401k Plan data: LITTLE VILLAGE WOMEN'S HLTH 401K PL plan

LITTLE VILLAGE WOMEN'S HLTH 401K PL 401k Plan overview

Plan Name	LITTLE VILLAGE WOMEN'S HLTH 401K PL
Plan identification number	001

LITTLE VILLAGE WOMEN'S HLTH 401K PL Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

LITTLE VILLAGE WOMEN'S HEALTH CARE, has sponsored the creation of one or more 401k plans.

Company Name: LITTLE VILLAGE WOMEN'S HEALTH CARE,

Employer identification number (EIN): 050536382

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LITTLE VILLAGE WOMEN'S HLTH 401K PL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 SONYA THOMAS, MD 2019-10-15
001 2014-01-01 SONYA THOMAS
001 2013-01-01 SONYA THOMAS SONYA THOMAS 2014-10-16
001 2011-01-01 SONYA THOMAS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01	SONYA THOMAS, MD	2019-10-15
001	2014-01-01	SONYA THOMAS
001	2013-01-01	SONYA THOMAS		SONYA THOMAS	2014-10-16
001	2011-01-01	SONYA THOMAS

Plan Statistics for LITTLE VILLAGE WOMEN'S HLTH 401K PL

401k plan membership statisitcs for LITTLE VILLAGE WOMEN'S HLTH 401K PL

Measure Date Value
2014: LITTLE VILLAGE WOMEN'S HLTH 401K PL 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2
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 1
Total of all active and inactive participants 2014-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: LITTLE VILLAGE WOMEN'S HLTH 401K PL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
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 0
Total of all active and inactive participants 2013-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2011: LITTLE VILLAGE WOMEN'S HLTH 401K PL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 0
Total of all active and inactive participants 2011-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2014: LITTLE VILLAGE WOMEN'S HLTH 401K PL 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2
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	1
Total of all active and inactive participants	2014-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: LITTLE VILLAGE WOMEN'S HLTH 401K PL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
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	0
Total of all active and inactive participants	2013-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2011: LITTLE VILLAGE WOMEN'S HLTH 401K PL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	0
Total of all active and inactive participants	2011-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on LITTLE VILLAGE WOMEN'S HLTH 401K PL

Measure	Date	Value
2014 : LITTLE VILLAGE WOMEN'S HLTH 401K PL 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$30,833
Expenses. Total of all expenses incurred	2014-12-31	$33,432
Benefits paid (including direct rollovers)	2014-12-31	$33,067
Total plan assets at end of year	2014-12-31	$102,045
Total plan assets at beginning of year	2014-12-31	$104,644
Total contributions received or receivable from participants	2014-12-31	$15,295
Expenses. Other expenses not covered elsewhere	2014-12-31	$365
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$4,309
Net income (gross income less expenses)	2014-12-31	$-2,599
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$102,045
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$104,644
Assets. Value of participant loans	2014-12-31	$0
Total contributions received or receivable from employer(s)	2014-12-31	$11,229
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : LITTLE VILLAGE WOMEN'S HLTH 401K PL 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$77,691
Expenses. Total of all expenses incurred	2013-12-31	$18,675
Benefits paid (including direct rollovers)	2013-12-31	$18,530
Total plan assets at end of year	2013-12-31	$104,644
Total plan assets at beginning of year	2013-12-31	$45,628
Total contributions received or receivable from participants	2013-12-31	$41,749
Expenses. Other expenses not covered elsewhere	2013-12-31	$145
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$10,854
Net income (gross income less expenses)	2013-12-31	$59,016
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$104,644
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$45,628
Assets. Value of participant loans	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$25,088
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
2011 : LITTLE VILLAGE WOMEN'S HLTH 401K PL 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$41,202
Expenses. Total of all expenses incurred	2011-12-31	$105
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$41,097
Total plan assets at beginning of year	2011-12-31	$0
Total contributions received or receivable from participants	2011-12-31	$1,271
Expenses. Other expenses not covered elsewhere	2011-12-31	$105
Contributions received from other sources (not participants or employers)	2011-12-31	$40,945
Other income received	2011-12-31	$-1,623
Net income (gross income less expenses)	2011-12-31	$41,097
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$41,097
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Assets. Value of participant loans	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$609
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0

Form 5500 Responses for LITTLE VILLAGE WOMEN'S HLTH 401K PL

2014: LITTLE VILLAGE WOMEN'S HLTH 401K PL 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 – Insurance	Yes
2013: LITTLE VILLAGE WOMEN'S HLTH 401K PL 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2011: LITTLE VILLAGE WOMEN'S HLTH 401K PL 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	LITTLE VILLAGE WOMEN'S HEALTH CARE,
Employer identification number (EIN):	050536382
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)