401k Plan data: DIABETES AMERICA LLC 401(K) PLAN TRUST plan

DIABETES AMERICA LLC 401(K) PLAN TRUST 401k Plan overview

Plan Name	DIABETES AMERICA LLC 401(K) PLAN TRUST
Plan identification number	001

DIABETES AMERICA LLC 401(K) PLAN TRUST 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

DIABETES AMERICA LLC has sponsored the creation of one or more 401k plans.

Company Name: DIABETES AMERICA LLC

Employer identification number (EIN): 364717610

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Additional information about DIABETES AMERICA LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 5076204

More information about DIABETES AMERICA LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIABETES AMERICA LLC 401(K) PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01
001 2015-01-01 DWAIN MORRIS
001 2014-01-01 PHILIP DOWLING
001 2013-01-01 PHILIP DOWLING
001 2012-03-01 JOSHUA DAHL 2013-10-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01
001	2015-01-01	DWAIN MORRIS
001	2014-01-01	PHILIP DOWLING
001	2013-01-01	PHILIP DOWLING
001	2012-03-01	JOSHUA DAHL	2013-10-08

Plan Statistics for DIABETES AMERICA LLC 401(K) PLAN TRUST

401k plan membership statisitcs for DIABETES AMERICA LLC 401(K) PLAN TRUST

Measure Date Value
2016: DIABETES AMERICA LLC 401(K) PLAN TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 148
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
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 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: DIABETES AMERICA LLC 401(K) PLAN TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 122
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 26
Total of all active and inactive participants 2015-01-01 148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 148
Number of participants with account balances 2015-01-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: DIABETES AMERICA LLC 401(K) PLAN TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 115
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 32
Total of all active and inactive participants 2014-01-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 147
Number of participants with account balances 2014-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: DIABETES AMERICA LLC 401(K) PLAN TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 129
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 14
Total of all active and inactive participants 2013-01-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 143
Number of participants with account balances 2013-01-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2016: DIABETES AMERICA LLC 401(K) PLAN TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	148
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
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	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: DIABETES AMERICA LLC 401(K) PLAN TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	122
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	26
Total of all active and inactive participants	2015-01-01	148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	148
Number of participants with account balances	2015-01-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: DIABETES AMERICA LLC 401(K) PLAN TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	115
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	32
Total of all active and inactive participants	2014-01-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	147
Number of participants with account balances	2014-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: DIABETES AMERICA LLC 401(K) PLAN TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	129
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	14
Total of all active and inactive participants	2013-01-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	143
Number of participants with account balances	2013-01-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on DIABETES AMERICA LLC 401(K) PLAN TRUST

Measure	Date	Value
2016 : DIABETES AMERICA LLC 401(K) PLAN TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-02-01	$0
Total transfer of assets from this plan	2016-02-01	$1,702,440
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-02-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-02-01	$0
Total income from all sources (including contributions)	2016-02-01	$13,215
Total loss/gain on sale of assets	2016-02-01	$0
Total of all expenses incurred	2016-02-01	$246,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-02-01	$215,214
Value of total corrective distributions	2016-02-01	$30,713
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-02-01	$0
Value of total assets at end of year	2016-02-01	$0
Value of total assets at beginning of year	2016-02-01	$1,935,960
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-02-01	$808
Total interest from all sources	2016-02-01	$277
Total dividends received (eg from common stock, registered investment company shares)	2016-02-01	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-02-01	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-02-01	$0
Was this plan covered by a fidelity bond	2016-02-01	Yes
Value of fidelity bond cover	2016-02-01	$500,000
If this is an individual account plan, was there a blackout period	2016-02-01	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-02-01	$0
Were there any nonexempt tranactions with any party-in-interest	2016-02-01	No
Participant contributions at beginning of year	2016-02-01	$1,685
Participant contributions at beginning of year	2016-02-01	$14,261
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-02-01	No
Value of net income/loss	2016-02-01	$-233,520
Value of net assets at end of year (total assets less liabilities)	2016-02-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-02-01	$1,935,960
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-02-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-02-01	No
Were any leases to which the plan was party in default or uncollectible	2016-02-01	No
Value of interest in pooled separate accounts at beginning of year	2016-02-01	$1,803,015
Interest earned on other investments	2016-02-01	$277
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-02-01	$116,999
Net investment gain/loss from pooled separate accounts	2016-02-01	$12,938
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-02-01	No
Was there a failure to transmit to the plan any participant contributions	2016-02-01	No
Has the plan failed to provide any benefit when due under the plan	2016-02-01	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-02-01	$215,214
Contract administrator fees	2016-02-01	$808
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-02-01	Yes
Did the plan have assets held for investment	2016-02-01	No
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	2016-02-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-02-01	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-02-01	Yes
Opinion of an independent qualified public accountant for this plan	2016-02-01	Disclaimer
Accountancy firm name	2016-02-01	WHITLEY PENN, LLP
Accountancy firm EIN	2016-02-01	752393478
2015 : DIABETES AMERICA LLC 401(K) PLAN TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$496,246
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$220,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$187,162
Value of total corrective distributions	2015-12-31	$28,984
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$512,172
Value of total assets at end of year	2015-12-31	$1,935,960
Value of total assets at beginning of year	2015-12-31	$1,660,073
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$4,213
Total interest from all sources	2015-12-31	$1,215
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$444,456
Participant contributions at end of year	2015-12-31	$1,685
Participant contributions at beginning of year	2015-12-31	$1,131
Participant contributions at end of year	2015-12-31	$14,261
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$67,716
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$275,887
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,935,960
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,660,073
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,803,015
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$1,536,586
Interest on participant loans	2015-12-31	$21
Interest earned on other investments	2015-12-31	$1,194
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$116,999
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$122,356
Net investment gain/loss from pooled separate accounts	2015-12-31	$-17,141
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$187,162
Contract administrator fees	2015-12-31	$4,213
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	WHITLEY PENN, LLP
Accountancy firm EIN	2015-12-31	752393478
2014 : DIABETES AMERICA LLC 401(K) PLAN TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$522,313
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$183,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$162,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$414,183
Value of total assets at end of year	2014-12-31	$1,660,073
Value of total assets at beginning of year	2014-12-31	$1,321,016
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$21,217
Total interest from all sources	2014-12-31	$1,464
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$3,902
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$411,589
Participant contributions at end of year	2014-12-31	$1,131
Participant contributions at beginning of year	2014-12-31	$2,226
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$2,594
Administrative expenses (other) incurred	2014-12-31	$17,315
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$339,057
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,660,073
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,321,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$1,536,586
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,202,201
Interest on participant loans	2014-12-31	$55
Interest earned on other investments	2014-12-31	$1,409
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$122,356
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$116,589
Net investment gain/loss from pooled separate accounts	2014-12-31	$106,666
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$162,039
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	WHITLEY PENN LLP
Accountancy firm EIN	2014-12-31	752393478
2013 : DIABETES AMERICA LLC 401(K) PLAN TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$536,844
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$191,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$189,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$355,314
Value of total assets at end of year	2013-12-31	$1,321,016
Value of total assets at beginning of year	2013-12-31	$975,775
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,303
Total interest from all sources	2013-12-31	$1,424
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$2,303
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$346,397
Participant contributions at end of year	2013-12-31	$2,226
Participant contributions at beginning of year	2013-12-31	$6,967
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$8,917
Administrative expenses (other) incurred	2013-12-31	$13,747
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$345,241
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,321,016
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$975,775
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,202,201
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$873,283
Interest on participant loans	2013-12-31	$23
Interest earned on other investments	2013-12-31	$1,401
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$116,589
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$95,525
Net investment gain/loss from pooled separate accounts	2013-12-31	$180,106
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$189,300
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	WHITLEY PENN LLP
Accountancy firm EIN	2013-12-31	752393478

Form 5500 Responses for DIABETES AMERICA LLC 401(K) PLAN TRUST

2016: DIABETES AMERICA LLC 401(K) PLAN TRUST 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	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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
2015: DIABETES AMERICA LLC 401(K) PLAN TRUST 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
2014: DIABETES AMERICA LLC 401(K) PLAN TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DIABETES AMERICA LLC 401(K) PLAN TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808230

Policy instance

Insurance contract or identification number	808230
Number of Individuals Covered	148
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $9,256
Total amount of fees paid to insurance company	USD $0
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	1
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 $9,256
Insurance broker organization code?	3
Insurance broker name	ART HAUSER INSURANCE INC.

STANDARD (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808230

Policy instance

Insurance contract or identification number	808230
Number of Individuals Covered	147
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,372
Total amount of fees paid to insurance company	USD $0
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	1
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
Commission paid to Insurance Broker	USD $7,372
Insurance broker organization code?	3
Insurance broker name	ART HAUSER INSURANCE INC.

STANDARD (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808230

Policy instance

Insurance contract or identification number	808230
Number of Individuals Covered	116
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $5,858
Total amount of fees paid to insurance company	USD $0
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	1
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
Commission paid to Insurance Broker	USD $5,858
Insurance broker organization code?	3
Insurance broker name	ART HAUSER INSURANCE INC.

Potentially related plans

DIABETES AMERICA, INC HEALTH & WELFARE PLANS [EIN = 201101570]

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Company Name:	DIABETES AMERICA LLC
Employer identification number (EIN):	364717610
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	5076204