401k Plan data: SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST plan

SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST
Plan identification number	001

SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 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
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

SAN JOAQUIN PRIME CARE MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: SAN JOAQUIN PRIME CARE MEDICAL GROUP, INC.

Employer identification number (EIN): 770489025

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 STEFAN PENTSCHEV, MD 2019-03-26
001 2017-01-01 STEFAN PENTSCHEV, MD 2018-07-30
001 2016-01-01 STEFAN PENTSCHEV, MD 2017-10-13
001 2015-01-01
001 2014-01-01 STEFAN PENTACHEV 2015-10-11
001 2013-01-01 STEFAN PENTACHEV 2014-09-19
001 2012-01-01 SAN JOAQUIN PRIME CARE MEDICAL
001 2011-01-01 SAN JOAQUIN PRIME CARE MEDICAL
001 2010-01-01 STEFAN PENTACHEV 2011-08-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2018-01-01	STEFAN PENTSCHEV, MD	2019-03-26
001	2017-01-01	STEFAN PENTSCHEV, MD	2018-07-30
001	2016-01-01	STEFAN PENTSCHEV, MD	2017-10-13
001	2015-01-01
001	2014-01-01	STEFAN PENTACHEV	2015-10-11
001	2013-01-01	STEFAN PENTACHEV	2014-09-19
001	2012-01-01	SAN JOAQUIN PRIME CARE MEDICAL
001	2011-01-01	SAN JOAQUIN PRIME CARE MEDICAL
001	2010-01-01	STEFAN PENTACHEV	2011-08-24

Plan Statistics for SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST

Measure Date Value
2012: SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 24
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 7
Total of all active and inactive participants 2012-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 31
Number of participants with account balances 2012-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 28
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 0
Total of all active and inactive participants 2011-01-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 28
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2012: SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	24
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	7
Total of all active and inactive participants	2012-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	31
Number of participants with account balances	2012-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	28
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	0
Total of all active and inactive participants	2011-01-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	28
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2012 : SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$854,669
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$867,491
Total plan assets at beginning of year	2012-12-31	$12,822
Value of fidelity bond covering the plan	2012-12-31	$0
Total contributions received or receivable from participants	2012-12-31	$73,533
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$1,085
Other income received	2012-12-31	$760,089
Net income (gross income less expenses)	2012-12-31	$854,669
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$867,491
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$12,822
Assets. Value of participant loans	2012-12-31	$8,235
Total contributions received or receivable from employer(s)	2012-12-31	$19,962
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$-670,760
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$12,822
Total plan assets at beginning of year	2011-12-31	$683,582
Value of fidelity bond covering the plan	2011-12-31	$0
Total contributions received or receivable from participants	2011-12-31	$45,976
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-728,576
Net income (gross income less expenses)	2011-12-31	$-670,760
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$12,822
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$683,582
Total contributions received or receivable from employer(s)	2011-12-31	$11,840
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

Form 5500 Responses for SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST

2012: SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SAN JOAQUIN PRIME CARE MEDICAL 401K PROFIT SHARING PLAN & TRUST 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SAN JOAQUIN PRIME CARE MEDICAL GROUP, INC.
Employer identification number (EIN):	770489025
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)