401k Plan data: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST plan

PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan Name	PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST
Plan identification number	001

PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

PERE MARQUETTE EMERGENCY PHYSI has sponsored the creation of one or more 401k plans.

Company Name: PERE MARQUETTE EMERGENCY PHYSI

Employer identification number (EIN): 202544766

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 CONNIE TEWES 2022-01-11
001 2020-01-01 CONNIE TEWES 2021-04-17
001 2018-01-01 CONNIE TEWES 2019-05-19
001 2017-01-01 CONNIE TEWES 2018-04-28
001 2016-01-01 CONNIE M TEWES 2017-05-14
001 2015-01-01 CONNIE TEWES 2016-05-12
001 2014-01-01 CONNIE TEWES 2015-06-27
001 2013-01-01 CONNIE TEWES 2014-08-02
001 2012-01-01 S ELIZABETH MCMASTER, CPA
001 2011-01-01 STEVEN STRBICH
001 2009-01-01 STEVEN STRBICH

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	CONNIE TEWES	2022-01-11
001	2020-01-01	CONNIE TEWES	2021-04-17
001	2018-01-01	CONNIE TEWES	2019-05-19
001	2017-01-01	CONNIE TEWES	2018-04-28
001	2016-01-01	CONNIE M TEWES	2017-05-14
001	2015-01-01	CONNIE TEWES	2016-05-12
001	2014-01-01	CONNIE TEWES	2015-06-27
001	2013-01-01	CONNIE TEWES	2014-08-02
001	2012-01-01	S ELIZABETH MCMASTER, CPA
001	2011-01-01	STEVEN STRBICH
001	2009-01-01	STEVEN STRBICH

Plan Statistics for PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST

401k plan membership statisitcs for PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2012: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 15
Total of all active and inactive participants 2012-01-01 15
Total participants 2012-01-01 15
2011: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 9
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 10
Number of participants with account balances 2011-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 9
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	15
Total of all active and inactive participants	2012-01-01	15
Total participants	2012-01-01	15
2011: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	9
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	10
Number of participants with account balances	2011-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	9
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	9
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST

Measure	Date	Value
2012 : PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$1,104,773
Expenses. Total of all expenses incurred	2012-12-31	$92,831
Benefits paid (including direct rollovers)	2012-12-31	$90,915
Total plan assets at end of year	2012-12-31	$1,011,942
Total plan assets at beginning of year	2012-12-31	$0
Total contributions received or receivable from participants	2012-12-31	$75,585
Other income received	2012-12-31	$983,668
Net income (gross income less expenses)	2012-12-31	$1,011,942
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,011,942
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$45,520
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,916
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2012-12-31	0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
2011 : PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$227,159
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$866,300
Total plan assets at beginning of year	2011-12-31	$639,141
Value of fidelity bond covering the plan	2011-12-31	$100,000
Total contributions received or receivable from participants	2011-12-31	$80,100
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-20,453
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$227,159
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$866,300
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$639,141
Assets. Value of participant loans	2011-12-31	$14,909
Total contributions received or receivable from employer(s)	2011-12-31	$167,512
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$472,412
Expenses. Total of all expenses incurred	2010-12-31	$339,975
Benefits paid (including direct rollovers)	2010-12-31	$353,228
Total plan assets at end of year	2010-12-31	$639,141
Total plan assets at beginning of year	2010-12-31	$506,704
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$87,975
Contributions received from other sources (not participants or employers)	2010-12-31	$238,741
Other income received	2010-12-31	$100,651
Net income (gross income less expenses)	2010-12-31	$132,437
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$639,141
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$506,704
Assets. Value of participant loans	2010-12-31	$14,035
Total contributions received or receivable from employer(s)	2010-12-31	$45,045
Value of certain deemed distributions of participant loans	2010-12-31	$-14,867
Value of corrective distributions	2010-12-31	$1,547
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$67
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST

2012: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PERE MARQUETTE EMERGENCY PHYSI 401 K PROFIT SHARING PLAN TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PERE MARQUETTE EMERGENCY PHYSI
Employer identification number (EIN):	202544766
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)