401k Plan data: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN plan

MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN
Plan identification number	002

MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K 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.
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.
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

MARIPOSA COMMUNITY HEALTH CENTER INC has sponsored the creation of one or more 401k plans.

Company Name: MARIPOSA COMMUNITY HEALTH CENTER INC

Employer identification number (EIN): 860524321

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Additional information about MARIPOSA COMMUNITY HEALTH CENTER INC

Jurisdiction of Incorporation: Arizona Corporation Commission

Incorporation Date:

Company Identification Number: 01773351

More information about MARIPOSA COMMUNITY HEALTH CENTER INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01
002 2014-01-01 MARIA AREVALO
002 2013-01-01 MARIA AREVALO
002 2012-01-01 MARIA AREVALO
002 2011-01-01 MARIA AREVALO
002 2009-01-01 MARIA AREVALO

Plan Statistics for MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN

401k plan membership statisitcs for MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN

Measure Date Value
2015: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 273
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 234
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 36
Total of all active and inactive participants 2015-01-01 270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 270
Number of participants with account balances 2015-01-01 230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 219
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 48
Total of all active and inactive participants 2014-01-01 267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 267
Number of participants with account balances 2014-01-01 239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 248
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 226
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 37
Total of all active and inactive participants 2013-01-01 263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 263
Number of participants with account balances 2013-01-01 217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 256
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 209
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 39
Total of all active and inactive participants 2012-01-01 248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 248
Number of participants with account balances 2012-01-01 188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 224
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 215
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 38
Total of all active and inactive participants 2011-01-01 253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 253
Number of participants with account balances 2011-01-01 194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 200
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 29
Total of all active and inactive participants 2009-01-01 229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 229
Number of participants with account balances 2009-01-01 154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	273
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	234
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	36
Total of all active and inactive participants	2015-01-01	270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	270
Number of participants with account balances	2015-01-01	230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	219
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	48
Total of all active and inactive participants	2014-01-01	267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	267
Number of participants with account balances	2014-01-01	239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	248
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	226
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	37
Total of all active and inactive participants	2013-01-01	263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	263
Number of participants with account balances	2013-01-01	217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	256
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	209
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	39
Total of all active and inactive participants	2012-01-01	248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	248
Number of participants with account balances	2012-01-01	188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	224
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	215
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	38
Total of all active and inactive participants	2011-01-01	253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	253
Number of participants with account balances	2011-01-01	194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	200
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	29
Total of all active and inactive participants	2009-01-01	229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	229
Number of participants with account balances	2009-01-01	154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN

Measure	Date	Value
2015 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$801
Total income from all sources (including contributions)	2015-12-31	$848,743
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$799,874
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$775,769
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$987,085
Value of total assets at end of year	2015-12-31	$7,527,153
Value of total assets at beginning of year	2015-12-31	$7,479,085
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$24,105
Total interest from all sources	2015-12-31	$16,866
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 year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$618,737
Participant contributions at end of year	2015-12-31	$439,269
Participant contributions at beginning of year	2015-12-31	$362,329
Participant contributions at end of year	2015-12-31	$3,232
Participant contributions at beginning of year	2015-12-31	$173
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,078
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$801
Other income not declared elsewhere	2015-12-31	$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$48,869
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$7,527,153
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$7,478,284
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$24,105
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$6,247,400
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$6,449,654
Interest on participant loans	2015-12-31	$16,866
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$837,067
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$666,845
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-155,223
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$367,270
Employer contributions (assets) at end of year	2015-12-31	$185
Employer contributions (assets) at beginning of year	2015-12-31	$84
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$775,769
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BITNER & COLLINGS, PLLC
Accountancy firm EIN	2015-12-31	203463883
2014 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$801
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$31
Total income from all sources (including contributions)	2014-12-31	$1,224,473
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$229,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$208,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$920,139
Value of total assets at end of year	2014-12-31	$7,479,085
Value of total assets at beginning of year	2014-12-31	$6,483,542
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$21,035
Total interest from all sources	2014-12-31	$16,329
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$576,949
Participant contributions at end of year	2014-12-31	$362,329
Participant contributions at beginning of year	2014-12-31	$376,844
Participant contributions at end of year	2014-12-31	$173
Participant contributions at beginning of year	2014-12-31	$20,605
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$801
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$31
Other income not declared elsewhere	2014-12-31	$150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$994,773
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,478,284
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,483,511
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$6,449,654
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$6,074,950
Interest on participant loans	2014-12-31	$16,329
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$666,845
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$287,855
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$343,190
Employer contributions (assets) at end of year	2014-12-31	$84
Employer contributions (assets) at beginning of year	2014-12-31	$11,143
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$208,665
Contract administrator fees	2014-12-31	$21,035
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BITNER & COLLINGS, PLLC
Accountancy firm EIN	2014-12-31	203463883
2013 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$31
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,605,089
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$170,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$160,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$791,326
Value of total assets at end of year	2013-12-31	$6,483,542
Value of total assets at beginning of year	2013-12-31	$5,048,477
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$9,263
Total interest from all sources	2013-12-31	$10,979
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$501,062
Participant contributions at end of year	2013-12-31	$376,844
Participant contributions at beginning of year	2013-12-31	$264,306
Participant contributions at end of year	2013-12-31	$20,605
Participant contributions at beginning of year	2013-12-31	$15,595
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$325
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$31
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,435,034
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$6,483,511
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$5,048,477
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$6,074,950
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$4,758,927
Interest on participant loans	2013-12-31	$10,979
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$802,769
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$289,939
Employer contributions (assets) at end of year	2013-12-31	$11,143
Employer contributions (assets) at beginning of year	2013-12-31	$9,649
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$160,792
Contract administrator fees	2013-12-31	$9,263
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BITNER & COLLINGS, PLLC
Accountancy firm EIN	2013-12-31	203463883
2012 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,188,688
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$432,409
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$418,294
Expenses. Certain deemed distributions of participant loans	2012-12-31	$5,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$724,888
Value of total assets at end of year	2012-12-31	$5,048,477
Value of total assets at beginning of year	2012-12-31	$4,292,198
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$9,085
Total interest from all sources	2012-12-31	$9,635
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$415,358
Participant contributions at end of year	2012-12-31	$264,306
Participant contributions at beginning of year	2012-12-31	$196,549
Participant contributions at end of year	2012-12-31	$15,595
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$60,413
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$756,279
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,048,477
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,292,198
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$4,758,927
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,095,649
Interest on participant loans	2012-12-31	$9,635
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$454,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$249,117
Employer contributions (assets) at end of year	2012-12-31	$9,649
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$418,294
Contract administrator fees	2012-12-31	$9,085
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BITNER & COLLINGS, PLLC
Accountancy firm EIN	2012-12-31	203463883
2011 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$544,521
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$224,534
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$187,619
Expenses. Certain deemed distributions of participant loans	2011-12-31	$29,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$605,632
Value of total assets at end of year	2011-12-31	$4,292,198
Value of total assets at beginning of year	2011-12-31	$3,972,211
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$6,952
Total interest from all sources	2011-12-31	$6,820
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$250,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$374,899
Participant contributions at end of year	2011-12-31	$196,549
Participant contributions at beginning of year	2011-12-31	$175,832
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$6,138
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$43
Other income not declared elsewhere	2011-12-31	$744
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$319,987
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,292,198
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,972,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,095,649
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,796,336
Interest on participant loans	2011-12-31	$6,820
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-68,675
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$224,595
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$187,619
Contract administrator fees	2011-12-31	$6,952
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BITNER & COLLINGS, PLLC
Accountancy firm EIN	2011-12-31	203463883
2010 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$58
Total income from all sources (including contributions)	2010-12-31	$983,136
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$524,542
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$518,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$618,456
Value of total assets at end of year	2010-12-31	$3,972,211
Value of total assets at beginning of year	2010-12-31	$3,513,675
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,637
Total interest from all sources	2010-12-31	$5,009
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$400,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$314,277
Participant contributions at end of year	2010-12-31	$175,832
Participant contributions at beginning of year	2010-12-31	$107,329
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$106,567
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$43
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$58
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$458,594
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,972,211
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,513,617
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,796,336
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,406,346
Interest on participant loans	2010-12-31	$5,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$359,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$197,612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$518,905
Contract administrator fees	2010-12-31	$5,637
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BITNER & COLLINGS, PLLC
Accountancy firm EIN	2010-12-31	203463883
2009 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN

2015: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING 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: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING 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: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401K PROFIT SHARING 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-FU1I

Policy instance

Insurance contract or identification number	GAP-CP-FU1I
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	Yes
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 $0
Insurance broker organization code?	3
Insurance broker name	LEGEND EQUITIES CORPORATION

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-FU1I

Policy instance

Insurance contract or identification number	GAP-CP-FU1I
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	Yes
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 $0
Insurance broker organization code?	3
Insurance broker name	LEGEND EQUITIES CORPORATION

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Company Name:	MARIPOSA COMMUNITY HEALTH CENTER INC
Employer identification number (EIN):	860524321
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Jurisdiction of Incorporation:	Arizona Corporation Commission
Incorporation Date:
Company Identification Number:	01773351

Plan id#	Filing Submission Date	Name of Administrator
002	2015-01-01
002	2014-01-01	MARIA AREVALO
002	2013-01-01	MARIA AREVALO
002	2012-01-01	MARIA AREVALO
002	2011-01-01	MARIA AREVALO
002	2009-01-01	MARIA AREVALO