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PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 401k Plan overview

Plan NamePREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST
Plan identification number 501

PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

PASADENA POLICE OFFICERS ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:PASADENA POLICE OFFICERS ASSOCIATION
Employer identification number (EIN):953315175
NAIC Classification:561600

Additional information about PASADENA POLICE OFFICERS ASSOCIATION

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1951-09-18
Company Identification Number: 0010768101
Legal Registered Office Address: 1114 DAVIS ST

PASADENA
United States of America (USA)
77506

More information about PASADENA POLICE OFFICERS ASSOCIATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01SCHUYLER SANDEEN
5012016-01-01SCHUYLER SANDEEN
5012015-01-01SCHUYLER SANDEEN
5012014-01-01SCHUYLER SANDEEN
5012013-01-01SCHUYLER SANDEEN
5012012-01-01SCHUYLER SANDEEN
5012011-01-01SCHUYLER SANDEEN
5012010-01-01CURTIS POTTER
5012009-01-01CURTIS POTTER ROBERT MERCADO2010-09-29

Plan Statistics for PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST

401k plan membership statisitcs for PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST

Measure Date Value
2022: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01366
Total number of active participants reported on line 7a of the Form 55002022-01-01218
Number of retired or separated participants receiving benefits2022-01-01108
Number of other retired or separated participants entitled to future benefits2022-01-0150
Total of all active and inactive participants2022-01-01376
2021: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01359
Total number of active participants reported on line 7a of the Form 55002021-01-01216
Number of retired or separated participants receiving benefits2021-01-01101
Number of other retired or separated participants entitled to future benefits2021-01-0149
Total of all active and inactive participants2021-01-01366
2020: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01339
Total number of active participants reported on line 7a of the Form 55002020-01-01219
Number of retired or separated participants receiving benefits2020-01-01101
Number of other retired or separated participants entitled to future benefits2020-01-0139
Total of all active and inactive participants2020-01-01359
2019: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01338
Total number of active participants reported on line 7a of the Form 55002019-01-01218
Number of retired or separated participants receiving benefits2019-01-0181
Number of other retired or separated participants entitled to future benefits2019-01-0140
Total of all active and inactive participants2019-01-01339
2018: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01326
Total number of active participants reported on line 7a of the Form 55002018-01-01216
Number of retired or separated participants receiving benefits2018-01-0172
Number of other retired or separated participants entitled to future benefits2018-01-0150
Total of all active and inactive participants2018-01-01338
2017: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01317
Total number of active participants reported on line 7a of the Form 55002017-01-01218
Number of retired or separated participants receiving benefits2017-01-0138
Number of other retired or separated participants entitled to future benefits2017-01-0170
Total of all active and inactive participants2017-01-01326
2016: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01307
Total number of active participants reported on line 7a of the Form 55002016-01-01218
Number of retired or separated participants receiving benefits2016-01-0164
Number of other retired or separated participants entitled to future benefits2016-01-0135
Total of all active and inactive participants2016-01-01317
2015: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01291
Total number of active participants reported on line 7a of the Form 55002015-01-01213
Number of retired or separated participants receiving benefits2015-01-0158
Number of other retired or separated participants entitled to future benefits2015-01-0136
Total of all active and inactive participants2015-01-01307
2014: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01284
Total number of active participants reported on line 7a of the Form 55002014-01-01219
Number of retired or separated participants receiving benefits2014-01-0157
Number of other retired or separated participants entitled to future benefits2014-01-0115
Total of all active and inactive participants2014-01-01291
2013: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01280
Total number of active participants reported on line 7a of the Form 55002013-01-01219
Number of retired or separated participants receiving benefits2013-01-0145
Number of other retired or separated participants entitled to future benefits2013-01-0120
Total of all active and inactive participants2013-01-01284
2012: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01280
Total number of active participants reported on line 7a of the Form 55002012-01-01228
Number of retired or separated participants receiving benefits2012-01-0138
Number of other retired or separated participants entitled to future benefits2012-01-0114
Total of all active and inactive participants2012-01-01280
2011: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01278
Total number of active participants reported on line 7a of the Form 55002011-01-01231
Number of retired or separated participants receiving benefits2011-01-0113
Number of other retired or separated participants entitled to future benefits2011-01-0136
Total of all active and inactive participants2011-01-01280
2010: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-01277
Total number of active participants reported on line 7a of the Form 55002010-01-01230
Number of retired or separated participants receiving benefits2010-01-0114
Number of other retired or separated participants entitled to future benefits2010-01-0134
Total of all active and inactive participants2010-01-01278
2009: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01276
Total number of active participants reported on line 7a of the Form 55002009-01-01236
Number of retired or separated participants receiving benefits2009-01-0124
Number of other retired or separated participants entitled to future benefits2009-01-0117
Total of all active and inactive participants2009-01-01277

Financial Data on PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST

Measure Date Value
2022 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$16,586
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$12,081
Total income from all sources (including contributions)2022-12-31$-2,514,434
Total of all expenses incurred2022-12-31$629,778
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$504,659
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$763,338
Value of total assets at end of year2022-12-31$18,435,697
Value of total assets at beginning of year2022-12-31$21,575,404
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$125,119
Total interest from all sources2022-12-31$879
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$500,800
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$500,800
Administrative expenses professional fees incurred2022-12-31$55,997
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$0
Administrative expenses (other) incurred2022-12-31$8,275
Liabilities. Value of operating payables at end of year2022-12-31$16,586
Liabilities. Value of operating payables at beginning of year2022-12-31$12,081
Total non interest bearing cash at end of year2022-12-31$257,811
Total non interest bearing cash at beginning of year2022-12-31$128,910
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,144,212
Value of net assets at end of year (total assets less liabilities)2022-12-31$18,419,111
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$21,563,323
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$33,535
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$18,146,467
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$21,407,469
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$31,419
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$39,025
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$39,025
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$879
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,779,451
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$763,338
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$504,659
Contract administrator fees2022-12-31$27,312
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MOSS ADAMS LLP
Accountancy firm EIN2022-12-31910189318
2021 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$12,081
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$6,995
Total income from all sources (including contributions)2021-12-31$3,702,377
Total of all expenses incurred2021-12-31$602,984
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$460,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$764,054
Value of total assets at end of year2021-12-31$21,575,404
Value of total assets at beginning of year2021-12-31$18,470,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$142,970
Total interest from all sources2021-12-31$18
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$831,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$831,521
Administrative expenses professional fees incurred2021-12-31$78,691
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,794
Administrative expenses (other) incurred2021-12-31$8,107
Liabilities. Value of operating payables at end of year2021-12-31$12,081
Liabilities. Value of operating payables at beginning of year2021-12-31$6,995
Total non interest bearing cash at end of year2021-12-31$128,910
Total non interest bearing cash at beginning of year2021-12-31$95,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$3,099,393
Value of net assets at end of year (total assets less liabilities)2021-12-31$21,563,323
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$18,463,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$31,997
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$21,407,469
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$18,345,843
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$39,025
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$29,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$29,503
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$18
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,106,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$762,260
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$460,014
Contract administrator fees2021-12-31$24,175
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MOSS ADAMS LLP
Accountancy firm EIN2021-12-31910189318
2020 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$6,995
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$11,348
Total income from all sources (including contributions)2020-12-31$2,787,477
Total of all expenses incurred2020-12-31$536,365
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$419,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$741,489
Value of total assets at end of year2020-12-31$18,470,925
Value of total assets at beginning of year2020-12-31$16,224,166
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$116,738
Total interest from all sources2020-12-31$42
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$438,414
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$438,414
Administrative expenses professional fees incurred2020-12-31$68,222
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$5,479
Administrative expenses (other) incurred2020-12-31$5,419
Liabilities. Value of operating payables at end of year2020-12-31$6,995
Liabilities. Value of operating payables at beginning of year2020-12-31$11,348
Total non interest bearing cash at end of year2020-12-31$95,579
Total non interest bearing cash at beginning of year2020-12-31$144,175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,251,112
Value of net assets at end of year (total assets less liabilities)2020-12-31$18,463,930
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$16,212,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$17,647
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$18,345,843
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$15,986,744
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$29,503
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$59,193
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$59,193
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$42
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,607,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$741,489
Employer contributions (assets) at beginning of year2020-12-31$28,575
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$419,627
Contract administrator fees2020-12-31$25,450
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MOSS ADAMS LLP
Accountancy firm EIN2020-12-31910189318
2019 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,348
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,191
Total income from all sources (including contributions)2019-12-31$3,405,921
Total of all expenses incurred2019-12-31$457,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$364,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$748,249
Value of total assets at end of year2019-12-31$16,224,166
Value of total assets at beginning of year2019-12-31$13,275,819
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$93,104
Total interest from all sources2019-12-31$254
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$465,792
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$465,792
Administrative expenses professional fees incurred2019-12-31$46,832
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$5,479
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$9,956
Administrative expenses (other) incurred2019-12-31$5,422
Liabilities. Value of operating payables at end of year2019-12-31$11,348
Liabilities. Value of operating payables at beginning of year2019-12-31$11,191
Total non interest bearing cash at end of year2019-12-31$144,175
Total non interest bearing cash at beginning of year2019-12-31$157,568
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,948,190
Value of net assets at end of year (total assets less liabilities)2019-12-31$16,212,818
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,264,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$15,281
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$15,986,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$13,089,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$59,193
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$18,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$18,816
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$254
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,191,626
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$748,249
Employer contributions (assets) at end of year2019-12-31$28,575
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$364,627
Contract administrator fees2019-12-31$25,569
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MOSS ADAMS LLP
Accountancy firm EIN2019-12-31910189318
2018 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$11,191
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$6,446
Total income from all sources (including contributions)2018-12-31$57,379
Total of all expenses incurred2018-12-31$409,324
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$330,522
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$698,246
Value of total assets at end of year2018-12-31$13,275,819
Value of total assets at beginning of year2018-12-31$13,623,019
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$78,802
Total interest from all sources2018-12-31$70
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$348,458
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$348,458
Administrative expenses professional fees incurred2018-12-31$39,508
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$9,956
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$6,444
Administrative expenses (other) incurred2018-12-31$6,696
Liabilities. Value of operating payables at end of year2018-12-31$11,191
Liabilities. Value of operating payables at beginning of year2018-12-31$6,446
Total non interest bearing cash at end of year2018-12-31$157,568
Total non interest bearing cash at beginning of year2018-12-31$153,954
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-351,945
Value of net assets at end of year (total assets less liabilities)2018-12-31$13,264,628
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$13,616,573
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$12,213
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$13,089,479
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$13,462,621
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$18,816
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$70
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-989,395
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$698,246
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$330,522
Contract administrator fees2018-12-31$20,385
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MOSS ADAMS LLP
Accountancy firm EIN2018-12-31910189318
2017 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$6,446
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,612
Total income from all sources (including contributions)2017-12-31$2,171,411
Total of all expenses incurred2017-12-31$388,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$282,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$689,830
Value of total assets at end of year2017-12-31$13,623,019
Value of total assets at beginning of year2017-12-31$11,835,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$105,615
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$455,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$455,682
Administrative expenses professional fees incurred2017-12-31$57,156
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$6,444
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$7,125
Administrative expenses (other) incurred2017-12-31$13,788
Liabilities. Value of operating payables at end of year2017-12-31$6,446
Liabilities. Value of operating payables at beginning of year2017-12-31$1,612
Total non interest bearing cash at end of year2017-12-31$153,954
Total non interest bearing cash at beginning of year2017-12-31$167,940
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,783,155
Value of net assets at end of year (total assets less liabilities)2017-12-31$13,616,573
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$11,833,418
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$13,938
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$13,462,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$11,659,965
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,025,899
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$689,830
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$282,641
Contract administrator fees2017-12-31$20,733
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MOSS ADAMS LLP
Accountancy firm EIN2017-12-31910189318
2016 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,612
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$7,722
Total income from all sources (including contributions)2016-12-31$1,528,378
Total of all expenses incurred2016-12-31$360,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$263,340
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$652,403
Value of total assets at end of year2016-12-31$11,835,030
Value of total assets at beginning of year2016-12-31$10,673,748
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$97,646
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$338,759
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$338,759
Administrative expenses professional fees incurred2016-12-31$43,804
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,493
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$7,125
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$7,903
Administrative expenses (other) incurred2016-12-31$4,292
Liabilities. Value of operating payables at end of year2016-12-31$1,612
Liabilities. Value of operating payables at beginning of year2016-12-31$7,722
Total non interest bearing cash at end of year2016-12-31$167,940
Total non interest bearing cash at beginning of year2016-12-31$43,012
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,167,392
Value of net assets at end of year (total assets less liabilities)2016-12-31$11,833,418
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,666,026
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$10,779
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$11,659,965
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$7,143,393
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$537,216
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$650,910
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$263,340
Contract administrator fees2016-12-31$38,771
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$3,479,440
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MOSS ADAMS LLP
Accountancy firm EIN2016-12-31910189318
2015 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-52,139
Total unrealized appreciation/depreciation of assets2015-12-31$-52,139
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$7,722
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,294
Total income from all sources (including contributions)2015-12-31$737,745
Total loss/gain on sale of assets2015-12-31$-18,632
Total of all expenses incurred2015-12-31$360,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$250,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$625,769
Value of total assets at end of year2015-12-31$10,673,748
Value of total assets at beginning of year2015-12-31$10,290,285
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$110,143
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$278,051
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$186,997
Administrative expenses professional fees incurred2015-12-31$65,806
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,286
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$7,903
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$6,841
Administrative expenses (other) incurred2015-12-31$13,630
Liabilities. Value of operating payables at end of year2015-12-31$7,722
Liabilities. Value of operating payables at beginning of year2015-12-31$1,294
Total non interest bearing cash at end of year2015-12-31$43,012
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$377,035
Value of net assets at end of year (total assets less liabilities)2015-12-31$10,666,026
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,288,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$13,068
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$7,143,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$7,455,224
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$7,371
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$7,371
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-95,304
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$624,483
Income. Dividends from common stock2015-12-31$91,054
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$250,567
Contract administrator fees2015-12-31$17,639
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$3,479,440
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$2,820,849
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$710,451
Aggregate carrying amount (costs) on sale of assets2015-12-31$729,083
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MOSS ADAMS LLP
Accountancy firm EIN2015-12-31910189318
2014 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$100,398
Total unrealized appreciation/depreciation of assets2014-12-31$100,398
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,294
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$686,226
Total income from all sources (including contributions)2014-12-31$1,426,251
Total loss/gain on sale of assets2014-12-31$21,089
Total of all expenses incurred2014-12-31$310,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$208,578
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$603,544
Value of total assets at end of year2014-12-31$10,290,285
Value of total assets at beginning of year2014-12-31$9,859,564
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$102,020
Total interest from all sources2014-12-31$15
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$324,419
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$242,226
Administrative expenses professional fees incurred2014-12-31$68,118
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$6,841
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$563,374
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$681,131
Administrative expenses (other) incurred2014-12-31$6,056
Liabilities. Value of operating payables at end of year2014-12-31$1,294
Liabilities. Value of operating payables at beginning of year2014-12-31$5,095
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$9,921
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,115,653
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,288,991
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$9,173,338
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$13,209
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$7,455,224
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$7,084,630
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$7,371
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$28,546
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$28,546
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$15
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$376,786
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$603,544
Income. Dividends from common stock2014-12-31$82,193
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$208,578
Contract administrator fees2014-12-31$14,637
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$2,820,849
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$2,173,093
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$2,192,796
Aggregate carrying amount (costs) on sale of assets2014-12-31$2,171,707
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MOSS ADAMS LLP
Accountancy firm EIN2014-12-31910189318
2013 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$188,189
Total unrealized appreciation/depreciation of assets2013-12-31$188,189
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$686,226
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$626
Total income from all sources (including contributions)2013-12-31$1,735,966
Total loss/gain on sale of assets2013-12-31$208,490
Total of all expenses incurred2013-12-31$290,644
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$199,003
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$601,589
Value of total assets at end of year2013-12-31$9,859,564
Value of total assets at beginning of year2013-12-31$7,728,642
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$91,641
Total interest from all sources2013-12-31$28
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$258,018
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$210,312
Administrative expenses professional fees incurred2013-12-31$60,644
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$563,374
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$4,745
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$681,131
Administrative expenses (other) incurred2013-12-31$10,483
Liabilities. Value of operating payables at end of year2013-12-31$5,095
Liabilities. Value of operating payables at beginning of year2013-12-31$626
Total non interest bearing cash at end of year2013-12-31$9,921
Total non interest bearing cash at beginning of year2013-12-31$8,776
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,445,322
Value of net assets at end of year (total assets less liabilities)2013-12-31$9,173,338
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$7,728,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$9,882
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$7,084,630
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$5,880,093
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$28,546
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$83,393
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$83,393
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$28
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$479,652
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$601,589
Income. Dividends from common stock2013-12-31$47,706
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$199,003
Contract administrator fees2013-12-31$10,632
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$2,173,093
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,751,635
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$2,133,075
Aggregate carrying amount (costs) on sale of assets2013-12-31$1,924,585
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MOSS ADAMS LLP
Accountancy firm EIN2013-12-31910189318
2012 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$160,603
Total unrealized appreciation/depreciation of assets2012-12-31$160,603
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$626
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,295
Total income from all sources (including contributions)2012-12-31$1,438,022
Total loss/gain on sale of assets2012-12-31$65,468
Total of all expenses incurred2012-12-31$259,871
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$165,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$603,779
Value of total assets at end of year2012-12-31$7,728,642
Value of total assets at beginning of year2012-12-31$6,553,160
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$94,097
Total interest from all sources2012-12-31$37
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$262,314
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$232,240
Administrative expenses professional fees incurred2012-12-31$66,508
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$4,745
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$3,928
Administrative expenses (other) incurred2012-12-31$7,731
Liabilities. Value of operating payables at end of year2012-12-31$626
Liabilities. Value of operating payables at beginning of year2012-12-31$3,295
Total non interest bearing cash at end of year2012-12-31$8,776
Total non interest bearing cash at beginning of year2012-12-31$2,510
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,178,151
Value of net assets at end of year (total assets less liabilities)2012-12-31$7,728,016
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$6,549,865
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$8,131
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$5,880,093
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$5,067,181
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$83,393
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$9,182
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$9,182
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$37
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$345,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$603,779
Income. Dividends from common stock2012-12-31$30,074
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$165,774
Contract administrator fees2012-12-31$11,727
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,751,635
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,470,359
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$1,121,394
Aggregate carrying amount (costs) on sale of assets2012-12-31$1,055,926
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MOSS ADAMS LLP
Accountancy firm EIN2012-12-31910189318
2011 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-76,546
Total unrealized appreciation/depreciation of assets2011-12-31$-76,546
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,295
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$4,639
Total income from all sources (including contributions)2011-12-31$727,453
Total loss/gain on sale of assets2011-12-31$-19,118
Total of all expenses incurred2011-12-31$246,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$143,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$600,309
Value of total assets at end of year2011-12-31$6,553,160
Value of total assets at beginning of year2011-12-31$6,073,769
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$103,178
Total interest from all sources2011-12-31$45
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$223,779
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$183,097
Administrative expenses professional fees incurred2011-12-31$69,241
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$3,928
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,087
Administrative expenses (other) incurred2011-12-31$7,073
Liabilities. Value of operating payables at end of year2011-12-31$3,295
Liabilities. Value of operating payables at beginning of year2011-12-31$4,639
Total non interest bearing cash at end of year2011-12-31$2,510
Total non interest bearing cash at beginning of year2011-12-31$5,687
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$480,735
Value of net assets at end of year (total assets less liabilities)2011-12-31$6,549,865
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$6,069,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$7,677
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$5,067,181
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$4,975,993
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$9,182
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$39,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$39,811
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$45
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,016
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$600,309
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$24,023
Income. Dividends from common stock2011-12-31$40,682
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$143,540
Contract administrator fees2011-12-31$19,187
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,470,359
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,027,168
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$452,326
Aggregate carrying amount (costs) on sale of assets2011-12-31$471,444
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MOSS ADAMS LLP
Accountancy firm EIN2011-12-31910189318
2010 : PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$181,396
Total unrealized appreciation/depreciation of assets2010-12-31$181,396
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,639
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$3,499
Total income from all sources (including contributions)2010-12-31$1,298,620
Total loss/gain on sale of assets2010-12-31$3,350
Total of all expenses incurred2010-12-31$192,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$117,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$614,994
Value of total assets at end of year2010-12-31$6,073,769
Value of total assets at beginning of year2010-12-31$4,966,349
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$74,994
Total interest from all sources2010-12-31$144
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$152,395
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$136,419
Administrative expenses professional fees incurred2010-12-31$43,600
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,087
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$8,892
Administrative expenses (other) incurred2010-12-31$8,537
Liabilities. Value of operating payables at end of year2010-12-31$4,639
Liabilities. Value of operating payables at beginning of year2010-12-31$3,499
Total non interest bearing cash at end of year2010-12-31$5,687
Total non interest bearing cash at beginning of year2010-12-31$1,042
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,106,280
Value of net assets at end of year (total assets less liabilities)2010-12-31$6,069,130
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,962,850
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$5,702
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$4,975,993
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$3,919,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$39,811
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$25,522
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$25,522
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$144
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$346,341
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$614,994
Employer contributions (assets) at end of year2010-12-31$24,023
Employer contributions (assets) at beginning of year2010-12-31$23,977
Income. Dividends from common stock2010-12-31$15,976
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$117,346
Contract administrator fees2010-12-31$17,155
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,027,168
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$987,383
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$326,355
Aggregate carrying amount (costs) on sale of assets2010-12-31$323,005
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MOSS ADAMS LLP
Accountancy firm EIN2010-12-31910189318

Form 5500 Responses for PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST

2022: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PREMIUM REIMB PLAN OF THE PASADENA POLICE RETIRED MEDICAL TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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