401k Plan data: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN plan

HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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.
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

HLS PHARMACIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: HLS PHARMACIES, INC.

Employer identification number (EIN): 351960290

NAIC Classification: 453990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 ANETTA DILL
001 2016-01-01 TIM WEISS
001 2015-01-01 TIM WEISS
001 2014-01-01 TIMOTHY M. WEISS 2015-04-01 TIMOTHY M. WEISS 2015-04-01
001 2013-01-01 TIMOTHY M. WEISS 2014-07-09 TIMOTHY M. WEISS 2014-07-09
001 2012-01-01 TIM WEISS 2013-05-22 TIM WEISS 2013-05-22
001 2011-01-01 TIM WEISS 2012-04-26 TIM WEISS 2012-04-26
001 2010-01-01 TIM WEISS 2011-05-09 TIM WEISS 2011-05-09

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	ANETTA DILL
001	2016-01-01	TIM WEISS
001	2015-01-01	TIM WEISS
001	2014-01-01	TIMOTHY M. WEISS	2015-04-01	TIMOTHY M. WEISS	2015-04-01
001	2013-01-01	TIMOTHY M. WEISS	2014-07-09	TIMOTHY M. WEISS	2014-07-09
001	2012-01-01	TIM WEISS	2013-05-22	TIM WEISS	2013-05-22
001	2011-01-01	TIM WEISS	2012-04-26	TIM WEISS	2012-04-26
001	2010-01-01	TIM WEISS	2011-05-09	TIM WEISS	2011-05-09

Plan Statistics for HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2019: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
2018: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 75
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 17
Number of other retired or separated participants entitled to future benefits 2018-01-01 10
Total of all active and inactive participants 2018-01-01 27
Total participants 2018-01-01 27
Number of participants with account balances 2018-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 72
Number of other retired or separated participants entitled to future benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 75
Total participants 2017-01-01 75
Number of participants with account balances 2017-01-01 40
2016: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 75
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 52
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 54
Number of participants with account balances 2016-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 4
2015: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 60
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 62
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 13
Total of all active and inactive participants 2015-01-01 75
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 75
Number of participants with account balances 2015-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0

Measure	Date	Value
2019: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
2018: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	75
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	17
Number of other retired or separated participants entitled to future benefits	2018-01-01	10
Total of all active and inactive participants	2018-01-01	27
Total participants	2018-01-01	27
Number of participants with account balances	2018-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	72
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	75
Total participants	2017-01-01	75
Number of participants with account balances	2017-01-01	40
2016: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	75
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	52
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	54
Number of participants with account balances	2016-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	4
2015: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	60
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	62
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	13
Total of all active and inactive participants	2015-01-01	75
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	75
Number of participants with account balances	2015-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0

Financial Data on HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2019 : HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan	2019-06-11	$0
Total plan liabilities at end of year	2019-06-11	$0
Total plan liabilities at beginning of year	2019-06-11	$0
Total income from all sources	2019-06-11	$27,295
Expenses. Total of all expenses incurred	2019-06-11	$328,186
Benefits paid (including direct rollovers)	2019-06-11	$325,317
Total plan assets at end of year	2019-06-11	$0
Total plan assets at beginning of year	2019-06-11	$300,891
Value of fidelity bond covering the plan	2019-06-11	$500,000
Total contributions received or receivable from participants	2019-06-11	$0
Expenses. Other expenses not covered elsewhere	2019-06-11	$0
Contributions received from other sources (not participants or employers)	2019-06-11	$0
Other income received	2019-06-11	$27,295
Noncash contributions received	2019-06-11	$0
Net income (gross income less expenses)	2019-06-11	$-300,891
Net plan assets at end of year (total assets less liabilities)	2019-06-11	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-06-11	$300,891
Total contributions received or receivable from employer(s)	2019-06-11	$0
Value of certain deemed distributions of participant loans	2019-06-11	$0
Value of corrective distributions	2019-06-11	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-06-11	$2,869
2018 : HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$2,038
Expenses. Total of all expenses incurred	2018-12-31	$611,141
Benefits paid (including direct rollovers)	2018-12-31	$594,486
Total plan assets at end of year	2018-12-31	$300,891
Total plan assets at beginning of year	2018-12-31	$909,994
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$18,482
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-16,444
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-609,103
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$300,891
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$909,994
Assets. Value of participant loans	2018-12-31	$0
Total contributions received or receivable from employer(s)	2018-12-31	$0
Value of certain deemed distributions of participant loans	2018-12-31	$8,914
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$7,741
2017 : HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$222,264
Expenses. Total of all expenses incurred	2017-12-31	$351,813
Benefits paid (including direct rollovers)	2017-12-31	$341,604
Total plan assets at end of year	2017-12-31	$909,994
Total plan assets at beginning of year	2017-12-31	$1,039,543
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$45,215
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$170,522
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$-129,549
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$909,994
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,039,543
Assets. Value of participant loans	2017-12-31	$13,263
Total contributions received or receivable from employer(s)	2017-12-31	$6,527
Value of certain deemed distributions of participant loans	2017-12-31	$-2,721
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$12,930
2016 : HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$328,597
Expenses. Total of all expenses incurred	2016-12-31	$303,550
Benefits paid (including direct rollovers)	2016-12-31	$287,101
Total plan assets at end of year	2016-12-31	$1,039,543
Total plan assets at beginning of year	2016-12-31	$1,014,496
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$115,714
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$78,831
Other income received	2016-12-31	$96,946
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$25,047
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,039,543
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,014,496
Assets. Value of participant loans	2016-12-31	$44,140
Total contributions received or receivable from employer(s)	2016-12-31	$37,106
Value of certain deemed distributions of participant loans	2016-12-31	$2,721
Value of corrective distributions	2016-12-31	$798
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$12,930
2015 : HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$-368,685
Expenses. Total of all expenses incurred	2015-12-31	$309
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$1,014,496
Total plan assets at beginning of year	2015-12-31	$1,383,490
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$55,822
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-424,507
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-368,994
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,014,496
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,383,490
Assets. Value of participant loans	2015-12-31	$37,724
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$309
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0

Form 5500 Responses for HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN

2019: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HLS PHARMACIES, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

058955-J

Policy instance

Insurance contract or identification number	058955-J
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-11-30
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker name

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Company Name:	HLS PHARMACIES, INC.
Employer identification number (EIN):	351960290
NAIC Classification:	453990