First Fountains Medical Center, Inc.

Form 5500

FIRST FOUNTAINS MEDICAL CENTER, INC.

2707 E. Valley Blvd., STE 103, West Covina, Ca 91792 (714) 655-1168 EIN:04-3725495 Plan Admin:May Y. Chang

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2021	Plan NameFIRST FOUNTAINS MEDICAL CENTER, INC. 401K PLAN Plan #001 Participants BOY/EOY4 / 2 Assets BOY/EOY$783,751 / $933,506	2021	FIRST FOUNTAINS MEDICAL CENTER, INC. 401K PLAN - Plan #001	4 / 2	$783,751 / $933,506
2021	Plan NameFIRST FOUNTAINS MEDICAL CENTER, INC. DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY3 / 1 Assets BOY/EOY$1,269,951 / $269	2021	FIRST FOUNTAINS MEDICAL CENTER, INC. DEFINED BENEFIT PENSION PLAN - Plan #002	3 / 1	$1,269,951 / $269
2020	Plan NameFIRST FOUNTAINS MEDICAL CENTER, INC. DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY3 / 3 Assets BOY/EOY$747,613 / $1,269,951	2020	FIRST FOUNTAINS MEDICAL CENTER, INC. DEFINED BENEFIT PENSION PLAN - Plan #002	3 / 3	$747,613 / $1,269,951
2020	Plan NameFIRST FOUNTAINS MEDICAL CENTER, INC. 401K PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$672,405 / $783,751	2020	FIRST FOUNTAINS MEDICAL CENTER, INC. 401K PLAN - Plan #001	4 / 4	$672,405 / $783,751
2019	Plan NameFIRST FOUNTAINS MEDICAL CENTER, INC. DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY3 / 3 Assets BOY/EOY$588,355 / $747,613	2019	FIRST FOUNTAINS MEDICAL CENTER, INC. DEFINED BENEFIT PENSION PLAN - Plan #002	3 / 3	$588,355 / $747,613
2019	Plan NameFIRST FOUNTAINS MEDICAL CENTER, INC. 401K PLAN Plan #001 Participants BOY/EOY7 / 4 Assets BOY/EOY$532,489 / $672,405	2019	FIRST FOUNTAINS MEDICAL CENTER, INC. 401K PLAN - Plan #001	7 / 4	$532,489 / $672,405