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GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 401k Plan overview

Plan NameGOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN
Plan identification number 001

GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

GOLDEN STATE MEDICAL SUPPLY, INC. has sponsored the creation of one or more 401k plans.

Company Name:GOLDEN STATE MEDICAL SUPPLY, INC.
Employer identification number (EIN):954226167
NAIC Classification:561900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01HELEN JONES
0012023-01-01
0012023-01-01
0012023-01-01HELEN JONES
0012023-01-01HELEN JONES
0012023-01-01KYLE ROTHSCHILLER
0012022-01-01
0012022-01-01
0012022-01-01KYLE ROTHSCHILLER
0012021-01-01
0012021-01-01THOMAS WEAVER
0012020-01-01SHAD WEAVER2021-07-20
0012019-01-01SHAD WEAVER2020-09-24
0012018-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012016-01-01

Financial Data on GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN

Measure Date Value
2024 : GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2024 401k financial data
Total unrealized appreciation/depreciation of assets2024-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2024-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2024-01-01$0
Total income from all sources (including contributions)2024-01-01$4,404,321
Total loss/gain on sale of assets2024-01-01$0
Total of all expenses incurred2024-01-01$285,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2024-01-01$229,920
Total contributions o plan (from employers,participants, others, non cash contrinutions)2024-01-01$3,459,270
Value of total assets at end of year2024-01-01$11,135,200
Value of total assets at beginning of year2024-01-01$7,016,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2024-01-01$55,611
Total interest from all sources2024-01-01$27,757
Total dividends received (eg from common stock, registered investment company shares)2024-01-01$24,103
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2024-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2024-01-01$24,103
Was this plan covered by a fidelity bond2024-01-01Yes
Value of fidelity bond cover2024-01-01$100,000,000
If this is an individual account plan, was there a blackout period2024-01-01No
Were there any nonexempt tranactions with any party-in-interest2024-01-01No
Contributions received from participants2024-01-01$1,304,553
Participant contributions at end of year2024-01-01$339,027
Participant contributions at beginning of year2024-01-01$204,228
Income. Received or receivable in cash from other sources (including rollovers)2024-01-01$1,387,249
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2024-01-01$4,209
Other income not declared elsewhere2024-01-01$1,877
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2024-01-01No
Value of net income/loss2024-01-01$4,118,790
Value of net assets at end of year (total assets less liabilities)2024-01-01$11,135,200
Value of net assets at beginning of year (total assets less liabilities)2024-01-01$7,016,410
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2024-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2024-01-01No
Were any leases to which the plan was party in default or uncollectible2024-01-01No
Investment advisory and management fees2024-01-01$5,900
Value of interest in registered invesment companies (eg mutual funds) at end of year2024-01-01$2,200,363
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2024-01-01$1,437,886
Value of interest in pooled separate accounts at end of year2024-01-01$8,285,476
Value of interest in pooled separate accounts at beginning of year2024-01-01$5,087,712
Interest on participant loans2024-01-01$27,757
Value of interest in common/collective trusts at end of year2024-01-01$310,334
Value of interest in common/collective trusts at beginning of year2024-01-01$286,584
Net investment gain/loss from registered investment companies (e.g. mutual funds)2024-01-01$238,427
Net investment gain/loss from pooled separate accounts2024-01-01$644,706
Net investment gain or loss from common/collective trusts2024-01-01$8,181
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2024-01-01No
Was there a failure to transmit to the plan any participant contributions2024-01-01Yes
Has the plan failed to provide any benefit when due under the plan2024-01-01No
Contributions received in cash from employer2024-01-01$767,468
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2024-01-01$225,711
Contract administrator fees2024-01-01$49,711
Did the plan have assets held for investment2024-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2024-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2024-01-01No
Opinion of an independent qualified public accountant for this plan2024-01-011
Accountancy firm name2024-01-01CARON & BLETZER, PLLC
Accountancy firm EIN2024-01-01043499945
2023 : GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$35,149
Total income from all sources (including contributions)2023-12-31$2,708,665
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$645,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$608,588
Expenses. Certain deemed distributions of participant loans2023-12-31$-3,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,693,053
Value of total assets at end of year2023-12-31$7,016,410
Value of total assets at beginning of year2023-12-31$4,988,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$40,496
Total interest from all sources2023-12-31$13,713
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$19,102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$19,102
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$100,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$1,066,743
Participant contributions at end of year2023-12-31$204,228
Participant contributions at beginning of year2023-12-31$129,782
Participant contributions at beginning of year2023-12-31$5,972
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$1,099
Other income not declared elsewhere2023-12-31$826
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$2,062,936
Value of net assets at end of year (total assets less liabilities)2023-12-31$7,016,410
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$4,953,474
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$13,707
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$1,437,886
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$871,289
Value of interest in pooled separate accounts at end of year2023-12-31$5,087,712
Value of interest in pooled separate accounts at beginning of year2023-12-31$3,717,928
Interest on participant loans2023-12-31$13,713
Value of interest in common/collective trusts at end of year2023-12-31$286,584
Value of interest in common/collective trusts at beginning of year2023-12-31$263,131
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$196,080
Net investment gain/loss from pooled separate accounts2023-12-31$778,663
Net investment gain or loss from common/collective trusts2023-12-31$7,228
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$625,211
Employer contributions (assets) at beginning of year2023-12-31$521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$608,588
Contract administrator fees2023-12-31$26,789
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$35,149
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31CARON & BLETZER, PLLC
Accountancy firm EIN2023-12-31043499945
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$35,149
Total income from all sources (including contributions)2023-01-01$2,744,557
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$681,621
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$643,946
Expenses. Certain deemed distributions of participant loans2023-01-01$-3,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$1,693,053
Value of total assets at end of year2023-01-01$7,016,410
Value of total assets at beginning of year2023-01-01$4,988,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$41,030
Total interest from all sources2023-01-01$13,713
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$19,102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$19,102
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$100,000,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$1,066,743
Participant contributions at end of year2023-01-01$204,228
Participant contributions at beginning of year2023-01-01$129,782
Participant contributions at beginning of year2023-01-01$5,972
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$1,099
Other income not declared elsewhere2023-01-01$35,975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$2,062,936
Value of net assets at end of year (total assets less liabilities)2023-01-01$7,016,410
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$4,953,474
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Investment advisory and management fees2023-01-01$13,707
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$1,437,886
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$871,289
Value of interest in pooled separate accounts at end of year2023-01-01$5,087,712
Value of interest in pooled separate accounts at beginning of year2023-01-01$3,717,928
Interest on participant loans2023-01-01$13,713
Value of interest in common/collective trusts at end of year2023-01-01$286,584
Value of interest in common/collective trusts at beginning of year2023-01-01$263,131
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$196,823
Net investment gain/loss from pooled separate accounts2023-01-01$778,663
Net investment gain or loss from common/collective trusts2023-01-01$7,228
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01Yes
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$625,211
Employer contributions (assets) at beginning of year2023-01-01$521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$643,946
Contract administrator fees2023-01-01$27,323
Liabilities. Value of benefit claims payable at beginning of year2023-01-01$35,149
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01CARON & BLETZER, PLLC
Accountancy firm EIN2023-01-01043499945
2022 : GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$917,255
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$318,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$279,358
Expenses. Certain deemed distributions of participant loans2022-12-31$6,173
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,729,436
Value of total assets at end of year2022-12-31$4,985,369
Value of total assets at beginning of year2022-12-31$4,386,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$32,765
Total interest from all sources2022-12-31$6,737
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$14,139
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$14,139
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$100,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,001,579
Participant contributions at end of year2022-12-31$128,162
Participant contributions at beginning of year2022-12-31$101,142
Participant contributions at end of year2022-12-31$4,672
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$101,404
Other income not declared elsewhere2022-12-31$39
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$598,959
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,985,369
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,386,410
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$10,951
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$871,289
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$855,859
Value of interest in pooled separate accounts at end of year2022-12-31$3,717,928
Value of interest in pooled separate accounts at beginning of year2022-12-31$3,184,366
Interest on participant loans2022-12-31$6,737
Value of interest in common/collective trusts at end of year2022-12-31$263,131
Value of interest in common/collective trusts at beginning of year2022-12-31$245,043
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-181,594
Net investment gain/loss from pooled separate accounts2022-12-31$-656,143
Net investment gain or loss from common/collective trusts2022-12-31$4,641
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$626,453
Employer contributions (assets) at end of year2022-12-31$187
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$279,358
Contract administrator fees2022-12-31$21,814
Liabilities. Value of benefit claims payable at end of year2022-12-31$35,149
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 plan2022-12-31Disclaimer
Accountancy firm name2022-12-31CARON AND BLETZER
Accountancy firm EIN2022-12-31999999991
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$35,149
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$912,704
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$345,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$312,875
Expenses. Certain deemed distributions of participant loans2022-01-01$6,173
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,731,069
Value of total assets at end of year2022-01-01$4,988,623
Value of total assets at beginning of year2022-01-01$4,386,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$32,765
Total interest from all sources2022-01-01$6,707
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$7,984
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$7,984
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$100,000,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$1,002,878
Participant contributions at end of year2022-01-01$129,782
Participant contributions at beginning of year2022-01-01$101,142
Participant contributions at end of year2022-01-01$5,972
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$101,404
Other income not declared elsewhere2022-01-01$39
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$567,064
Value of net assets at end of year (total assets less liabilities)2022-01-01$4,953,474
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$4,386,410
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Investment advisory and management fees2022-01-01$10,951
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$871,289
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$855,859
Value of interest in pooled separate accounts at end of year2022-01-01$3,717,928
Value of interest in pooled separate accounts at beginning of year2022-01-01$3,184,366
Interest on participant loans2022-01-01$6,707
Value of interest in common/collective trusts at end of year2022-01-01$263,131
Value of interest in common/collective trusts at beginning of year2022-01-01$245,043
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-181,594
Net investment gain/loss from pooled separate accounts2022-01-01$-656,142
Net investment gain or loss from common/collective trusts2022-01-01$4,641
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01Yes
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$626,787
Employer contributions (assets) at end of year2022-01-01$521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$312,875
Contract administrator fees2022-01-01$21,814
Liabilities. Value of benefit claims payable at end of year2022-01-01$35,149
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01CARON & BLETZER PLLC
Accountancy firm EIN2022-01-01043499945
2021 : GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,667,009
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$153,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$133,109
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,131,925
Value of total assets at end of year2021-12-31$4,386,410
Value of total assets at beginning of year2021-12-31$2,873,308
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$20,798
Total interest from all sources2021-12-31$5,773
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$8,550
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$8,550
Administrative expenses professional fees incurred2021-12-31$1,623
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$697,248
Participant contributions at end of year2021-12-31$101,142
Participant contributions at beginning of year2021-12-31$76,963
Participant contributions at beginning of year2021-12-31$12,572
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$122,181
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$1,513,102
Value of net assets at end of year (total assets less liabilities)2021-12-31$4,386,410
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,873,308
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$7,453
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$855,859
Value of interest in pooled separate accounts at end of year2021-12-31$3,184,366
Value of interest in pooled separate accounts at beginning of year2021-12-31$2,600,924
Interest on participant loans2021-12-31$5,773
Value of interest in common/collective trusts at end of year2021-12-31$245,043
Value of interest in common/collective trusts at beginning of year2021-12-31$176,326
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$48,226
Net investment gain/loss from pooled separate accounts2021-12-31$469,103
Net investment gain or loss from common/collective trusts2021-12-31$3,432
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$312,496
Employer contributions (assets) at beginning of year2021-12-31$6,523
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$133,109
Contract administrator fees2021-12-31$11,722
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 name2021-12-31CARON & BLETZER, PLLC
Accountancy firm EIN2021-12-31043499945
2020 : GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,388,539
Total of all expenses incurred2020-12-31$327,190
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$320,268
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$958,896
Value of total assets at end of year2020-12-31$2,873,308
Value of total assets at beginning of year2020-12-31$1,811,959
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$6,922
Total interest from all sources2020-12-31$5,052
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$632,147
Participant contributions at end of year2020-12-31$76,963
Participant contributions at beginning of year2020-12-31$71,306
Participant contributions at end of year2020-12-31$12,572
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$56,253
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$1,061,349
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,873,308
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,811,959
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
Value of interest in pooled separate accounts at end of year2020-12-31$2,600,924
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,499,509
Interest on participant loans2020-12-31$5,052
Value of interest in common/collective trusts at end of year2020-12-31$176,326
Value of interest in common/collective trusts at beginning of year2020-12-31$241,144
Net investment gain/loss from pooled separate accounts2020-12-31$424,295
Net investment gain or loss from common/collective trusts2020-12-31$296
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
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$270,496
Employer contributions (assets) at end of year2020-12-31$6,523
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$320,268
Contract administrator fees2020-12-31$6,922
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 name2020-12-31CARON & BLETZER, PLLC
Accountancy firm EIN2020-12-31043499945
2019 : GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$930,576
Total of all expenses incurred2019-12-31$2,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$43
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$680,801
Value of total assets at end of year2019-12-31$1,811,959
Value of total assets at beginning of year2019-12-31$884,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,696
Total interest from all sources2019-12-31$1,494
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$473,172
Participant contributions at end of year2019-12-31$71,306
Participant contributions at beginning of year2019-12-31$2,633
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$11,883
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$927,837
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,811,959
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$884,122
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
Value of interest in pooled separate accounts at end of year2019-12-31$1,499,509
Value of interest in pooled separate accounts at beginning of year2019-12-31$813,347
Interest on participant loans2019-12-31$1,494
Value of interest in common/collective trusts at end of year2019-12-31$241,144
Value of interest in common/collective trusts at beginning of year2019-12-31$68,142
Net investment gain/loss from pooled separate accounts2019-12-31$246,513
Net investment gain or loss from common/collective trusts2019-12-31$1,768
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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$195,746
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$43
Contract administrator fees2019-12-31$2,696
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)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CARON & BLETZER, PLLC
Accountancy firm EIN2019-12-31043499945

Form 5500 Responses for GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN

2023: GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedYes
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GOLDEN STATE MEDICAL SUPPLY, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number528254
Policy instance 1
Insurance contract or identification number528254
Number of Individuals Covered235
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number528254
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number528254
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number528254
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number528254
Policy instance 1

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