| Plan Name | CANTON REGIONAL CHAMBER HEALTH FUND |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ENT ALLERGY & SINUS CENTER, INC. |
| Employer identification number (EIN): | 320010294 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about ENT ALLERGY & SINUS CENTER, INC.
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 2002-03-26 |
| Company Identification Number: | 1308634 |
| Legal Registered Office Address: |
335 OXFORD STREET STE. A DOVER United States of America (USA) 44622 |
More information about ENT ALLERGY & SINUS CENTER, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data | ||
| Transfers to/from the plan | 2019-12-31 | $-50 |
| Total plan liabilities at end of year | 2019-12-31 | $4,277 |
| Total plan liabilities at beginning of year | 2019-12-31 | $0 |
| Total income from all sources | 2019-12-31 | $45,591 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $53,665 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $21,188 |
| Total plan assets at end of year | 2019-12-31 | $-3,847 |
| Total plan assets at beginning of year | 2019-12-31 | $0 |
| Value of fidelity bond covering the plan | 2019-12-31 | $1,000,000 |
| Assets. Value of tangible personal property | 2019-12-31 | $-3,847 |
| Total contributions received or receivable from participants | 2019-12-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $1 |
| Contributions received from other sources (not participants or employers) | 2019-12-31 | $0 |
| Other income received | 2019-12-31 | $0 |
| Noncash contributions received | 2019-12-31 | $0 |
| Net income (gross income less expenses) | 2019-12-31 | $-8,074 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $-8,124 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $45,591 |
| Value of certain deemed distributions of participant loans | 2019-12-31 | $0 |
| Value of corrective distributions | 2019-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $32,476 |
| 2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 ) | |
| Policy contract number | HF1185 |
| Policy instance | 1 |