| Plan Name | PEREGRINE ACADEMIC SERVICES SELF FUNDED MEDICAL REIMBURSEMENT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | PEREGRINE ACADEMIC SERVICES, LLC |
| Employer identification number (EIN): | 264147742 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
Additional information about PEREGRINE ACADEMIC SERVICES, LLC
| Jurisdiction of Incorporation: | Wyoming Corporations Division |
| Incorporation Date: | 2009-01-27 |
| Company Identification Number: | 000565254 |
| Legal Registered Office Address: |
640 N HWY 14/16 Gillette United States of America (USA) 82716 |
More information about PEREGRINE ACADEMIC SERVICES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-11-01 | ||||
| 501 | 2016-11-01 | MATTHEW RAMEY | |||
| 501 | 2015-11-01 | RICHARD MANSHEIM |
| Measure | Date | Value |
|---|---|---|
| 2017 : PEREGRINE ACADEMIC SERVICES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 401k financial data | ||
| Total plan liabilities at beginning of year | 2017-10-31 | $95 |
| Total income from all sources | 2017-10-31 | $385,728 |
| Expenses. Total of all expenses incurred | 2017-10-31 | $377,462 |
| Benefits paid (including direct rollovers) | 2017-10-31 | $359,542 |
| Total plan assets at end of year | 2017-10-31 | $36,263 |
| Total plan assets at beginning of year | 2017-10-31 | $28,092 |
| Value of fidelity bond covering the plan | 2017-10-31 | $300,000 |
| Total contributions received or receivable from participants | 2017-10-31 | $43,408 |
| Other income received | 2017-10-31 | $237 |
| Net income (gross income less expenses) | 2017-10-31 | $8,266 |
| Net plan assets at end of year (total assets less liabilities) | 2017-10-31 | $36,263 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-10-31 | $27,997 |
| Total contributions received or receivable from employer(s) | 2017-10-31 | $342,083 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-10-31 | $17,920 |
| 2016 : PEREGRINE ACADEMIC SERVICES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k financial data | ||
| Total plan liabilities at end of year | 2016-10-31 | $95 |
| Total income from all sources | 2016-10-31 | $71,361 |
| Expenses. Total of all expenses incurred | 2016-10-31 | $43,364 |
| Benefits paid (including direct rollovers) | 2016-10-31 | $31,770 |
| Total plan assets at end of year | 2016-10-31 | $28,092 |
| Total plan assets at beginning of year | 2016-10-31 | $0 |
| Value of fidelity bond covering the plan | 2016-10-31 | $300,000 |
| Total contributions received or receivable from participants | 2016-10-31 | $44,798 |
| Other income received | 2016-10-31 | $38 |
| Net income (gross income less expenses) | 2016-10-31 | $27,997 |
| Net plan assets at end of year (total assets less liabilities) | 2016-10-31 | $27,997 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-10-31 | $0 |
| Total contributions received or receivable from employer(s) | 2016-10-31 | $26,525 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-10-31 | $11,594 |
| 2017: PEREGRINE ACADEMIC SERVICES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | This submission is the final filing | Yes |
| 2017-11-01 | Plan funding arrangement – Trust | Yes |
| 2017-11-01 | Plan benefit arrangement - Trust | Yes |
| 2016: PEREGRINE ACADEMIC SERVICES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 form 5500 responses | ||
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Plan funding arrangement – Trust | Yes |
| 2016-11-01 | Plan benefit arrangement - Trust | Yes |
| 2015: PEREGRINE ACADEMIC SERVICES SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 form 5500 responses | ||
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | First time form 5500 has been submitted | Yes |
| 2015-11-01 | Plan funding arrangement – Trust | Yes |
| 2015-11-01 | Plan benefit arrangement - Trust | Yes |