MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 401k Plan overview

Plan Name	MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING
Plan identification number	001

MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l). Profit-sharing ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1. Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met. Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash. Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities. Participant-directed brokerage accounts provided as an investment option under the plan. 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. Life insurance

401k Sponsoring company profile

MID DAKOTA CLINIC, P.C. has sponsored the creation of one or more 401k plans.

Company Name:	MID DAKOTA CLINIC, P.C.
Employer identification number (EIN):	450311334
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	CRAIG SCHAAF		CRAIG SCHAAF	2015-09-24
001	2013-01-01	CRAIG SCHAAF		CRAIG SCHAAF	2014-08-22
001	2012-01-01	CRAIG SCHAAF		CRAIG SCHAAF	2013-08-21
001	2011-01-01	CRAIG SCHAAF		CRAIG SCHAAF	2012-10-12
001	2009-01-01	CRAIG SCHAAF		CRAIG SCHAAF	2010-10-13
001	2009-01-01	CRAIG SCHAAF		CRAIG SCHAAF	2010-10-13

Plan Statistics for MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING

401k plan membership statisitcs for MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING

Measure	Date	Value
2022: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2022 401k membership
Total participants, beginning-of-year	2022-01-01	548
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	335
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	180
Total of all active and inactive participants	2022-01-01	516
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	517
Number of participants with account balances	2022-01-01	495
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2021 401k membership
Total participants, beginning-of-year	2021-01-01	589
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	412
Number of retired or separated participants receiving benefits	2021-01-01	6
Number of other retired or separated participants entitled to future benefits	2021-01-01	130
Total of all active and inactive participants	2021-01-01	548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	548
Number of participants with account balances	2021-01-01	534
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	23
2020: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2020 401k membership
Total participants, beginning-of-year	2020-01-01	650
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	447
Number of retired or separated participants receiving benefits	2020-01-01	5
Number of other retired or separated participants entitled to future benefits	2020-01-01	129
Total of all active and inactive participants	2020-01-01	581
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	581
Number of participants with account balances	2020-01-01	565
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	44
2019: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2019 401k membership
Total participants, beginning-of-year	2019-01-01	651
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	525
Number of retired or separated participants receiving benefits	2019-01-01	4
Number of other retired or separated participants entitled to future benefits	2019-01-01	96
Total of all active and inactive participants	2019-01-01	625
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	625
Number of participants with account balances	2019-01-01	605
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	28
2018: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2018 401k membership
Total participants, beginning-of-year	2018-01-01	656
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	552
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	89
Total of all active and inactive participants	2018-01-01	642
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	643
Number of participants with account balances	2018-01-01	631
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	20
2017: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2017 401k membership
Total participants, beginning-of-year	2017-01-01	625
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	475
Number of retired or separated participants receiving benefits	2017-01-01	22
Number of other retired or separated participants entitled to future benefits	2017-01-01	94
Total of all active and inactive participants	2017-01-01	591
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	592
Number of participants with account balances	2017-01-01	565
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	29
2016: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2016 401k membership
Total participants, beginning-of-year	2016-01-01	634
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	493
Number of retired or separated participants receiving benefits	2016-01-01	31
Number of other retired or separated participants entitled to future benefits	2016-01-01	91
Total of all active and inactive participants	2016-01-01	615
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	2
Total participants	2016-01-01	617
Number of participants with account balances	2016-01-01	599
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	19
2015: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2015 401k membership
Total participants, beginning-of-year	2015-01-01	603
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	491
Number of retired or separated participants receiving benefits	2015-01-01	27
Number of other retired or separated participants entitled to future benefits	2015-01-01	99
Total of all active and inactive participants	2015-01-01	617
Total participants	2015-01-01	617
Number of participants with account balances	2015-01-01	593
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	17
2014: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2014 401k membership
Total participants, beginning-of-year	2014-01-01	572
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	449
Number of retired or separated participants receiving benefits	2014-01-01	23
Number of other retired or separated participants entitled to future benefits	2014-01-01	108
Total of all active and inactive participants	2014-01-01	580
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	581
Number of participants with account balances	2014-01-01	570
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	14
2013: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2013 401k membership
Total participants, beginning-of-year	2013-01-01	537
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	435
Number of retired or separated participants receiving benefits	2013-01-01	19
Number of other retired or separated participants entitled to future benefits	2013-01-01	101
Total of all active and inactive participants	2013-01-01	555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	556
Number of participants with account balances	2013-01-01	531
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	35
2012: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2012 401k membership
Total participants, beginning-of-year	2012-01-01	507
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	463
Number of retired or separated participants receiving benefits	2012-01-01	8
Number of other retired or separated participants entitled to future benefits	2012-01-01	66
Total of all active and inactive participants	2012-01-01	537
Total participants	2012-01-01	537
Number of participants with account balances	2012-01-01	517
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	14
2011: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2011 401k membership
Total participants, beginning-of-year	2011-01-01	479
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	429
Number of retired or separated participants receiving benefits	2011-01-01	14
Number of other retired or separated participants entitled to future benefits	2011-01-01	64
Total of all active and inactive participants	2011-01-01	507
Total participants	2011-01-01	507
Number of participants with account balances	2011-01-01	494
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	24
2009: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2009 401k membership
Total participants, beginning-of-year	2009-01-01	424
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	405
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	40
Total of all active and inactive participants	2009-01-01	452
Total participants	2009-01-01	452
Number of participants with account balances	2009-01-01	440
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	5

Financial Data on MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING

Measure	Date	Value
2022 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$0
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
Expenses. Interest paid	2022-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-15,224,493
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$10,514,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$10,271,729
Expenses. Certain deemed distributions of participant loans	2022-12-31	$73,370
Value of total corrective distributions	2022-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$2,644,551
Value of total assets at end of year	2022-12-31	$80,960,693
Value of total assets at beginning of year	2022-12-31	$106,699,288
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$169,003
Total income from rents	2022-12-31	$0
Total interest from all sources	2022-12-31	$192,360
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$2,285,188
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2022-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$2,285,188
Assets. Real estate other than employer real property at end of year	2022-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2022-12-31	$0
Administrative expenses professional fees incurred	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-12-31	$0
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	$1,939,915
Participant contributions at end of year	2022-12-31	$20,727
Participant contributions at beginning of year	2022-12-31	$211,169
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$31,997
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$201,013
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$0
Assets. Loans (other than to participants) at end of year	2022-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Other income not declared elsewhere	2022-12-31	$2,464
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	$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	2022-12-31	No
Value of net income/loss	2022-12-31	$-25,738,595
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$80,960,693
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$106,699,288
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
Assets. partnership/joint venture interests at end of year	2022-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2022-12-31	$0
Investment advisory and management fees	2022-12-31	$75,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$37,605,076
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$58,307,250
Interest on participant loans	2022-12-31	$8,202
Income. Interest from loans (other than to participants)	2022-12-31	$0
Interest earned on other investments	2022-12-31	$184,158
Income. Interest from US Government securities	2022-12-31	$0
Income. Interest from corporate debt instruments	2022-12-31	$0
Value of interest in master investment trust accounts at end of year	2022-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2022-12-31	$0
Value of interest in common/collective trusts at end of year	2022-12-31	$36,376,514
Value of interest in common/collective trusts at beginning of year	2022-12-31	$41,453,419
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$6,454,753
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$4,901,364
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$435
Asset value of US Government securities at end of year	2022-12-31	$0
Asset value of US Government securities at beginning of year	2022-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-13,393,213
Net investment gain/loss from pooled separate accounts	2022-12-31	$0
Net investment gain or loss from common/collective trusts	2022-12-31	$-6,955,843
Net gain/loss from 103.12 investment entities	2022-12-31	$0
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	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Assets. Invements in employer securities at end of year	2022-12-31	$0
Assets. Invements in employer securities at beginning of year	2022-12-31	$0
Assets. Value of employer real property at end of year	2022-12-31	$0
Assets. Value of employer real property at beginning of year	2022-12-31	$0
Contributions received in cash from employer	2022-12-31	$503,623
Employer contributions (assets) at end of year	2022-12-31	$503,623
Employer contributions (assets) at beginning of year	2022-12-31	$1,794,089
Income. Dividends from preferred stock	2022-12-31	$0
Income. Dividends from common stock	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$10,271,294
Asset. Corporate debt instrument preferred debt at end of year	2022-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-12-31	$0
Contract administrator fees	2022-12-31	$94,003
Assets. Corporate common stocks other than exployer securities at end of year	2022-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-12-31	$0
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
Aggregate proceeds on sale of assets	2022-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2022-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2022-12-31	$0
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BRADY MARTZ
Accountancy firm EIN	2022-12-31	450310328
2021 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$4,787
Total unrealized appreciation/depreciation of assets	2021-12-31	$4,787
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	$20,232,731
Total loss/gain on sale of assets	2021-12-31	$53,984
Total of all expenses incurred	2021-12-31	$12,077,275
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$11,900,998
Expenses. Certain deemed distributions of participant loans	2021-12-31	$0
Value of total corrective distributions	2021-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$4,815,827
Value of total assets at end of year	2021-12-31	$106,699,288
Value of total assets at beginning of year	2021-12-31	$98,543,832
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$176,277
Total interest from all sources	2021-12-31	$159,577
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$4,299,280
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$4,299,280
Administrative expenses professional fees incurred	2021-12-31	$0
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	$2,831,777
Participant contributions at end of year	2021-12-31	$211,169
Participant contributions at beginning of year	2021-12-31	$236,780
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$31,997
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$30,197
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$189,961
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-12-31	$902,240
Other income not declared elsewhere	2021-12-31	$1,800
Administrative expenses (other) incurred	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$8,155,456
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$106,699,288
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$98,543,832
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
Investment advisory and management fees	2021-12-31	$75,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$58,307,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$57,318,598
Value of interest in pooled separate accounts at end of year	2021-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$0
Interest on participant loans	2021-12-31	$11,824
Interest earned on other investments	2021-12-31	$147,753
Value of interest in common/collective trusts at end of year	2021-12-31	$41,453,419
Value of interest in common/collective trusts at beginning of year	2021-12-31	$33,038,679
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$4,901,364
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$5,573,873
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$435
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$6,603,125
Net investment gain/loss from pooled separate accounts	2021-12-31	$0
Net investment gain or loss from common/collective trusts	2021-12-31	$4,294,351
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
Assets. Invements in employer securities at end of year	2021-12-31	$0
Assets. Invements in employer securities at beginning of year	2021-12-31	$0
Contributions received in cash from employer	2021-12-31	$1,794,089
Employer contributions (assets) at end of year	2021-12-31	$1,794,089
Employer contributions (assets) at beginning of year	2021-12-31	$2,345,705
Income. Dividends from common stock	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$10,998,323
Contract administrator fees	2021-12-31	$101,277
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
Aggregate proceeds on sale of assets	2021-12-31	$463,362
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$409,378
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BRADY MARTZ
Accountancy firm EIN	2021-12-31	450310328
2020 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 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	$18,932,112
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$7,563,415
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$7,381,999
Expenses. Certain deemed distributions of participant loans	2020-12-31	$0
Value of total corrective distributions	2020-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$6,049,282
Value of total assets at end of year	2020-12-31	$98,543,832
Value of total assets at beginning of year	2020-12-31	$87,175,135
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$181,416
Total interest from all sources	2020-12-31	$185,192
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$1,785,139
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	$1,785,139
Administrative expenses professional fees incurred	2020-12-31	$0
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	$3,100,791
Participant contributions at end of year	2020-12-31	$236,780
Participant contributions at beginning of year	2020-12-31	$257,061
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$30,197
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$43,239
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$600,020
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$0
Other income not declared elsewhere	2020-12-31	$1,335
Administrative expenses (other) incurred	2020-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$11,368,697
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$98,543,832
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$87,175,135
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
Investment advisory and management fees	2020-12-31	$73,445
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$57,318,598
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$58,302,194
Value of interest in pooled separate accounts at end of year	2020-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$0
Interest on participant loans	2020-12-31	$10,448
Interest earned on other investments	2020-12-31	$174,744
Value of interest in common/collective trusts at end of year	2020-12-31	$33,038,679
Value of interest in common/collective trusts at beginning of year	2020-12-31	$20,976,596
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$5,573,873
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$5,885,969
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$6,843,044
Net investment gain/loss from pooled separate accounts	2020-12-31	$0
Net investment gain or loss from common/collective trusts	2020-12-31	$4,068,120
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
Assets. Invements in employer securities at end of year	2020-12-31	$0
Assets. Invements in employer securities at beginning of year	2020-12-31	$0
Contributions received in cash from employer	2020-12-31	$2,348,471
Employer contributions (assets) at end of year	2020-12-31	$2,345,705
Employer contributions (assets) at beginning of year	2020-12-31	$1,710,076
Income. Dividends from common stock	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$7,381,999
Contract administrator fees	2020-12-31	$107,971
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	BRADY MARTZ
Accountancy firm EIN	2020-12-31	450310328
2019 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$21,947,221
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$8,246,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$8,055,093
Expenses. Certain deemed distributions of participant loans	2019-12-31	$0
Value of total corrective distributions	2019-12-31	$4,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$5,929,825
Value of total assets at end of year	2019-12-31	$87,175,135
Value of total assets at beginning of year	2019-12-31	$73,474,069
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$186,213
Total interest from all sources	2019-12-31	$218,667
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$2,423,784
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$2,423,784
Administrative expenses professional fees incurred	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$3,305,969
Participant contributions at end of year	2019-12-31	$257,061
Participant contributions at beginning of year	2019-12-31	$379,048
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$43,239
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$94,279
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$912,715
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$8,921
Administrative expenses (other) incurred	2019-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$13,701,066
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$87,175,135
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$73,474,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$73,498
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$58,302,194
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$47,780,670
Value of interest in pooled separate accounts at end of year	2019-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$0
Interest on participant loans	2019-12-31	$13,793
Interest earned on other investments	2019-12-31	$204,874
Value of interest in common/collective trusts at end of year	2019-12-31	$20,976,596
Value of interest in common/collective trusts at beginning of year	2019-12-31	$15,093,033
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$5,885,969
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$6,169,039
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$2,465
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$9,965,520
Net investment gain/loss from pooled separate accounts	2019-12-31	$0
Net investment gain or loss from common/collective trusts	2019-12-31	$3,400,504
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Assets. Invements in employer securities at end of year	2019-12-31	$0
Assets. Invements in employer securities at beginning of year	2019-12-31	$0
Contributions received in cash from employer	2019-12-31	$1,711,141
Employer contributions (assets) at end of year	2019-12-31	$1,710,076
Employer contributions (assets) at beginning of year	2019-12-31	$3,958,000
Income. Dividends from common stock	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$8,052,628
Contract administrator fees	2019-12-31	$112,715
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BRADY MARTZ
Accountancy firm EIN	2019-12-31	450310328
2018 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-5,596
Total unrealized appreciation/depreciation of assets	2018-12-31	$-5,596
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$4,970,406
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$4,870,072
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$4,700,735
Expenses. Certain deemed distributions of participant loans	2018-12-31	$0
Value of total corrective distributions	2018-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$9,168,184
Value of total assets at end of year	2018-12-31	$73,474,069
Value of total assets at beginning of year	2018-12-31	$73,373,735
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$169,337
Total interest from all sources	2018-12-31	$207,940
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$3,280,205
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$3,280,205
Administrative expenses professional fees incurred	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$3,225,023
Participant contributions at end of year	2018-12-31	$379,048
Participant contributions at beginning of year	2018-12-31	$398,447
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$94,279
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$90,832
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,985,161
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$0
Other income not declared elsewhere	2018-12-31	$4,182
Administrative expenses (other) incurred	2018-12-31	$9,854
Total non interest bearing cash at beginning of year	2018-12-31	$17,007,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$100,334
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$73,474,069
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$73,373,735
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$54,760
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$47,780,670
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$47,043,873
Value of interest in pooled separate accounts at end of year	2018-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$0
Interest on participant loans	2018-12-31	$15,031
Interest earned on other investments	2018-12-31	$192,909
Value of interest in common/collective trusts at end of year	2018-12-31	$15,093,033
Value of interest in common/collective trusts at beginning of year	2018-12-31	$5,050,493
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$2
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$6,169,039
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$2,214
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-6,682,059
Net investment gain/loss from pooled separate accounts	2018-12-31	$0
Net investment gain or loss from common/collective trusts	2018-12-31	$-1,002,450
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Assets. Invements in employer securities at end of year	2018-12-31	$0
Assets. Invements in employer securities at beginning of year	2018-12-31	$0
Contributions received in cash from employer	2018-12-31	$3,958,000
Employer contributions (assets) at end of year	2018-12-31	$3,958,000
Employer contributions (assets) at beginning of year	2018-12-31	$3,782,179
Income. Dividends from common stock	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$4,698,521
Contract administrator fees	2018-12-31	$104,723
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	2018-12-31	Yes
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BRADY MARTZ & ASSOCIATES
Accountancy firm EIN	2018-12-31	450310328
2017 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$19,138
Total unrealized appreciation/depreciation of assets	2017-12-31	$19,138
Total income from all sources (including contributions)	2017-12-31	$17,888,930
Total of all expenses incurred	2017-12-31	$10,090,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$9,854,239
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$6,829,820
Value of total assets at end of year	2017-12-31	$73,373,735
Value of total assets at beginning of year	2017-12-31	$65,575,470
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$236,426
Total interest from all sources	2017-12-31	$13,527
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$3,092,006
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$3,023,986
Administrative expenses professional fees incurred	2017-12-31	$137,883
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-12-31	$137,404
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$2,948,368
Participant contributions at end of year	2017-12-31	$398,447
Participant contributions at beginning of year	2017-12-31	$182,248
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$90,832
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$85,303
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$99,273
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$1,001,097
Other income not declared elsewhere	2017-12-31	$5,529
Total non interest bearing cash at end of year	2017-12-31	$17,007,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$7,798,265
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$73,373,735
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$65,575,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$98,543
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$47,043,873
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$51,821,804
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$723,694
Interest on participant loans	2017-12-31	$8,401
Value of interest in common/collective trusts at end of year	2017-12-31	$5,050,493
Value of interest in common/collective trusts at beginning of year	2017-12-31	$5,586,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$2
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$737,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$737,907
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$5,126
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$206,571
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$2,650
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$7,842,838
Net investment gain or loss from common/collective trusts	2017-12-31	$86,072
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$3,782,179
Employer contributions (assets) at end of year	2017-12-31	$3,782,179
Employer contributions (assets) at beginning of year	2017-12-31	$3,875,093
Income. Dividends from preferred stock	2017-12-31	$8,159
Income. Dividends from common stock	2017-12-31	$59,861
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$9,851,589
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	2017-12-31	Yes
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-12-31	$1,217,675
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BRADY, MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2017-12-31	450310328
2016 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$22,882
Total unrealized appreciation/depreciation of assets	2016-12-31	$22,882
Total income from all sources (including contributions)	2016-12-31	$12,209,787
Total of all expenses incurred	2016-12-31	$5,747,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$5,588,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$6,900,519
Value of total assets at end of year	2016-12-31	$65,575,470
Value of total assets at beginning of year	2016-12-31	$59,113,087
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$159,220
Total interest from all sources	2016-12-31	$11,713
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,459,771
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$1,395,562
Administrative expenses professional fees incurred	2016-12-31	$91,049
Assets. Corporate prefeered stocks other than exployer securities at end of year	2016-12-31	$137,404
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-12-31	$110,230
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,919,964
Participant contributions at end of year	2016-12-31	$182,248
Participant contributions at beginning of year	2016-12-31	$230,116
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$85,303
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$79,900
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$105,462
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$1,001,097
Other income not declared elsewhere	2016-12-31	$10,903
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$6,462,383
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$65,575,470
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$59,113,087
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$68,171
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$51,821,804
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$48,274,513
Value of interest in pooled separate accounts at end of year	2016-12-31	$723,694
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$772,576
Interest on participant loans	2016-12-31	$7,927
Interest earned on other investments	2016-12-31	$3,786
Value of interest in common/collective trusts at end of year	2016-12-31	$5,586,674
Value of interest in common/collective trusts at beginning of year	2016-12-31	$4,420,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$737,907
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$461,495
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$461,495
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$206,571
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$379,236
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$2,214
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$2,987,695
Net investment gain/loss from pooled separate accounts	2016-12-31	$908,070
Net investment gain or loss from common/collective trusts	2016-12-31	$-91,766
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$3,875,093
Employer contributions (assets) at end of year	2016-12-31	$3,875,093
Employer contributions (assets) at beginning of year	2016-12-31	$3,394,087
Income. Dividends from common stock	2016-12-31	$64,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$5,585,970
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	2016-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2016-12-31	$1,217,675
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-12-31	$989,954
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BRADY, MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2016-12-31	450310328
2015 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$13,419
Total unrealized appreciation/depreciation of assets	2015-12-31	$13,419
Total income from all sources (including contributions)	2015-12-31	$6,174,452
Total of all expenses incurred	2015-12-31	$11,600,216
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$11,330,507
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$6,684,701
Value of total assets at end of year	2015-12-31	$59,113,087
Value of total assets at beginning of year	2015-12-31	$64,538,851
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$269,709
Total interest from all sources	2015-12-31	$10,771
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$2,259,531
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$2,183,444
Administrative expenses professional fees incurred	2015-12-31	$146,300
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-12-31	$110,230
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-12-31	$80,904
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
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$2,953,186
Participant contributions at end of year	2015-12-31	$230,116
Participant contributions at beginning of year	2015-12-31	$134,124
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$79,900
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$128,552
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$337,428
Other income not declared elsewhere	2015-12-31	$4,258
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	$-5,425,764
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$59,113,087
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$64,538,851
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
Investment advisory and management fees	2015-12-31	$123,409
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$48,274,513
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$51,421,286
Value of interest in pooled separate accounts at end of year	2015-12-31	$772,576
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$780,087
Interest on participant loans	2015-12-31	$10,771
Value of interest in common/collective trusts at end of year	2015-12-31	$4,420,980
Value of interest in common/collective trusts at beginning of year	2015-12-31	$4,426,160
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$461,495
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$2,680,070
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$2,680,070
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$379,236
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$368,190
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$2,958
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-2,727,075
Net investment gain/loss from pooled separate accounts	2015-12-31	$-25,429
Net investment gain or loss from common/collective trusts	2015-12-31	$-45,724
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
Contributions received in cash from employer	2015-12-31	$3,394,087
Employer contributions (assets) at end of year	2015-12-31	$3,394,087
Employer contributions (assets) at beginning of year	2015-12-31	$3,461,402
Income. Dividends from common stock	2015-12-31	$76,087
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$11,327,549
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	2015-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$989,954
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$1,058,076
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	BRADY, MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2015-12-31	450310328
2014 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$9,642
Total unrealized appreciation/depreciation of assets	2014-12-31	$9,642
Total income from all sources (including contributions)	2014-12-31	$10,460,469
Total of all expenses incurred	2014-12-31	$2,869,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,618,386
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$6,342,068
Value of total assets at end of year	2014-12-31	$64,538,851
Value of total assets at beginning of year	2014-12-31	$56,947,909
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$251,141
Total interest from all sources	2014-12-31	$6,605
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$3,937,361
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$3,865,553
Administrative expenses professional fees incurred	2014-12-31	$134,496
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-12-31	$80,904
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-12-31	$15,980
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
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,612,779
Participant contributions at end of year	2014-12-31	$134,124
Participant contributions at beginning of year	2014-12-31	$112,669
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$128,552
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$113,553
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$267,887
Other income not declared elsewhere	2014-12-31	$24,422
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	$7,590,942
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$64,538,851
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$56,947,909
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
Investment advisory and management fees	2014-12-31	$116,645
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$51,421,286
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$46,540,486
Value of interest in pooled separate accounts at end of year	2014-12-31	$780,087
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$731,343
Interest on participant loans	2014-12-31	$6,605
Value of interest in common/collective trusts at end of year	2014-12-31	$4,426,160
Value of interest in common/collective trusts at beginning of year	2014-12-31	$3,142,565
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$2,680,070
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$2,229,635
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$2,229,635
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$368,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$357,466
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$2,958
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-10,311
Net investment gain/loss from pooled separate accounts	2014-12-31	$26,758
Net investment gain or loss from common/collective trusts	2014-12-31	$123,924
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
Contributions received in cash from employer	2014-12-31	$3,461,402
Employer contributions (assets) at end of year	2014-12-31	$3,461,402
Employer contributions (assets) at beginning of year	2014-12-31	$2,935,426
Income. Dividends from common stock	2014-12-31	$71,808
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,615,428
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	2014-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$1,058,076
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$768,786
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	BRADY, MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2014-12-31	450310328
2013 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$-24,305
Total unrealized appreciation/depreciation of assets	2013-12-31	$-24,305
Total income from all sources (including contributions)	2013-12-31	$15,513,950
Total of all expenses incurred	2013-12-31	$3,138,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,926,098
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$5,488,647
Value of total assets at end of year	2013-12-31	$56,947,909
Value of total assets at beginning of year	2013-12-31	$44,572,505
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$212,448
Total interest from all sources	2013-12-31	$5,425
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,591,999
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$1,554,025
Administrative expenses professional fees incurred	2013-12-31	$107,779
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-12-31	$15,980
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-12-31	$73,630
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
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,553,241
Participant contributions at end of year	2013-12-31	$112,669
Participant contributions at beginning of year	2013-12-31	$85,204
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$113,553
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$138,821
Other income not declared elsewhere	2013-12-31	$14,863
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	$12,375,404
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$56,947,909
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$44,572,505
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
Investment advisory and management fees	2013-12-31	$104,669
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$46,540,486
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$34,846,096
Value of interest in pooled separate accounts at end of year	2013-12-31	$731,343
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$598,590
Interest on participant loans	2013-12-31	$5,425
Value of interest in common/collective trusts at end of year	2013-12-31	$3,142,565
Value of interest in common/collective trusts at beginning of year	2013-12-31	$2,536,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$2,229,635
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,403,894
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,403,894
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$357,466
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$347,054
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$3,727
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$8,319,509
Net investment gain/loss from pooled separate accounts	2013-12-31	$100,088
Net investment gain or loss from common/collective trusts	2013-12-31	$17,724
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
Contributions received in cash from employer	2013-12-31	$2,935,406
Employer contributions (assets) at end of year	2013-12-31	$2,935,426
Employer contributions (assets) at beginning of year	2013-12-31	$2,888,477
Income. Dividends from common stock	2013-12-31	$37,974
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,922,371
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$9,769
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	2013-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$768,786
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$644,327
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	BRADY, MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2013-12-31	450310328
2012 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$71,111
Total unrealized appreciation/depreciation of assets	2012-12-31	$71,111
Total income from all sources (including contributions)	2012-12-31	$10,270,704
Total of all expenses incurred	2012-12-31	$2,713,957
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,513,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$5,501,050
Value of total assets at end of year	2012-12-31	$44,572,505
Value of total assets at beginning of year	2012-12-31	$37,015,758
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$199,993
Total interest from all sources	2012-12-31	$6,268
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$867,977
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$833,333
Administrative expenses professional fees incurred	2012-12-31	$91,221
Assets. Corporate prefeered stocks other than exployer securities at end of year	2012-12-31	$73,630
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2012-12-31	$71,326
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$2,313,915
Participant contributions at end of year	2012-12-31	$85,204
Participant contributions at beginning of year	2012-12-31	$75,587
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$138,821
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$125,307
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$294,960
Other income not declared elsewhere	2012-12-31	$16,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$7,556,747
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$44,572,505
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$37,015,758
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$108,772
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$34,846,096
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$29,126,235
Value of interest in pooled separate accounts at end of year	2012-12-31	$598,590
Interest on participant loans	2012-12-31	$6,268
Value of interest in common/collective trusts at end of year	2012-12-31	$2,536,643
Value of interest in common/collective trusts at beginning of year	2012-12-31	$2,588,974
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,403,894
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,548,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,548,410
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$347,054
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$336,946
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$2,062
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,709,916
Net investment gain/loss from pooled separate accounts	2012-12-31	$42,494
Net investment gain or loss from common/collective trusts	2012-12-31	$55,766
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$2,892,175
Employer contributions (assets) at end of year	2012-12-31	$2,888,477
Employer contributions (assets) at beginning of year	2012-12-31	$2,667,427
Income. Dividends from common stock	2012-12-31	$34,644
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,511,902
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$9,769
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$8,720
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	2012-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$644,327
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$466,826
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BRADY, MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2012-12-31	450310328
2011 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-52,339
Total unrealized appreciation/depreciation of assets	2011-12-31	$-52,339
Total income from all sources (including contributions)	2011-12-31	$4,135,709
Total of all expenses incurred	2011-12-31	$2,430,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,257,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$4,915,325
Value of total assets at end of year	2011-12-31	$37,015,758
Value of total assets at beginning of year	2011-12-31	$35,310,741
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$173,061
Total interest from all sources	2011-12-31	$5,794
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$921,386
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$902,460
Administrative expenses professional fees incurred	2011-12-31	$83,638
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-12-31	$71,326
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-12-31	$73,618
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$2,051,432
Participant contributions at end of year	2011-12-31	$75,587
Participant contributions at beginning of year	2011-12-31	$74,292
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$125,307
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$117,020
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$196,466
Other income not declared elsewhere	2011-12-31	$10,486
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,705,017
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$37,015,758
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$35,310,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$89,423
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$29,126,235
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$28,484,254
Interest on participant loans	2011-12-31	$5,794
Value of interest in common/collective trusts at end of year	2011-12-31	$2,588,974
Value of interest in common/collective trusts at beginning of year	2011-12-31	$2,231,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,548,410
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$893,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$893,797
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$336,946
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$327,133
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$3,727
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,842,710
Net investment gain/loss from pooled separate accounts	2011-12-31	$-18,793
Net investment gain or loss from common/collective trusts	2011-12-31	$196,560
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$2,667,427
Employer contributions (assets) at end of year	2011-12-31	$2,667,427
Employer contributions (assets) at beginning of year	2011-12-31	$2,436,204
Income. Dividends from common stock	2011-12-31	$18,926
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,253,904
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$8,720
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$12,506
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	2011-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$466,826
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$660,667
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BRADY, MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2011-12-31	450310328
2010 : MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$67,874
Total unrealized appreciation/depreciation of assets	2010-12-31	$67,874
Total income from all sources (including contributions)	2010-12-31	$8,073,658
Total of all expenses incurred	2010-12-31	$3,033,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,882,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$4,445,821
Value of total assets at end of year	2010-12-31	$35,310,741
Value of total assets at beginning of year	2010-12-31	$30,270,658
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$150,698
Total interest from all sources	2010-12-31	$7,926
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$547,294
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$524,470
Administrative expenses professional fees incurred	2010-12-31	$72,280
Assets. Corporate prefeered stocks other than exployer securities at end of year	2010-12-31	$73,618
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2010-12-31	$39,561
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,947,260
Participant contributions at end of year	2010-12-31	$74,292
Participant contributions at beginning of year	2010-12-31	$90,569
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$117,020
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$108,928
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$62,358
Other income not declared elsewhere	2010-12-31	$16,354
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$5,040,083
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$35,310,741
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$30,270,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$78,418
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$28,484,254
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$24,427,660
Interest on participant loans	2010-12-31	$7,926
Value of interest in common/collective trusts at end of year	2010-12-31	$2,231,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$893,797
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$2,699,874
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$2,699,874
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$327,133
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$317,477
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$3,727
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,810,469
Net investment gain/loss from pooled separate accounts	2010-12-31	$122,129
Net investment gain or loss from common/collective trusts	2010-12-31	$55,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$2,436,203
Employer contributions (assets) at end of year	2010-12-31	$2,436,204
Employer contributions (assets) at beginning of year	2010-12-31	$2,104,608
Income. Dividends from common stock	2010-12-31	$22,824
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,879,150
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$12,506
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$2,648
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	2010-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$660,667
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$479,333
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BRADY, MARTZ & ASSOCIATES, PC
Accountancy firm EIN	2010-12-31	450310328

Form 5500 Responses for MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING

2022: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 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 – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 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 – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
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
2012: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MID DAKOTA CLINIC EMPLOYEES 401(K) PROFIT SHARING 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	781178-01
Policy instance	1
Insurance contract or identification number 781178-01 Number of Individuals Covered 82 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes 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
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	2
Insurance contract or identification number 17000023 Number of Individuals Covered 0 Insurance policy start date 2022-01-01 Insurance policy end date 2022-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	4
Insurance contract or identification number E0805691 Number of Individuals Covered 0 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $3,748 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $3,748 Insurance broker organization code? 3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	3
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E1536143
Policy instance	2
Insurance contract or identification number E1536143 Number of Individuals Covered 0 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Total amount of commissions paid to insurance broker USD $2,991 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $2,991 Insurance broker organization code? 3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	MR 62754
Policy instance	1
Insurance contract or identification number MR 62754 Number of Individuals Covered 548 Insurance policy start date 2021-01-01 Insurance policy end date 2021-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes 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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E1536143
Policy instance	2
Insurance contract or identification number E1536143 Number of Individuals Covered 1 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $3,264 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $3,264 Insurance broker organization code? 3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	MR 62754
Policy instance	1
Insurance contract or identification number MR 62754 Number of Individuals Covered 581 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes 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
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	3
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	4
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2020-01-01 Insurance policy end date 2020-12-31 Total amount of commissions paid to insurance broker USD $3,777 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $3,777 Insurance broker organization code? 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	5
Insurance contract or identification number 603410 Number of Individuals Covered 812 Insurance policy start date 2015-10-01 Insurance policy end date 2016-09-30 Total amount of commissions paid to insurance broker USD $7,338 Total amount of fees paid to insurance company USD $10,641 Are there contracts with allocated funds for individual policies? No Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit Yes 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 Welfare Benefit Premiums Paid to Carrier USD $335,616 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $7,338 Amount paid for insurance broker fees 10641 Additional information about fees paid to insurance broker FEES Insurance broker organization code? 3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	3
Insurance contract or identification number 11986 Number of Individuals Covered 1 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $17 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 1 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $17 Insurance broker organization code? 3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	2
Insurance contract or identification number 7396 Number of Individuals Covered 5 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 1 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	MR 62754
Policy instance	1
Insurance contract or identification number MR 62754 Number of Individuals Covered 625 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes 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
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	4
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E1536143
Policy instance	6
Insurance contract or identification number E1536143 Number of Individuals Covered 1 Insurance policy start date 2019-01-01 Insurance policy end date 2019-12-31 Total amount of commissions paid to insurance broker USD $3,264 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $3,264 Insurance broker organization code? 3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number	MR 62754
Policy instance	1
Insurance contract or identification number MR 62754 Number of Individuals Covered 643 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes 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
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	2
Insurance contract or identification number 7396 Number of Individuals Covered 5 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 1 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	3
Insurance contract or identification number 11986 Number of Individuals Covered 1 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $17 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 1 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $17 Insurance broker organization code? 3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	4
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	5
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $3,777 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 0 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $3,777 Insurance broker organization code? 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E1536143
Policy instance	6
Insurance contract or identification number E1536143 Number of Individuals Covered 1 Insurance policy start date 2018-01-01 Insurance policy end date 2018-12-31 Total amount of commissions paid to insurance broker USD $3,264 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 1 Are there contracts with allocated funds for group deferred annuity? No Are there contracts with allocated funds for types other than group deferred annuity or individual? No Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contracts of type immediate participation guarantee? No Are there contracts with unallocated funds for contracts of type guaranteed investment? No Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? No Health Insurance Welfare Benefit No Dental Insurance Welfare Benefit No Vision Insurance Welfare Benefit No Life Insurance Welfare Benefit No Temporary Disability Insurance Welfare Benefit No Long Term Disability Insurance Welfare Benefit No Unemployment Insurance Welfare Benefit No Were dividends or retroactive rate refunds paid in cash? No Were dividends or retroactive rate refunds paid as a credit? No Commission paid to Insurance Broker USD $3,264 Insurance broker organization code? 3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	1
Insurance contract or identification number 7396 Number of Individuals Covered 5 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 1 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	2
Insurance contract or identification number 11986 Number of Individuals Covered 1 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $17 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 1 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $17 Insurance broker organization code? 3 Insurance broker name JOHN S MCSWANEY & ASSOC INC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	57718
Policy instance	3
Insurance contract or identification number 57718 Number of Individuals Covered 0 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	4
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	5
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $3,777 Total amount of fees paid to insurance company USD $0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,777 Insurance broker organization code? 3 Insurance broker name MARK G. JONDAHL/LPL FINANCIAL CORP.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E1536143
Policy instance	6
Insurance contract or identification number E1536143 Number of Individuals Covered 1 Insurance policy start date 2017-01-01 Insurance policy end date 2017-12-31 Total amount of commissions paid to insurance broker USD $3,264 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? 1 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,264 Insurance broker organization code? 3 Insurance broker name MARK G. JONDAHL/LPL FINANCIAL CORP.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	6
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $3,904 Total amount of fees paid to insurance company USD $0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,904 Insurance broker organization code? 3 Insurance broker name MARK G. JONDAHL/LPL FINANCIAL CORP.
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	57718
Policy instance	3
Insurance contract or identification number 57718 Number of Individuals Covered 2 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000027
Policy instance	4
Insurance contract or identification number 17000027 Number of Individuals Covered 1 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	5
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	2
Insurance contract or identification number 11986 Number of Individuals Covered 1 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $47 Total amount of fees paid to insurance company USD $0 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 Commission paid to Insurance Broker USD $47 Insurance broker organization code? 3 Insurance broker name JOHN S MCSWANEY & ASSOC INC
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	1
Insurance contract or identification number 7396 Number of Individuals Covered 5 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E1536143
Policy instance	7
Insurance contract or identification number E1536143 Number of Individuals Covered 1 Insurance policy start date 2015-01-01 Insurance policy end date 2015-12-31 Total amount of commissions paid to insurance broker USD $3,207 Total amount of fees paid to insurance company USD $0 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 Commission paid to Insurance Broker USD $3,207 Insurance broker organization code? 3 Insurance broker name MARK G. JONDAHL/LPL FINANCIAL CORP.
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	57718
Policy instance	3
Insurance contract or identification number 57718 Number of Individuals Covered 2 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name DONALD STEVEN BORUD
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	5
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	6
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $3,581 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,581 Insurance broker organization code? 3 Insurance broker name LPL FINANCIAL CORPORATION
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	2
Insurance contract or identification number 11986 Number of Individuals Covered 3 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $47 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $47 Insurance broker organization code? 3 Insurance broker name JOHN S MCSWANEY & ASSOC INC
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	1
Insurance contract or identification number 7396 Number of Individuals Covered 5 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000027
Policy instance	4
Insurance contract or identification number 17000027 Number of Individuals Covered 1 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E1536143
Policy instance	7
Insurance contract or identification number E1536143 Number of Individuals Covered 1 Insurance policy start date 2014-01-01 Insurance policy end date 2014-12-31 Total amount of commissions paid to insurance broker USD $2,490 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,490 Insurance broker organization code? 3 Insurance broker name LPL FINANCIAL CORPORATION
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	2
Insurance contract or identification number 11986 Number of Individuals Covered 3 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $67 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $67 Insurance broker organization code? 3 Insurance broker name JOHN S MCSWANEY & ASSOC INC
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000027
Policy instance	4
Insurance contract or identification number 17000027 Number of Individuals Covered 1 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	5
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	57718
Policy instance	3
Insurance contract or identification number 57718 Number of Individuals Covered 2 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name DONALD STEVEN BORUD
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	6
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $3,188 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $3,188 Insurance broker organization code? 3 Insurance broker name LPL FINANCIAL CORPORATION
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E1536143
Policy instance	7
Insurance contract or identification number E1536143 Number of Individuals Covered 1 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $2,266 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $2,266 Insurance broker name LPL FINANCIAL CORPORATION
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	1
Insurance contract or identification number 7396 Number of Individuals Covered 4 Insurance policy start date 2013-01-01 Insurance policy end date 2013-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000027
Policy instance	6
Insurance contract or identification number 17000027 Number of Individuals Covered 1 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	7
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000022
Policy instance	5
Insurance contract or identification number 17000022 Number of Individuals Covered 0 Insurance policy start date 2012-01-01 Insurance policy end date 2012-10-26 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	57718
Policy instance	4
Insurance contract or identification number 57718 Number of Individuals Covered 2 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name DONALD STEVEN BORUD
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	2408566
Policy instance	3
Insurance contract or identification number 2408566 Number of Individuals Covered 0 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-04 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	8
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $2,629 Total amount of fees paid to insurance company USD $9,387 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Amount paid for insurance broker fees 9387 Additional information about fees paid to insurance broker BONUS Insurance broker organization code? 3 Commission paid to Insurance Broker USD $2,629 Insurance broker name LPL FINANCIAL CORPORATION
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	2
Insurance contract or identification number 11986 Number of Individuals Covered 4 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $67 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $67 Insurance broker organization code? 3 Insurance broker name JOHN S MCSWANEY & ASSOC INC
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	1
Insurance contract or identification number 7396 Number of Individuals Covered 6 Insurance policy start date 2012-01-01 Insurance policy end date 2012-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	57718
Policy instance	4
Insurance contract or identification number 57718 Number of Individuals Covered 2 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	2408566
Policy instance	3
Insurance contract or identification number 2408566 Number of Individuals Covered 1 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	8
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $2,982 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	7
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000027
Policy instance	6
Insurance contract or identification number 17000027 Number of Individuals Covered 1 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000022
Policy instance	5
Insurance contract or identification number 17000022 Number of Individuals Covered 1 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	1
Insurance contract or identification number 7396 Number of Individuals Covered 6 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	2
Insurance contract or identification number 11986 Number of Individuals Covered 4 Insurance policy start date 2011-01-01 Insurance policy end date 2011-12-31 Total amount of commissions paid to insurance broker USD $67 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000027
Policy instance	6
Insurance contract or identification number 17000027 Number of Individuals Covered 1 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	11986
Policy instance	2
Insurance contract or identification number 11986 Number of Individuals Covered 4 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $67 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $67 Insurance broker organization code? 3 Insurance broker name JOHN S MCSWANEY & ASSOC INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	2408566
Policy instance	3
Insurance contract or identification number 2408566 Number of Individuals Covered 1 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number	57718
Policy instance	4
Insurance contract or identification number 57718 Number of Individuals Covered 2 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? Yes Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Insurance broker name DONALD STEVEN BORUD
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000022
Policy instance	5
Insurance contract or identification number 17000022 Number of Individuals Covered 1 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	17000023
Policy instance	7
Insurance contract or identification number 17000023 Number of Individuals Covered 1 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63665 )
Policy contract number	7396
Policy instance	1
Insurance contract or identification number 7396 Number of Individuals Covered 6 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $0 Total amount of fees paid to insurance company USD $0 Are there contracts with allocated funds for individual policies? Yes Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	E0805691
Policy instance	8
Insurance contract or identification number E0805691 Number of Individuals Covered 1 Insurance policy start date 2010-01-01 Insurance policy end date 2010-12-31 Total amount of commissions paid to insurance broker USD $4,512 Total amount of fees paid to insurance company USD $0 Contract purchased, in whole or in part, to distribute benefits from a terminating plan No Contracts With Unallocated Funds Deposit Administration 0 Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? No Commission paid to Insurance Broker USD $4,512 Insurance broker organization code? 3 Insurance broker name LPL FINANCIAL CORPORATION

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