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MEDSOURCE 401 (K) PLAN 401k Plan overview

Plan NameMEDSOURCE 401 (K) PLAN
Plan identification number 001

MEDSOURCE 401 (K) PLAN Benefits

401k Plan TypeDefined 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

MS CLINICAL SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:MS CLINICAL SERVICES, LLC
Employer identification number (EIN):275036036
NAIC Classification:541700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDSOURCE 401 (K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01VICTORIA NEWELL2022-11-10
0012020-01-01
0012019-01-01
0012018-01-01

Financial Data on MEDSOURCE 401 (K) PLAN

Measure Date Value
2021 : MEDSOURCE 401 (K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-08-10$0
Total transfer of assets from this plan2021-08-10$4,627,424
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-10$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-10$0
Total income from all sources (including contributions)2021-08-10$996,303
Total loss/gain on sale of assets2021-08-10$0
Total of all expenses incurred2021-08-10$865,625
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-10$853,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-10$510,450
Value of total assets at end of year2021-08-10$0
Value of total assets at beginning of year2021-08-10$4,496,746
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-10$12,379
Total interest from all sources2021-08-10$890
Total dividends received (eg from common stock, registered investment company shares)2021-08-10$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-10Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-08-10$0
Was this plan covered by a fidelity bond2021-08-10Yes
Value of fidelity bond cover2021-08-10$500,000
If this is an individual account plan, was there a blackout period2021-08-10No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-08-10$0
Were there any nonexempt tranactions with any party-in-interest2021-08-10No
Contributions received from participants2021-08-10$405,526
Participant contributions at end of year2021-08-10$0
Participant contributions at beginning of year2021-08-10$38,800
Income. Received or receivable in cash from other sources (including rollovers)2021-08-10$4,839
Administrative expenses (other) incurred2021-08-10$12,379
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-10No
Value of net income/loss2021-08-10$130,678
Value of net assets at end of year (total assets less liabilities)2021-08-10$0
Value of net assets at beginning of year (total assets less liabilities)2021-08-10$4,496,746
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-10No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-10No
Were any leases to which the plan was party in default or uncollectible2021-08-10No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-08-10$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-08-10$3,974,614
Interest on participant loans2021-08-10$771
Value of interest in common/collective trusts at end of year2021-08-10$0
Value of interest in common/collective trusts at beginning of year2021-08-10$483,332
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-08-10$119
Net investment gain/loss from pooled separate accounts2021-08-10$480,839
Net investment gain or loss from common/collective trusts2021-08-10$4,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-10No
Was there a failure to transmit to the plan any participant contributions2021-08-10No
Has the plan failed to provide any benefit when due under the plan2021-08-10No
Contributions received in cash from employer2021-08-10$100,085
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-10$853,246
Did the plan have assets held for investment2021-08-10No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-10No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-10Yes
Opinion of an independent qualified public accountant for this plan2021-08-10Disclaimer
Accountancy firm name2021-08-10APPLE GROWTH PARTNERS
Accountancy firm EIN2021-08-10341082617
2020 : MEDSOURCE 401 (K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,929,993
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$750,797
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$729,365
Value of total corrective distributions2020-12-31$5,835
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,194,754
Value of total assets at end of year2020-12-31$4,496,746
Value of total assets at beginning of year2020-12-31$3,317,550
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$15,597
Total interest from all sources2020-12-31$2,048
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$675,210
Participant contributions at end of year2020-12-31$38,800
Participant contributions at beginning of year2020-12-31$23,279
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$467,382
Other income not declared elsewhere2020-12-31$10,417
Administrative expenses (other) incurred2020-12-31$15,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,179,196
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,496,746
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,317,550
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$3,974,614
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,827,646
Interest on participant loans2020-12-31$2,048
Value of interest in common/collective trusts at end of year2020-12-31$483,332
Value of interest in common/collective trusts at beginning of year2020-12-31$466,625
Net investment gain/loss from pooled separate accounts2020-12-31$672,332
Net investment gain or loss from common/collective trusts2020-12-31$50,442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$52,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$729,365
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31APPLE GROWTH PARTNERS
Accountancy firm EIN2020-12-31814504770
2019 : MEDSOURCE 401 (K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,479,580
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$418,094
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$394,233
Value of total corrective distributions2019-12-31$17,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$903,992
Value of total assets at end of year2019-12-31$3,317,550
Value of total assets at beginning of year2019-12-31$2,256,064
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$6,769
Total interest from all sources2019-12-31$1,563
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$668,904
Participant contributions at end of year2019-12-31$23,279
Participant contributions at beginning of year2019-12-31$28,376
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$38,997
Other income not declared elsewhere2019-12-31$63
Administrative expenses (other) incurred2019-12-31$6,769
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,061,486
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,317,550
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,256,064
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,827,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,849,975
Interest on participant loans2019-12-31$1,563
Value of interest in common/collective trusts at end of year2019-12-31$466,625
Value of interest in common/collective trusts at beginning of year2019-12-31$377,713
Net investment gain/loss from pooled separate accounts2019-12-31$494,755
Net investment gain or loss from common/collective trusts2019-12-31$79,207
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$196,091
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$394,233
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31APPLE GROWTH PARTNERS
Accountancy firm EIN2019-12-31341082617
2018 : MEDSOURCE 401 (K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets to this plan2018-12-31$1,801,116
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$652,762
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$197,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$149,003
Value of total corrective distributions2018-12-31$45,678
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$812,578
Value of total assets at end of year2018-12-31$2,256,064
Value of total assets at beginning of year2018-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,133
Total interest from all sources2018-12-31$1,281
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$573,983
Participant contributions at end of year2018-12-31$28,376
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$63,285
Other income not declared elsewhere2018-12-31$622
Administrative expenses (other) incurred2018-12-31$3,133
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$454,948
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,256,064
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,849,975
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$0
Interest on participant loans2018-12-31$1,281
Value of interest in common/collective trusts at end of year2018-12-31$377,713
Value of interest in common/collective trusts at beginning of year2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-150,684
Net investment gain or loss from common/collective trusts2018-12-31$-11,035
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$175,310
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$149,003
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31APPLE GROWTH PARTNERS
Accountancy firm EIN2018-12-31341082617

Form 5500 Responses for MEDSOURCE 401 (K) PLAN

2021: MEDSOURCE 401 (K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MEDSOURCE 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 filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
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: MEDSOURCE 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 – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MEDSOURCE 401 (K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberYH5223
Policy instance 1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberYH5223
Policy instance 1

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