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ACTION MEDICAL CENTER 401(K) PLAN 401k Plan overview

Plan NameACTION MEDICAL CENTER 401(K) PLAN
Plan identification number 001

ACTION MEDICAL CENTER 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • 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

ACTION MEDICAL CENTER, LLC has sponsored the creation of one or more 401k plans.

Company Name:ACTION MEDICAL CENTER, LLC
Employer identification number (EIN):263367855
NAIC Classification:621310
NAIC Description:Offices of Chiropractors

Additional information about ACTION MEDICAL CENTER, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 1381524

More information about ACTION MEDICAL CENTER, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACTION MEDICAL CENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01KATHRYN A. WEBB2020-11-16
0012019-01-01KATHRYN A WEBB2020-06-11 KATHRYN A WEBB2020-06-11
0012018-01-01K A WEBB2019-09-13
0012017-01-01

Plan Statistics for ACTION MEDICAL CENTER 401(K) PLAN

401k plan membership statisitcs for ACTION MEDICAL CENTER 401(K) PLAN

Measure Date Value
2020: ACTION MEDICAL CENTER 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0116
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: ACTION MEDICAL CENTER 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0117
Total number of active participants reported on line 7a of the Form 55002019-01-0116
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0117
Number of participants with account balances2019-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ACTION MEDICAL CENTER 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0116
Total number of active participants reported on line 7a of the Form 55002018-01-0110
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-014
Total of all active and inactive participants2018-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0114
Number of participants with account balances2018-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ACTION MEDICAL CENTER 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0116
Total number of active participants reported on line 7a of the Form 55002017-01-0113
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0114
Number of participants with account balances2017-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010

Financial Data on ACTION MEDICAL CENTER 401(K) PLAN

Measure Date Value
2020 : ACTION MEDICAL CENTER 401(K) PLAN 2020 401k financial data
Total plan liabilities at end of year2020-10-31$0
Total plan liabilities at beginning of year2020-10-31$0
Total income from all sources2020-10-31$43,674
Expenses. Total of all expenses incurred2020-10-31$873,936
Benefits paid (including direct rollovers)2020-10-31$867,962
Total plan assets at end of year2020-10-31$0
Total plan assets at beginning of year2020-10-31$830,262
Total contributions received or receivable from participants2020-10-31$0
Contributions received from other sources (not participants or employers)2020-10-31$0
Other income received2020-10-31$43,674
Net income (gross income less expenses)2020-10-31$-830,262
Net plan assets at end of year (total assets less liabilities)2020-10-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-10-31$830,262
Total contributions received or receivable from employer(s)2020-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-10-31$5,974
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-10-31$0
2019 : ACTION MEDICAL CENTER 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$147,169
Expenses. Total of all expenses incurred2019-12-31$97,129
Benefits paid (including direct rollovers)2019-12-31$87,380
Total plan assets at end of year2019-12-31$830,262
Total plan assets at beginning of year2019-12-31$780,222
Total contributions received or receivable from participants2019-12-31$0
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$147,169
Net income (gross income less expenses)2019-12-31$50,040
Net plan assets at end of year (total assets less liabilities)2019-12-31$830,262
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$780,222
Assets. Value of participant loans2019-12-31$0
Assets. Value of assets in partnership/joint-venture interests2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$9,749
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : ACTION MEDICAL CENTER 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$53,961
Total income from all sources2018-12-31$-38,365
Expenses. Total of all expenses incurred2018-12-31$791,264
Benefits paid (including direct rollovers)2018-12-31$781,344
Total plan assets at end of year2018-12-31$780,222
Total plan assets at beginning of year2018-12-31$1,555,890
Total contributions received or receivable from participants2018-12-31$0
Expenses. Other expenses not covered elsewhere2018-12-31$9,920
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-38,365
Net income (gross income less expenses)2018-12-31$-829,629
Net plan assets at end of year (total assets less liabilities)2018-12-31$780,222
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,555,890
Assets. Value of participant loans2018-12-31$18,081
Assets. Value of assets in partnership/joint-venture interests2018-12-31$40,630
Total contributions received or receivable from employer(s)2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : ACTION MEDICAL CENTER 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$1,440,074
Total income from all sources2017-12-31$132,855
Expenses. Total of all expenses incurred2017-12-31$15,089
Benefits paid (including direct rollovers)2017-12-31$2,568
Total plan assets at end of year2017-12-31$1,557,840
Total plan assets at beginning of year2017-12-31$0
Total contributions received or receivable from participants2017-12-31$0
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$132,855
Net income (gross income less expenses)2017-12-31$117,766
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,557,840
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$0
Assets. Value of assets in partnership/joint-venture interests2017-12-31$40,630
Total contributions received or receivable from employer(s)2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$12,521
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0

Form 5500 Responses for ACTION MEDICAL CENTER 401(K) PLAN

2020: ACTION MEDICAL CENTER 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ACTION MEDICAL CENTER 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ACTION MEDICAL CENTER 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ACTION MEDICAL CENTER 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan 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 number121884
Policy instance 1
Insurance contract or identification number121884
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $2,591
Total amount of fees paid to insurance companyUSD $0
Amount paid for insurance broker fees2591
Insurance broker organization code?4
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number121884
Policy instance 1
Insurance contract or identification number121884
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,127
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $3,751
Insurance broker organization code?4
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number121884
Policy instance 1
Insurance contract or identification number121884
Number of Individuals Covered5
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,078
Total amount of fees paid to insurance companyUSD $2,817
Commission paid to Insurance BrokerUSD $4,078
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameBLACK CREEK RETIREMENT PLANS, INC.

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