401k Plan data: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN plan

CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN
Plan identification number	001

CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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.
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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC. has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC.

Employer identification number (EIN): 770404320

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 SUE PERRY 2024-05-01
001 2022-01-01 SUE PERRY 2023-05-26
001 2021-01-01 SUE PERRY 2022-09-22
001 2020-01-01 LAURA THEIS 2021-08-09
001 2019-01-01 LAURA THEIS 2020-07-15
001 2018-01-01 LAURA THEIS 2019-10-11 LAURA THEIS 2019-10-11
001 2017-01-01
001 2016-01-01
001 2014-01-01
001 2013-01-01 MICHAEL P. SCHRAGER, M.D.
001 2012-01-01 MICHAEL P. SCHRAGER, M.D.
001 2011-01-01 MICHAEL P. SCHRAGER, M.D.
001 2009-01-01 DOUGLAS S. HENDRY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	SUE PERRY	2024-05-01
001	2022-01-01	SUE PERRY	2023-05-26
001	2021-01-01	SUE PERRY	2022-09-22
001	2020-01-01	LAURA THEIS	2021-08-09
001	2019-01-01	LAURA THEIS	2020-07-15
001	2018-01-01	LAURA THEIS	2019-10-11	LAURA THEIS	2019-10-11
001	2017-01-01
001	2016-01-01
001	2014-01-01
001	2013-01-01	MICHAEL P. SCHRAGER, M.D.
001	2012-01-01	MICHAEL P. SCHRAGER, M.D.
001	2011-01-01	MICHAEL P. SCHRAGER, M.D.
001	2009-01-01	DOUGLAS S. HENDRY

Plan Statistics for CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN

Measure Date Value
2025: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2025 401k membership
Total number of particpants at beginning of year 2025-09-04 70
Total number of particpants at end of year 2025-09-04 78
Number of Participants With Account Balances 2025-09-04 78
2024: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2024 401k membership
Total number of particpants at beginning of year 2024-05-01 74
Total number of particpants at end of year 2024-05-01 70
Number of Participants With Account Balances 2024-05-01 70
2014: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 48
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 6
Total of all active and inactive participants 2014-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 54
Number of participants with account balances 2014-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 47
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 7
Total of all active and inactive participants 2013-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 54
Number of participants with account balances 2013-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 53
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 46
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 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 49
Number of participants with account balances 2012-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 43
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 10
Total of all active and inactive participants 2011-01-01 53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 53
Number of participants with account balances 2011-01-01 53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 9
2009: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 61
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 45
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 8
Total of all active and inactive participants 2009-01-01 53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 53
Number of participants with account balances 2009-01-01 53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 5

Measure	Date	Value
2025: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2025 401k membership
Total number of particpants at beginning of year	2025-09-04	70
Total number of particpants at end of year	2025-09-04	78
Number of Participants With Account Balances	2025-09-04	78
2024: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2024 401k membership
Total number of particpants at beginning of year	2024-05-01	74
Total number of particpants at end of year	2024-05-01	70
Number of Participants With Account Balances	2024-05-01	70
2014: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	48
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	6
Total of all active and inactive participants	2014-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	54
Number of participants with account balances	2014-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	47
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	7
Total of all active and inactive participants	2013-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	54
Number of participants with account balances	2013-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	53
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	46
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	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	49
Number of participants with account balances	2012-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	43
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	10
Total of all active and inactive participants	2011-01-01	53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	53
Number of participants with account balances	2011-01-01	53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	9
2009: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	61
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	45
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	8
Total of all active and inactive participants	2009-01-01	53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	53
Number of participants with account balances	2009-01-01	53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	5

Financial Data on CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2025 : CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2025 401k financial data
Total expenses incurred by plan in this plan year	2025-09-04	377058
Net assets as of the end of the plan year	2025-09-04	9266648
Total assets as of the beginning of the plan year	2025-09-04	7748572
Value of plan covered by a fidelity bond	2025-09-04	936202
Participant contributions to plan in this plan year	2025-09-04	453598
Other expenses paid from plan in this plan year	2025-09-04	40040
Other income to plan in this plan year	2025-09-04	877534
Plan net income in this plan year	2025-09-04	1518076
Net assets as of the end of the plan year	2025-09-04	9266648
Net assets as of the beginning of the plan year	2025-09-04	7748572
Employer contributions to plan in this plan year	2025-09-04	564002
2024 : CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2024 401k financial data
Total expenses incurred by plan in this plan year	2024-05-01	1288806
Net assets as of the end of the plan year	2024-05-01	7748572
Total assets as of the beginning of the plan year	2024-05-01	7025881
Value of plan covered by a fidelity bond	2024-05-01	936202
Participant contributions to plan in this plan year	2024-05-01	424432
Other expenses paid from plan in this plan year	2024-05-01	16574
Other income to plan in this plan year	2024-05-01	1079742
Plan net income in this plan year	2024-05-01	722691
Net assets as of the end of the plan year	2024-05-01	7748572
Net assets as of the beginning of the plan year	2024-05-01	7025881
Employer contributions to plan in this plan year	2024-05-01	507323
2014 : CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$11,099
Total plan liabilities at beginning of year	2014-12-31	$12,609
Total income from all sources	2014-12-31	$867,627
Expenses. Total of all expenses incurred	2014-12-31	$363,304
Benefits paid (including direct rollovers)	2014-12-31	$355,590
Total plan assets at end of year	2014-12-31	$7,114,343
Total plan assets at beginning of year	2014-12-31	$6,611,530
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$230,522
Expenses. Other expenses not covered elsewhere	2014-12-31	$7,714
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$303,210
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$504,323
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$7,103,244
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$6,598,921
Total contributions received or receivable from employer(s)	2014-12-31	$333,895
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$12,609
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$1,195,351
Expenses. Total of all expenses incurred	2013-12-31	$598,987
Benefits paid (including direct rollovers)	2013-12-31	$588,227
Total plan assets at end of year	2013-12-31	$6,611,530
Total plan assets at beginning of year	2013-12-31	$6,002,557
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$227,649
Expenses. Other expenses not covered elsewhere	2013-12-31	$10,760
Contributions received from other sources (not participants or employers)	2013-12-31	$17
Other income received	2013-12-31	$655,669
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$596,364
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$6,598,921
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$6,002,557
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2013-12-31	$8,264
Total contributions received or receivable from employer(s)	2013-12-31	$312,016
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$500
Total income from all sources	2012-12-31	$1,238,933
Expenses. Total of all expenses incurred	2012-12-31	$2,289,120
Benefits paid (including direct rollovers)	2012-12-31	$2,276,415
Total plan assets at end of year	2012-12-31	$6,002,557
Total plan assets at beginning of year	2012-12-31	$7,053,244
Value of fidelity bond covering the plan	2012-12-31	$5,000,000
Total contributions received or receivable from participants	2012-12-31	$269,970
Expenses. Other expenses not covered elsewhere	2012-12-31	$12,570
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$618,639
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-1,050,187
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$6,002,557
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$7,052,744
Total contributions received or receivable from employer(s)	2012-12-31	$350,324
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$135
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$500
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$493,897
Expenses. Total of all expenses incurred	2011-12-31	$232,895
Benefits paid (including direct rollovers)	2011-12-31	$209,165
Total plan assets at end of year	2011-12-31	$7,053,244
Total plan assets at beginning of year	2011-12-31	$6,791,742
Value of fidelity bond covering the plan	2011-12-31	$5,000,000
Total contributions received or receivable from participants	2011-12-31	$235,366
Expenses. Other expenses not covered elsewhere	2011-12-31	$23,730
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-65,347
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$261,002
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$7,052,744
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$6,791,742
Total contributions received or receivable from employer(s)	2011-12-31	$323,878
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$5,740
Total income from all sources	2010-12-31	$1,177,977
Expenses. Total of all expenses incurred	2010-12-31	$166,563
Benefits paid (including direct rollovers)	2010-12-31	$161,895
Total plan assets at end of year	2010-12-31	$6,791,742
Total plan assets at beginning of year	2010-12-31	$5,786,068
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$242,732
Expenses. Other expenses not covered elsewhere	2010-12-31	$4,668
Contributions received from other sources (not participants or employers)	2010-12-31	$129,513
Other income received	2010-12-31	$493,394
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$1,011,414
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$6,791,742
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$5,780,328
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$93,003
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2010-12-31	$6,720
Total contributions received or receivable from employer(s)	2010-12-31	$312,338
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : CENTRAL COAST FAMILY CARE 401(K) 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 CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN

2014: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CENTRAL COAST FAMILY CARE 401(K) PROFIT SHARING PLAN 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CENTRAL COAST FAMILY CARE 401(K) 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number	308 814 373
Policy instance	2
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number	800204-000
Policy instance	1
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number	800204-000
Policy instance	1
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number	308 814 373
Policy instance	2
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number	800204-000
Policy instance	1
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number	308 814 373
Policy instance	2
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number	800204-000
Policy instance	1
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number	308 814 373
Policy instance	2
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number	800204-000
Policy instance	1
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number	308 814 373
Policy instance	2

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Company Name:	CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA, INC.
Employer identification number (EIN):	770404320
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)