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LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN 401k Plan overview

Plan NameLICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN
Plan identification number 007

LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • 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

LICKING MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:LICKING MEMORIAL HOSPITAL
Employer identification number (EIN):314379519
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about LICKING MEMORIAL HOSPITAL

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1899-01-13
Company Identification Number: 12665
Legal Registered Office Address: 1320 W. MAIN STREET
-
NEWARK
United States of America (USA)
43055

More information about LICKING MEMORIAL HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0072011-01-01CYNTHIA WEBSTER
0072009-01-01CYNTHIA WEBSTER

Plan Statistics for LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN

401k plan membership statisitcs for LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN

Measure Date Value
2011: LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01801
Total number of active participants reported on line 7a of the Form 55002011-01-01737
Number of other retired or separated participants entitled to future benefits2011-01-0129
Total of all active and inactive participants2011-01-01766
Total participants2011-01-01766
Number of participants with account balances2011-01-01766
2009: LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,597
Total number of active participants reported on line 7a of the Form 55002009-01-01709
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0119
Total of all active and inactive participants2009-01-01728
Total participants2009-01-01728
Number of participants with account balances2009-01-01728

Financial Data on LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN

Measure Date Value
2011 : LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$1,650,388
Total of all expenses incurred2011-12-31$1,188,317
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,183,974
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,461,621
Value of total assets at end of year2011-12-31$28,458,325
Value of total assets at beginning of year2011-12-31$27,996,254
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$4,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,444,821
Participant contributions at end of year2011-12-31$335,694
Participant contributions at beginning of year2011-12-31$329,841
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$16,800
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$462,071
Value of net assets at end of year (total assets less liabilities)2011-12-31$28,458,325
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$27,996,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$20,325,527
Value of interest in pooled separate accounts at beginning of year2011-12-31$20,228,130
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$7,797,104
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$7,438,283
Net investment gain/loss from pooled separate accounts2011-12-31$-811,233
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,183,974
Contract administrator fees2011-12-31$4,343
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31MOUNTJOY CHILTON MEDLEY, LLP
Accountancy firm EIN2011-12-31271235638
2010 : LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$5,021,060
Total of all expenses incurred2010-12-31$1,505,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,502,460
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,480,356
Value of total assets at end of year2010-12-31$27,996,254
Value of total assets at beginning of year2010-12-31$24,481,096
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,442
Total interest from all sources2010-12-31$3,227
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,310,800
Participant contributions at end of year2010-12-31$329,841
Participant contributions at beginning of year2010-12-31$206,291
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$169,556
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$3,515,158
Value of net assets at end of year (total assets less liabilities)2010-12-31$27,996,254
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$24,481,096
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$20,228,130
Value of interest in pooled separate accounts at beginning of year2010-12-31$17,495,810
Interest on participant loans2010-12-31$3,227
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$7,438,283
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$6,778,995
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$216,113
Net investment gain/loss from pooled separate accounts2010-12-31$2,321,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,502,460
Contract administrator fees2010-12-31$3,442
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31MOUNTJOY CHILTON MEDLEY, LLP
Accountancy firm EIN2010-12-31271235638
2009 : LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN

2011: LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: LICKING MEMORIAL HEALTH SYSTEM TAX DEFERRED 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

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