401k Plan data: PRIMARY MEDICAL CENTER OF LAKE 401 K PROFIT SHARING PLAN TRUST plan

PRIMARY MEDICAL CENTER OF LAKE 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan Name	PRIMARY MEDICAL CENTER OF LAKE 401 K PROFIT SHARING PLAN TRUST
Plan identification number	001

PRIMARY MEDICAL CENTER OF LAKE 401 K PROFIT SHARING PLAN TRUST 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.
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.
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

PRIMARY MEDICAL CENTER OF LAKE has sponsored the creation of one or more 401k plans.

Company Name: PRIMARY MEDICAL CENTER OF LAKE

Employer identification number (EIN): 900928363

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRIMARY MEDICAL CENTER OF LAKE 401 K PROFIT SHARING PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 MARC GUERRIER 2022-09-07
001 2018-01-01 RHEA SAUZ 2019-05-16
001 2017-01-01 MARC GUERRIER 2018-06-26
001 2016-01-01 MARC GUERRIER 2017-06-13
001 2015-01-01 MARC GUERRIER 2016-07-07
001 2014-01-01 MARC GUERRIER 2015-07-23
001 2013-01-01 ANNIE SANABRIA 2014-06-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	MARC GUERRIER	2022-09-07
001	2018-01-01	RHEA SAUZ	2019-05-16
001	2017-01-01	MARC GUERRIER	2018-06-26
001	2016-01-01	MARC GUERRIER	2017-06-13
001	2015-01-01	MARC GUERRIER	2016-07-07
001	2014-01-01	MARC GUERRIER	2015-07-23
001	2013-01-01	ANNIE SANABRIA	2014-06-26

Financial Data on PRIMARY MEDICAL CENTER OF LAKE 401 K PROFIT SHARING PLAN TRUST

Measure	Date	Value
2022 : PRIMARY MEDICAL CENTER OF LAKE 401 K PROFIT SHARING PLAN TRUST 2022 401k financial data
Total expenses incurred by plan in this plan year	2022-09-07	922
Net assets as of the end of the plan year	2022-09-07	1618
Total assets as of the beginning of the plan year	2022-09-07	2260
Value of plan covered by a fidelity bond	2022-09-07	20000
Participant contributions to plan in this plan year	2022-09-07	0
Other expenses paid from plan in this plan year	2022-09-07	0
Other contributions to plan in this plan year	2022-09-07	0
Other income to plan in this plan year	2022-09-07	280
Plan net income in this plan year	2022-09-07	-642
Net assets as of the end of the plan year	2022-09-07	1618
Net assets as of the beginning of the plan year	2022-09-07	2260
Employer contributions to plan in this plan year	2022-09-07	0
Expensese paid to adminstrative service provicers from plan in this plan year	2022-09-07	344

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Company Name:	PRIMARY MEDICAL CENTER OF LAKE
Employer identification number (EIN):	900928363
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)