401k Plan data: DELTA CONVENIENT CARE P C plan

DELTA CONVENIENT CARE P C 401k Plan overview

Plan Name	DELTA CONVENIENT CARE P C
Plan identification number	001

DELTA CONVENIENT CARE P C 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

DELTA CONVENIENT CARE PC has sponsored the creation of one or more 401k plans.

Company Name: DELTA CONVENIENT CARE PC

Employer identification number (EIN): 621797613

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA CONVENIENT CARE P C

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 DIANNE WARD
001 2016-01-01 DIANNE WARD
001 2015-01-01 DIANNE WARD
001 2014-01-01 DIANNE WARD
001 2013-01-01 DIANNE WARD 2014-06-17
001 2012-01-01 DELTA CONVENIENT CARE 2013-07-19
001 2011-01-01 MISTY YARBRO 2012-10-29
001 2010-01-01 DELTA CONVENIENT CARE 2011-06-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2017-01-01	DIANNE WARD
001	2016-01-01	DIANNE WARD
001	2015-01-01	DIANNE WARD
001	2014-01-01	DIANNE WARD
001	2013-01-01	DIANNE WARD	2014-06-17
001	2012-01-01	DELTA CONVENIENT CARE	2013-07-19
001	2011-01-01	MISTY YARBRO	2012-10-29
001	2010-01-01	DELTA CONVENIENT CARE	2011-06-01

Financial Data on DELTA CONVENIENT CARE P C

Measure	Date	Value
2017 : DELTA CONVENIENT CARE P C 2017 401k financial data
Total income from all sources	2017-12-31	$71,697
Expenses. Total of all expenses incurred	2017-12-31	$653,927
Benefits paid (including direct rollovers)	2017-12-31	$653,927
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$582,230
Total contributions received or receivable from participants	2017-12-31	$20,978
Other income received	2017-12-31	$18,234
Net income (gross income less expenses)	2017-12-31	$-582,230
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$582,230
Assets. Value of participant loans	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$32,485
2016 : DELTA CONVENIENT CARE P C 2016 401k financial data
Total income from all sources	2016-12-31	$52,412
Expenses. Total of all expenses incurred	2016-12-31	$94,651
Benefits paid (including direct rollovers)	2016-12-31	$94,651
Total plan assets at end of year	2016-12-31	$582,230
Total plan assets at beginning of year	2016-12-31	$624,469
Total contributions received or receivable from participants	2016-12-31	$17,293
Other income received	2016-12-31	$27,715
Net income (gross income less expenses)	2016-12-31	$-42,239
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$582,230
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$624,469
Assets. Value of participant loans	2016-12-31	$23,382
Total contributions received or receivable from employer(s)	2016-12-31	$7,404
2015 : DELTA CONVENIENT CARE P C 2015 401k financial data
Total income from all sources	2015-12-31	$57,416
Expenses. Total of all expenses incurred	2015-12-31	$108,601
Benefits paid (including direct rollovers)	2015-12-31	$108,601
Total plan assets at end of year	2015-12-31	$624,469
Total plan assets at beginning of year	2015-12-31	$675,654
Total contributions received or receivable from participants	2015-12-31	$45,250
Other income received	2015-12-31	$-7,018
Net income (gross income less expenses)	2015-12-31	$-51,185
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$624,469
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$675,654
Assets. Value of participant loans	2015-12-31	$30,697
Total contributions received or receivable from employer(s)	2015-12-31	$19,184
2014 : DELTA CONVENIENT CARE P C 2014 401k financial data
Total income from all sources	2014-12-31	$60,823
Expenses. Total of all expenses incurred	2014-12-31	$10,844
Benefits paid (including direct rollovers)	2014-12-31	$10,844
Total plan assets at end of year	2014-12-31	$675,654
Total plan assets at beginning of year	2014-12-31	$625,675
Value of fidelity bond covering the plan	2014-12-31	$37,180
Total contributions received or receivable from participants	2014-12-31	$28,625
Other income received	2014-12-31	$20,178
Net income (gross income less expenses)	2014-12-31	$49,979
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$675,654
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$625,675
Assets. Value of participant loans	2014-12-31	$282
Total contributions received or receivable from employer(s)	2014-12-31	$12,020

Form 5500 Responses for DELTA CONVENIENT CARE P C

2017: DELTA CONVENIENT CARE P C 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
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: DELTA CONVENIENT CARE P C 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: DELTA CONVENIENT CARE P C 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: DELTA CONVENIENT CARE P C 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

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	811505
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	811505
Policy instance	1

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Company Name:	DELTA CONVENIENT CARE PC
Employer identification number (EIN):	621797613
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)