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LIFECARE AMBULANCE SERVICE 401(A) RETIREMENT PLAN 401k Plan overview

Plan NameLIFECARE AMBULANCE SERVICE 401(A) RETIREMENT PLAN
Plan identification number 001

LIFECARE AMBULANCE SERVICE 401(A) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
    SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='382441192' AND PlanID='001'

401k Sponsoring company profile

LIFECARE AMBULANCE SERVICE has sponsored the creation of one or more 401k plans.

Company Name:LIFECARE AMBULANCE SERVICE
Employer identification number (EIN):382441192
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFECARE AMBULANCE SERVICE 401(A) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012014-01-01RONALD SLAGELL RONALD SLAGELL2015-07-15
0012013-01-01DEANA POWELL DEANA POWELL2014-07-02
0012012-01-01RONALD SLAGELL2013-03-04 RONALD SLAGELL2013-03-04
0012011-01-01RON SLAGELL2012-07-26 RON SLAGELL2012-07-26
0012010-01-01DEANA POWELL2011-07-13 DEANA POWELL2011-07-13

Financial Data on LIFECARE AMBULANCE SERVICE 401(A) RETIREMENT PLAN

Measure Date Value
2014 : LIFECARE AMBULANCE SERVICE 401(A) RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-12-26$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-26$0
Total unrealized appreciation/depreciation of assets2014-12-26$0
Total transfer of assets to this plan2014-12-26$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-26$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-26$0
Total income from all sources (including contributions)2014-12-26$79,079
Total loss/gain on sale of assets2014-12-26$0
Total of all expenses incurred2014-12-26$1,412,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-26$1,393,920
Value of total corrective distributions2014-12-26$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-26$0
Value of total assets at end of year2014-12-26$0
Value of total assets at beginning of year2014-12-26$1,333,586
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-26$18,745
Total income from rents2014-12-26$0
Total interest from all sources2014-12-26$1,715
Total dividends received (eg from common stock, registered investment company shares)2014-12-26$3,907
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-26Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2014-12-26$0
Total dividends received from registered investment company shares (eg mutual funds)2014-12-26$3,907
Administrative expenses professional fees incurred2014-12-26$0
Was this plan covered by a fidelity bond2014-12-26Yes
Value of fidelity bond cover2014-12-26$400,000
If this is an individual account plan, was there a blackout period2014-12-26No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-26$0
Were there any nonexempt tranactions with any party-in-interest2014-12-26No
Amount of non-exempt transactions with any party-in-interest2014-12-26$0
Contributions received from participants2014-12-26$0
Participant contributions at end of year2014-12-26$0
Participant contributions at beginning of year2014-12-26$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-26$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-26$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-26$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-26$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-26$0
Other income not declared elsewhere2014-12-26$0
Administrative expenses (other) incurred2014-12-26$0
Liabilities. Value of operating payables at beginning of year2014-12-26$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-26No
Value of net income/loss2014-12-26$-1,333,586
Value of net assets at end of year (total assets less liabilities)2014-12-26$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-26$1,333,586
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-26No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-26No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2014-12-26$0
Were any leases to which the plan was party in default or uncollectible2014-12-26No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2014-12-26$0
Investment advisory and management fees2014-12-26$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-26$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-26$1,101,477
Income. Interest from loans (other than to participants)2014-12-26$0
Interest earned on other investments2014-12-26$1,715
Income. Interest from US Government securities2014-12-26$0
Income. Interest from corporate debt instruments2014-12-26$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-26$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-26$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-26$89,236
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-26$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-26$73,457
Net investment gain/loss from pooled separate accounts2014-12-26$0
Net investment gain or loss from common/collective trusts2014-12-26$0
Net gain/loss from 103.12 investment entities2014-12-26$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-26No
Was there a failure to transmit to the plan any participant contributions2014-12-26No
Has the plan failed to provide any benefit when due under the plan2014-12-26No
Contributions received in cash from employer2014-12-26$0
Employer contributions (assets) at end of year2014-12-26$0
Employer contributions (assets) at beginning of year2014-12-26$142,873
Income. Dividends from preferred stock2014-12-26$0
Income. Dividends from common stock2014-12-26$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-26$1,393,920
Contract administrator fees2014-12-26$18,745
Liabilities. Value of benefit claims payable at beginning of year2014-12-26$0
Did the plan have assets held for investment2014-12-26No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-26No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-26Yes
Aggregate proceeds on sale of assets2014-12-26$0
Aggregate carrying amount (costs) on sale of assets2014-12-26$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-12-26$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-26Yes
Opinion of an independent qualified public accountant for this plan2014-12-26Disclaimer
Accountancy firm name2014-12-26JESSUP GROUP
Accountancy firm EIN2014-12-26383086068
2013 : LIFECARE AMBULANCE SERVICE 401(A) RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$0
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets to this plan2013-12-31$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$463,900
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$71,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$57,792
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$271,276
Value of total assets at end of year2013-12-31$1,333,586
Value of total assets at beginning of year2013-12-31$940,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$13,345
Total income from rents2013-12-31$0
Total interest from all sources2013-12-31$2,004
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$15,262
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$15,262
Administrative expenses professional fees incurred2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$300,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Amount of non-exempt transactions with any party-in-interest2013-12-31$0
Contributions received from participants2013-12-31$0
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$0
Administrative expenses (other) incurred2013-12-31$0
Liabilities. Value of operating payables at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$392,763
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,333,586
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$940,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2013-12-31$0
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2013-12-31$0
Investment advisory and management fees2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,101,477
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$856,343
Income. Interest from loans (other than to participants)2013-12-31$0
Interest earned on other investments2013-12-31$2,004
Income. Interest from US Government securities2013-12-31$0
Income. Interest from corporate debt instruments2013-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$89,236
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$84,480
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$175,358
Net investment gain/loss from pooled separate accounts2013-12-31$0
Net investment gain or loss from common/collective trusts2013-12-31$0
Net gain/loss from 103.12 investment entities2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$271,276
Employer contributions (assets) at end of year2013-12-31$142,873
Employer contributions (assets) at beginning of year2013-12-31$0
Income. Dividends from preferred stock2013-12-31$0
Income. Dividends from common stock2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$57,792
Contract administrator fees2013-12-31$13,345
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$0
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31JESSUP GROUP
Accountancy firm EIN2013-12-31383086068

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441462
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441462
Policy instance 1

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