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| Plan Name | NORTHEAST REGIONAL AMBULANCE 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | NORTHEAST REGIONAL AMBULANCE |
| Employer identification number (EIN): | 204103838 |
| NAIC Classification: | 621900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2022-01-01 | BRIAN CAPONIGRO | 2023-03-07 | BRIAN CAPONIGRO | 2023-03-07 |
| 001 | 2021-01-01 | BRIAN CAPONIGRO | 2022-03-08 | BRIAN CAPONIGRO | 2022-03-08 |
| 001 | 2020-01-01 | BRIAN CAPONIGRO | 2021-02-10 | BRIAN CAPONIGRO | 2021-02-10 |
| 001 | 2020-01-01 | BRIAN CAPONIGRO | 2021-02-10 | BRIAN CAPONIGRO | 2021-02-10 |
| 001 | 2019-01-01 | BRIAN CAPONIGRO | 2020-02-04 | BRIAN CAPONIGRO | 2020-02-04 |
| 001 | 2018-01-01 | BRIAN CAPONIGRO | 2019-03-08 | BRIAN CAPONIGRO | 2019-03-08 |
| 001 | 2017-01-01 | BRIAN CAPONIGRO | 2018-08-14 | BRIAN CAPONIGRO | 2018-08-14 |
| 001 | 2017-01-01 | BRIAN CAPONIGRO | 2018-08-07 | BRIAN CAPONIGRO | 2018-08-07 |
| 001 | 2016-01-01 | BRIAN CAPONIGRO | 2017-02-21 | BRIAN CAPONIGRO | 2017-02-21 |
| 001 | 2015-01-01 | BRIAN CAPONIGRO | 2016-02-09 | BRIAN CAPONIGRO | 2016-02-09 |
| 001 | 2014-01-01 | BRIAN CAPONIGRO | 2015-04-30 | BRIAN CAPONIGRO | 2015-04-30 |
| 001 | 2013-01-01 | BRIAN CAPONIGRO | 2014-04-28 | BRIAN CAPONIGRO | 2014-04-28 |
| 001 | 2012-01-01 | BRIAN CAPONIGRO | 2013-07-08 | BRIAN CAPONIGRO | 2013-07-08 |
| 001 | 2011-01-01 | BRIAN CAPONIGRO | 2012-04-27 | BRIAN CAPONIGRO | 2012-04-27 |
| 001 | 2009-01-01 | BRIAN CAPONIGRO | BRIAN CAPONIGRO | 2010-06-28 | |
| 001 | 2009-01-01 | BRIAN CAPONIGRO | BRIAN CAPONIGRO | 2010-06-28 |
| Measure | Date | Value |
|---|---|---|
| 2009: NORTHEAST REGIONAL AMBULANCE 401(K) PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 52 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 39 |
| 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 | 5 |
| Total of all active and inactive participants | 2009-01-01 | 44 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 44 |
| Number of participants with account balances | 2009-01-01 | 34 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 4 |
| Measure | Date | Value |
|---|---|---|
| 2010 : NORTHEAST REGIONAL AMBULANCE 401(K) PLAN 2010 401k financial data | ||
| Transfers to/from the plan | 2010-12-31 | $0 |
| Total plan liabilities at end of year | 2010-12-31 | $0 |
| Total plan liabilities at beginning of year | 2010-12-31 | $0 |
| Total income from all sources | 2010-12-31 | $104,772 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $18,093 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $18,093 |
| Total plan assets at end of year | 2010-12-31 | $287,389 |
| Total plan assets at beginning of year | 2010-12-31 | $200,710 |
| Total contributions received or receivable from participants | 2010-12-31 | $61,476 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2010-12-31 | $89 |
| Other income received | 2010-12-31 | $33,069 |
| Noncash contributions received | 2010-12-31 | $0 |
| Net income (gross income less expenses) | 2010-12-31 | $86,679 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $287,389 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $200,710 |
| Assets. Value of participant loans | 2010-12-31 | $6,410 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $10,138 |
| Value of certain deemed distributions of participant loans | 2010-12-31 | $0 |
| Value of corrective distributions | 2010-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-12-31 | $0 |
| 2009: NORTHEAST REGIONAL AMBULANCE 401(K) PLAN 2009 form 5500 responses | ||
|---|---|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 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 – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 86296 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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