401k Plan data: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN plan

JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 401k Plan overview

Plan Name	JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN
Plan identification number	001

JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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.

401k Sponsoring company profile

JACKSON HOLE MEDICAL IMAGING, P.C. has sponsored the creation of one or more 401k plans.

Company Name: JACKSON HOLE MEDICAL IMAGING, P.C.

Employer identification number (EIN): 830301595

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

Additional information about JACKSON HOLE MEDICAL IMAGING, P.C.

Jurisdiction of Incorporation: Wyoming Corporations Division

Incorporation Date: 1992-11-03

Company Identification Number: 000277409

Legal Registered Office Address: PO Box 7746

Jackson
United States of America (USA)
83002

More information about JACKSON HOLE MEDICAL IMAGING, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JACKSON HOLE MEDICAL IMAGING 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 GARY HEATH 2023-10-11
001 2021-01-01 GARY HEATH 2022-10-07
001 2020-01-01 GARY HEATH 2021-08-02
001 2019-01-01 GARY HEATH 2020-10-13
001 2018-01-01 GARY HEATH 2019-10-09
001 2017-01-01 GARY HEATH 2018-05-31
001 2016-01-01 GARY HEATH 2017-07-03
001 2015-01-01 GARY HEATH
001 2014-01-01 GARY HEATH
001 2013-01-01 ROBERT C. BERLIN ROBERT C. BERLIN 2014-06-30
001 2012-01-01 ROBERT C. BERLIN ROBERT C. BERLIN 2013-05-23
001 2011-01-01 ROBERT C. BERLIN ROBERT C. BERLIN 2012-07-10
001 2009-01-01 ROBERT C. BERLIN, MD ROBERT C. BERLIN 2010-07-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	GARY HEATH	2023-10-11
001	2021-01-01	GARY HEATH	2022-10-07
001	2020-01-01	GARY HEATH	2021-08-02
001	2019-01-01	GARY HEATH	2020-10-13
001	2018-01-01	GARY HEATH	2019-10-09
001	2017-01-01	GARY HEATH	2018-05-31
001	2016-01-01	GARY HEATH	2017-07-03
001	2015-01-01	GARY HEATH
001	2014-01-01	GARY HEATH
001	2013-01-01	ROBERT C. BERLIN		ROBERT C. BERLIN	2014-06-30
001	2012-01-01	ROBERT C. BERLIN		ROBERT C. BERLIN	2013-05-23
001	2011-01-01	ROBERT C. BERLIN		ROBERT C. BERLIN	2012-07-10
001	2009-01-01	ROBERT C. BERLIN, MD		ROBERT C. BERLIN	2010-07-19

Plan Statistics for JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN

401k plan membership statisitcs for JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN

Measure Date Value
2015: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3
Number of participants with account balances 2015-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
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 0
Total of all active and inactive participants 2014-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
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 0
Total of all active and inactive participants 2013-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4
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 0
Total of all active and inactive participants 2012-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 4
Number of participants with account balances 2012-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
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 0
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4

Measure	Date	Value
2015: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3
Number of participants with account balances	2015-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
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	0
Total of all active and inactive participants	2014-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
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	0
Total of all active and inactive participants	2013-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4
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	0
Total of all active and inactive participants	2012-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	4
Number of participants with account balances	2012-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
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	0
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4

Financial Data on JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN

Measure	Date	Value
2015 : JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$1,323,510
Total income from all sources	2015-12-31	$92,018
Expenses. Total of all expenses incurred	2015-12-31	$10,005
Total plan assets at end of year	2015-12-31	$3,849,194
Total plan assets at beginning of year	2015-12-31	$2,443,671
Value of fidelity bond covering the plan	2015-12-31	$350,000
Total contributions received or receivable from participants	2015-12-31	$18,000
Expenses. Other expenses not covered elsewhere	2015-12-31	$10,005
Other income received	2015-12-31	$-84,982
Net income (gross income less expenses)	2015-12-31	$82,013
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$3,849,194
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,443,671
Total contributions received or receivable from employer(s)	2015-12-31	$159,000
2014 : JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$404,122
Expenses. Total of all expenses incurred	2014-12-31	$1,241,173
Benefits paid (including direct rollovers)	2014-12-31	$1,241,173
Total plan assets at end of year	2014-12-31	$2,443,671
Total plan assets at beginning of year	2014-12-31	$3,280,722
Value of fidelity bond covering the plan	2014-12-31	$350,000
Total contributions received or receivable from participants	2014-12-31	$16,500
Other income received	2014-12-31	$179,622
Net income (gross income less expenses)	2014-12-31	$-837,051
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,443,671
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,280,722
Total contributions received or receivable from employer(s)	2014-12-31	$208,000
2013 : JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$457,917
Total plan assets at end of year	2013-12-31	$3,280,722
Total plan assets at beginning of year	2013-12-31	$2,822,805
Value of fidelity bond covering the plan	2013-12-31	$350,000
Total contributions received or receivable from participants	2013-12-31	$16,500
Other income received	2013-12-31	$237,417
Net income (gross income less expenses)	2013-12-31	$457,917
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,280,722
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,822,805
Total contributions received or receivable from employer(s)	2013-12-31	$204,000
2012 : JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$318,265
Total plan assets at end of year	2012-12-31	$2,822,805
Total plan assets at beginning of year	2012-12-31	$2,504,540
Value of fidelity bond covering the plan	2012-12-31	$300,000
Other income received	2012-12-31	$118,265
Net income (gross income less expenses)	2012-12-31	$318,265
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,822,805
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,504,540
Total contributions received or receivable from employer(s)	2012-12-31	$200,000
2011 : JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$17,291
Total plan assets at end of year	2011-12-31	$2,504,540
Total plan assets at beginning of year	2011-12-31	$2,487,249
Value of fidelity bond covering the plan	2011-12-31	$300,000
Other income received	2011-12-31	$-178,709
Net income (gross income less expenses)	2011-12-31	$17,291
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,504,540
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,487,249
Total contributions received or receivable from employer(s)	2011-12-31	$196,000

Form 5500 Responses for JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN

2015: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: JACKSON HOLE MEDICAL IMAGING PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JACKSON HOLE MEDICAL IMAGING, P.C.
Employer identification number (EIN):	830301595
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Wyoming Corporations Division
Incorporation Date:	1992-11-03
Company Identification Number:	000277409
Legal Registered Office Address:	PO Box 7746 Jackson United States of America (USA) 83002