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| Plan Name | ST. JOSEPH'S RESIDENCE 403(B) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | ST. JOSEPH'S RESIDENCE |
| Employer identification number (EIN): | 133493033 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2020-01-01 | CHARLES HAYNES | 2021-07-19 | CHARLES HAYNES | 2021-07-19 |
| 001 | 2019-01-01 | CHARLES HAYNES | 2020-07-08 | CHARLES HAYNES | 2020-07-08 |
| 001 | 2018-01-01 | CHARLES HAYNES | 2019-06-24 | ||
| 001 | 2017-01-01 | CHARLES HAYNES | 2018-06-27 | CHARLES HAYNES | 2018-06-27 |
| 001 | 2016-01-01 | CHARLES HAYNES | 2017-06-26 | CHARLES HAYNES | 2017-06-26 |
| 001 | 2015-01-01 | CHARLES HAYNES | 2016-06-21 | CHARLES HAYNES | 2016-06-21 |
| 001 | 2014-01-01 | CHARLES HAYNES | 2015-07-20 | ||
| 001 | 2013-01-01 | CHARLES HAYNES | 2014-07-02 | ||
| 001 | 2012-01-01 | CHARLES HAYNES | 2013-06-20 | ||
| 001 | 2011-01-01 | CHARLES HAYNES | 2012-07-19 | ||
| 001 | 2010-01-01 | CHARLES HAYNES | 2011-06-16 | ||
| 001 | 2007-01-01 | CHARLES HAYNES |
| Measure | Date | Value |
|---|---|---|
| 2007: ST. JOSEPH'S RESIDENCE 403(B) PLAN 2007 401k membership | ||
| Total participants, beginning-of-year | 2007-01-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-01-01 | 8 |
| Number of retired or separated participants receiving benefits | 2007-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2007-01-01 | 0 |
| Total of all active and inactive participants | 2007-01-01 | 8 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2007-01-01 | 0 |
| Total participants | 2007-01-01 | 8 |
| Number of participants with account balances | 2007-01-01 | 8 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2007-01-01 | 0 |
| 2007: ST. JOSEPH'S RESIDENCE 403(B) PLAN 2007 form 5500 responses | ||
|---|---|---|
| 2007-01-01 | Type of plan entity | Single employer plan |
| 2007-01-01 | First time form 5500 has been submitted | Yes |
| 2007-01-01 | Submission has been amended | No |
| 2007-01-01 | This submission is the final filing | No |
| 2007-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-01-01 | Plan is a collectively bargained plan | No |
| 2007-01-01 | Plan funding arrangement – Insurance | Yes |
| 2007-01-01 | Plan funding arrangement – Trust | Yes |
| 2007-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2007-01-01 | Plan benefit arrangement - Trust | Yes |
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