-07-22
001	2011-01-01	KEITH J. JACOBY, DVM	2012-07-03
001	2010-01-01	H. TERRY PIKE
001	2009-01-01	H. TERRY PIKE

Plan Statistics for THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN

401k plan membership statisitcs for THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN

Measure Date Value
2010: THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 12
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 2
Total of all active and inactive participants 2010-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 14
Number of participants with account balances 2010-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 11
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 2
Total of all active and inactive participants 2009-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 13
Number of participants with account balances 2009-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2010: THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	12
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	2
Total of all active and inactive participants	2010-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	14
Number of participants with account balances	2010-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	11
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	2
Total of all active and inactive participants	2009-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	13
Number of participants with account balances	2009-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN

Measure	Date	Value
2010 : THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$129,819
Expenses. Total of all expenses incurred	2010-12-31	$397
Benefits paid (including direct rollovers)	2010-12-31	$322
Total plan assets at end of year	2010-12-31	$852,629
Total plan assets at beginning of year	2010-12-31	$723,207
Value of fidelity bond covering the plan	2010-12-31	$205,000
Total contributions received or receivable from participants	2010-12-31	$24,621
Expenses. Other expenses not covered elsewhere	2010-12-31	$75
Other income received	2010-12-31	$86,129
Net income (gross income less expenses)	2010-12-31	$129,422
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$852,629
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$723,207
Total contributions received or receivable from employer(s)	2010-12-31	$19,069
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : THE ANIMAL CLINIC, PSC PROFIT SHARING 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 THE ANIMAL CLINIC, PSC PROFIT SHARING PLAN

2010: THE ANIMAL CLINIC, PSC PROFIT SHARING 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: THE ANIMAL CLINIC, PSC PROFIT SHARING 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

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Company Name:	THE ANIMAL CLINIC, PSC
Employer identification number (EIN):	611110616
NAIC Classification:	541940
NAIC Description:	Veterinary Services