401k Plan data: EXIGENCE, LLC RETIREMENT PLAN plan

EXIGENCE, LLC RETIREMENT PLAN 401k Plan overview

Plan Name	EXIGENCE, LLC RETIREMENT PLAN
Plan identification number	001

EXIGENCE, LLC RETIREMENT PLAN Benefits

401k Plan Type

Defined 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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

THE EXIGENCE GROUP has sponsored the creation of one or more 401k plans.

Company Name: THE EXIGENCE GROUP

Employer identification number (EIN): 161581332

NAIC Classification: 621493
NAIC Description: Freestanding Ambulatory Surgical and Emergency Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EXIGENCE, LLC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 IRVING H LEVY IRVING H LEVY 2014-10-24
001 2013-01-01 IRVING LEVY IRVING LEVY 2014-10-15
001 2012-01-01 IRVING LEVY IRVING LEVY 2013-10-15
001 2011-01-01 IRVING LEVY 2012-10-15 IRVING LEVY 2012-10-15
001 2010-01-01 IRVING LEVY 2011-10-17 IRVING LEVY 2011-10-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	IRVING H LEVY		IRVING H LEVY	2014-10-24
001	2013-01-01	IRVING LEVY		IRVING LEVY	2014-10-15
001	2012-01-01	IRVING LEVY		IRVING LEVY	2013-10-15
001	2011-01-01	IRVING LEVY	2012-10-15	IRVING LEVY	2012-10-15
001	2010-01-01	IRVING LEVY	2011-10-17	IRVING LEVY	2011-10-17

Plan Statistics for EXIGENCE, LLC RETIREMENT PLAN

401k plan membership statisitcs for EXIGENCE, LLC RETIREMENT PLAN

Measure Date Value
2014: EXIGENCE, LLC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 298
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: EXIGENCE, LLC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 298
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 298
Total of all active and inactive participants 2013-01-01 298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 298
Number of participants with account balances 2013-01-01 298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EXIGENCE, LLC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 312
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 298
Total of all active and inactive participants 2012-01-01 298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 298
Number of participants with account balances 2012-01-01 298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2014: EXIGENCE, LLC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	298
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: EXIGENCE, LLC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	298
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	298
Total of all active and inactive participants	2013-01-01	298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	298
Number of participants with account balances	2013-01-01	298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EXIGENCE, LLC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	312
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	298
Total of all active and inactive participants	2012-01-01	298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	298
Number of participants with account balances	2012-01-01	298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on EXIGENCE, LLC RETIREMENT PLAN

Measure	Date	Value
2014 : EXIGENCE, LLC RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-03-27	$122,214
Total of all expenses incurred	2014-03-27	$17,469,049
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-03-27	$17,469,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-03-27	$0
Value of total assets at end of year	2014-03-27	$0
Value of total assets at beginning of year	2014-03-27	$17,346,835
Total interest from all sources	2014-03-27	$175
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-03-27	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-03-27	$0
Was this plan covered by a fidelity bond	2014-03-27	Yes
Value of fidelity bond cover	2014-03-27	$500,000
If this is an individual account plan, was there a blackout period	2014-03-27	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-03-27	$0
Were there any nonexempt tranactions with any party-in-interest	2014-03-27	No
Participant contributions at end of year	2014-03-27	$0
Participant contributions at beginning of year	2014-03-27	$14,655
Participant contributions at end of year	2014-03-27	$0
Participant contributions at beginning of year	2014-03-27	$6,548
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-03-27	No
Value of net income/loss	2014-03-27	$-17,346,835
Value of net assets at end of year (total assets less liabilities)	2014-03-27	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-03-27	$17,346,835
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-03-27	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-03-27	No
Were any leases to which the plan was party in default or uncollectible	2014-03-27	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-03-27	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-03-27	$16,179,627
Interest on participant loans	2014-03-27	$175
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-03-27	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-03-27	$1,146,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-03-27	$122,039
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-03-27	No
Was there a failure to transmit to the plan any participant contributions	2014-03-27	No
Has the plan failed to provide any benefit when due under the plan	2014-03-27	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-03-27	$17,469,049
Did the plan have assets held for investment	2014-03-27	No
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	2014-03-27	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-03-27	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-03-27	Yes
Opinion of an independent qualified public accountant for this plan	2014-03-27	Disclaimer
Accountancy firm name	2014-03-27	FREED MAXICK CPAS, PC
Accountancy firm EIN	2014-03-27	454051133
2013 : EXIGENCE, LLC RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$1,822,957
Total of all expenses incurred	2013-12-31	$1,326
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$12,054
Value of total assets at end of year	2013-12-31	$17,346,835
Value of total assets at beginning of year	2013-12-31	$15,525,204
Total interest from all sources	2013-12-31	$16,121
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Participant contributions at end of year	2013-12-31	$14,655
Participant contributions at beginning of year	2013-12-31	$55,661
Participant contributions at end of year	2013-12-31	$6,548
Participant contributions at beginning of year	2013-12-31	$18,254
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,821,631
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$17,346,835
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$15,525,204
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$16,179,627
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$13,994,159
Interest on participant loans	2013-12-31	$785
Interest earned on other investments	2013-12-31	$15,336
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,146,005
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,196,736
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,794,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$12,054
Employer contributions (assets) at beginning of year	2013-12-31	$260,394
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,326
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	FREED MAXICK CPAS, PC
Accountancy firm EIN	2013-12-31	454051133
2012 : EXIGENCE, LLC RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$2,122,941
Total of all expenses incurred	2012-12-31	$61,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$23,012
Expenses. Certain deemed distributions of participant loans	2012-12-31	$37,753
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$729,699
Value of total assets at end of year	2012-12-31	$15,525,204
Value of total assets at beginning of year	2012-12-31	$13,463,653
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$625
Total interest from all sources	2012-12-31	$19,603
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$506,424
Participant contributions at end of year	2012-12-31	$55,661
Participant contributions at beginning of year	2012-12-31	$157,262
Participant contributions at end of year	2012-12-31	$18,254
Participant contributions at beginning of year	2012-12-31	$108,258
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,061,551
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$15,525,204
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$13,463,653
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$13,994,159
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$11,188,650
Interest on participant loans	2012-12-31	$4,498
Interest earned on other investments	2012-12-31	$15,105
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,196,736
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,113,158
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,373,639
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$223,275
Employer contributions (assets) at end of year	2012-12-31	$260,394
Employer contributions (assets) at beginning of year	2012-12-31	$896,325
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$23,012
Contract administrator fees	2012-12-31	$625
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	FREED MAXICK CPAS, PC
Accountancy firm EIN	2012-12-31	454051133

Form 5500 Responses for EXIGENCE, LLC RETIREMENT PLAN

2014: EXIGENCE, LLC RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: EXIGENCE, LLC RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple 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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: EXIGENCE, LLC RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386276-01

Policy instance

Insurance contract or identification number	386276-01
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-03-27
Total amount of commissions paid to insurance broker	USD $1,033
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,033
Insurance broker organization code?	3
Insurance broker name	BENNETT GAGLIANO

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386276-01

Policy instance

Insurance contract or identification number	386276-01
Number of Individuals Covered	29
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4,740
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $4,740
Insurance broker organization code?	3
Insurance broker name	BENNETT GAGLIANO

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Company Name:	THE EXIGENCE GROUP
Employer identification number (EIN):	161581332
NAIC Classification:	621493
NAIC Description:	Freestanding Ambulatory Surgical and Emergency Centers