401k Plan data: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN plan

CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 401k Plan overview

Plan Name	CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN
Plan identification number	002

CARTHAGE VETERINARY SERVICE LTD 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.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CARTHAGE VETERINARY SERVICE LTD has sponsored the creation of one or more 401k plans.

Company Name: CARTHAGE VETERINARY SERVICE LTD

Employer identification number (EIN): 371077149

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 MARCY DEMINT 2023-10-16
002 2021-01-01 MARCY DEMINT 2022-10-12
002 2020-10-01 MARCY DEMINT 2021-10-15
002 2019-10-01 JENNIFER QUESENBERRY 2021-07-15
002 2018-10-01
002 2017-10-01
002 2016-10-01 JENNIFER QUESENBERRY
002 2015-10-01 JENNIFER QUESENBERRY
002 2014-10-01 JENNIFER QUESENBERRY
002 2013-10-01 CALLIE CONNOR
002 2012-10-01 CALLIE CONNOR
002 2011-10-01 CALLIE CONNOR
002 2009-10-01 CALLIE CONNOR

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	MARCY DEMINT	2023-10-16
002	2021-01-01	MARCY DEMINT	2022-10-12
002	2020-10-01	MARCY DEMINT	2021-10-15
002	2019-10-01	JENNIFER QUESENBERRY	2021-07-15
002	2018-10-01
002	2017-10-01
002	2016-10-01	JENNIFER QUESENBERRY
002	2015-10-01	JENNIFER QUESENBERRY
002	2014-10-01	JENNIFER QUESENBERRY
002	2013-10-01	CALLIE CONNOR
002	2012-10-01	CALLIE CONNOR
002	2011-10-01	CALLIE CONNOR
002	2009-10-01	CALLIE CONNOR

Plan Statistics for CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN

401k plan membership statisitcs for CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN

Measure Date Value
2022: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 96
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 57
Total of all active and inactive participants 2022-01-01 153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 153
Number of participants with account balances 2022-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 135
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 50
Total of all active and inactive participants 2021-01-01 185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 185
Number of participants with account balances 2021-01-01 158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 172
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 137
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 35
Total of all active and inactive participants 2020-10-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-10-01 0
Total participants 2020-10-01 172
Number of participants with account balances 2020-10-01 151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-10-01 0
2019: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 135
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 135
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 34
Total of all active and inactive participants 2019-10-01 169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-10-01 0
Total participants 2019-10-01 169
Number of participants with account balances 2019-10-01 143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-10-01 0
2016: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 109
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 88
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 23
Total of all active and inactive participants 2016-10-01 111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 111
Number of participants with account balances 2016-10-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 1
2015: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 97
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 79
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 30
Total of all active and inactive participants 2015-10-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 109
Number of participants with account balances 2015-10-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 13
2014: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 95
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 77
Number of other retired or separated participants entitled to future benefits 2014-10-01 20
Total of all active and inactive participants 2014-10-01 97
Total participants 2014-10-01 97
Number of participants with account balances 2014-10-01 97
2013: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 79
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 79
Number of other retired or separated participants entitled to future benefits 2013-10-01 22
Total of all active and inactive participants 2013-10-01 101
Total participants 2013-10-01 101
Number of participants with account balances 2013-10-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 3
2012: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 76
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 61
Number of other retired or separated participants entitled to future benefits 2012-10-01 18
Total of all active and inactive participants 2012-10-01 79
Total participants 2012-10-01 79
Number of participants with account balances 2012-10-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 1
2011: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 65
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 57
Number of other retired or separated participants entitled to future benefits 2011-10-01 19
Total of all active and inactive participants 2011-10-01 76
Total participants 2011-10-01 76
Number of participants with account balances 2011-10-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 5
2009: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 70
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 60
Number of other retired or separated participants entitled to future benefits 2009-10-01 9
Total of all active and inactive participants 2009-10-01 69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 69
Number of participants with account balances 2009-10-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0

Measure	Date	Value
2022: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	96
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	57
Total of all active and inactive participants	2022-01-01	153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	153
Number of participants with account balances	2022-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	135
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	50
Total of all active and inactive participants	2021-01-01	185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	185
Number of participants with account balances	2021-01-01	158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	172
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	137
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	35
Total of all active and inactive participants	2020-10-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-10-01	0
Total participants	2020-10-01	172
Number of participants with account balances	2020-10-01	151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-10-01	0
2019: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	135
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	135
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	34
Total of all active and inactive participants	2019-10-01	169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-10-01	0
Total participants	2019-10-01	169
Number of participants with account balances	2019-10-01	143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-10-01	0
2016: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	109
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	88
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	23
Total of all active and inactive participants	2016-10-01	111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	111
Number of participants with account balances	2016-10-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	1
2015: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	97
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	79
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	30
Total of all active and inactive participants	2015-10-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	109
Number of participants with account balances	2015-10-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	13
2014: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	95
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	77
Number of other retired or separated participants entitled to future benefits	2014-10-01	20
Total of all active and inactive participants	2014-10-01	97
Total participants	2014-10-01	97
Number of participants with account balances	2014-10-01	97
2013: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	79
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	79
Number of other retired or separated participants entitled to future benefits	2013-10-01	22
Total of all active and inactive participants	2013-10-01	101
Total participants	2013-10-01	101
Number of participants with account balances	2013-10-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	3
2012: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	76
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	61
Number of other retired or separated participants entitled to future benefits	2012-10-01	18
Total of all active and inactive participants	2012-10-01	79
Total participants	2012-10-01	79
Number of participants with account balances	2012-10-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	1
2011: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	65
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	57
Number of other retired or separated participants entitled to future benefits	2011-10-01	19
Total of all active and inactive participants	2011-10-01	76
Total participants	2011-10-01	76
Number of participants with account balances	2011-10-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	5
2009: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	70
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	60
Number of other retired or separated participants entitled to future benefits	2009-10-01	9
Total of all active and inactive participants	2009-10-01	69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	69
Number of participants with account balances	2009-10-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0

Financial Data on CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN

Measure	Date	Value
2022 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-810,058
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$612,064
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$583,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,603,340
Value of total assets at end of year	2022-12-31	$13,106,746
Value of total assets at beginning of year	2022-12-31	$14,528,868
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$29,003
Total interest from all sources	2022-12-31	$132
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$592,852
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$2,660,514
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$2,962,427
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$45
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$44
Other income not declared elsewhere	2022-12-31	$5,252
Total non interest bearing cash at end of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$-121,866
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,422,122
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$13,106,746
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$14,528,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$9,724,937
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$11,064,392
Value of interest in common/collective trusts at end of year	2022-12-31	$141,916
Value of interest in common/collective trusts at beginning of year	2022-12-31	$100,633
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$132
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-2,418,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,010,488
Employer contributions (assets) at end of year	2022-12-31	$579,334
Employer contributions (assets) at beginning of year	2022-12-31	$523,238
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$583,061
Contract administrator fees	2022-12-31	$29,003
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2022-12-31	430352985
2021 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$3,263,165
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$539,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$516,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,388,931
Value of total assets at end of year	2021-12-31	$14,528,868
Value of total assets at beginning of year	2021-12-31	$11,805,567
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$23,048
Total interest from all sources	2021-12-31	$4
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$579,121
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$2,962,427
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$2,342,666
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$83,603
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$44
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$44
Other income not declared elsewhere	2021-12-31	$1,055
Total non interest bearing cash at end of year	2021-12-31	$-121,866
Total non interest bearing cash at beginning of year	2021-12-31	$-7,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$2,723,301
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$14,528,868
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$11,805,567
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$11,064,392
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$9,258,507
Value of interest in common/collective trusts at end of year	2021-12-31	$100,633
Value of interest in common/collective trusts at beginning of year	2021-12-31	$83,301
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$4
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,873,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$726,207
Employer contributions (assets) at end of year	2021-12-31	$523,238
Employer contributions (assets) at beginning of year	2021-12-31	$128,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$516,816
Contract administrator fees	2021-12-31	$23,048
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2021-12-31	430352985
2020 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$1,611,232
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$47,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$41,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$361,976
Value of total assets at end of year	2020-12-31	$11,805,567
Value of total assets at beginning of year	2020-12-31	$10,241,508
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$5,695
Total interest from all sources	2020-12-31	$1
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$141,923
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$141,923
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$137,143
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$2,342,666
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$2,100,489
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$36,551
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$44
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$44
Other income not declared elsewhere	2020-12-31	$771
Total non interest bearing cash at end of year	2020-12-31	$-7,805
Total non interest bearing cash at beginning of year	2020-12-31	$25
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,564,059
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$11,805,567
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$10,241,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$9,258,507
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$7,614,399
Value of interest in common/collective trusts at end of year	2020-12-31	$83,301
Value of interest in common/collective trusts at beginning of year	2020-12-31	$67,915
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$1
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,106,561
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$188,282
Employer contributions (assets) at end of year	2020-12-31	$128,854
Employer contributions (assets) at beginning of year	2020-12-31	$458,636
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$41,478
Contract administrator fees	2020-12-31	$5,695
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2020-12-31	430352985
Total unrealized appreciation/depreciation of assets	2020-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Total income from all sources (including contributions)	2020-09-30	$2,075,921
Total loss/gain on sale of assets	2020-09-30	$0
Total of all expenses incurred	2020-09-30	$197,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-09-30	$174,999
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-09-30	$1,616,614
Value of total assets at end of year	2020-09-30	$10,241,508
Value of total assets at beginning of year	2020-09-30	$8,362,641
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-09-30	$22,055
Total interest from all sources	2020-09-30	$74
Total dividends received (eg from common stock, registered investment company shares)	2020-09-30	$288,670
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-09-30	$288,670
Was this plan covered by a fidelity bond	2020-09-30	Yes
Value of fidelity bond cover	2020-09-30	$500,000
If this is an individual account plan, was there a blackout period	2020-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-09-30	No
Contributions received from participants	2020-09-30	$484,455
Assets. Other investments not covered elsewhere at end of year	2020-09-30	$2,100,489
Assets. Other investments not covered elsewhere at beginning of year	2020-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-09-30	$6,915
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-09-30	$44
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-09-30	$0
Other income not declared elsewhere	2020-09-30	$3,378
Total non interest bearing cash at end of year	2020-09-30	$25
Total non interest bearing cash at beginning of year	2020-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-09-30	No
Value of net income/loss	2020-09-30	$1,878,867
Value of net assets at end of year (total assets less liabilities)	2020-09-30	$10,241,508
Value of net assets at beginning of year (total assets less liabilities)	2020-09-30	$8,362,641
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-09-30	No
Were any leases to which the plan was party in default or uncollectible	2020-09-30	No
Investment advisory and management fees	2020-09-30	$22,055
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-09-30	$7,614,399
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-09-30	$8,362,641
Value of interest in common/collective trusts at end of year	2020-09-30	$67,915
Value of interest in common/collective trusts at beginning of year	2020-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-09-30	$74
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-09-30	$167,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-09-30	No
Was there a failure to transmit to the plan any participant contributions	2020-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2020-09-30	No
Contributions received in cash from employer	2020-09-30	$1,125,244
Employer contributions (assets) at end of year	2020-09-30	$458,636
Employer contributions (assets) at beginning of year	2020-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-09-30	$174,999
Did the plan have assets held for investment	2020-09-30	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	2020-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-09-30	Disclaimer
Accountancy firm name	2020-09-30	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2020-09-30	430352985
2017 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-09-30	$208
Total income from all sources	2017-09-30	$2,113,470
Expenses. Total of all expenses incurred	2017-09-30	$397,516
Benefits paid (including direct rollovers)	2017-09-30	$363,097
Total plan assets at end of year	2017-09-30	$11,008,492
Total plan assets at beginning of year	2017-09-30	$9,292,330
Value of fidelity bond covering the plan	2017-09-30	$500,000
Total contributions received or receivable from participants	2017-09-30	$424,441
Other income received	2017-09-30	$1,105,725
Net income (gross income less expenses)	2017-09-30	$1,715,954
Net plan assets at end of year (total assets less liabilities)	2017-09-30	$11,008,492
Net plan assets at beginning of year (total assets less liabilities)	2017-09-30	$9,292,330
Total contributions received or receivable from employer(s)	2017-09-30	$583,304
Expenses. Administrative service providers (salaries,fees and commissions)	2017-09-30	$34,419
2016 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-09-30	$1,799,734
Expenses. Total of all expenses incurred	2016-09-30	$308,224
Benefits paid (including direct rollovers)	2016-09-30	$268,153
Total plan assets at end of year	2016-09-30	$9,292,330
Total plan assets at beginning of year	2016-09-30	$7,800,820
Value of fidelity bond covering the plan	2016-09-30	$500,000
Total contributions received or receivable from participants	2016-09-30	$357,487
Other income received	2016-09-30	$934,801
Net income (gross income less expenses)	2016-09-30	$1,491,510
Net plan assets at end of year (total assets less liabilities)	2016-09-30	$9,292,330
Net plan assets at beginning of year (total assets less liabilities)	2016-09-30	$7,800,820
Total contributions received or receivable from employer(s)	2016-09-30	$507,446
Expenses. Administrative service providers (salaries,fees and commissions)	2016-09-30	$40,071
2015 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-09-30	$536,408
Expenses. Total of all expenses incurred	2015-09-30	$438,698
Benefits paid (including direct rollovers)	2015-09-30	$407,666
Total plan assets at end of year	2015-09-30	$7,800,820
Total plan assets at beginning of year	2015-09-30	$7,703,110
Value of fidelity bond covering the plan	2015-09-30	$500,000
Total contributions received or receivable from participants	2015-09-30	$330,341
Expenses. Other expenses not covered elsewhere	2015-09-30	$31,032
Other income received	2015-09-30	$-280,735
Net income (gross income less expenses)	2015-09-30	$97,710
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$7,800,820
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$7,703,110
Total contributions received or receivable from employer(s)	2015-09-30	$486,802
2014 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-09-30	$1,268,970
Expenses. Total of all expenses incurred	2014-09-30	$126,279
Benefits paid (including direct rollovers)	2014-09-30	$86,660
Total plan assets at end of year	2014-09-30	$7,703,110
Total plan assets at beginning of year	2014-09-30	$6,560,419
Value of fidelity bond covering the plan	2014-09-30	$500,000
Total contributions received or receivable from participants	2014-09-30	$263,086
Other income received	2014-09-30	$610,276
Net income (gross income less expenses)	2014-09-30	$1,142,691
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$7,703,110
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$6,560,419
Total contributions received or receivable from employer(s)	2014-09-30	$395,608
Expenses. Administrative service providers (salaries,fees and commissions)	2014-09-30	$39,619
2013 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-09-30	$1,313,070
Expenses. Total of all expenses incurred	2013-09-30	$174,077
Benefits paid (including direct rollovers)	2013-09-30	$154,209
Total plan assets at end of year	2013-09-30	$6,560,419
Total plan assets at beginning of year	2013-09-30	$5,421,426
Value of fidelity bond covering the plan	2013-09-30	$500,000
Total contributions received or receivable from participants	2013-09-30	$253,506
Other income received	2013-09-30	$689,906
Net income (gross income less expenses)	2013-09-30	$1,138,993
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$6,560,419
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$5,421,426
Total contributions received or receivable from employer(s)	2013-09-30	$369,658
Expenses. Administrative service providers (salaries,fees and commissions)	2013-09-30	$19,868
2012 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-09-30	$1,232,779
Expenses. Total of all expenses incurred	2012-09-30	$392,067
Benefits paid (including direct rollovers)	2012-09-30	$366,476
Total plan assets at end of year	2012-09-30	$5,421,426
Total plan assets at beginning of year	2012-09-30	$4,580,714
Value of fidelity bond covering the plan	2012-09-30	$500,000
Total contributions received or receivable from participants	2012-09-30	$218,567
Other income received	2012-09-30	$699,127
Net income (gross income less expenses)	2012-09-30	$840,712
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$5,421,426
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$4,580,714
Total contributions received or receivable from employer(s)	2012-09-30	$315,085
Expenses. Administrative service providers (salaries,fees and commissions)	2012-09-30	$25,591
2011 : CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$443,767
Expenses. Total of all expenses incurred	2011-09-30	$158,602
Benefits paid (including direct rollovers)	2011-09-30	$149,022
Total plan assets at end of year	2011-09-30	$4,580,714
Total plan assets at beginning of year	2011-09-30	$4,295,549
Value of fidelity bond covering the plan	2011-09-30	$500,000
Total contributions received or receivable from participants	2011-09-30	$216,854
Other income received	2011-09-30	$-107,462
Net income (gross income less expenses)	2011-09-30	$285,165
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$4,580,714
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$4,295,549
Total contributions received or receivable from employer(s)	2011-09-30	$334,375
Expenses. Administrative service providers (salaries,fees and commissions)	2011-09-30	$9,580

Form 5500 Responses for CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN

2022: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Trust	Yes
2020-10-01	Plan benefit arrangement - Trust	Yes
2019: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Trust	Yes
2019-10-01	Plan benefit arrangement - Trust	Yes
2016: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: CARTHAGE VETERINARY SERVICE LTD PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

6292102

Policy instance

Insurance contract or identification number	6292102
Number of Individuals Covered	1
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	GREGORY A MCROBERTS

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )

Policy contract number

097705

Policy instance

Insurance contract or identification number	097705
Number of Individuals Covered	2
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

6292102

Policy instance

Insurance contract or identification number	6292102
Number of Individuals Covered	1
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )

Policy contract number

097705

Policy instance

Insurance contract or identification number	097705
Number of Individuals Covered	2
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

6292102

Policy instance

Insurance contract or identification number	6292102
Number of Individuals Covered	1
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )

Policy contract number

097705

Policy instance

Insurance contract or identification number	097705
Number of Individuals Covered	2
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )

Policy contract number

097705

Policy instance

Insurance contract or identification number	097705
Number of Individuals Covered	2
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

6292102

Policy instance

Insurance contract or identification number	6292102
Number of Individuals Covered	1
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )

Policy contract number

097705

Policy instance

Insurance contract or identification number	097705
Number of Individuals Covered	4
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

6292102

Policy instance

Insurance contract or identification number	6292102
Number of Individuals Covered	1
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )

Policy contract number

097705

Policy instance

Insurance contract or identification number	097705
Number of Individuals Covered	2
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

6292102

Policy instance

Insurance contract or identification number	6292102
Number of Individuals Covered	1
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CARTHAGE VETERINARY SERVICE LTD
Employer identification number (EIN):	371077149
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners