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GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan NameGOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN
Plan identification number 001

GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

GOLDEN GATE PHARMACY SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:GOLDEN GATE PHARMACY SERVICES, INC.
Employer identification number (EIN):680348164
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01NICOLE CLAUSEN2023-05-22
0012015-01-01
0012014-01-01ERIK CLAUSEN
0012013-01-01PAUL LOFHOLM

Plan Statistics for GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN

Measure Date Value
2022: GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0128
Total number of active participants reported on line 7a of the Form 55002022-01-019
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0111
Total of all active and inactive participants2022-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0120
Number of participants with account balances2022-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2015: GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0152
Total number of active participants reported on line 7a of the Form 55002015-01-0126
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-0128
Total of all active and inactive participants2015-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0157
Number of participants with account balances2015-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0158
Total number of active participants reported on line 7a of the Form 55002014-01-0127
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0125
Total of all active and inactive participants2014-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0152
Number of participants with account balances2014-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0150
Total number of active participants reported on line 7a of the Form 55002013-01-0131
Number of retired or separated participants receiving benefits2013-01-018
Number of other retired or separated participants entitled to future benefits2013-01-0119
Total of all active and inactive participants2013-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0158
Number of participants with account balances2013-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN

Measure Date Value
2022 : GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-398,939
Expenses. Total of all expenses incurred2022-12-31$1,034,720
Benefits paid (including direct rollovers)2022-12-31$1,033,710
Total plan assets at end of year2022-12-31$723,744
Total plan assets at beginning of year2022-12-31$2,157,403
Value of fidelity bond covering the plan2022-12-31$130,000
Total contributions received or receivable from participants2022-12-31$50,605
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$178
Other income received2022-12-31$-463,259
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-1,433,659
Net plan assets at end of year (total assets less liabilities)2022-12-31$723,744
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$2,157,403
Assets. Value of participant loans2022-12-31$5,793
Total contributions received or receivable from employer(s)2022-12-31$13,537
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$1,010
2015 : GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$236,810
Expenses. Total of all expenses incurred2015-12-31$97,883
Benefits paid (including direct rollovers)2015-12-31$80,862
Total plan assets at end of year2015-12-31$1,843,758
Total plan assets at beginning of year2015-12-31$1,704,831
Value of fidelity bond covering the plan2015-12-31$320,000
Total contributions received or receivable from participants2015-12-31$83,109
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$99,067
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$138,927
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,843,758
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,704,831
Assets. Value of participant loans2015-12-31$49,979
Assets. Value of real-estate (other than employer real property)2015-12-31$115,000
Total contributions received or receivable from employer(s)2015-12-31$54,634
Value of certain deemed distributions of participant loans2015-12-31$2,181
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$14,840
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$293,708
Expenses. Total of all expenses incurred2014-12-31$22,103
Benefits paid (including direct rollovers)2014-12-31$9,655
Total plan assets at end of year2014-12-31$1,704,831
Total plan assets at beginning of year2014-12-31$1,433,226
Total contributions received or receivable from participants2014-12-31$70,346
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$169,820
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$271,605
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,704,831
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,433,226
Assets. Value of participant loans2014-12-31$78,392
Total contributions received or receivable from employer(s)2014-12-31$53,542
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$12,448
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$384,538
Expenses. Total of all expenses incurred2013-12-31$232,344
Benefits paid (including direct rollovers)2013-12-31$220,045
Total plan assets at end of year2013-12-31$1,433,226
Total plan assets at beginning of year2013-12-31$1,281,032
Total contributions received or receivable from participants2013-12-31$57,846
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$278,006
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$152,194
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,433,226
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,281,032
Assets. Value of participant loans2013-12-31$54,828
Total contributions received or receivable from employer(s)2013-12-31$48,686
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$12,299
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0

Form 5500 Responses for GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN

2022: GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2015: GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GOLDEN GATE PHARMACY SERVICES, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number776611
Policy instance 1
Insurance contract or identification number776611
Number of Individuals Covered16
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,658
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,658
Insurance broker organization code?3

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