401k Plan data: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN plan

TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 401k Plan overview

Plan Name	TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN
Plan identification number	001

TRISTATE CAREFLIGHT, L.L.C. 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

TRISTATE CAREFLIGHT, L.L.C. has sponsored the creation of one or more 401k plans.

Company Name: TRISTATE CAREFLIGHT, L.L.C.

Employer identification number (EIN): 481265216

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 HEATHER DUMAS
001 2016-01-01
001 2015-01-01 HEATHER DUMAS
001 2014-01-01 BLAKE STAMPER
001 2013-01-01 BLAKE STAMPER
001 2012-01-01 BLAKE STAMPER
001 2011-01-01 BLAKE STAMPER
001 2010-01-01 BLAKE STAMPER
001 2009-01-01 BLAKE STAMPER
001 2009-01-01 BLAKE STAMPER

Plan Statistics for TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN

401k plan membership statisitcs for TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN

Measure Date Value
2016: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 353
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 396
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 312
Number of other retired or separated participants entitled to future benefits 2015-01-01 48
Total of all active and inactive participants 2015-01-01 360
Total participants 2015-01-01 360
Number of participants with account balances 2015-01-01 145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 19
2014: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 414
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 359
Number of other retired or separated participants entitled to future benefits 2014-01-01 39
Total of all active and inactive participants 2014-01-01 398
Total participants 2014-01-01 398
Number of participants with account balances 2014-01-01 144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 15
2013: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 383
Number of other retired or separated participants entitled to future benefits 2013-01-01 31
Total of all active and inactive participants 2013-01-01 414
Total participants 2013-01-01 414
Number of participants with account balances 2013-01-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 13
2012: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 299
Number of other retired or separated participants entitled to future benefits 2012-01-01 26
Total of all active and inactive participants 2012-01-01 325
Total participants 2012-01-01 325
Number of participants with account balances 2012-01-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 16
2011: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 240
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 243
Number of other retired or separated participants entitled to future benefits 2011-01-01 21
Total of all active and inactive participants 2011-01-01 264
Total participants 2011-01-01 264
Number of participants with account balances 2011-01-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 6
2010: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 220
Number of other retired or separated participants entitled to future benefits 2010-01-01 20
Total of all active and inactive participants 2010-01-01 240
Total participants 2010-01-01 240
Number of participants with account balances 2010-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 7
2009: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 181
Number of other retired or separated participants entitled to future benefits 2009-01-01 13
Total of all active and inactive participants 2009-01-01 194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 195
Number of participants with account balances 2009-01-01 64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2016: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	353
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	396
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	312
Number of other retired or separated participants entitled to future benefits	2015-01-01	48
Total of all active and inactive participants	2015-01-01	360
Total participants	2015-01-01	360
Number of participants with account balances	2015-01-01	145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	19
2014: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	414
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	359
Number of other retired or separated participants entitled to future benefits	2014-01-01	39
Total of all active and inactive participants	2014-01-01	398
Total participants	2014-01-01	398
Number of participants with account balances	2014-01-01	144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	15
2013: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	383
Number of other retired or separated participants entitled to future benefits	2013-01-01	31
Total of all active and inactive participants	2013-01-01	414
Total participants	2013-01-01	414
Number of participants with account balances	2013-01-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	13
2012: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	299
Number of other retired or separated participants entitled to future benefits	2012-01-01	26
Total of all active and inactive participants	2012-01-01	325
Total participants	2012-01-01	325
Number of participants with account balances	2012-01-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	16
2011: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	240
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	243
Number of other retired or separated participants entitled to future benefits	2011-01-01	21
Total of all active and inactive participants	2011-01-01	264
Total participants	2011-01-01	264
Number of participants with account balances	2011-01-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	6
2010: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	220
Number of other retired or separated participants entitled to future benefits	2010-01-01	20
Total of all active and inactive participants	2010-01-01	240
Total participants	2010-01-01	240
Number of participants with account balances	2010-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	7
2009: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	181
Number of other retired or separated participants entitled to future benefits	2009-01-01	13
Total of all active and inactive participants	2009-01-01	194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	195
Number of participants with account balances	2009-01-01	64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN

Measure	Date	Value
2016 : TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$1,716
Total income from all sources (including contributions)	2016-09-30	$253,119
Total of all expenses incurred	2016-09-30	$5,282,327
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$5,273,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$154,192
Value of total assets at end of year	2016-09-30	$0
Value of total assets at beginning of year	2016-09-30	$5,030,924
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$8,985
Total interest from all sources	2016-09-30	$1,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-09-30	$0
Administrative expenses professional fees incurred	2016-09-30	$2,587
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$200,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$154,192
Participant contributions at end of year	2016-09-30	$0
Participant contributions at beginning of year	2016-09-30	$106,607
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-09-30	$1,716
Total non interest bearing cash at end of year	2016-09-30	$0
Total non interest bearing cash at beginning of year	2016-09-30	$21,094
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$-5,029,208
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$5,029,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Value of interest in pooled separate accounts at end of year	2016-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2016-09-30	$4,672,278
Interest on participant loans	2016-09-30	$1,859
Net investment gain/loss from pooled separate accounts	2016-09-30	$97,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Employer contributions (assets) at end of year	2016-09-30	$0
Employer contributions (assets) at beginning of year	2016-09-30	$230,945
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$5,273,342
Contract administrator fees	2016-09-30	$6,398
Did the plan have assets held for investment	2016-09-30	No
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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN	2016-09-30	860751928
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-05-31	$1,716
Total income from all sources (including contributions)	2016-05-31	$253,119
Total of all expenses incurred	2016-05-31	$5,282,327
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-05-31	$5,273,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-05-31	$154,192
Value of total assets at end of year	2016-05-31	$0
Value of total assets at beginning of year	2016-05-31	$5,030,924
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-05-31	$8,985
Total interest from all sources	2016-05-31	$1,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-05-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-05-31	$0
Administrative expenses professional fees incurred	2016-05-31	$2,587
Was this plan covered by a fidelity bond	2016-05-31	Yes
Value of fidelity bond cover	2016-05-31	$200,000
If this is an individual account plan, was there a blackout period	2016-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-05-31	No
Contributions received from participants	2016-05-31	$154,192
Participant contributions at end of year	2016-05-31	$0
Participant contributions at beginning of year	2016-05-31	$106,607
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-05-31	$1,716
Total non interest bearing cash at end of year	2016-05-31	$0
Total non interest bearing cash at beginning of year	2016-05-31	$21,094
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-05-31	No
Value of net income/loss	2016-05-31	$-5,029,208
Value of net assets at end of year (total assets less liabilities)	2016-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-05-31	$5,029,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-05-31	No
Were any leases to which the plan was party in default or uncollectible	2016-05-31	No
Value of interest in pooled separate accounts at end of year	2016-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-05-31	$4,672,278
Interest on participant loans	2016-05-31	$1,859
Net investment gain/loss from pooled separate accounts	2016-05-31	$97,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-05-31	No
Was there a failure to transmit to the plan any participant contributions	2016-05-31	No
Has the plan failed to provide any benefit when due under the plan	2016-05-31	No
Employer contributions (assets) at end of year	2016-05-31	$0
Employer contributions (assets) at beginning of year	2016-05-31	$230,945
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-05-31	$5,273,342
Contract administrator fees	2016-05-31	$6,398
Did the plan have assets held for investment	2016-05-31	No
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	2016-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-05-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-05-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-05-31	Disclaimer
Accountancy firm name	2016-05-31	MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN	2016-05-31	860751928
2015 : TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,716
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$185
Total income from all sources (including contributions)	2015-12-31	$981,786
Total of all expenses incurred	2015-12-31	$372,578
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$349,332
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,064,321
Value of total assets at end of year	2015-12-31	$5,030,924
Value of total assets at beginning of year	2015-12-31	$4,420,185
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$23,246
Total interest from all sources	2015-12-31	$5,442
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$3,675
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$200,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$716,177
Participant contributions at end of year	2015-12-31	$106,607
Participant contributions at beginning of year	2015-12-31	$93,688
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$118,681
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$1,716
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$185
Total non interest bearing cash at end of year	2015-12-31	$21,094
Total non interest bearing cash at beginning of year	2015-12-31	$11,859
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	$609,208
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,029,208
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,420,000
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
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,672,278
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,110,002
Interest on participant loans	2015-12-31	$5,442
Net investment gain/loss from pooled separate accounts	2015-12-31	$-87,977
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	$229,463
Employer contributions (assets) at end of year	2015-12-31	$230,945
Employer contributions (assets) at beginning of year	2015-12-31	$204,636
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$349,332
Contract administrator fees	2015-12-31	$19,571
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	MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN	2015-12-31	860751928
2014 : TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$185
Total income from all sources (including contributions)	2014-12-31	$1,172,571
Total of all expenses incurred	2014-12-31	$519,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$493,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$994,455
Value of total assets at end of year	2014-12-31	$4,420,185
Value of total assets at beginning of year	2014-12-31	$3,766,534
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$25,452
Total interest from all sources	2014-12-31	$5,281
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$4,850
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$200,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$664,924
Participant contributions at end of year	2014-12-31	$93,688
Participant contributions at beginning of year	2014-12-31	$113,903
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$133,691
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$185
Total non interest bearing cash at end of year	2014-12-31	$11,859
Total non interest bearing cash at beginning of year	2014-12-31	$13,619
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	$653,466
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,420,000
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,766,534
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
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,110,002
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,452,931
Interest on participant loans	2014-12-31	$5,281
Net investment gain/loss from pooled separate accounts	2014-12-31	$172,835
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	$195,840
Employer contributions (assets) at end of year	2014-12-31	$204,636
Employer contributions (assets) at beginning of year	2014-12-31	$186,081
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$493,653
Contract administrator fees	2014-12-31	$20,602
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	MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN	2014-12-31	860751928
2013 : TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$1,233,952
Total of all expenses incurred	2013-12-31	$281,522
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$245,426
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$748,628
Value of total assets at end of year	2013-12-31	$3,766,534
Value of total assets at beginning of year	2013-12-31	$2,814,104
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$36,096
Total interest from all sources	2013-12-31	$4,831
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$2,525
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$200,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$528,713
Participant contributions at end of year	2013-12-31	$113,903
Participant contributions at beginning of year	2013-12-31	$69,141
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$33,834
Other income not declared elsewhere	2013-12-31	$19
Total non interest bearing cash at end of year	2013-12-31	$13,619
Total non interest bearing cash at beginning of year	2013-12-31	$21,994
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	$952,430
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,766,534
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,814,104
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
Value of interest in pooled separate accounts at end of year	2013-12-31	$3,452,931
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,531,949
Interest on participant loans	2013-12-31	$4,831
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$11,020
Net investment gain/loss from pooled separate accounts	2013-12-31	$480,474
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	$186,081
Employer contributions (assets) at end of year	2013-12-31	$186,081
Employer contributions (assets) at beginning of year	2013-12-31	$180,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$245,426
Contract administrator fees	2013-12-31	$33,571
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	MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN	2013-12-31	860751928
2012 : TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$1,061,507
Total of all expenses incurred	2012-12-31	$241,557
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$219,744
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$808,193
Value of total assets at end of year	2012-12-31	$2,814,104
Value of total assets at beginning of year	2012-12-31	$1,994,154
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$21,813
Total interest from all sources	2012-12-31	$3,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$3,799
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$200,000
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	$503,862
Participant contributions at end of year	2012-12-31	$69,141
Participant contributions at beginning of year	2012-12-31	$69,720
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$124,331
Other income not declared elsewhere	2012-12-31	$215
Total non interest bearing cash at end of year	2012-12-31	$21,994
Total non interest bearing cash at beginning of year	2012-12-31	$12,727
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	$819,950
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,814,104
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,994,154
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
Value of interest in pooled separate accounts at end of year	2012-12-31	$2,531,949
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,737,837
Interest on participant loans	2012-12-31	$3,521
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$11,020
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$18,980
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$249,578
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	$180,000
Employer contributions (assets) at end of year	2012-12-31	$180,000
Employer contributions (assets) at beginning of year	2012-12-31	$154,890
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$219,744
Contract administrator fees	2012-12-31	$18,014
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	MIKE BRANDT CPA PC
Accountancy firm EIN	2012-12-31	454459418
2011 : TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$639,040
Total of all expenses incurred	2011-12-31	$201,183
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$176,026
Expenses. Certain deemed distributions of participant loans	2011-12-31	$3,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$667,684
Value of total assets at end of year	2011-12-31	$1,994,154
Value of total assets at beginning of year	2011-12-31	$1,556,297
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$21,539
Total interest from all sources	2011-12-31	$2,656
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$200,000
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	$505,051
Participant contributions at end of year	2011-12-31	$69,720
Participant contributions at beginning of year	2011-12-31	$29,326
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$7,743
Administrative expenses (other) incurred	2011-12-31	$2,000
Total non interest bearing cash at end of year	2011-12-31	$12,727
Total non interest bearing cash at beginning of year	2011-12-31	$3,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$437,857
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,994,154
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,556,297
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
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,393,369
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,737,837
Interest on participant loans	2011-12-31	$2,656
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$18,980
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$8,178
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-31,300
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	Yes
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	$154,890
Employer contributions (assets) at end of year	2011-12-31	$154,890
Employer contributions (assets) at beginning of year	2011-12-31	$121,619
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$176,026
Contract administrator fees	2011-12-31	$19,539
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	MIKE BRANDT CPA PC
Accountancy firm EIN	2011-12-31	454459418
2010 : TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$691,009
Total of all expenses incurred	2010-12-31	$101,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$86,187
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$531,949
Value of total assets at end of year	2010-12-31	$1,556,297
Value of total assets at beginning of year	2010-12-31	$966,812
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$15,337
Total interest from all sources	2010-12-31	$1,821
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$200,000
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	$411,601
Participant contributions at end of year	2010-12-31	$29,326
Participant contributions at beginning of year	2010-12-31	$21,675
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$3,800
Administrative expenses (other) incurred	2010-12-31	$864
Total non interest bearing cash at end of year	2010-12-31	$3,805
Total non interest bearing cash at beginning of year	2010-12-31	$1,589
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	$589,485
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,556,297
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$966,812
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,393,369
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$863,063
Interest on participant loans	2010-12-31	$1,821
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$8,178
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,158
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$157,239
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	$116,548
Employer contributions (assets) at end of year	2010-12-31	$121,619
Employer contributions (assets) at beginning of year	2010-12-31	$78,327
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$86,187
Contract administrator fees	2010-12-31	$14,473
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	V ACCOUNTING PLLC
Accountancy firm EIN	2010-12-31	273118847

Form 5500 Responses for TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN

2016: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 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 - Trust	Yes
2014: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 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 - Trust	Yes
2013: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 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 - Trust	Yes
2012: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 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
2010: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: TRISTATE CAREFLIGHT, L.L.C. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

35552

Policy instance

Insurance contract or identification number	35552
Number of Individuals Covered	0
Insurance policy start date	2016-01-01
Insurance policy end date	2016-12-31
Total amount of commissions paid to insurance broker	USD $12,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,484
Insurance broker organization code?	4
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	BOYCE & ASSOCIATES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

35552

Policy instance

Insurance contract or identification number	35552
Number of Individuals Covered	145
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $22,605
Total amount of fees paid to insurance company	USD $3,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,605
Insurance broker organization code?	4
Amount paid for insurance broker fees	3675
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	BOYCE & ASSOCIATES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

35552

Policy instance

Insurance contract or identification number	35552
Number of Individuals Covered	147
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $24,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,359
Insurance broker organization code?	4
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION
Insurance broker name	BOYCE & ASSOCIATES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

35552

Policy instance

Insurance contract or identification number	35552
Number of Individuals Covered	125
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $15,206
Total amount of fees paid to insurance company	USD $2,525
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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 $15,206
Insurance broker organization code?	4
Amount paid for insurance broker fees	2525
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION
Insurance broker name	BOYCE & ASSOCIATES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

35552

Policy instance

Insurance contract or identification number	35552
Number of Individuals Covered	110
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $13,532
Total amount of fees paid to insurance company	USD $3,799
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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 $13,532
Insurance broker organization code?	4
Amount paid for insurance broker fees	3799
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION
Insurance broker name	BOYCE & ASSOCIATES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

35552

Policy instance

Insurance contract or identification number	35552
Number of Individuals Covered	114
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $11,955
Total amount of fees paid to insurance company	USD $2,136
Are there contracts with unallocated funds for contracts of type 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

35552

Policy instance

Insurance contract or identification number	35552
Number of Individuals Covered	100
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $7,802
Total amount of fees paid to insurance company	USD $1,337
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	TRISTATE CAREFLIGHT, L.L.C.
Employer identification number (EIN):	481265216
NAIC Classification:	621900

Plan id#	Filing Submission Date	Name of Administrator
001	2016-01-01	HEATHER DUMAS
001	2016-01-01
001	2015-01-01	HEATHER DUMAS
001	2014-01-01	BLAKE STAMPER
001	2013-01-01	BLAKE STAMPER
001	2012-01-01	BLAKE STAMPER
001	2011-01-01	BLAKE STAMPER
001	2010-01-01	BLAKE STAMPER
001	2009-01-01	BLAKE STAMPER
001	2009-01-01	BLAKE STAMPER