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MERCY FAMILY PRACTICE 401K PLAN 401k Plan overview

Plan NameMERCY FAMILY PRACTICE 401K PLAN
Plan identification number 001

MERCY FAMILY PRACTICE 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.

401k Sponsoring company profile

MERCY FAMILY PRACTICE has sponsored the creation of one or more 401k plans.

Company Name:MERCY FAMILY PRACTICE
Employer identification number (EIN):201025888
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MERCY FAMILY PRACTICE 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01JOHN WORDEN IV2023-09-04
0012021-01-01JOHN WORDEN IV2022-10-04
0012020-01-01JOHN WORDEN IV2021-09-01
0012018-01-01JOHN WORDEN IV2019-06-12
0012017-01-01JOHN WORDEN IV2018-05-23
0012016-01-01JOHN WORDEN IV2017-06-19
0012015-01-01JOHN WORDEN IV2016-07-18
0012014-01-01JOHN WORDEN IV2015-07-24
0012013-01-01JOHN WORDEN IV2014-07-09
0012012-01-01JOHN WORDEN IV2013-07-31
0012011-01-01JOHN WORDEN IV2012-07-26
0012010-01-01JOHN WORDEN IV
0012009-01-01JOHN WORDEN IV JOHN WORDEN IV2010-03-19

Plan Statistics for MERCY FAMILY PRACTICE 401K PLAN

401k plan membership statisitcs for MERCY FAMILY PRACTICE 401K PLAN

Measure Date Value
2010: MERCY FAMILY PRACTICE 401K PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0113
Total number of active participants reported on line 7a of the Form 55002010-01-0112
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0112
Number of participants with account balances2010-01-019
2009: MERCY FAMILY PRACTICE 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-019
Total number of active participants reported on line 7a of the Form 55002009-01-0113
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0113
Total participants2009-01-0113
Number of participants with account balances2009-01-019

Financial Data on MERCY FAMILY PRACTICE 401K PLAN

Measure Date Value
2010 : MERCY FAMILY PRACTICE 401K PLAN 2010 401k financial data
Total income from all sources2010-12-31$105,974
Expenses. Total of all expenses incurred2010-12-31$0
Total plan assets at end of year2010-12-31$352,120
Total plan assets at beginning of year2010-12-31$246,146
Value of fidelity bond covering the plan2010-12-31$40,000
Total contributions received or receivable from participants2010-12-31$46,469
Other income received2010-12-31$40,329
Net income (gross income less expenses)2010-12-31$105,974
Net plan assets at end of year (total assets less liabilities)2010-12-31$352,120
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$246,146
Total contributions received or receivable from employer(s)2010-12-31$19,176

Form 5500 Responses for MERCY FAMILY PRACTICE 401K PLAN

2010: MERCY FAMILY PRACTICE 401K PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MERCY FAMILY PRACTICE 401K PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number47095
Policy instance 1
Insurance contract or identification number47095
Number of Individuals Covered10
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $1,346
Total amount of fees paid to insurance companyUSD $19
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $1,346
Insurance broker organization code?3
Amount paid for insurance broker fees19
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameHACKLER ASSOCIATES

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