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MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST 401k Plan overview

Plan NameMED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST
Plan identification number 501

MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE 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

ALHAMBRA POLICE OFFICERS ASSOC C/O DELTA HEALTH SYSTEMS has sponsored the creation of one or more 401k plans.

Company Name:ALHAMBRA POLICE OFFICERS ASSOC C/O DELTA HEALTH SYSTEMS
Employer identification number (EIN):956047240
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-02-01
5012021-02-01
5012020-02-01DEBBIE GOMEZ2021-11-11 DEBBIE GOMEZ2021-11-11
5012019-02-01DEBBIE GOMEZ2020-11-03 DEBBIE GOMEZ2020-11-03
5012018-02-01DEBBIE GOMEZ2019-09-26 DEBBIE GOMEZ2019-09-26
5012017-02-01DEBBIE GOMEZ2018-11-06 DEBBIE GOMEZ2018-11-06
5012016-02-01EDDIE ELIZALDE2017-11-06
5012015-02-01ROBERT TORRANCE2016-08-30
5012014-02-01ROBERT TORRANCE2015-09-01
5012013-02-01ROBERT TORRANCE2014-07-30
5012012-02-01GEORGE FLANNAGAN2013-10-09
5012011-02-01GEORGE FLANNAGAN2012-10-11
5012010-02-01GEORGE FLANNAGAN2011-09-16 GEORGE FLANNAGAN2011-09-16

Plan Statistics for MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST

401k plan membership statisitcs for MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST

Measure Date Value
2022: MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST 2022 401k membership
Total participants, beginning-of-year2022-02-01112
Total number of active participants reported on line 7a of the Form 55002022-02-0178
Number of retired or separated participants receiving benefits2022-02-0130
Number of other retired or separated participants entitled to future benefits2022-02-0111
Total of all active and inactive participants2022-02-01119
Total participants2022-02-01119
2021: MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST 2021 401k membership
Total participants, beginning-of-year2021-02-01127
Total number of active participants reported on line 7a of the Form 55002021-02-0177
Number of retired or separated participants receiving benefits2021-02-0129
Number of other retired or separated participants entitled to future benefits2021-02-016
Total of all active and inactive participants2021-02-01112
Total participants2021-02-01112

Financial Data on MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST

Measure Date Value
2023 : MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-31$23,290
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-31$41,228
Total income from all sources (including contributions)2023-01-31$-223,605
Total of all expenses incurred2023-01-31$388,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-31$238,938
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-31$423,120
Value of total assets at end of year2023-01-31$7,085,287
Value of total assets at beginning of year2023-01-31$7,715,085
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-31$149,317
Total interest from all sources2023-01-31$570
Total dividends received (eg from common stock, registered investment company shares)2023-01-31$137,733
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-31$137,733
Administrative expenses professional fees incurred2023-01-31$67,336
Was this plan covered by a fidelity bond2023-01-31Yes
Value of fidelity bond cover2023-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2023-01-31No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-31$35,260
Administrative expenses (other) incurred2023-01-31$12,953
Liabilities. Value of operating payables at end of year2023-01-31$23,290
Liabilities. Value of operating payables at beginning of year2023-01-31$5,968
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-31No
Value of net income/loss2023-01-31$-611,860
Value of net assets at end of year (total assets less liabilities)2023-01-31$7,061,997
Value of net assets at beginning of year (total assets less liabilities)2023-01-31$7,673,857
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-31No
Were any leases to which the plan was party in default or uncollectible2023-01-31No
Investment advisory and management fees2023-01-31$24,346
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-31$6,801,252
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-31$7,564,819
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-31$284,035
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-01-31$150,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-01-31$150,266
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-31$570
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-31$-785,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-31Yes
Was there a failure to transmit to the plan any participant contributions2023-01-31No
Has the plan failed to provide any benefit when due under the plan2023-01-31No
Contributions received in cash from employer2023-01-31$423,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-31$238,938
Contract administrator fees2023-01-31$44,682
Did the plan have assets held for investment2023-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-31No
Opinion of an independent qualified public accountant for this plan2023-01-31Unqualified
Accountancy firm name2023-01-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2023-01-31952036255
2022 : MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-31$41,228
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-31$6,343
Total income from all sources (including contributions)2022-01-31$1,263,680
Total of all expenses incurred2022-01-31$390,431
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-31$279,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-31$423,120
Value of total assets at end of year2022-01-31$7,715,085
Value of total assets at beginning of year2022-01-31$6,806,951
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-31$110,644
Total interest from all sources2022-01-31$51
Total dividends received (eg from common stock, registered investment company shares)2022-01-31$118,053
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-31$118,053
Administrative expenses professional fees incurred2022-01-31$31,197
Was this plan covered by a fidelity bond2022-01-31Yes
Value of fidelity bond cover2022-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-01-31No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-31$35,260
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-31$0
Administrative expenses (other) incurred2022-01-31$9,165
Liabilities. Value of operating payables at end of year2022-01-31$5,968
Liabilities. Value of operating payables at beginning of year2022-01-31$6,343
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-31No
Value of net income/loss2022-01-31$873,249
Value of net assets at end of year (total assets less liabilities)2022-01-31$7,673,857
Value of net assets at beginning of year (total assets less liabilities)2022-01-31$6,800,608
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-31No
Were any leases to which the plan was party in default or uncollectible2022-01-31No
Investment advisory and management fees2022-01-31$25,674
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-31$7,564,819
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-31$6,633,917
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-31$150,266
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-01-31$173,034
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-01-31$173,034
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-31$51
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-31$722,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-31Yes
Was there a failure to transmit to the plan any participant contributions2022-01-31No
Has the plan failed to provide any benefit when due under the plan2022-01-31No
Contributions received in cash from employer2022-01-31$423,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-31$279,787
Contract administrator fees2022-01-31$44,608
Did the plan have assets held for investment2022-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-31No
Opinion of an independent qualified public accountant for this plan2022-01-31Unqualified
Accountancy firm name2022-01-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-01-31952036255

Form 5500 Responses for MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST

2022: MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Plan is a collectively bargained planYes
2022-02-01Plan funding arrangement – TrustYes
2022-02-01Plan benefit arrangement - TrustYes
2021: MED EXP REIMB PLAN OF THE SOUTHERN CA PUBLIC SAFETY RETIREE MEDICAL TRUST 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan is a collectively bargained planYes
2021-02-01Plan funding arrangement – TrustYes
2021-02-01Plan benefit arrangement - TrustYes

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