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403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 401k Plan overview

Plan Name403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC.
Plan identification number 001

403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. Benefits

401k Plan TypeDefined 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

LAKESHORE COMMUNITY HEALTH CARE, IN C. has sponsored the creation of one or more 401k plans.

Company Name:LAKESHORE COMMUNITY HEALTH CARE, IN C.
Employer identification number (EIN):264321839
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-06-01
0012021-06-01
0012020-06-01
0012019-06-01
0012018-06-01
0012017-06-01KRISTIN D. STEARNS2018-09-28
0012016-06-01KRISTIN D. BLANCHARD2017-06-13 KRISTIN D. BLANCHARD2017-06-13
0012015-06-01KRISTIN D. BLANCHARD2016-08-12 KRISTIN D. BLANCHARD2016-08-12
0012014-06-01KRISTIN D. BLANCHARD2015-12-04 KRISTIN D. BLANCHARD2015-12-04
0012013-06-01KRISTIN BLANCHARD2014-11-25 KRISTIN BLANCHARD2014-11-25

Plan Statistics for 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC.

401k plan membership statisitcs for 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC.

Measure Date Value
2022: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2022 401k membership
Total participants, beginning-of-year2022-06-01168
Total number of active participants reported on line 7a of the Form 55002022-06-01139
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-0141
Total of all active and inactive participants2022-06-01180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-06-010
Total participants2022-06-01180
Number of participants with account balances2022-06-01162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-06-015
2021: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2021 401k membership
Total participants, beginning-of-year2021-06-01158
Total number of active participants reported on line 7a of the Form 55002021-06-01121
Number of retired or separated participants receiving benefits2021-06-015
Number of other retired or separated participants entitled to future benefits2021-06-0135
Total of all active and inactive participants2021-06-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-06-010
Total participants2021-06-01161
Number of participants with account balances2021-06-01158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-06-016
2020: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2020 401k membership
Total participants, beginning-of-year2020-06-01138
Total number of active participants reported on line 7a of the Form 55002020-06-01123
Number of retired or separated participants receiving benefits2020-06-012
Number of other retired or separated participants entitled to future benefits2020-06-0124
Total of all active and inactive participants2020-06-01149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-06-010
Total participants2020-06-01149
Number of participants with account balances2020-06-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-06-016
2019: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2019 401k membership
Total participants, beginning-of-year2019-06-01129
Total number of active participants reported on line 7a of the Form 55002019-06-01109
Number of retired or separated participants receiving benefits2019-06-012
Number of other retired or separated participants entitled to future benefits2019-06-0121
Total of all active and inactive participants2019-06-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-06-010
Total participants2019-06-01132
Number of participants with account balances2019-06-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-06-010
2018: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2018 401k membership
Total participants, beginning-of-year2018-06-01122
Total number of active participants reported on line 7a of the Form 55002018-06-0199
Number of retired or separated participants receiving benefits2018-06-013
Number of other retired or separated participants entitled to future benefits2018-06-0123
Total of all active and inactive participants2018-06-01125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-06-010
Total participants2018-06-01125
Number of participants with account balances2018-06-01125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-06-016

Financial Data on 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC.

Measure Date Value
2023 : 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$0
Total income from all sources (including contributions)2023-05-31$1,039,405
Total loss/gain on sale of assets2023-05-31$0
Total of all expenses incurred2023-05-31$386,465
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-05-31$327,528
Expenses. Certain deemed distributions of participant loans2023-05-31$21,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-05-31$979,089
Value of total assets at end of year2023-05-31$4,968,483
Value of total assets at beginning of year2023-05-31$4,315,543
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-05-31$37,852
Total interest from all sources2023-05-31$2,414
Total dividends received (eg from common stock, registered investment company shares)2023-05-31$80,946
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-05-31$80,946
Was this plan covered by a fidelity bond2023-05-31Yes
Value of fidelity bond cover2023-05-31$500,000
If this is an individual account plan, was there a blackout period2023-05-31No
Were there any nonexempt tranactions with any party-in-interest2023-05-31No
Contributions received from participants2023-05-31$567,433
Participant contributions at end of year2023-05-31$28,905
Participant contributions at beginning of year2023-05-31$45,157
Income. Received or receivable in cash from other sources (including rollovers)2023-05-31$89,197
Total non interest bearing cash at end of year2023-05-31$2
Total non interest bearing cash at beginning of year2023-05-31$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Value of net income/loss2023-05-31$652,940
Value of net assets at end of year (total assets less liabilities)2023-05-31$4,968,483
Value of net assets at beginning of year (total assets less liabilities)2023-05-31$4,315,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-05-31No
Were any leases to which the plan was party in default or uncollectible2023-05-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-05-31$4,671,527
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-05-31$4,129,386
Interest on participant loans2023-05-31$2,414
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-05-31$89,482
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-05-31$1,598
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-05-31$1,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-05-31$-23,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-05-31No
Was there a failure to transmit to the plan any participant contributions2023-05-31No
Has the plan failed to provide any benefit when due under the plan2023-05-31No
Contributions received in cash from employer2023-05-31$322,459
Employer contributions (assets) at end of year2023-05-31$178,567
Employer contributions (assets) at beginning of year2023-05-31$139,401
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-05-31$327,528
Contract administrator fees2023-05-31$37,852
Did the plan have assets held for investment2023-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-05-31No
Opinion of an independent qualified public accountant for this plan2023-05-31Unqualified
Accountancy firm name2023-05-31WIPFLI
Accountancy firm EIN2023-05-31300758449
2022 : 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$0
Total income from all sources (including contributions)2022-05-31$558,642
Total loss/gain on sale of assets2022-05-31$0
Total of all expenses incurred2022-05-31$577,565
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-05-31$536,155
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-05-31$881,986
Value of total assets at end of year2022-05-31$4,315,543
Value of total assets at beginning of year2022-05-31$4,334,466
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-05-31$41,410
Total interest from all sources2022-05-31$2,062
Total dividends received (eg from common stock, registered investment company shares)2022-05-31$76,493
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-05-31$76,493
Was this plan covered by a fidelity bond2022-05-31Yes
Value of fidelity bond cover2022-05-31$500,000
If this is an individual account plan, was there a blackout period2022-05-31No
Were there any nonexempt tranactions with any party-in-interest2022-05-31No
Contributions received from participants2022-05-31$593,096
Participant contributions at end of year2022-05-31$45,157
Participant contributions at beginning of year2022-05-31$32,214
Income. Received or receivable in cash from other sources (including rollovers)2022-05-31$4,237
Total non interest bearing cash at end of year2022-05-31$1
Total non interest bearing cash at beginning of year2022-05-31$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Value of net income/loss2022-05-31$-18,923
Value of net assets at end of year (total assets less liabilities)2022-05-31$4,315,543
Value of net assets at beginning of year (total assets less liabilities)2022-05-31$4,334,466
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-05-31No
Were any leases to which the plan was party in default or uncollectible2022-05-31No
Investment advisory and management fees2022-05-31$41,410
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-05-31$4,129,386
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-05-31$4,143,464
Interest on participant loans2022-05-31$2,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-05-31$1,598
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-05-31$15,332
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-05-31$15,332
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-05-31$-401,899
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-05-31No
Was there a failure to transmit to the plan any participant contributions2022-05-31No
Has the plan failed to provide any benefit when due under the plan2022-05-31No
Contributions received in cash from employer2022-05-31$284,653
Employer contributions (assets) at end of year2022-05-31$139,401
Employer contributions (assets) at beginning of year2022-05-31$143,455
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-05-31$536,155
Did the plan have assets held for investment2022-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-05-31No
Opinion of an independent qualified public accountant for this plan2022-05-31Unqualified
Accountancy firm name2022-05-31WIPFLI
Accountancy firm EIN2022-05-31300758449
2021 : 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$0
Total income from all sources (including contributions)2021-05-31$1,839,064
Total loss/gain on sale of assets2021-05-31$0
Total of all expenses incurred2021-05-31$260,591
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-05-31$230,811
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-05-31$836,394
Value of total assets at end of year2021-05-31$4,334,466
Value of total assets at beginning of year2021-05-31$2,755,993
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-05-31$29,780
Total interest from all sources2021-05-31$2,407
Total dividends received (eg from common stock, registered investment company shares)2021-05-31$54,573
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-05-31$54,573
Administrative expenses professional fees incurred2021-05-31$29,780
Was this plan covered by a fidelity bond2021-05-31Yes
Value of fidelity bond cover2021-05-31$500,000
If this is an individual account plan, was there a blackout period2021-05-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-05-31$0
Were there any nonexempt tranactions with any party-in-interest2021-05-31No
Contributions received from participants2021-05-31$519,400
Participant contributions at end of year2021-05-31$32,214
Participant contributions at beginning of year2021-05-31$40,459
Income. Received or receivable in cash from other sources (including rollovers)2021-05-31$41,131
Total non interest bearing cash at end of year2021-05-31$1
Total non interest bearing cash at beginning of year2021-05-31$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Value of net income/loss2021-05-31$1,578,473
Value of net assets at end of year (total assets less liabilities)2021-05-31$4,334,466
Value of net assets at beginning of year (total assets less liabilities)2021-05-31$2,755,993
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-05-31No
Were any leases to which the plan was party in default or uncollectible2021-05-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-05-31$4,143,464
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-05-31$2,590,417
Interest on participant loans2021-05-31$2,407
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-05-31$15,332
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-05-31$292
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-05-31$292
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-05-31$945,690
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-05-31No
Was there a failure to transmit to the plan any participant contributions2021-05-31No
Has the plan failed to provide any benefit when due under the plan2021-05-31No
Contributions received in cash from employer2021-05-31$275,863
Employer contributions (assets) at end of year2021-05-31$143,455
Employer contributions (assets) at beginning of year2021-05-31$124,824
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-05-31$230,811
Did the plan have assets held for investment2021-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-05-31No
Opinion of an independent qualified public accountant for this plan2021-05-31Unqualified
Accountancy firm name2021-05-31WIPFLI
Accountancy firm EIN2021-05-31300758449
2020 : 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$0
Total income from all sources (including contributions)2020-05-31$873,511
Total loss/gain on sale of assets2020-05-31$0
Total of all expenses incurred2020-05-31$141,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$118,669
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$722,079
Value of total assets at end of year2020-05-31$2,755,993
Value of total assets at beginning of year2020-05-31$2,024,160
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$23,009
Total interest from all sources2020-05-31$2,598
Total dividends received (eg from common stock, registered investment company shares)2020-05-31$48,747
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-05-31$48,747
Was this plan covered by a fidelity bond2020-05-31Yes
Value of fidelity bond cover2020-05-31$500,000
If this is an individual account plan, was there a blackout period2020-05-31No
Were there any nonexempt tranactions with any party-in-interest2020-05-31No
Contributions received from participants2020-05-31$440,833
Participant contributions at end of year2020-05-31$40,459
Participant contributions at beginning of year2020-05-31$24,777
Income. Received or receivable in cash from other sources (including rollovers)2020-05-31$40,383
Total non interest bearing cash at end of year2020-05-31$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Value of net income/loss2020-05-31$731,833
Value of net assets at end of year (total assets less liabilities)2020-05-31$2,755,993
Value of net assets at beginning of year (total assets less liabilities)2020-05-31$2,024,160
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-31No
Were any leases to which the plan was party in default or uncollectible2020-05-31No
Investment advisory and management fees2020-05-31$23,009
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-05-31$2,590,417
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-05-31$1,891,071
Interest on participant loans2020-05-31$2,547
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-05-31$292
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-05-31$4,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-05-31$4,398
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-05-31$51
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-05-31$100,087
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-31No
Was there a failure to transmit to the plan any participant contributions2020-05-31No
Has the plan failed to provide any benefit when due under the plan2020-05-31No
Contributions received in cash from employer2020-05-31$240,863
Employer contributions (assets) at end of year2020-05-31$124,824
Employer contributions (assets) at beginning of year2020-05-31$103,914
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-05-31$118,669
Did the plan have assets held for investment2020-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-05-31Yes
Opinion of an independent qualified public accountant for this plan2020-05-31Disclaimer
Accountancy firm name2020-05-31WIPFLI
Accountancy firm EIN2020-05-31300758449
2019 : 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$0
Total income from all sources (including contributions)2019-05-31$506,580
Total loss/gain on sale of assets2019-05-31$0
Total of all expenses incurred2019-05-31$408,750
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-05-31$389,736
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-05-31$497,507
Value of total assets at end of year2019-05-31$2,024,160
Value of total assets at beginning of year2019-05-31$1,926,330
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-05-31$19,014
Total interest from all sources2019-05-31$1,655
Total dividends received (eg from common stock, registered investment company shares)2019-05-31$41,609
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-05-31$41,609
Was this plan covered by a fidelity bond2019-05-31Yes
Value of fidelity bond cover2019-05-31$500,000
If this is an individual account plan, was there a blackout period2019-05-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-05-31$0
Were there any nonexempt tranactions with any party-in-interest2019-05-31No
Contributions received from participants2019-05-31$296,863
Participant contributions at end of year2019-05-31$24,777
Participant contributions at beginning of year2019-05-31$17,737
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Value of net income/loss2019-05-31$97,830
Value of net assets at end of year (total assets less liabilities)2019-05-31$2,024,160
Value of net assets at beginning of year (total assets less liabilities)2019-05-31$1,926,330
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-05-31No
Were any leases to which the plan was party in default or uncollectible2019-05-31No
Investment advisory and management fees2019-05-31$19,014
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-05-31$1,891,071
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-05-31$1,761,380
Interest on participant loans2019-05-31$1,578
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-05-31$4,398
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-05-31$3,109
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-05-31$3,109
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-05-31$77
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-05-31$-34,191
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-05-31No
Was there a failure to transmit to the plan any participant contributions2019-05-31No
Has the plan failed to provide any benefit when due under the plan2019-05-31No
Contributions received in cash from employer2019-05-31$200,644
Employer contributions (assets) at end of year2019-05-31$103,914
Employer contributions (assets) at beginning of year2019-05-31$144,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-05-31$389,736
Did the plan have assets held for investment2019-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-05-31Yes
Opinion of an independent qualified public accountant for this plan2019-05-31Disclaimer
Accountancy firm name2019-05-31WIPFLI
Accountancy firm EIN2019-05-31300758449

Form 5500 Responses for 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC.

2022: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)No
2022-06-01Plan is a collectively bargained planNo
2022-06-01Plan funding arrangement – TrustYes
2022-06-01Plan benefit arrangement - TrustYes
2021: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement - TrustYes
2020: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement - TrustYes
2019: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – TrustYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement - TrustYes
2018: 403(B) THRIFT PLAN OF LAKESHORE COMMUNITY HEALTH CARE, INC. 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – TrustYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement - TrustYes

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