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CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan NameCALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number 001

CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.

401k Sponsoring company profile

CALIFORNIA FORENSIC MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:CALIFORNIA FORENSIC MEDICAL GROUP, INC.
Employer identification number (EIN):770005793
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01DAVID J. HEES2020-10-13 DAVID J. HEES2020-10-13
0012018-01-01DAVID J. HEES2019-10-10 DAVID J. HEES2019-10-10
0012017-01-01
0012016-01-01
0012015-10-01DONALD MYLL
0012014-10-01DONALD MYLL
0012013-10-01DONALD MYLL
0012012-10-01DAN HUSTEDT
0012011-10-01DAN HUSTEDT
0012010-10-01DAN HUSTEDT
0012009-10-01DAN HUSTEDT
0012008-10-01

Plan Statistics for CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2019: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011,782
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,352
Total number of active participants reported on line 7a of the Form 55002018-01-011,227
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-01329
Total participants2018-01-011,556
Number of participants with account balances2018-01-011,499
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0157
2017: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-011,004
Total number of active participants reported on line 7a of the Form 55002017-01-01955
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01303
Total of all active and inactive participants2017-01-011,258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,258
Number of participants with account balances2017-01-011,224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0151
2016: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01872
Total number of active participants reported on line 7a of the Form 55002016-01-01860
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01168
Total of all active and inactive participants2016-01-011,028
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,028
Number of participants with account balances2016-01-01953
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0165
2015: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-10-01705
Total number of active participants reported on line 7a of the Form 55002015-10-01625
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-0198
Total of all active and inactive participants2015-10-01723
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01723
Number of participants with account balances2015-10-01480
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-013
2014: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-10-01506
Total number of active participants reported on line 7a of the Form 55002014-10-01505
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-0172
Total of all active and inactive participants2014-10-01577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-01577
Number of participants with account balances2014-10-01477
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-0130
2013: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-10-01504
Total number of active participants reported on line 7a of the Form 55002013-10-01443
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-0155
Total of all active and inactive participants2013-10-01498
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-01498
Number of participants with account balances2013-10-01421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-0116
2012: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-10-01417
Total number of active participants reported on line 7a of the Form 55002012-10-01460
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-0138
Total of all active and inactive participants2012-10-01498
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-011
Total participants2012-10-01499
Number of participants with account balances2012-10-01390
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-0112
2011: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-10-01418
Total number of active participants reported on line 7a of the Form 55002011-10-01377
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-0137
Total of all active and inactive participants2011-10-01414
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-01414
Number of participants with account balances2011-10-01372
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-0113
2010: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year2010-10-01401
Total number of active participants reported on line 7a of the Form 55002010-10-01339
Number of retired or separated participants receiving benefits2010-10-010
Number of other retired or separated participants entitled to future benefits2010-10-0139
Total of all active and inactive participants2010-10-01378
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-10-010
Total participants2010-10-01378
Number of participants with account balances2010-10-01367
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-10-0112
2009: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-10-01413
Total number of active participants reported on line 7a of the Form 55002009-10-01371
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-0125
Total of all active and inactive participants2009-10-01396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01396
Number of participants with account balances2009-10-01335
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-0125

Financial Data on CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2019 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets from this plan2019-12-31$34,068,991
Total transfer of assets from this plan2019-12-31$34,068,991
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,379
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,379
Total income from all sources (including contributions)2019-12-31$12,396,235
Total income from all sources (including contributions)2019-12-31$12,396,235
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,393,075
Total of all expenses incurred2019-12-31$3,393,075
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,241,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,241,091
Expenses. Certain deemed distributions of participant loans2019-12-31$47,223
Expenses. Certain deemed distributions of participant loans2019-12-31$47,223
Value of total corrective distributions2019-12-31$12,616
Value of total corrective distributions2019-12-31$12,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$7,218,328
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$7,218,328
Value of total assets at end of year2019-12-31$0
Value of total assets at end of year2019-12-31$0
Value of total assets at beginning of year2019-12-31$25,070,210
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$92,145
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$92,145
Total interest from all sources2019-12-31$17,991
Total interest from all sources2019-12-31$17,991
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$31,104
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$31,104
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$31,104
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$31,104
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
If this is an individual account plan, was there a blackout period2019-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$5,113,546
Contributions received from participants2019-12-31$5,113,546
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$266,835
Participant contributions at beginning of year2019-12-31$266,835
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$2,493
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$231,658
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$231,658
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$4,379
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$4,379
Other income not declared elsewhere2019-12-31$5,936
Other income not declared elsewhere2019-12-31$5,936
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$9,003,160
Value of net income/loss2019-12-31$9,003,160
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$25,065,831
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$25,065,831
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at beginning of year2019-12-31$22,805,849
Value of interest in pooled separate accounts at beginning of year2019-12-31$22,805,849
Interest on participant loans2019-12-31$17,991
Interest on participant loans2019-12-31$17,991
Value of interest in common/collective trusts at end of year2019-12-31$0
Value of interest in common/collective trusts at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$518,135
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$518,135
Net investment gain/loss from pooled separate accounts2019-12-31$5,122,876
Net investment gain/loss from pooled separate accounts2019-12-31$5,122,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,873,124
Contributions received in cash from employer2019-12-31$1,873,124
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$1,476,898
Employer contributions (assets) at beginning of year2019-12-31$1,476,898
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,241,091
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,241,091
Contract administrator fees2019-12-31$92,145
Contract administrator fees2019-12-31$92,145
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31LBMC, P.C.
Accountancy firm name2019-12-31LBMC, P.C.
Accountancy firm EIN2019-12-31621199757
Accountancy firm EIN2019-12-31621199757
2018 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,379
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,736
Total income from all sources (including contributions)2018-12-31$4,410,187
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,332,581
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,268,684
Expenses. Certain deemed distributions of participant loans2018-12-31$8,369
Value of total corrective distributions2018-12-31$4,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$5,978,471
Value of total assets at end of year2018-12-31$25,070,210
Value of total assets at beginning of year2018-12-31$22,991,961
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$51,149
Total interest from all sources2018-12-31$6,496
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$4,001
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$4,001
Administrative expenses professional fees incurred2018-12-31$51,149
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$3,965,329
Participant contributions at end of year2018-12-31$266,835
Participant contributions at beginning of year2018-12-31$51,000
Participant contributions at end of year2018-12-31$2,493
Participant contributions at beginning of year2018-12-31$612
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$536,244
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$4,379
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$3,736
Other income not declared elsewhere2018-12-31$-1,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$2,077,606
Value of net assets at end of year (total assets less liabilities)2018-12-31$25,065,831
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$22,988,225
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$22,805,849
Value of interest in pooled separate accounts at beginning of year2018-12-31$21,250,747
Interest on participant loans2018-12-31$6,180
Interest earned on other investments2018-12-31$316
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$518,135
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$436,088
Net investment gain/loss from pooled separate accounts2018-12-31$-1,577,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,476,898
Employer contributions (assets) at end of year2018-12-31$1,476,898
Employer contributions (assets) at beginning of year2018-12-31$1,253,514
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,268,684
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31LBMC
Accountancy firm EIN2018-12-31621199757
2017 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,736
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,103
Total income from all sources (including contributions)2017-12-31$7,721,263
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,420,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,388,374
Value of total corrective distributions2017-12-31$2,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,886,239
Value of total assets at end of year2017-12-31$22,991,961
Value of total assets at beginning of year2017-12-31$17,688,270
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$28,934
Total interest from all sources2017-12-31$3,916
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$3,770
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$3,770
Administrative expenses professional fees incurred2017-12-31$28,934
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$3,324,942
Participant contributions at end of year2017-12-31$51,000
Participant contributions at end of year2017-12-31$612
Participant contributions at beginning of year2017-12-31$17,936
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$307,783
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$3,736
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,103
Other income not declared elsewhere2017-12-31$-1,101
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$5,301,058
Value of net assets at end of year (total assets less liabilities)2017-12-31$22,988,225
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$17,687,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$21,250,747
Value of interest in pooled separate accounts at beginning of year2017-12-31$16,249,195
Interest earned on other investments2017-12-31$3,916
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$436,088
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$597,473
Net investment gain/loss from pooled separate accounts2017-12-31$2,828,439
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,253,514
Employer contributions (assets) at end of year2017-12-31$1,253,514
Employer contributions (assets) at beginning of year2017-12-31$823,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,388,374
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BHLF LLP
Accountancy firm EIN2017-12-31454806875
2016 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$24,423
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,103
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$23,367
Total income from all sources (including contributions)2016-12-31$5,127,342
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,719,535
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,685,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,223,846
Value of total assets at end of year2016-12-31$17,688,270
Value of total assets at beginning of year2016-12-31$15,278,304
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$34,433
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$19,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$19,699
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,156,432
Participant contributions at end of year2016-12-31$17,936
Participant contributions at beginning of year2016-12-31$977
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$243,748
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,103
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$23,367
Other income not declared elsewhere2016-12-31$-195
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,407,807
Value of net assets at end of year (total assets less liabilities)2016-12-31$17,687,167
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$15,254,937
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$16,249,195
Value of interest in pooled separate accounts at beginning of year2016-12-31$15,109,987
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$597,473
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,373
Net investment gain/loss from pooled separate accounts2016-12-31$1,883,992
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$823,666
Employer contributions (assets) at end of year2016-12-31$823,666
Employer contributions (assets) at beginning of year2016-12-31$165,967
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,685,102
Contract administrator fees2016-12-31$34,433
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BONG HILLBERG LEWIS FISCHESSER LLP
Accountancy firm EIN2016-12-31454806875
2015 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$23,367
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$13,337
Total income from all sources (including contributions)2015-12-31$933,562
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$599,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$575,395
Value of total corrective distributions2015-12-31$23,327
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$430,591
Value of total assets at end of year2015-12-31$15,278,304
Value of total assets at beginning of year2015-12-31$14,933,934
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$500
Total interest from all sources2015-12-31$3,539
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$247,733
Participant contributions at end of year2015-12-31$977
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$16,891
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$23,367
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$13,337
Other income not declared elsewhere2015-12-31$6,068
Administrative expenses (other) incurred2015-12-31$500
Total non interest bearing cash at beginning of year2015-12-31$41,418
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$334,340
Value of net assets at end of year (total assets less liabilities)2015-12-31$15,254,937
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$14,920,597
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$13,863,890
Value of interest in pooled separate accounts at end of year2015-12-31$15,109,987
Interest earned on other investments2015-12-31$3,539
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,373
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$398,626
Net investment gain/loss from pooled separate accounts2015-12-31$493,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$165,967
Employer contributions (assets) at end of year2015-12-31$165,967
Employer contributions (assets) at beginning of year2015-12-31$630,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$575,395
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31Yes
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$13,337
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$32,800
Total income from all sources (including contributions)2015-09-30$1,203,972
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$2,322,214
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$2,298,818
Value of total corrective distributions2015-09-30$13,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$1,603,209
Value of total assets at end of year2015-09-30$14,933,934
Value of total assets at beginning of year2015-09-30$16,071,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$10,099
Total interest from all sources2015-09-30$1,144
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$909,169
Participant contributions at end of year2015-09-30$0
Participant contributions at beginning of year2015-09-30$750
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$64,040
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$13,337
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$32,800
Other income not declared elsewhere2015-09-30$32,785
Administrative expenses (other) incurred2015-09-30$10,099
Total non interest bearing cash at end of year2015-09-30$41,418
Total non interest bearing cash at beginning of year2015-09-30$33,828
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-1,118,242
Value of net assets at end of year (total assets less liabilities)2015-09-30$14,920,597
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$16,038,839
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$13,863,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$15,065,330
Interest earned on other investments2015-09-30$1,144
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$398,626
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$390,453
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-433,166
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$630,000
Employer contributions (assets) at end of year2015-09-30$630,000
Employer contributions (assets) at beginning of year2015-09-30$581,278
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$2,298,818
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30BONG HILLBERG LEWIS FISCHESSER LLP
Accountancy firm EIN2015-09-30454806875
2014 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$32,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$2,953,167
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$1,170,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$1,136,053
Value of total corrective distributions2014-09-30$32,760
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$1,613,163
Value of total assets at end of year2014-09-30$16,071,639
Value of total assets at beginning of year2014-09-30$14,256,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$2,175
Total interest from all sources2014-09-30$1,198
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Administrative expenses professional fees incurred2014-09-30$2,175
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$878,055
Participant contributions at end of year2014-09-30$750
Participant contributions at beginning of year2014-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$153,830
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-09-30$32,800
Other income not declared elsewhere2014-09-30$9,728
Total non interest bearing cash at end of year2014-09-30$33,828
Total non interest bearing cash at beginning of year2014-09-30$19,378
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$1,782,179
Value of net assets at end of year (total assets less liabilities)2014-09-30$16,038,839
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$14,256,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$15,065,330
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$13,316,453
Interest earned on other investments2014-09-30$1,198
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-09-30$390,453
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-09-30$390,829
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$1,329,078
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$581,278
Employer contributions (assets) at end of year2014-09-30$581,278
Employer contributions (assets) at beginning of year2014-09-30$530,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$1,136,053
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30BONG HILLBERG LEWIS FISCHESSER LLP
Accountancy firm EIN2014-09-30454806875
2013 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$2,989,372
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$1,249,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,245,308
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$1,395,977
Value of total assets at end of year2013-09-30$14,256,660
Value of total assets at beginning of year2013-09-30$12,517,251
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$4,655
Total interest from all sources2013-09-30$1,958
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$823,829
Participant contributions at end of year2013-09-30$0
Participant contributions at beginning of year2013-09-30$50
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$42,148
Administrative expenses (other) incurred2013-09-30$2,399
Total non interest bearing cash at end of year2013-09-30$19,378
Total non interest bearing cash at beginning of year2013-09-30$21,704
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$1,739,409
Value of net assets at end of year (total assets less liabilities)2013-09-30$14,256,660
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$12,517,251
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$13,316,453
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$11,595,727
Interest earned on other investments2013-09-30$1,958
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$390,829
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$399,770
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$1,591,437
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$530,000
Employer contributions (assets) at end of year2013-09-30$530,000
Employer contributions (assets) at beginning of year2013-09-30$500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$1,245,308
Contract administrator fees2013-09-30$2,256
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30BONG HILLBERG LEWIS FISCHESSER LLP
Accountancy firm EIN2013-09-30454806875
2012 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total income from all sources (including contributions)2012-09-30$3,208,860
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$965,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$964,177
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$1,355,939
Value of total assets at end of year2012-09-30$12,517,251
Value of total assets at beginning of year2012-09-30$10,273,840
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$1,272
Total interest from all sources2012-09-30$3,394
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$847,245
Participant contributions at end of year2012-09-30$50
Participant contributions at beginning of year2012-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$8,694
Administrative expenses (other) incurred2012-09-30$1,272
Total non interest bearing cash at end of year2012-09-30$21,704
Total non interest bearing cash at beginning of year2012-09-30$29,889
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$2,243,411
Value of net assets at end of year (total assets less liabilities)2012-09-30$12,517,251
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$10,273,840
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$11,595,727
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$9,350,134
Interest earned on other investments2012-09-30$3,394
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$399,770
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$395,817
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$1,849,527
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$500,000
Employer contributions (assets) at end of year2012-09-30$500,000
Employer contributions (assets) at beginning of year2012-09-30$498,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$964,177
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30BONG HILLBERG LEWIS FISCHESSER LLP
Accountancy firm EIN2012-09-30454806875
2011 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$1,183,824
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$520,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$515,175
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$1,430,774
Value of total assets at end of year2011-09-30$10,273,840
Value of total assets at beginning of year2011-09-30$9,610,422
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$5,231
Total interest from all sources2011-09-30$4,543
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Administrative expenses professional fees incurred2011-09-30$1,069
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$921,345
Participant contributions at end of year2011-09-30$0
Participant contributions at beginning of year2011-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$11,429
Other income not declared elsewhere2011-09-30$-2,892
Administrative expenses (other) incurred2011-09-30$4,162
Total non interest bearing cash at end of year2011-09-30$29,889
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$663,418
Value of net assets at end of year (total assets less liabilities)2011-09-30$10,273,840
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$9,610,422
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$9,350,134
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$8,760,215
Interest earned on other investments2011-09-30$4,543
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$395,817
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$356,207
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-248,601
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$498,000
Employer contributions (assets) at end of year2011-09-30$498,000
Employer contributions (assets) at beginning of year2011-09-30$494,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$515,175
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30BONG HILLBERG LEWIS FISCHESSER LLP
Accountancy firm EIN2011-09-30454806875
2010 : CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

2019: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-10-01Type of plan entityMulitple employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-10-01Type of plan entityMulitple employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-10-01Type of plan entityMulitple employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2010: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement - TrustYes
2009: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes
2008: CALIFORNIA FORENSIC MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814719
Policy instance 1
Insurance contract or identification number814719
Number of Individuals Covered1919
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,024
Total amount of fees paid to insurance companyUSD $13,432
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?Yes
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
Commission paid to Insurance BrokerUSD $4,024
Insurance broker organization code?3
Amount paid for insurance broker fees13432
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814719
Policy instance 1
Insurance contract or identification number814719
Number of Individuals Covered1499
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $24,359
Total amount of fees paid to insurance companyUSD $11,388
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?Yes
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
Commission paid to Insurance BrokerUSD $24,359
Insurance broker organization code?3
Amount paid for insurance broker fees11388
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814719
Policy instance 1
Insurance contract or identification number814719
Number of Individuals Covered1224
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $22,833
Total amount of fees paid to insurance companyUSD $29,479
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?Yes
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
Commission paid to Insurance BrokerUSD $22,833
Insurance broker organization code?3
Amount paid for insurance broker fees29479
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker nameQUINTES ADMINISTRATIVE AND INSUR
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22310
Policy instance 1
Insurance contract or identification number22310
Number of Individuals Covered0
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,352
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Amount paid for insurance broker fees2352
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameHAYASHI & WAYLAND
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number814719
Policy instance 2
Insurance contract or identification number814719
Number of Individuals Covered186
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22310
Policy instance 1
Insurance contract or identification number22310
Number of Individuals Covered532
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17,946
Are there contracts with allocated funds for individual policies?No
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
Amount paid for insurance broker fees17946
Additional information about fees paid to insurance brokerTPA ADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker name
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22310
Policy instance 1
Insurance contract or identification number22310
Number of Individuals Covered472
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $2,175
Total amount of fees paid to insurance companyUSD $6,952
Are there contracts with allocated funds for individual policies?No
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
Amount paid for insurance broker fees6952
Additional information about fees paid to insurance brokerTPA ADMINISTRATION FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $2,175
Insurance broker nameHAYASHI & WAYLAND
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22310
Policy instance 1
Insurance contract or identification number22310
Number of Individuals Covered440
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,588
Are there contracts with allocated funds for individual policies?No
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
Amount paid for insurance broker fees13588
Additional information about fees paid to insurance brokerTPA ADMINISTRATION FEES
Insurance broker organization code?3
Insurance broker nameHAYASHI & WAYLAND, RPS
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22310
Policy instance 1
Insurance contract or identification number22310
Number of Individuals Covered416
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $5,744
Total amount of fees paid to insurance companyUSD $1,272
Are there contracts with allocated funds for individual policies?No
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22310
Policy instance 1
Insurance contract or identification number22310
Number of Individuals Covered408
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $5,137
Total amount of fees paid to insurance companyUSD $4,218
Are there contracts with allocated funds for individual policies?No
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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

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