?>
Logo

AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 401k Plan overview

Plan NameAXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN
Plan identification number 001

AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.

401k Sponsoring company profile

FARMACIA DORAL, INC. DBA AXIUM HEALTHCARE DE PUERTO RICO has sponsored the creation of one or more 401k plans.

Company Name:FARMACIA DORAL, INC. DBA AXIUM HEALTHCARE DE PUERTO RICO
Employer identification number (EIN):660616318
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01TOM SHELLY2020-10-15
0012018-01-01SUZANNE BALIUS2019-06-20
0012017-01-01SUZANNE BALIUS2018-10-02
0012016-01-01BILL BUCHER2017-05-10
0012015-01-01BILL BUCHER2016-07-14
0012014-01-01BILL BUCHER2015-07-08
0012013-01-01DEBRA COLE2014-06-19
0012012-01-01WILLIAM C. BUCHER2013-10-10
0012011-01-01WILLIAM C. BUCHER2012-10-08

Plan Statistics for AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN

401k plan membership statisitcs for AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN

Measure Date Value
2022: AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01215
Total number of active participants reported on line 7a of the Form 55002022-01-01198
Number of retired or separated participants receiving benefits2022-01-0116
Number of other retired or separated participants entitled to future benefits2022-01-0133
Total of all active and inactive participants2022-01-01247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01247
Number of participants with account balances2022-01-01144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01171
Total number of active participants reported on line 7a of the Form 55002021-01-01159
Number of retired or separated participants receiving benefits2021-01-0116
Number of other retired or separated participants entitled to future benefits2021-01-0137
Total of all active and inactive participants2021-01-01212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01212
Number of participants with account balances2021-01-01136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01155
Total number of active participants reported on line 7a of the Form 55002020-01-01130
Number of retired or separated participants receiving benefits2020-01-0112
Number of other retired or separated participants entitled to future benefits2020-01-0132
Total of all active and inactive participants2020-01-01174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01174
Number of participants with account balances2020-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010

Financial Data on AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN

Measure Date Value
2022 : AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$23,045
Total income from all sources (including contributions)2022-12-31$21,511
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$211,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$206,671
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$362,296
Value of total assets at end of year2022-12-31$1,842,015
Value of total assets at beginning of year2022-12-31$2,055,213
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$4,993
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$208,449
Participant contributions at end of year2022-12-31$2,370
Participant contributions at beginning of year2022-12-31$4,921
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$10,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$10,000
Other income not declared elsewhere2022-12-31$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-190,153
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,842,015
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,032,168
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$868
Value of interest in pooled separate accounts at end of year2022-12-31$1,827,499
Value of interest in pooled separate accounts at beginning of year2022-12-31$2,036,099
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-340,786
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$153,847
Employer contributions (assets) at end of year2022-12-31$2,146
Employer contributions (assets) at beginning of year2022-12-31$4,193
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$206,671
Contract administrator fees2022-12-31$4,125
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$23,045
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31LANDA UMPIERRE,PSC
Accountancy firm EIN2022-12-31300116076
2021 : AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$23,045
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$13,311
Total income from all sources (including contributions)2021-12-31$695,694
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$92,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$91,237
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$474,338
Value of total assets at end of year2021-12-31$2,055,213
Value of total assets at beginning of year2021-12-31$1,442,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,377
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$570
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$195,049
Participant contributions at end of year2021-12-31$4,921
Participant contributions at beginning of year2021-12-31$4,097
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$124,757
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$10,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$4,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$603,080
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,032,168
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,429,088
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$2,036,099
Value of interest in pooled separate accounts at beginning of year2021-12-31$1,431,500
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$221,356
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$154,532
Employer contributions (assets) at end of year2021-12-31$4,193
Employer contributions (assets) at beginning of year2021-12-31$2,802
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$91,237
Contract administrator fees2021-12-31$807
Liabilities. Value of benefit claims payable at end of year2021-12-31$23,045
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$13,311
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31LANDA UMPIERRE,PSC
Accountancy firm EIN2021-12-31300116076
2020 : AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$13,311
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$637,968
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$145,631
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$133,656
Value of total corrective distributions2020-12-31$7,516
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$456,606
Value of total assets at end of year2020-12-31$1,442,399
Value of total assets at beginning of year2020-12-31$936,751
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$4,459
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$245,711
Participant contributions at end of year2020-12-31$4,097
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$18,154
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$4,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$492,337
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,429,088
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$936,751
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$1,024
Value of interest in pooled separate accounts at end of year2020-12-31$1,431,500
Value of interest in pooled separate accounts at beginning of year2020-12-31$936,751
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$181,362
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$192,741
Employer contributions (assets) at end of year2020-12-31$2,802
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$133,656
Contract administrator fees2020-12-31$3,435
Liabilities. Value of benefit claims payable at end of year2020-12-31$13,311
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31LANDA UMPIERRE,PSC
Accountancy firm EIN2020-12-31300116076

Form 5500 Responses for AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN

2022: AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: AXIUM HEALTHCARE DE PUERTO RICO 1165E PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number987465
Policy instance 1
Insurance contract or identification number987465
Number of Individuals Covered247
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $472
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees472
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?5
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number987465
Policy instance 1
Insurance contract or identification number987465
Number of Individuals Covered212
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $442
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees442
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?5
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number987465
Policy instance 1
Insurance contract or identification number987465
Number of Individuals Covered174
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $278
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees278
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?5

Potentially related plans

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

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3