401k Plan data: PPMC WELFARE BENEFIT PLAN plan

PPMC WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	PPMC WELFARE BENEFIT PLAN
Plan identification number	501

PPMC WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

PRIMARY PROVIDER MANAGEMENT COMPANY has sponsored the creation of one or more 401k plans.

Company Name: PRIMARY PROVIDER MANAGEMENT COMPANY

Employer identification number (EIN): 953860854

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PPMC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-08-01 HOLLY AMICI
501 2011-08-01 HOLLY AMICS
501 2009-08-01 G. A. DOY VALERO
501 2008-08-01
501 2007-08-01 GODFREDO VALERO 2011-03-16
501 2006-08-01 GODFREDO VALERO 2011-03-16
501 2005-08-01 GODFREDO VALERO 2011-03-16
501 2004-08-01 GODFREDO VALERO 2011-03-16

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2012-08-01	HOLLY AMICI
501	2011-08-01	HOLLY AMICS
501	2009-08-01	G. A. DOY VALERO
501	2008-08-01
501	2007-08-01		GODFREDO VALERO	2011-03-16
501	2006-08-01		GODFREDO VALERO	2011-03-16
501	2005-08-01		GODFREDO VALERO	2011-03-16
501	2004-08-01		GODFREDO VALERO	2011-03-16

Plan Statistics for PPMC WELFARE BENEFIT PLAN

401k plan membership statisitcs for PPMC WELFARE BENEFIT PLAN

Measure Date Value
2012: PPMC WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 212
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 260
Number of retired or separated participants receiving benefits 2012-08-01 0
Number of other retired or separated participants entitled to future benefits 2012-08-01 0
Total of all active and inactive participants 2012-08-01 260
2011: PPMC WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 139
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 131
Number of retired or separated participants receiving benefits 2011-08-01 0
Number of other retired or separated participants entitled to future benefits 2011-08-01 0
Total of all active and inactive participants 2011-08-01 131
2009: PPMC WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 148
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 183
Number of retired or separated participants receiving benefits 2009-08-01 0
Number of other retired or separated participants entitled to future benefits 2009-08-01 0
Total of all active and inactive participants 2009-08-01 183
2007: PPMC WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year 2007-08-01 149
Total number of active participants reported on line 7a of the Form 5500 2007-08-01 130
Number of retired or separated participants receiving benefits 2007-08-01 0
Number of other retired or separated participants entitled to future benefits 2007-08-01 0
Total of all active and inactive participants 2007-08-01 130
Total participants 2007-08-01 130
2006: PPMC WELFARE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year 2006-08-01 133
Total number of active participants reported on line 7a of the Form 5500 2006-08-01 149
Number of retired or separated participants receiving benefits 2006-08-01 0
Number of other retired or separated participants entitled to future benefits 2006-08-01 0
Total of all active and inactive participants 2006-08-01 149
Total participants 2006-08-01 149
2005: PPMC WELFARE BENEFIT PLAN 2005 401k membership
Total participants, beginning-of-year 2005-08-01 111
Total number of active participants reported on line 7a of the Form 5500 2005-08-01 133
Number of retired or separated participants receiving benefits 2005-08-01 0
Number of other retired or separated participants entitled to future benefits 2005-08-01 0
Total of all active and inactive participants 2005-08-01 133
Total participants 2005-08-01 133
2004: PPMC WELFARE BENEFIT PLAN 2004 401k membership
Total participants, beginning-of-year 2004-08-01 128
Total number of active participants reported on line 7a of the Form 5500 2004-08-01 111
Number of retired or separated participants receiving benefits 2004-08-01 0
Number of other retired or separated participants entitled to future benefits 2004-08-01 0
Total of all active and inactive participants 2004-08-01 111
Total participants 2004-08-01 111

Measure	Date	Value
2012: PPMC WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	212
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	260
Number of retired or separated participants receiving benefits	2012-08-01	0
Number of other retired or separated participants entitled to future benefits	2012-08-01	0
Total of all active and inactive participants	2012-08-01	260
2011: PPMC WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	139
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	131
Number of retired or separated participants receiving benefits	2011-08-01	0
Number of other retired or separated participants entitled to future benefits	2011-08-01	0
Total of all active and inactive participants	2011-08-01	131
2009: PPMC WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	148
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	183
Number of retired or separated participants receiving benefits	2009-08-01	0
Number of other retired or separated participants entitled to future benefits	2009-08-01	0
Total of all active and inactive participants	2009-08-01	183
2007: PPMC WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year	2007-08-01	149
Total number of active participants reported on line 7a of the Form 5500	2007-08-01	130
Number of retired or separated participants receiving benefits	2007-08-01	0
Number of other retired or separated participants entitled to future benefits	2007-08-01	0
Total of all active and inactive participants	2007-08-01	130
Total participants	2007-08-01	130
2006: PPMC WELFARE BENEFIT PLAN 2006 401k membership
Total participants, beginning-of-year	2006-08-01	133
Total number of active participants reported on line 7a of the Form 5500	2006-08-01	149
Number of retired or separated participants receiving benefits	2006-08-01	0
Number of other retired or separated participants entitled to future benefits	2006-08-01	0
Total of all active and inactive participants	2006-08-01	149
Total participants	2006-08-01	149
2005: PPMC WELFARE BENEFIT PLAN 2005 401k membership
Total participants, beginning-of-year	2005-08-01	111
Total number of active participants reported on line 7a of the Form 5500	2005-08-01	133
Number of retired or separated participants receiving benefits	2005-08-01	0
Number of other retired or separated participants entitled to future benefits	2005-08-01	0
Total of all active and inactive participants	2005-08-01	133
Total participants	2005-08-01	133
2004: PPMC WELFARE BENEFIT PLAN 2004 401k membership
Total participants, beginning-of-year	2004-08-01	128
Total number of active participants reported on line 7a of the Form 5500	2004-08-01	111
Number of retired or separated participants receiving benefits	2004-08-01	0
Number of other retired or separated participants entitled to future benefits	2004-08-01	0
Total of all active and inactive participants	2004-08-01	111
Total participants	2004-08-01	111

Form 5500 Responses for PPMC WELFARE BENEFIT PLAN

2012: PPMC WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2011: PPMC WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	No
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	No
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2009: PPMC WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	Submission has been amended	No
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2008: PPMC WELFARE BENEFIT PLAN 2008 form 5500 responses
2008-08-01	Type of plan entity	Single employer plan
2008-08-01	Submission has been amended	No
2008-08-01	This submission is the final filing	No
2008-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-08-01	Plan is a collectively bargained plan	No
2007: PPMC WELFARE BENEFIT PLAN 2007 form 5500 responses
2007-08-01	Type of plan entity	Single employer plan
2007-08-01	Submission has been amended	No
2007-08-01	This submission is the final filing	No
2007-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-08-01	Plan is a collectively bargained plan	No
2007-08-01	Plan funding arrangement – Insurance	Yes
2007-08-01	Plan benefit arrangement – Insurance	Yes
2006: PPMC WELFARE BENEFIT PLAN 2006 form 5500 responses
2006-08-01	Type of plan entity	Single employer plan
2006-08-01	Submission has been amended	No
2006-08-01	This submission is the final filing	No
2006-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-08-01	Plan is a collectively bargained plan	No
2006-08-01	Plan funding arrangement – Insurance	Yes
2006-08-01	Plan benefit arrangement – Insurance	Yes
2005: PPMC WELFARE BENEFIT PLAN 2005 form 5500 responses
2005-08-01	Type of plan entity	Single employer plan
2005-08-01	Submission has been amended	No
2005-08-01	This submission is the final filing	No
2005-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-08-01	Plan is a collectively bargained plan	No
2005-08-01	Plan funding arrangement – Insurance	Yes
2005-08-01	Plan benefit arrangement – Insurance	Yes
2004: PPMC WELFARE BENEFIT PLAN 2004 form 5500 responses
2004-08-01	Type of plan entity	Single employer plan
2004-08-01	Submission has been amended	No
2004-08-01	This submission is the final filing	No
2004-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-08-01	Plan is a collectively bargained plan	No
2004-08-01	Plan funding arrangement – Insurance	Yes
2004-08-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	PRIMARY PROVIDER MANAGEMENT COMPANY
Employer identification number (EIN):	953860854
NAIC Classification:	541600