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DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN 401k Plan overview

Plan NameDONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN
Plan identification number 001

DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 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.
  • 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

DONALD MARTENS AND SONS AMBULANCE SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:DONALD MARTENS AND SONS AMBULANCE SERVICES, INC.
Employer identification number (EIN):341384114
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012011-01-01MICHELLE MARTENS
0012009-01-01MICHELLE MARTENS MICHELLE MARTENS2010-10-14

Plan Statistics for DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN

401k plan membership statisitcs for DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN

Measure Date Value
2011: DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01188
Total number of active participants reported on line 7a of the Form 55002011-01-01161
Total of all active and inactive participants2011-01-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01161
Number of participants with account balances2011-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2009: DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01160
Total number of active participants reported on line 7a of the Form 55002009-01-01180
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-019
Total of all active and inactive participants2009-01-01189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01189
Number of participants with account balances2009-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN

Measure Date Value
2011 : DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets from this plan2011-12-31$1,325,376
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,325,376
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$98,908
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$31,441
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$22,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$134,285
Value of total assets at end of year2011-12-31$1,325,376
Value of total assets at beginning of year2011-12-31$1,257,909
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$9,280
Total interest from all sources2011-12-31$5,005
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$250,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$110,770
Participant contributions at end of year2011-12-31$73,312
Participant contributions at beginning of year2011-12-31$65,242
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$1,325,376
Total non interest bearing cash at end of year2011-12-31$1,252,064
Total non interest bearing cash at beginning of year2011-12-31$1,970
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$67,467
Value of net assets at end of year (total assets less liabilities)2011-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,257,909
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$0
Value of interest in pooled separate accounts at beginning of year2011-12-31$1,106,137
Interest on participant loans2011-12-31$4,178
Interest earned on other investments2011-12-31$827
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$84,560
Net investment gain/loss from pooled separate accounts2011-12-31$-40,382
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$23,515
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$22,161
Contract administrator fees2011-12-31$9,280
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31MCGLADREY LLP
Accountancy firm EIN2011-12-31420714325
2010 : DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$249,618
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$103,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$93,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$137,059
Value of total assets at end of year2010-12-31$1,257,909
Value of total assets at beginning of year2010-12-31$1,111,883
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$10,424
Total interest from all sources2010-12-31$7,299
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$250,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$112,630
Participant contributions at end of year2010-12-31$65,242
Participant contributions at beginning of year2010-12-31$95,466
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$800
Administrative expenses (other) incurred2010-12-31$872
Total non interest bearing cash at end of year2010-12-31$1,970
Total non interest bearing cash at beginning of year2010-12-31$882
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$146,026
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,257,909
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,111,883
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$1,106,137
Value of interest in pooled separate accounts at beginning of year2010-12-31$932,543
Interest on participant loans2010-12-31$5,559
Interest earned on other investments2010-12-31$1,740
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$84,560
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$78,737
Net investment gain/loss from pooled separate accounts2010-12-31$105,260
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$24,429
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$3,455
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$93,168
Contract administrator fees2010-12-31$9,552
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31MCGLADREY PULLEN
Accountancy firm EIN2010-12-31420714325

Form 5500 Responses for DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN

2011: DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingYes
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: DONALD MARTENS AND SONS AMBULANCE SERVICE, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

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