401k Plan data: MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN plan

MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN
Plan identification number	002

MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING 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.
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.
Life insurance

401k Sponsoring company profile

MABILE'S CORNER PHARMACY has sponsored the creation of one or more 401k plans.

Company Name: MABILE'S CORNER PHARMACY

Employer identification number (EIN): 720792985

NAIC Classification: 446110
NAIC Description: Pharmacies and Drug Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2018-01-01
002 2017-01-01
002 2017-01-01
002 2017-01-01
002 2016-01-01 RAY MABILE 2017-09-28
002 2015-01-01 RAY MABILE 2016-07-20
002 2014-01-01 RAY MABILE 2015-10-02
002 2013-01-01 RAY MABILE 2014-10-02
002 2012-01-01 RAY MABILE
002 2011-01-01 RAY MABILE
002 2010-01-01 RAY MABILE 2011-10-04

Plan Statistics for MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
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 3
Total of all active and inactive participants 2012-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 11
Number of participants with account balances 2012-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
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 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2012: MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
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	3
Total of all active and inactive participants	2012-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	11
Number of participants with account balances	2012-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
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	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2012 : MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$71,642
Expenses. Total of all expenses incurred	2012-12-31	$3,448
Benefits paid (including direct rollovers)	2012-12-31	$1,853
Total plan assets at end of year	2012-12-31	$162,649
Total plan assets at beginning of year	2012-12-31	$94,455
Value of fidelity bond covering the plan	2012-12-31	$30,000
Total contributions received or receivable from participants	2012-12-31	$41,882
Contributions received from other sources (not participants or employers)	2012-12-31	$1,255
Other income received	2012-12-31	$10,549
Net income (gross income less expenses)	2012-12-31	$68,194
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$162,649
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$94,455
Total contributions received or receivable from employer(s)	2012-12-31	$17,956
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,595
2011 : MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$58,640
Expenses. Total of all expenses incurred	2011-12-31	$789
Total plan assets at end of year	2011-12-31	$94,455
Total plan assets at beginning of year	2011-12-31	$36,604
Value of fidelity bond covering the plan	2011-12-31	$30,000
Total contributions received or receivable from participants	2011-12-31	$42,224
Other income received	2011-12-31	$-1,443
Net income (gross income less expenses)	2011-12-31	$57,851
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$94,455
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$36,604
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2011-12-31	$7,289
Total contributions received or receivable from employer(s)	2011-12-31	$17,859
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$789

Form 5500 Responses for MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN

2012: MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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: MABILE'S CORNER PHARMACY 401(K) PROFIT SHARING 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

Insurance Providers Used on plan

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204000

Policy instance

Insurance contract or identification number	VF80204000
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $18
Life Insurance Welfare Benefit	Yes
Commission paid to Insurance Broker	USD $3
Insurance broker organization code?	5
Insurance broker name	NFP INSURANCE SERVICES, INC.

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

Policy contract number

99414

Policy instance

Insurance contract or identification number	99414
Number of Individuals Covered	10
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,112
Total amount of fees paid to insurance company	USD $650
Commission paid to Insurance Broker	USD $1,011
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	650
Insurance broker name	THE SENEX GROUP

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80205330

Policy instance

Insurance contract or identification number	VF80205330
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $20
Life Insurance Welfare Benefit	Yes
Commission paid to Insurance Broker	USD $4
Insurance broker organization code?	5
Insurance broker name	NFP INSURANCE SERVICES, INC.

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204040

Policy instance

Insurance contract or identification number	VF80204040
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $14
Life Insurance Welfare Benefit	Yes
Commission paid to Insurance Broker	USD $3
Insurance broker organization code?	5
Insurance broker name	NFP INSURANCE SERVICES, INC.

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204030

Policy instance

Insurance contract or identification number	VF80204030
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $9
Life Insurance Welfare Benefit	Yes
Commission paid to Insurance Broker	USD $2
Insurance broker organization code?	5
Insurance broker name	NFP INSURANCE SERVICES, INC.

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204020

Policy instance

Insurance contract or identification number	VF80204020
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $13
Life Insurance Welfare Benefit	Yes
Commission paid to Insurance Broker	USD $3
Insurance broker organization code?	5
Insurance broker name	NFP INSURANCE SERVICES, INC.

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204010

Policy instance

Insurance contract or identification number	VF80204010
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $24
Life Insurance Welfare Benefit	Yes
Commission paid to Insurance Broker	USD $5
Insurance broker organization code?	5
Insurance broker name	NFP INSURANCE SERVICES, INC.

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204040

Policy instance

Insurance contract or identification number	VF80204040
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $122
Life Insurance Welfare Benefit	Yes

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204030

Policy instance

Insurance contract or identification number	VF80204030
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $78
Life Insurance Welfare Benefit	Yes

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204020

Policy instance

Insurance contract or identification number	VF80204020
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $117
Life Insurance Welfare Benefit	Yes

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204010

Policy instance

Insurance contract or identification number	VF80204010
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $213
Life Insurance Welfare Benefit	Yes

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80204000

Policy instance

Insurance contract or identification number	VF80204000
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $159
Life Insurance Welfare Benefit	Yes

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80203990

Policy instance

Insurance contract or identification number	VF80203990
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $91
Life Insurance Welfare Benefit	Yes

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

Policy contract number

99414

Policy instance

Insurance contract or identification number	99414
Number of Individuals Covered	11
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $487
Total amount of fees paid to insurance company	USD $542

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )

Policy contract number

VF80205330

Policy instance

Insurance contract or identification number	VF80205330
Number of Individuals Covered	1
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $180
Life Insurance Welfare Benefit	Yes

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Company Name:	MABILE'S CORNER PHARMACY
Employer identification number (EIN):	720792985
NAIC Classification:	446110
NAIC Description:	Pharmacies and Drug Stores

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2018-01-01
002	2017-01-01
002	2017-01-01
002	2017-01-01
002	2016-01-01	RAY MABILE	2017-09-28
002	2015-01-01	RAY MABILE	2016-07-20
002	2014-01-01	RAY MABILE	2015-10-02
002	2013-01-01	RAY MABILE	2014-10-02
002	2012-01-01	RAY MABILE
002	2011-01-01	RAY MABILE
002	2010-01-01	RAY MABILE	2011-10-04