401k Plan data: FMS, INC. WELFARE BENEFIT PLAN plan

FMS, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	FMS, INC. WELFARE BENEFIT PLAN
Plan identification number	502

FMS, INC. WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

FMS, INC has sponsored the creation of one or more 401k plans.

Company Name: FMS, INC

Employer identification number (EIN): 731422800

NAIC Classification: 561440
NAIC Description: Collection Agencies

Additional information about FMS, INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2135952

More information about FMS, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FMS, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2011-07-01 ROBIN ARCHER JOHN SMITH 2013-01-31
502 2011-07-01 TERRY WHITE 2021-03-25
502 2010-07-01 JOHN SMITH ROBIN ARCHER 2012-02-03
502 2009-07-01 ROBIN ARCHER JOHN SMITH 2011-02-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2011-07-01	ROBIN ARCHER		JOHN SMITH	2013-01-31
502	2011-07-01	TERRY WHITE	2021-03-25
502	2010-07-01	JOHN SMITH		ROBIN ARCHER	2012-02-03
502	2009-07-01	ROBIN ARCHER		JOHN SMITH	2011-02-16

Plan Statistics for FMS, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for FMS, INC. WELFARE BENEFIT PLAN

Measure Date Value
2011: FMS, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 110
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 94
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
Number of employers contributing to the scheme 2011-07-01 0
2010: FMS, INC. WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 109
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 110
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 110
Number of participants with account balances 2010-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: FMS, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 273
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 268
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 268

Measure	Date	Value
2011: FMS, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	110
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	94
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
Number of employers contributing to the scheme	2011-07-01	0
2010: FMS, INC. WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	109
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	110
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	110
Number of participants with account balances	2010-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: FMS, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	273
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	268
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	268

Form 5500 Responses for FMS, INC. WELFARE BENEFIT PLAN

2011: FMS, INC. WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	First time form 5500 has been submitted	Yes
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: FMS, INC. WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	First time form 5500 has been submitted	Yes
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: FMS, INC. WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	First time form 5500 has been submitted	Yes
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )

Policy contract number

543467

Policy instance

Insurance contract or identification number	543467
Number of Individuals Covered	94
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $2,593
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $39,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,593
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	FMS, INC
Employer identification number (EIN):	731422800
NAIC Classification:	561440
NAIC Description:	Collection Agencies

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2135952