401k Plan data: INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN plan

INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number	501

INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

CJW ENTERPRISE, INC has sponsored the creation of one or more 401k plans.

Company Name: CJW ENTERPRISE, INC

Employer identification number (EIN): 010945969

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-09-01 PAUL BEUTTENMULLER
501 2012-09-01 PAUL BEUTTENMULLER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2013-09-01	PAUL BEUTTENMULLER
501	2012-09-01	PAUL BEUTTENMULLER

Plan Statistics for INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2013: INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 0
Number of retired or separated participants receiving benefits 2013-09-01 0
Number of other retired or separated participants entitled to future benefits 2013-09-01 0
Total of all active and inactive participants 2013-09-01 0
2012: INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 31
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 40
Number of retired or separated participants receiving benefits 2012-09-01 0
Number of other retired or separated participants entitled to future benefits 2012-09-01 0
Total of all active and inactive participants 2012-09-01 40

Measure	Date	Value
2013: INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	0
Number of retired or separated participants receiving benefits	2013-09-01	0
Number of other retired or separated participants entitled to future benefits	2013-09-01	0
Total of all active and inactive participants	2013-09-01	0
2012: INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	31
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	40
Number of retired or separated participants receiving benefits	2012-09-01	0
Number of other retired or separated participants entitled to future benefits	2012-09-01	0
Total of all active and inactive participants	2012-09-01	40

Financial Data on INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2014 : INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2014 401k financial data
Transfers to/from the plan	2014-08-31	$-25,118
Total income from all sources	2014-08-31	$20,420
Expenses. Total of all expenses incurred	2014-08-31	$49,555
Benefits paid (including direct rollovers)	2014-08-31	$48,555
Total plan assets at end of year	2014-08-31	$0
Total plan assets at beginning of year	2014-08-31	$54,253
Value of fidelity bond covering the plan	2014-08-31	$25,000
Other income received	2014-08-31	$6
Net income (gross income less expenses)	2014-08-31	$-29,135
Net plan assets at end of year (total assets less liabilities)	2014-08-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-08-31	$54,253
Total contributions received or receivable from employer(s)	2014-08-31	$20,414
Expenses. Administrative service providers (salaries,fees and commissions)	2014-08-31	$1,000
2013 : INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k financial data
Total income from all sources	2013-08-31	$143,387
Expenses. Total of all expenses incurred	2013-08-31	$89,134
Benefits paid (including direct rollovers)	2013-08-31	$65,487
Total plan assets at end of year	2013-08-31	$54,253
Total plan assets at beginning of year	2013-08-31	$0
Value of fidelity bond covering the plan	2013-08-31	$25,000
Total contributions received or receivable from participants	2013-08-31	$109,002
Other income received	2013-08-31	$13
Net income (gross income less expenses)	2013-08-31	$54,253
Net plan assets at end of year (total assets less liabilities)	2013-08-31	$54,253
Net plan assets at beginning of year (total assets less liabilities)	2013-08-31	$0
Total contributions received or receivable from employer(s)	2013-08-31	$34,372
Expenses. Administrative service providers (salaries,fees and commissions)	2013-08-31	$23,647

Form 5500 Responses for INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2013: INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	This submission is the final filing	Yes
2013-09-01	Plan funding arrangement – Trust	Yes
2013-09-01	Plan benefit arrangement - Trust	Yes
2012: INNOVARE HEALTH ADVOCATES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	First time form 5500 has been submitted	Yes
2012-09-01	Plan funding arrangement – Trust	Yes
2012-09-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

INNOVARE HEALTH PLAN GROUP, INC 401(K) PLAN [EIN = 874386583]

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Company Name:	CJW ENTERPRISE, INC
Employer identification number (EIN):	010945969
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)