401k Plan data: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN plan

PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 401k Plan overview

Plan Name	PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN
Plan identification number	001

PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) 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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

PELLOW FAMILY CHIROPRACTIC, P.C. has sponsored the creation of one or more 401k plans.

Company Name: PELLOW FAMILY CHIROPRACTIC, P.C.

Employer identification number (EIN): 841602549

NAIC Classification: 621310
NAIC Description: Offices of Chiropractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 CHRIS PELLOW CHRIS PELLOW 2018-07-31
001 2014-01-01 SHAWNA MARTINEZ SHAWNA MARTINEZ 2015-06-22
001 2013-01-01 SHAWNA MARTINEZ SHAWNA MARTINEZ 2014-07-14
001 2012-01-01 SHAWNA MARTINEZ SHAWNA MARTINEZ 2013-07-31
001 2011-01-01 SHAWNA MARTINEZ
001 2010-01-01 SHAWNA MARTINEZ SHAWNA MARTINEZ 2011-06-20
001 2009-01-01 SHAWNA MARTINEZ

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	CHRIS PELLOW	CHRIS PELLOW	2018-07-31
001	2014-01-01	SHAWNA MARTINEZ	SHAWNA MARTINEZ	2015-06-22
001	2013-01-01	SHAWNA MARTINEZ	SHAWNA MARTINEZ	2014-07-14
001	2012-01-01	SHAWNA MARTINEZ	SHAWNA MARTINEZ	2013-07-31
001	2011-01-01	SHAWNA MARTINEZ
001	2010-01-01	SHAWNA MARTINEZ	SHAWNA MARTINEZ	2011-06-20
001	2009-01-01	SHAWNA MARTINEZ

Plan Statistics for PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN

401k plan membership statisitcs for PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN

Measure Date Value
2019: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 2
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 1
Total of all active and inactive participants 2019-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 3
Number of participants with account balances 2019-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3
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 1
Total of all active and inactive participants 2018-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 4
Number of participants with account balances 2018-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 3
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 1
Total of all active and inactive participants 2017-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 4
Number of participants with account balances 2017-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2014: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
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 1
Total of all active and inactive participants 2014-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 4
Number of participants with account balances 2014-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
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 1
Total of all active and inactive participants 2013-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
Total of all active and inactive participants 2012-01-01 3
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
2011: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 3
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 3
Number of participants with account balances 2010-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3
Number of participants with account balances 2009-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2019: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	2
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	1
Total of all active and inactive participants	2019-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	3
Number of participants with account balances	2019-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3
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	1
Total of all active and inactive participants	2018-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	4
Number of participants with account balances	2018-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	3
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	1
Total of all active and inactive participants	2017-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	4
Number of participants with account balances	2017-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2014: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
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	1
Total of all active and inactive participants	2014-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	4
Number of participants with account balances	2014-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
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	1
Total of all active and inactive participants	2013-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
Total of all active and inactive participants	2012-01-01	3
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
2011: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	3
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	3
Number of participants with account balances	2010-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3
Number of participants with account balances	2009-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN

Measure	Date	Value
2019 : PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$34,324
Expenses. Total of all expenses incurred	2019-12-31	$33,873
Benefits paid (including direct rollovers)	2019-12-31	$32,407
Total plan assets at end of year	2019-12-31	$161,138
Total plan assets at beginning of year	2019-12-31	$160,687
Other income received	2019-12-31	$34,324
Net income (gross income less expenses)	2019-12-31	$451
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$161,138
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$160,687
Assets. Value of participant loans	2019-12-31	$26,535
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$1,466
2018 : PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-6,104
Expenses. Total of all expenses incurred	2018-12-31	$1,518
Total plan assets at end of year	2018-12-31	$160,687
Total plan assets at beginning of year	2018-12-31	$168,309
Other income received	2018-12-31	$-6,104
Net income (gross income less expenses)	2018-12-31	$-7,622
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$160,687
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$168,309
Assets. Value of participant loans	2018-12-31	$38,457
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$1,518
2017 : PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$22,352
Expenses. Total of all expenses incurred	2017-12-31	$1,136
Total plan assets at end of year	2017-12-31	$168,309
Total plan assets at beginning of year	2017-12-31	$147,093
Other income received	2017-12-31	$22,352
Net income (gross income less expenses)	2017-12-31	$21,216
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$168,309
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$147,093
Assets. Value of participant loans	2017-12-31	$38,457
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$1,136
2014 : PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$531
Expenses. Total of all expenses incurred	2014-12-31	$350
Total plan assets at end of year	2014-12-31	$140,072
Total plan assets at beginning of year	2014-12-31	$139,891
Other income received	2014-12-31	$531
Net income (gross income less expenses)	2014-12-31	$181
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$140,072
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$139,891
Assets. Value of participant loans	2014-12-31	$38,457
Total contributions received or receivable from employer(s)	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$350
2013 : PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$17,962
Expenses. Total of all expenses incurred	2013-12-31	$1,108
Total plan assets at end of year	2013-12-31	$139,891
Total plan assets at beginning of year	2013-12-31	$123,037
Total contributions received or receivable from participants	2013-12-31	$100
Other income received	2013-12-31	$7,034
Net income (gross income less expenses)	2013-12-31	$16,854
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$139,891
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$123,037
Assets. Value of participant loans	2013-12-31	$38,457
Total contributions received or receivable from employer(s)	2013-12-31	$10,828
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,108
2012 : PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$7,507
Expenses. Total of all expenses incurred	2012-12-31	$153
Total plan assets at end of year	2012-12-31	$123,037
Total plan assets at beginning of year	2012-12-31	$115,683
Total contributions received or receivable from participants	2012-12-31	$400
Other income received	2012-12-31	$7,107
Net income (gross income less expenses)	2012-12-31	$7,354
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$123,037
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$115,683
Assets. Value of participant loans	2012-12-31	$32,845
Value of certain deemed distributions of participant loans	2012-12-31	$153
2011 : PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$3,519
Expenses. Total of all expenses incurred	2011-12-31	$4,636
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$115,683
Total plan assets at beginning of year	2011-12-31	$116,800
Total contributions received or receivable from participants	2011-12-31	$1,800
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-881
Net income (gross income less expenses)	2011-12-31	$-1,117
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$115,683
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$116,800
Assets. Value of participant loans	2011-12-31	$35,053
Total contributions received or receivable from employer(s)	2011-12-31	$2,600
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$4,396
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$240
2010 : PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$38,078
Expenses. Total of all expenses incurred	2010-12-31	$475
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$116,800
Total plan assets at beginning of year	2010-12-31	$79,197
Total contributions received or receivable from participants	2010-12-31	$19,000
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$11,682
Net income (gross income less expenses)	2010-12-31	$37,603
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$116,800
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$79,197
Assets. Value of participant loans	2010-12-31	$41,957
Total contributions received or receivable from employer(s)	2010-12-31	$7,396
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$475

Form 5500 Responses for PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN

2019: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2014: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: PELLOW FAMILY CHIROPRACTIC, P.C. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

942741

Policy instance

Insurance contract or identification number	942741
Number of Individuals Covered	3
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $159
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

942741

Policy instance

Insurance contract or identification number	942741
Number of Individuals Covered	3
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $173
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $173
Insurance broker organization code?	4
Insurance broker name	PRIMERICA FINANCIAL SERVICES, INC.

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Company Name:	PELLOW FAMILY CHIROPRACTIC, P.C.
Employer identification number (EIN):	841602549
NAIC Classification:	621310
NAIC Description:	Offices of Chiropractors