401k Plan data: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN plan

DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 401k Plan overview

Plan Name	DRIVE DEVILBISS HEALTHCARE 401(K) PLAN
Plan identification number	002

DRIVE DEVILBISS HEALTHCARE 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.

401k Sponsoring company profile

MEDICAL DEPOT, INC. has sponsored the creation of one or more 401k plans.

Company Name: MEDICAL DEPOT, INC.

Employer identification number (EIN): 113525013

NAIC Classification: 339110

Additional information about MEDICAL DEPOT, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2016-02-22

Company Identification Number: 0802397239

Legal Registered Office Address: 99 SEAVIEW BLVD STE 210

PRT WASHINGTN
United States of America (USA)
11050

More information about MEDICAL DEPOT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DRIVE DEVILBISS HEALTHCARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 MINDY KIRSCH
002 2016-01-01 CRAIG ZUMBO

Plan Statistics for DRIVE DEVILBISS HEALTHCARE 401(K) PLAN

401k plan membership statisitcs for DRIVE DEVILBISS HEALTHCARE 401(K) PLAN

Measure Date Value
2022: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,301
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 808
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 331
Total of all active and inactive participants 2022-01-01 1,139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 2
Total participants 2022-01-01 1,141
Number of participants with account balances 2022-01-01 1,086
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,257
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,043
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 256
Total of all active and inactive participants 2021-01-01 1,299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 2
Total participants 2021-01-01 1,301
Number of participants with account balances 2021-01-01 1,238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,285
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 984
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 271
Total of all active and inactive participants 2020-01-01 1,255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 2
Total participants 2020-01-01 1,257
Number of participants with account balances 2020-01-01 1,195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,256
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,024
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 259
Total of all active and inactive participants 2019-01-01 1,283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 2
Total participants 2019-01-01 1,285
Number of participants with account balances 2019-01-01 1,235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,270
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,030
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 224
Total of all active and inactive participants 2018-01-01 1,254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 2
Total participants 2018-01-01 1,256
Number of participants with account balances 2018-01-01 1,196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 207
2017: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,296
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,047
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 222
Total of all active and inactive participants 2017-01-01 1,269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 1,270
Number of participants with account balances 2017-01-01 1,205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 233
2016: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 655
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,093
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 123
Total of all active and inactive participants 2016-01-01 1,216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 1,217
Number of participants with account balances 2016-01-01 1,122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 255

Measure	Date	Value
2022: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,301
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	808
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	331
Total of all active and inactive participants	2022-01-01	1,139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	2
Total participants	2022-01-01	1,141
Number of participants with account balances	2022-01-01	1,086
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,257
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,043
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	256
Total of all active and inactive participants	2021-01-01	1,299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	2
Total participants	2021-01-01	1,301
Number of participants with account balances	2021-01-01	1,238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,285
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	984
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	271
Total of all active and inactive participants	2020-01-01	1,255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	2
Total participants	2020-01-01	1,257
Number of participants with account balances	2020-01-01	1,195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,256
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,024
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	259
Total of all active and inactive participants	2019-01-01	1,283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	2
Total participants	2019-01-01	1,285
Number of participants with account balances	2019-01-01	1,235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,270
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,030
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	224
Total of all active and inactive participants	2018-01-01	1,254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	2
Total participants	2018-01-01	1,256
Number of participants with account balances	2018-01-01	1,196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	207
2017: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,296
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,047
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	222
Total of all active and inactive participants	2017-01-01	1,269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	1,270
Number of participants with account balances	2017-01-01	1,205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	233
2016: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	655
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,093
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	123
Total of all active and inactive participants	2016-01-01	1,216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	1,217
Number of participants with account balances	2016-01-01	1,122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	255

Financial Data on DRIVE DEVILBISS HEALTHCARE 401(K) PLAN

Measure	Date	Value
2022 : DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$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	$-4,533,089
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$5,106,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$4,875,447
Expenses. Certain deemed distributions of participant loans	2022-12-31	$-210
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$6,811,104
Value of total assets at end of year	2022-12-31	$58,136,874
Value of total assets at beginning of year	2022-12-31	$67,776,127
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$230,927
Total interest from all sources	2022-12-31	$84,948
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$841,378
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$841,378
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$4,720,813
Participant contributions at end of year	2022-12-31	$1,589,027
Participant contributions at beginning of year	2022-12-31	$1,279,687
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$715,190
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-9,639,253
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$58,136,874
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$67,776,127
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$90,127
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$53,505,772
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$63,665,198
Value of interest in pooled separate accounts at end of year	2022-12-31	$3,042,075
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$2,831,242
Interest on participant loans	2022-12-31	$84,948
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-12,347,085
Net investment gain/loss from pooled separate accounts	2022-12-31	$76,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,375,101
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$4,875,447
Contract administrator fees	2022-12-31	$140,800
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	TRACHTENBERG & PAUKER LLP
Accountancy firm EIN	2022-12-31	112478841
2021 : DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$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	$16,209,330
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$6,330,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$6,097,507
Value of total corrective distributions	2021-12-31	$688
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$7,247,721
Value of total assets at end of year	2021-12-31	$67,776,127
Value of total assets at beginning of year	2021-12-31	$57,897,170
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$232,178
Total interest from all sources	2021-12-31	$72,157
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$682,781
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$682,781
Administrative expenses professional fees incurred	2021-12-31	$13,690
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$4,769,764
Participant contributions at end of year	2021-12-31	$1,279,687
Participant contributions at beginning of year	2021-12-31	$1,141,312
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$1,097,775
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$9,878,957
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$67,776,127
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$57,897,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$78,505
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$63,665,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$53,378,649
Value of interest in pooled separate accounts at end of year	2021-12-31	$2,831,242
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$3,377,209
Interest on participant loans	2021-12-31	$72,157
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$8,141,838
Net investment gain/loss from pooled separate accounts	2021-12-31	$64,833
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,380,182
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$6,097,507
Contract administrator fees	2021-12-31	$139,983
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	TRACHTENBERG & PAUKER LLP
Accountancy firm EIN	2021-12-31	112478841
2020 : DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$15,070,810
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$7,062,320
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$6,780,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$6,454,639
Value of total assets at end of year	2020-12-31	$57,897,170
Value of total assets at beginning of year	2020-12-31	$49,888,680
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$281,745
Total interest from all sources	2020-12-31	$82,590
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$681,448
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$681,448
Administrative expenses professional fees incurred	2020-12-31	$14,182
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$4,703,702
Participant contributions at end of year	2020-12-31	$1,141,312
Participant contributions at beginning of year	2020-12-31	$1,301,338
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$354,972
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$8,008,490
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$57,897,170
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$49,888,680
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$57,251
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$53,378,649
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$46,606,576
Value of interest in pooled separate accounts at end of year	2020-12-31	$3,377,209
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$1,980,766
Interest on participant loans	2020-12-31	$82,590
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$7,781,437
Net investment gain/loss from pooled separate accounts	2020-12-31	$70,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$1,395,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$6,780,575
Contract administrator fees	2020-12-31	$210,312
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	TRACHTENBERG & PAUKER LLP
Accountancy firm EIN	2020-12-31	112478841
2019 : DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$15,536,973
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$4,004,228
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,748,040
Expenses. Certain deemed distributions of participant loans	2019-12-31	$8,034
Value of total corrective distributions	2019-12-31	$9,925
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$6,762,289
Value of total assets at end of year	2019-12-31	$49,888,680
Value of total assets at beginning of year	2019-12-31	$38,355,935
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$238,229
Total interest from all sources	2019-12-31	$79,699
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$677,019
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$677,019
Administrative expenses professional fees incurred	2019-12-31	$12,560
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$4,760,678
Participant contributions at end of year	2019-12-31	$1,301,338
Participant contributions at beginning of year	2019-12-31	$1,110,073
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$448,200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$11,532,745
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$49,888,680
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$38,355,935
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$54,002
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$46,606,576
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$35,395,807
Value of interest in pooled separate accounts at end of year	2019-12-31	$1,980,766
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,850,055
Interest on participant loans	2019-12-31	$79,699
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$7,970,363
Net investment gain/loss from pooled separate accounts	2019-12-31	$47,603
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$1,553,411
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$3,748,040
Contract administrator fees	2019-12-31	$171,667
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	TRACHTENBERG & PAUKER LLP
Accountancy firm EIN	2019-12-31	112478841
2018 : DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$4,107,984
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$5,018,553
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$4,782,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$5,953,210
Value of total assets at end of year	2018-12-31	$38,355,935
Value of total assets at beginning of year	2018-12-31	$39,266,504
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$235,892
Total interest from all sources	2018-12-31	$66,003
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$558,180
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$558,180
Administrative expenses professional fees incurred	2018-12-31	$8,536
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$4,395,199
Participant contributions at end of year	2018-12-31	$1,110,073
Participant contributions at beginning of year	2018-12-31	$1,046,376
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$174,023
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-910,569
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$38,355,935
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$39,266,504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$42,754
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$35,395,807
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$36,275,233
Value of interest in pooled separate accounts at end of year	2018-12-31	$1,850,055
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$1,944,895
Interest on participant loans	2018-12-31	$66,003
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,512,922
Net investment gain/loss from pooled separate accounts	2018-12-31	$43,513
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$1,383,988
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$4,782,661
Contract administrator fees	2018-12-31	$184,602
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	TRACHTENBERG & PAUKER LLP
Accountancy firm EIN	2018-12-31	112478841
2017 : DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$11,484,547
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$2,317,779
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,989,233
Value of total corrective distributions	2017-12-31	$4,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$5,962,063
Value of total assets at end of year	2017-12-31	$39,266,504
Value of total assets at beginning of year	2017-12-31	$30,099,736
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$324,029
Total interest from all sources	2017-12-31	$49,844
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$502,114
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$502,114
Administrative expenses professional fees incurred	2017-12-31	$9,436
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$4,075,836
Participant contributions at end of year	2017-12-31	$1,046,376
Participant contributions at beginning of year	2017-12-31	$840,569
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$454,039
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$9,166,768
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$39,266,504
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$30,099,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$54,482
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$36,275,233
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$27,004,825
Value of interest in pooled separate accounts at end of year	2017-12-31	$1,944,895
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$2,254,342
Interest on participant loans	2017-12-31	$49,844
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$4,930,614
Net investment gain/loss from pooled separate accounts	2017-12-31	$39,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$1,432,188
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,989,233
Contract administrator fees	2017-12-31	$260,111
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	TRACHTENBERG & PAUKER LLP
Accountancy firm EIN	2017-12-31	112478841
2016 : DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$8,993,045
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$6,302,895
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,478,860
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,289,979
Value of total corrective distributions	2016-12-31	$70,708
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,278,782
Value of total assets at end of year	2016-12-31	$30,099,736
Value of total assets at beginning of year	2016-12-31	$16,282,656
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$118,173
Total interest from all sources	2016-12-31	$37,496
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$416,938
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$416,938
Administrative expenses professional fees incurred	2016-12-31	$5,751
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,941,513
Participant contributions at end of year	2016-12-31	$840,569
Participant contributions at beginning of year	2016-12-31	$562,582
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$275,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$4,824,035
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$30,099,736
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$16,282,656
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$44,796
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$27,004,825
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$13,873,848
Value of interest in pooled separate accounts at end of year	2016-12-31	$2,254,342
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,846,226
Interest on participant loans	2016-12-31	$37,496
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,531,527
Net investment gain/loss from pooled separate accounts	2016-12-31	$38,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,061,664
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,289,979
Contract administrator fees	2016-12-31	$67,626
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	TRACHTENBERG & PAUKER LLP
Accountancy firm EIN	2016-12-31	112478841

Form 5500 Responses for DRIVE DEVILBISS HEALTHCARE 401(K) PLAN

2022: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: DRIVE DEVILBISS HEALTHCARE 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

31507

Policy instance

Insurance contract or identification number	31507
Number of Individuals Covered	1086
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

31507

Policy instance

Insurance contract or identification number	31507
Number of Individuals Covered	1238
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

31507

Policy instance

Insurance contract or identification number	31507
Number of Individuals Covered	1195
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

31507

Policy instance

Insurance contract or identification number	31507
Number of Individuals Covered	1235
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

31507

Policy instance

Insurance contract or identification number	31507
Number of Individuals Covered	1196
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

31507

Policy instance

Insurance contract or identification number	31507
Number of Individuals Covered	1205
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MEDICAL DEPOT, INC.
Employer identification number (EIN):	113525013
NAIC Classification:	339110

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2016-02-22
Company Identification Number:	0802397239
Legal Registered Office Address:	99 SEAVIEW BLVD STE 210 PRT WASHINGTN United States of America (USA) 11050