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THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL 401k Plan overview

Plan NameTHE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL
Plan identification number 001

THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NANTUCKET COTTAGE HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:NANTUCKET COTTAGE HOSPITAL
Employer identification number (EIN):042103823
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012009-10-01PAUL CHANEY ELEANOR FLYNN SALVUCCI2011-05-02

Plan Statistics for THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL

401k plan membership statisitcs for THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL

Measure Date Value
2009: THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL 2009 401k membership
Total participants, beginning-of-year2009-10-01210
Total number of active participants reported on line 7a of the Form 55002009-10-0195
Number of retired or separated participants receiving benefits2009-10-0129
Number of other retired or separated participants entitled to future benefits2009-10-0180
Total of all active and inactive participants2009-10-01204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-011
Total participants2009-10-01205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL

Measure Date Value
2011 : THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total transfer of assets from this plan2011-09-30$5,418,439
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$189,140
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$251,785
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$169,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$79,437
Value of total assets at end of year2011-09-30$0
Value of total assets at beginning of year2011-09-30$5,481,084
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$82,081
Total interest from all sources2011-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Administrative expenses professional fees incurred2011-09-30$70,169
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$10,000,000
If this is an individual account plan, was there a blackout period2011-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Administrative expenses (other) incurred2011-09-30$8,156
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$-62,645
Value of net assets at end of year (total assets less liabilities)2011-09-30$0
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$5,481,084
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in master investment trust accounts at end of year2011-09-30$0
Value of interest in master investment trust accounts at beginning of year2011-09-30$5,481,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$79,437
Employer contributions (assets) at end of year2011-09-30$0
Employer contributions (assets) at beginning of year2011-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$169,704
Contract administrator fees2011-09-30$3,756
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-09-30No
Did the plan have assets held for investment2011-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30FEELEY & DRISCOLL
Accountancy firm EIN2011-09-30042684828
2010 : THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL

2009: THE RETIREMENT PLAN FOR EMPLOYEES OF NANTUCKET COTTAGE HOSPITAL 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes

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