GOOD SHEPHERD COMMUNITY CARE LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 401k Plan overview

GOOD SHEPHERD COMMUNITY CARE LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT PLAN Benefits

401k Sponsoring company profile

Company Name:	HOSPICE OF THE GOOD SHEPHERD, INC. DBA GOOD SHEPHERD COMMUNITY CARE
Employer identification number (EIN):	042655734
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2020-01-01	ELIZABETH BOGYO	2021-05-24	ELIZABETH BOGYO	2021-05-24
501	2019-01-01	ELIZABETH BOGYO	2020-07-27	ELIZABETH BOGYO	2020-07-27
501	2018-01-01	ELIZABETH BOGYO	2019-07-29	ELIZABETH BOGYO	2019-07-29

Plan Statistics for GOOD SHEPHERD COMMUNITY CARE LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT PLAN

Measure	Date	Value
2020: GOOD SHEPHERD COMMUNITY CARE LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	129
Total of all active and inactive participants	2020-01-01	129
2019: GOOD SHEPHERD COMMUNITY CARE LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	114
Total of all active and inactive participants	2019-01-01	114
2018: GOOD SHEPHERD COMMUNITY CARE LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	84
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	102
Total of all active and inactive participants	2018-01-01	102

Form 5500 Responses for GOOD SHEPHERD COMMUNITY CARE LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT PLAN

Insurance Providers Used on plan

Potentially related plans

• GOOD SHEPHERD LUTHERAN HOME PROFIT SHARING & 401(K) PLAN [EIN = 410851905]
• GOOD SHEPHERD REHABILITATION HOSPITAL EMPLOYEE HEALTH CARE PLAN [EIN = 231371947]
• GOOD SHEPHERD HEALTH SYSTEM 401(K) PLAN [EIN = 752027157]
• GOOD SHEPHERD HOME 403B SAVINGS RETIREMENT PLAN [EIN = 344451089]
• GOOD SHEPHERD COMMUNITIES WELFARE BENEFITS PLAN [EIN = 161256975]
• GOOD SHEPHERD REHABILITATION HOSPITAL EMPLOYEES PENSION PLAN [EIN = 231371947]
• GOOD SHEPHERD HOLDINGS, CORP. PROFIT SHARING PLAN [EIN = 264308154]
• GOOD SHEPHERD LUTHERAN HOME MEDICAL PLAN [EIN = 410851905]
• GOOD SHEPHERD EMPLOYEES PRE-TAX MEDICAL & DENTAL PLAN [EIN = 366799361]
• GOOD SHEPHERD LUTHERAN HOME DENTAL AND VISION PLAN [EIN = 410851905]
• GOOD SHEPHERD LUTHERAN HOME EMPLOYEE ASSISTANCE PROGRAM [EIN = 410851905]
• GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN [EIN = 231371947]
• GOOD SHEPHERD HEALTH AND WELFARE PLAN [EIN = 930425580]
• GOOD SHEPHERD HEALTH CARE SYSTEM EMPLOYEE HEALTH CARE BENEFITS PLAN [EIN = 930425580]
• GOOD SHEPHERD CENTER TSA 501(C)(3) [EIN = 362529613]
• GOOD SHEPHERD HOME 403(B) PLAN [EIN = 231371947]
• GOOD SHEPHERD MEDICAL CENTER WELFARE BENEFIT PLAN [EIN = 752497311]
• GOOD SHEPHERD RETIREMENT PLAN [EIN = 231371947]
• GOOD SHEPHERD REHABILITATION HOSPITAL LONG TERM DISABILITY, LIFE, AND ACCIDENTAL DEATH & DISMEMBERMENT PLAN [EIN = 231371947]
• GOOD SHEPHERD LUTHERAN HOME GROUP LIFE & DISABILITY PLAN [EIN = 410851905]
• GOOD SHEPHERD REHABILITATION HOSPITAL BASIC DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 231371947]
• GOOD SHEPHERD PENN PARTNERS DEFINED BENEFIT PENSION PLAN [EIN = 208283421]
• GOOD SHEPHERD RETIREMENT PLAN [EIN = 420725236]
• GOOD SHEPHERD LUTHERAN SERVICES [EIN = 410880871]
• GOOD SHEPHERD VETERINARY HOSPITAL PLLC 401(K) PROFIT SHARING PLAN [EIN = 510416670]
• GOOD SHEPHERD INDIA 401(K) PLAN [EIN = 510237239]
• GOOD SHEPHERD HOUSING 403(B) PLAN [EIN = 237447962]
• GOOD SHEPHERD AMBULATORY SURGICAL CENTER, LTD. SAVINGS PLAN [EIN = 900259782]
• GOOD SHEPHERD HOMES CORPORATIO 401 K PROFIT SHARING PLAN TRUST [EIN = 363324481]
• GOOD SHEPHERD COMMUNITY CHURCH EMPLOYEES' RETIREMENT PLAN [EIN = 930683235]
• GOOD SHEPHERD EPISCOPAL SCHOOL 403B TDA PLAN [EIN = 540890978]
• GOOD SHEPHERD EPISCOPAL SCHOOL DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 540890978]
• GOOD SHEPHERD LUTHERAN HOME RETIREMENT SAVINGS PLAN [EIN = 410880871]
• GOOD SHEPHERD MINISTRIES OF OKLAHOMA, INC. 403(B) PLAN [EIN = 200526892]
• GOOD SHEPHERD PRESCHOOL 403B [EIN = 526019540]
• GOOD SHEPHERD MEDICAL CLINIC, P.A. EMPLOYEES RETIREMENT PLAN [EIN = 593204729]
• GOOD SHEPHERD MINISTRIES INTER 401 K PROFIT SHARING PLAN TRUST [EIN = 330469882]
• GOOD SHEPHERD HEALTH CARE SYSTEM CONTRACT NURSES RETIREMENT PLAN [EIN = 930425580]
• GOOD SHEPHERD SERVICES, LTD. 403B RETIREMENT PLAN [EIN = 391319766]
• GOOD SHEPHERD REHABILITATION HOSPITAL EMPLOYEE SAVINGS AND MATCHING PLAN [EIN = 232216041]
• GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN [EIN = 410880871]
• GOOD SHEPHERD MEDICAL CENTER 403(B) RETIREMENT SAVINGS PLAN [EIN = 751041154]
• GOOD SHEPHERD NURSING HOME WELFARE BENEFIT PLAN [EIN = 550521890]
• GOOD SHEPHERD MANOR, INC. RETIREMENT PLAN [EIN = 362693168]
• GOOD SHEPHERD CENTER WELFARE BENEFIT PLAN [EIN = 520608774]
• GOOD SHEPHERD LUTHERAN COMMUNITY SAFE HARBOR 401K PLAN [EIN = 470391515]
• GOOD SHEPHERD HEALTH CARE SYSTEM TAX SHELTERED RETIREMENT PLAN [EIN = 930425580]
• GOOD SHEPHERD FOOD BANK 403(B) PLAN [EIN = 222986809]
• GOOD SHEPHERD PEDIATRICS, PC 401(K) P/S PLAN [EIN = 275496883]
• GOOD SHEPHERD PENN PARTNERS DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 208283421]
• GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN [EIN = 160962256]
• GOOD SHEPHERD REHABILITATION HOSPITAL FLEXIBLE BENEFITS PLAN [EIN = 231371947]
• GOOD SHEPHERD FAIRVIEW HOME WELFARE BENEFITS PLAN [EIN = 160962256]
• GOOD SHEPHERD VILLAGE 401(K) PLAN [EIN = 311800308]
• GOOD SHEPHERD SENIOR CARE 401(K) [EIN = 453912375]
• GOOD SHEPHERD DENTAL CARE PLLC 401 K PROFIT SHARING PLAN TRUST [EIN = 824797716]
• GOOD SHEPHERD EPISCOPAL SCHOOL LLC 401(K) [EIN = 020698407]
• GOOD SHEPHERD 403(B) RETIREMENT SAVINGS PLAN [EIN = 561755452]
• GOOD SHEPHERD DAY SCHOOL CBS BENEFIT PLAN [EIN = 610562022]
• GOOD SHEPHERD REHABILITATION HOSPITAL CRITICAL ILLNESS PLAN [EIN = 231371947]
• GOOD SHEPHERD FENCE COMPANY CBIN BENEFIT PLAN [EIN = 834698521]
• GOOD SHEPHERD REHABILITATION NETWORK ACCIDENT PLAN [EIN = 231371947]
• GOOD SHEPHERD UNITED METHODIST CHURCH 403(B) PLAN [EIN = 431599434]
• GOOD SHEPHERD FISHERIES, INC. 401(K) PLAN [EIN = 050492672]
• GOOD SHEPHERD COMMUNITIES SECTION 105(H) DEDUCTIBLE SHARE HEALTH REIMBURSEMENT ARRANGEMENT PLAN [EIN = 161256975]
• GOOD SHEPHERD OF NORTHERN VIRGINIA 403(B) PLAN [EIN = 541644294]

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