401k Plan data: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN plan

BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN
Plan identification number	002

BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ROBERT J. MARTIN, JR., M.D., INC. has sponsored the creation of one or more 401k plans.

Company Name: ROBERT J. MARTIN, JR., M.D., INC.

Employer identification number (EIN): 770405006

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

Additional information about ROBERT J. MARTIN, JR., M.D., INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 1995-06-20

Company Identification Number: C1943194

Legal Registered Office Address: 169 La Crescenta Drive

Camarillo
United States of America (USA)
93010-8409

More information about ROBERT J. MARTIN, JR., M.D., INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
002 2017-01-01
002 2016-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
002 2016-01-01
002 2015-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
002 2015-01-01
002 2014-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
002 2014-01-01
002 2013-01-01 DAVID A. PECKHAM, FOR SBPC, INC.
002 2013-01-01 DAVID A. PECKHAM, FOR SBPC, INC. 2019-12-30
002 2012-01-01 DAVID A. PECKHAM, FOR SBPC, INC. 2013-10-15

Plan Statistics for BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 10
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 10
Number of participants with account balances 2022-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 10
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 10
Number of participants with account balances 2021-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 10
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 10
Number of participants with account balances 2020-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 10
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 10
Number of participants with account balances 2019-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 10
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 10
Number of participants with account balances 2018-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 10
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 10
Number of participants with account balances 2017-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 10
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 10
Number of participants with account balances 2016-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 10
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 10
Number of participants with account balances 2015-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 10
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 10
Number of participants with account balances 2014-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 10
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2022: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	10
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	10
Number of participants with account balances	2022-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	10
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	10
Number of participants with account balances	2021-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	10
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	10
Number of participants with account balances	2020-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	10
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	10
Number of participants with account balances	2019-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	10
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	10
Number of participants with account balances	2018-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	10
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	10
Number of participants with account balances	2017-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	10
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	10
Number of participants with account balances	2016-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	10
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	10
Number of participants with account balances	2015-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	10
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	10
Number of participants with account balances	2014-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	10
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-467,221
Total plan assets at end of year	2022-12-31	$5,980,922
Total plan assets at beginning of year	2022-12-31	$6,448,143
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$120,000
Other income received	2022-12-31	$-768,121
Net income (gross income less expenses)	2022-12-31	$-467,221
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$5,980,922
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$6,448,143
Total contributions received or receivable from employer(s)	2022-12-31	$180,900
2021 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$772,123
Total plan assets at end of year	2021-12-31	$6,448,143
Total plan assets at beginning of year	2021-12-31	$5,676,020
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$110,500
Other income received	2021-12-31	$475,365
Net income (gross income less expenses)	2021-12-31	$772,123
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$6,448,143
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$5,676,020
Total contributions received or receivable from employer(s)	2021-12-31	$186,258
2020 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$864,624
Total plan assets at end of year	2020-12-31	$5,676,020
Total plan assets at beginning of year	2020-12-31	$4,811,396
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$110,500
Other income received	2020-12-31	$577,368
Net income (gross income less expenses)	2020-12-31	$864,624
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$5,676,020
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$4,811,396
Total contributions received or receivable from employer(s)	2020-12-31	$176,756
2019 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$3,264,831
Total income from all sources	2019-12-31	$508,177
Total plan assets at end of year	2019-12-31	$4,811,396
Total plan assets at beginning of year	2019-12-31	$1,038,388
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$107,000
Other income received	2019-12-31	$101,177
Net income (gross income less expenses)	2019-12-31	$508,177
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$4,811,396
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,038,388
Total contributions received or receivable from employer(s)	2019-12-31	$300,000
2018 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$245,348
Total plan assets at end of year	2018-12-31	$1,038,388
Total plan assets at beginning of year	2018-12-31	$793,040
Other income received	2018-12-31	$-54,652
Net income (gross income less expenses)	2018-12-31	$245,348
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,038,388
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$793,040
Total contributions received or receivable from employer(s)	2018-12-31	$300,000
2017 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$178,049
Total plan assets at end of year	2017-12-31	$793,040
Total plan assets at beginning of year	2017-12-31	$614,991
Other income received	2017-12-31	$43,049
Net income (gross income less expenses)	2017-12-31	$178,049
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$793,040
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$614,991
Total contributions received or receivable from employer(s)	2017-12-31	$135,000
2016 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$157,856
Total plan assets at end of year	2016-12-31	$614,991
Total plan assets at beginning of year	2016-12-31	$457,135
Noncash contributions received	2016-12-31	$22,856
Net income (gross income less expenses)	2016-12-31	$157,856
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$614,991
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$457,135
Total contributions received or receivable from employer(s)	2016-12-31	$135,000
2015 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$140,816
Total plan assets at end of year	2015-12-31	$457,135
Total plan assets at beginning of year	2015-12-31	$316,319
Other income received	2015-12-31	$15,816
Net income (gross income less expenses)	2015-12-31	$140,816
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$457,135
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$316,319
Total contributions received or receivable from employer(s)	2015-12-31	$125,000
2014 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$1,074,575
Total income from all sources	2014-12-31	$145,694
Expenses. Total of all expenses incurred	2014-12-31	$8,502
Total plan assets at end of year	2014-12-31	$316,319
Total plan assets at beginning of year	2014-12-31	$170,625
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$46,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$287
Other income received	2014-12-31	$20,694
Net income (gross income less expenses)	2014-12-31	$145,694
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$316,319
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$170,625
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$43,484
Total contributions received or receivable from employer(s)	2014-12-31	$125,000
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$8,215
2013 : BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$133,125
Total plan assets at end of year	2013-12-31	$170,625
Total plan assets at beginning of year	2013-12-31	$37,500
Other income received	2013-12-31	$8,125
Net income (gross income less expenses)	2013-12-31	$133,125
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$170,625
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$37,500
Total contributions received or receivable from employer(s)	2013-12-31	$125,000

Form 5500 Responses for BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN

2022: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BLUE MOON MEDICAL 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

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Company Name:	ROBERT J. MARTIN, JR., M.D., INC.
Employer identification number (EIN):	770405006
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	1995-06-20
Company Identification Number:	C1943194
Legal Registered Office Address:	169 La Crescenta Drive Camarillo United States of America (USA) 93010-8409