401k Plan data: AMBU-STAT, LLC 401(K) PLAN plan

AMBU-STAT, LLC 401(K) PLAN 401k Plan overview

Plan Name	AMBU-STAT, LLC 401(K) PLAN
Plan identification number	101

AMBU-STAT, LLC 401(K) PLAN 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

AMBU-STAT, LLC has sponsored the creation of one or more 401k plans.

Company Name: AMBU-STAT, LLC

Employer identification number (EIN): 454325039

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMBU-STAT, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
101 2019-01-01 PHIL TISUE 2019-09-11
101 2018-01-01 PHIL TISUE 2019-09-11
101 2017-01-01 PHIL TISUE 2018-10-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
101	2019-01-01	PHIL TISUE	2019-09-11
101	2018-01-01	PHIL TISUE	2019-09-11
101	2017-01-01	PHIL TISUE	2018-10-12

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Company Name:	AMBU-STAT, LLC
Employer identification number (EIN):	454325039
NAIC Classification:	621900