401k Plan data: THE MAUI MEDICAL GROUP, INC. (UHA) plan

THE MAUI MEDICAL GROUP, INC. (UHA) 401k Plan overview

Plan Name	THE MAUI MEDICAL GROUP, INC. (UHA)
Plan identification number	504

THE MAUI MEDICAL GROUP, INC. (UHA) Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision Other welfare benefit cover

401k Sponsoring company profile

THE MAUI MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: THE MAUI MEDICAL GROUP, INC.

Employer identification number (EIN): 990176859

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MAUI MEDICAL GROUP, INC. (UHA)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2013-01-01 CLIFFORD ALAKAI
504 2012-01-01 CLIFFORD ALAKAI
504 2011-01-01 CLIFFORD ALAKAI
504 2010-01-01 CLIFFORD ALAKAI
504 2009-01-01 CLIFFORD ALAKAI

Plan id#	Filing Submission Date	Name of Administrator
504	2013-01-01	CLIFFORD ALAKAI
504	2012-01-01	CLIFFORD ALAKAI
504	2011-01-01	CLIFFORD ALAKAI
504	2010-01-01	CLIFFORD ALAKAI
504	2009-01-01	CLIFFORD ALAKAI

Plan Statistics for THE MAUI MEDICAL GROUP, INC. (UHA)

401k plan membership statisitcs for THE MAUI MEDICAL GROUP, INC. (UHA)

Measure Date Value
2013: THE MAUI MEDICAL GROUP, INC. (UHA) 2013 401k membership
Total participants, beginning-of-year 2013-01-01 266
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 233
Total of all active and inactive participants 2013-01-01 233
Total participants 2013-01-01 233
2012: THE MAUI MEDICAL GROUP, INC. (UHA) 2012 401k membership
Total participants, beginning-of-year 2012-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 266
Total of all active and inactive participants 2012-01-01 266
Total participants 2012-01-01 266
2011: THE MAUI MEDICAL GROUP, INC. (UHA) 2011 401k membership
Total participants, beginning-of-year 2011-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 186
Total of all active and inactive participants 2011-01-01 186
Total participants 2011-01-01 186
2010: THE MAUI MEDICAL GROUP, INC. (UHA) 2010 401k membership
Total participants, beginning-of-year 2010-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 145
Total of all active and inactive participants 2010-01-01 145
Total participants 2010-01-01 145
2009: THE MAUI MEDICAL GROUP, INC. (UHA) 2009 401k membership
Total participants, beginning-of-year 2009-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 182
Total of all active and inactive participants 2009-01-01 182
Total participants 2009-01-01 182

Measure	Date	Value
2013: THE MAUI MEDICAL GROUP, INC. (UHA) 2013 401k membership
Total participants, beginning-of-year	2013-01-01	266
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	233
Total of all active and inactive participants	2013-01-01	233
Total participants	2013-01-01	233
2012: THE MAUI MEDICAL GROUP, INC. (UHA) 2012 401k membership
Total participants, beginning-of-year	2012-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	266
Total of all active and inactive participants	2012-01-01	266
Total participants	2012-01-01	266
2011: THE MAUI MEDICAL GROUP, INC. (UHA) 2011 401k membership
Total participants, beginning-of-year	2011-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	186
Total of all active and inactive participants	2011-01-01	186
Total participants	2011-01-01	186
2010: THE MAUI MEDICAL GROUP, INC. (UHA) 2010 401k membership
Total participants, beginning-of-year	2010-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	145
Total of all active and inactive participants	2010-01-01	145
Total participants	2010-01-01	145
2009: THE MAUI MEDICAL GROUP, INC. (UHA) 2009 401k membership
Total participants, beginning-of-year	2009-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	182
Total of all active and inactive participants	2009-01-01	182
Total participants	2009-01-01	182

Form 5500 Responses for THE MAUI MEDICAL GROUP, INC. (UHA)

2013: THE MAUI MEDICAL GROUP, INC. (UHA) 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE MAUI MEDICAL GROUP, INC. (UHA) 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: THE MAUI MEDICAL GROUP, INC. (UHA) 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE MAUI MEDICAL GROUP, INC. (UHA) 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE MAUI MEDICAL GROUP, INC. (UHA) 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	THE MAUI MEDICAL GROUP, INC.
Employer identification number (EIN):	990176859
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)