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| Plan Name | VISTE MEDICAL INCORPORATED 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | VISTE MEDICAL INCORPORATED |
| Employer identification number (EIN): | 462850250 |
| NAIC Classification: | 621510 |
| NAIC Description: | Medical and Diagnostic Laboratories |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2022-01-01 | KOURTNEY VISTE | 2023-06-21 | ||
| 001 | 2021-01-01 | KOURTNEY VISTE | 2022-05-16 | ||
| 001 | 2020-01-01 | KOURTNEY VISTE | 2021-05-27 | ||
| 001 | 2019-01-01 | ||||
| 001 | 2018-01-01 | KOURTNEY VISTE |
| Measure | Date | Value |
|---|---|---|
| 2019: VISTE MEDICAL INCORPORATED 401(K) PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 3 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 3 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-01-01 | 0 |
| Total participants | 2019-01-01 | 3 |
| Number of participants with account balances | 2019-01-01 | 3 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-01-01 | 0 |
| 2018: VISTE MEDICAL INCORPORATED 401(K) PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 3 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 3 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 3 |
| Number of participants with account balances | 2018-01-01 | 3 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2019 : VISTE MEDICAL INCORPORATED 401(K) PLAN 2019 401k financial data | ||
| Total income from all sources | 2019-12-31 | $90,226 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $1,869 |
| Total plan assets at end of year | 2019-12-31 | $135,901 |
| Total plan assets at beginning of year | 2019-12-31 | $47,544 |
| Value of fidelity bond covering the plan | 2019-12-31 | $14,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $46,477 |
| Contributions received from other sources (not participants or employers) | 2019-12-31 | $16,410 |
| Other income received | 2019-12-31 | $17,655 |
| Net income (gross income less expenses) | 2019-12-31 | $88,357 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $135,901 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $47,544 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $9,684 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $1,869 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2019-12-31 | $0 |
| 2018 : VISTE MEDICAL INCORPORATED 401(K) PLAN 2018 401k financial data | ||
| Total income from all sources | 2018-12-31 | $47,909 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $365 |
| Total plan assets at end of year | 2018-12-31 | $47,544 |
| Total plan assets at beginning of year | 2018-12-31 | $0 |
| Total contributions received or receivable from participants | 2018-12-31 | $43,159 |
| Other income received | 2018-12-31 | $-2,986 |
| Net income (gross income less expenses) | 2018-12-31 | $47,544 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $47,544 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $7,736 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $365 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-12-31 | $0 |
| 2019: VISTE MEDICAL INCORPORATED 401(K) PLAN 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: VISTE MEDICAL INCORPORATED 401(K) PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 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 |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 133553 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 133553 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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