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Plan Name | PET EMERGENCY TREATMENT & SPECIALTIES, INC. EMPLOYEE BENEFIT PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PET EMERGENCY TREATMENT & SPECIALTIES, INC. |
Employer identification number (EIN): | 204011151 |
NAIC Classification: | 541940 |
NAIC Description: | Veterinary Services |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2021-12-01 |
Measure | Date | Value |
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2021: PET EMERGENCY TREATMENT & SPECIALTIES, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-12-01 | 66 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 81 |
Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
Total of all active and inactive participants | 2021-12-01 | 81 |
Measure | Date | Value |
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2022 : PET EMERGENCY TREATMENT & SPECIALTIES, INC. EMPLOYEE BENEFIT PLAN 2022 401k financial data | ||
Total plan liabilities at end of year | 2022-11-30 | $66,450 |
Total income from all sources | 2022-11-30 | $666,658 |
Expenses. Total of all expenses incurred | 2022-11-30 | $725,449 |
Benefits paid (including direct rollovers) | 2022-11-30 | $503,161 |
Total plan assets at end of year | 2022-11-30 | $7,659 |
Value of fidelity bond covering the plan | 2022-11-30 | $60,000 |
Total contributions received or receivable from participants | 2022-11-30 | $0 |
Expenses. Other expenses not covered elsewhere | 2022-11-30 | $210,708 |
Contributions received from other sources (not participants or employers) | 2022-11-30 | $0 |
Other income received | 2022-11-30 | $40 |
Net income (gross income less expenses) | 2022-11-30 | $-58,791 |
Net plan assets at end of year (total assets less liabilities) | 2022-11-30 | $-58,791 |
Net plan assets at beginning of year (total assets less liabilities) | 2022-11-30 | $0 |
Total contributions received or receivable from employer(s) | 2022-11-30 | $666,618 |
Value of corrective distributions | 2022-11-30 | $0 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2022-11-30 | $11,580 |
2021: PET EMERGENCY TREATMENT & SPECIALTIES, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses | ||
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2021-12-01 | Type of plan entity | Single employer plan |
2021-12-01 | First time form 5500 has been submitted | Yes |
2021-12-01 | Submission has been amended | No |
2021-12-01 | This submission is the final filing | No |
2021-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-12-01 | Plan is a collectively bargained plan | No |
2021-12-01 | Plan funding arrangement – Insurance | Yes |
2021-12-01 | Plan funding arrangement – Trust | Yes |
2021-12-01 | Plan benefit arrangement – Insurance | Yes |
2021-12-01 | Plan benefit arrangement - Trust | Yes |
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 136377 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 97444-01191 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | SGM-611038 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 30800047 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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