401k Plan data: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN plan

MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN
Plan identification number	001

MASH CARE NETWORK 401(K) RETIREMENT SAVINGS 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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MEDFIRST URGENT CARE PLLC DBA MASH URGENT CARE has sponsored the creation of one or more 401k plans.

Company Name: MEDFIRST URGENT CARE PLLC DBA MASH URGENT CARE

Employer identification number (EIN): 364554986

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 MARK PUNDT 2019-10-02 MARK PUNDT 2019-10-02
001 2018-01-01
001 2017-01-01 MARK PUNDT MARK PUNDT 2018-10-11
001 2016-01-01 MARK PUNDT MARK PUNDT 2017-10-13
001 2016-01-01 MARK PUNDT 2017-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	MARK PUNDT	2019-10-02	MARK PUNDT	2019-10-02
001	2018-01-01
001	2017-01-01	MARK PUNDT		MARK PUNDT	2018-10-11
001	2016-01-01	MARK PUNDT		MARK PUNDT	2017-10-13
001	2016-01-01			MARK PUNDT	2017-10-11

Plan Statistics for MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2018: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 72
Total of all active and inactive participants 2018-01-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 72
Number of participants with account balances 2018-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 104
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 35
Total of all active and inactive participants 2017-01-01 139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 139
Number of participants with account balances 2017-01-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 398
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 323
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 56
Total of all active and inactive participants 2016-01-01 379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 379
Number of participants with account balances 2016-01-01 188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2018: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	72
Total of all active and inactive participants	2018-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	72
Number of participants with account balances	2018-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	104
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	35
Total of all active and inactive participants	2017-01-01	139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	139
Number of participants with account balances	2017-01-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	398
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	323
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	56
Total of all active and inactive participants	2016-01-01	379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	379
Number of participants with account balances	2016-01-01	188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN

Measure	Date	Value
2018 : MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2018 401k financial data
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	$353
Total income from all sources (including contributions)	2018-12-31	$353,196
Total of all expenses incurred	2018-12-31	$2,934,966
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,886,745
Expenses. Certain deemed distributions of participant loans	2018-12-31	$13,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$438,127
Value of total assets at end of year	2018-12-31	$4,556,315
Value of total assets at beginning of year	2018-12-31	$7,138,438
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$34,663
Total interest from all sources	2018-12-31	$2,242
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$292,483
Participant contributions at end of year	2018-12-31	$29,440
Participant contributions at beginning of year	2018-12-31	$47,370
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$133,228
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$4,206
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$353
Total non interest bearing cash at end of year	2018-12-31	$2,753
Total non interest bearing cash at beginning of year	2018-12-31	$2,780
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-2,581,770
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,556,315
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,138,085
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$14,633
Value of interest in pooled separate accounts at end of year	2018-12-31	$4,524,122
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$6,955,060
Interest on participant loans	2018-12-31	$2,242
Net investment gain/loss from pooled separate accounts	2018-12-31	$-87,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$141,438
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,886,745
Contract administrator fees	2018-12-31	$20,030
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2018-12-31	202368569
2017 : MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2017 401k financial data
Total transfer of assets from this plan	2017-12-31	$538,226
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$353
Total income from all sources (including contributions)	2017-12-31	$1,478,078
Total of all expenses incurred	2017-12-31	$1,515,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,451,530
Expenses. Certain deemed distributions of participant loans	2017-12-31	$47,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$479,615
Value of total assets at end of year	2017-12-31	$7,138,438
Value of total assets at beginning of year	2017-12-31	$7,713,439
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$15,771
Total interest from all sources	2017-12-31	$4,677
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$328,125
Participant contributions at end of year	2017-12-31	$47,370
Participant contributions at beginning of year	2017-12-31	$168,666
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$133,228
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$270,205
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$1,112
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$49
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$353
Total non interest bearing cash at end of year	2017-12-31	$2,780
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-37,128
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,138,085
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$7,713,439
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$9,595
Value of interest in pooled separate accounts at end of year	2017-12-31	$6,955,060
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$7,274,519
Interest on participant loans	2017-12-31	$4,677
Net investment gain/loss from pooled separate accounts	2017-12-31	$993,786
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$150,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,451,530
Contract administrator fees	2017-12-31	$6,176
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2017-12-31	202368569
2016 : MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2016 401k financial data
Total transfer of assets to this plan	2016-12-31	$167,628
Total income from all sources (including contributions)	2016-12-31	$1,062,375
Total of all expenses incurred	2016-12-31	$431,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$413,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,003,368
Value of total assets at end of year	2016-12-31	$7,713,439
Value of total assets at beginning of year	2016-12-31	$6,914,702
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$18,238
Total interest from all sources	2016-12-31	$9,936
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$6,550
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$673,263
Participant contributions at end of year	2016-12-31	$168,666
Participant contributions at beginning of year	2016-12-31	$190,360
Participant contributions at beginning of year	2016-12-31	$7,263
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$270,205
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$710,527
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$26,002
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$49
Other income not declared elsewhere	2016-12-31	$49
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$631,109
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$7,713,439
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,914,702
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$3,421
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$7,274,519
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$5,989,753
Interest on participant loans	2016-12-31	$9,936
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$49,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$304,103
Employer contributions (assets) at beginning of year	2016-12-31	$16,799
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$413,028
Contract administrator fees	2016-12-31	$8,267
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2016-12-31	202368569

Form 5500 Responses for MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN

2018: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS 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 – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS 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 – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MASH CARE NETWORK 401(K) RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )

Policy contract number

84985

Policy instance

Insurance contract or identification number	84985
Number of Individuals Covered	90
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MEDFIRST URGENT CARE PLLC DBA MASH URGENT CARE
Employer identification number (EIN):	364554986
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)