401k Plan data: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT plan

SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 401k Plan overview

Plan Name	SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT
Plan identification number	525

SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

SEMMES-MURPHEY CLINIC has sponsored the creation of one or more 401k plans.

Company Name: SEMMES-MURPHEY CLINIC

Employer identification number (EIN): 620642575

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
525 2013-01-01 BRENT E PATTERSON
525 2012-01-01 BRENT E. PATTERSON
525 2011-01-01 BRENT E. PATTERSON
525 2009-01-01 JOHN LEWIS

Plan id#	Filing Submission Date	Name of Administrator
525	2013-01-01	BRENT E PATTERSON
525	2012-01-01	BRENT E. PATTERSON
525	2011-01-01	BRENT E. PATTERSON
525	2009-01-01	JOHN LEWIS

Plan Statistics for SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT

401k plan membership statisitcs for SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT

Measure Date Value
2013: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2013 401k membership
Total participants, beginning-of-year 2013-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
2012: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 156
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 156
2011: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2011 401k membership
Total participants, beginning-of-year 2011-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 153
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 153
2009: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 152
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 152

Measure	Date	Value
2013: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2013 401k membership
Total participants, beginning-of-year	2013-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
2012: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	156
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	156
2011: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2011 401k membership
Total participants, beginning-of-year	2011-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	153
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	153
2009: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	152
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	152

Form 5500 Responses for SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT

2013: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: SEMMES-MURPHY CLINIC HEALTH REIMBURSEMENT AGREEMENT 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	SEMMES-MURPHEY CLINIC
Employer identification number (EIN):	620642575
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)