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| Plan Name | FAMILY HEALTH SERVICES OF DARKE COUNTY, INC |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | FAMILY HEALTH SERVICES OF DARKE COUNTY, INC. |
| Employer identification number (EIN): | 341119524 |
| NAIC Classification: | 621112 |
| NAIC Description: | Offices of Physicians, Mental Health Specialists |
Additional information about FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 1973-01-16 |
| Company Identification Number: | 434419 |
| Legal Registered Office Address: |
5735 MEEKER ROAD - GREENVILLE United States of America (USA) 45331 |
More information about FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2010-04-01 | COY BOROFF | |||
| 002 | 2009-04-01 | COY BOROFF | |||
| 002 | 2009-04-01 | COY BOROFF | |||
| 002 | 2008-04-01 | ||||
| 002 | 2007-04-01 | COY BOROFF |
| Measure | Date | Value |
|---|---|---|
| 2010: FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-04-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-04-01 | 10 |
| Number of retired or separated participants receiving benefits | 2010-04-01 | 3 |
| Total of all active and inactive participants | 2010-04-01 | 13 |
| Total participants | 2010-04-01 | 13 |
| 2009: FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-04-01 | 14 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-04-01 | 12 |
| Number of retired or separated participants receiving benefits | 2009-04-01 | 2 |
| Total of all active and inactive participants | 2009-04-01 | 14 |
| Total participants | 2009-04-01 | 14 |
| 2007: FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2007 401k membership | ||
| Total participants, beginning-of-year | 2007-04-01 | 68 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-04-01 | 13 |
| Number of retired or separated participants receiving benefits | 2007-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2007-04-01 | 2 |
| Total of all active and inactive participants | 2007-04-01 | 15 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2007-04-01 | 0 |
| Total participants | 2007-04-01 | 15 |
| Measure | Date | Value |
|---|---|---|
| 2011 : FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2011 401k financial data | ||
| Total income from all sources (including contributions) | 2011-03-31 | $334 |
| Total of all expenses incurred | 2011-03-31 | $9,997 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-03-31 | $9,997 |
| Value of total assets at end of year | 2011-03-31 | $10,282 |
| Value of total assets at beginning of year | 2011-03-31 | $19,945 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-03-31 | $334 |
| Total plan liabilities at end of year | 2011-03-31 | $0 |
| Total plan liabilities at beginning of year | 2011-03-31 | $0 |
| Total income from all sources | 2011-03-31 | $334 |
| Expenses. Total of all expenses incurred | 2011-03-31 | $9,997 |
| Benefits paid (including direct rollovers) | 2011-03-31 | $9,997 |
| Total plan assets at end of year | 2011-03-31 | $10,282 |
| Total plan assets at beginning of year | 2011-03-31 | $19,945 |
| Value of fidelity bond covering the plan | 2011-03-31 | $500,000 |
| Other income received | 2011-03-31 | $334 |
| Net income (gross income less expenses) | 2011-03-31 | $-9,663 |
| Net plan assets at end of year (total assets less liabilities) | 2011-03-31 | $10,282 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-03-31 | $19,945 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-03-31 | $334 |
| Was this plan covered by a fidelity bond | 2011-03-31 | Yes |
| If this is an individual account plan, was there a blackout period | 2011-03-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-03-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-03-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Value of net income/loss | 2011-03-31 | $-9,663 |
| Value of net assets at end of year (total assets less liabilities) | 2011-03-31 | $10,282 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-03-31 | $19,945 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-03-31 | No |
| Value of interest in pooled separate accounts at end of year | 2011-03-31 | $10,282 |
| Value of interest in pooled separate accounts at beginning of year | 2011-03-31 | $19,945 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-03-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-03-31 | $9,997 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-03-31 | No |
| Did the plan have assets held for investment | 2011-03-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-03-31 | No |
| 2010 : FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2010 401k financial data | ||
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-03-31 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2010-03-31 | $0 |
| Minimum employer required contribution for this plan year | 2010-03-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2010-03-31 | $0 |
| 2008 : FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2008 401k financial data | ||
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2008-03-31 | $0 |
| 2010: FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2010 form 5500 responses | ||
|---|---|---|
| 2010-04-01 | Type of plan entity | Single employer plan |
| 2010-04-01 | First time form 5500 has been submitted | Yes |
| 2010-04-01 | Submission has been amended | No |
| 2010-04-01 | This submission is the final filing | No |
| 2010-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-04-01 | Plan is a collectively bargained plan | No |
| 2010-04-01 | Plan funding arrangement – Trust | Yes |
| 2010-04-01 | Plan benefit arrangement - Trust | Yes |
| 2009: FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2009 form 5500 responses | ||
| 2009-04-01 | Type of plan entity | Single employer plan |
| 2009-04-01 | First time form 5500 has been submitted | Yes |
| 2009-04-01 | Submission has been amended | Yes |
| 2009-04-01 | This submission is the final filing | No |
| 2009-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-04-01 | Plan is a collectively bargained plan | No |
| 2009-04-01 | Plan funding arrangement – Trust | Yes |
| 2009-04-01 | Plan benefit arrangement - Trust | Yes |
| 2008: FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2008 form 5500 responses | ||
| 2008-04-01 | Type of plan entity | Single employer plan |
| 2008-04-01 | Submission has been amended | No |
| 2008-04-01 | This submission is the final filing | No |
| 2008-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-04-01 | Plan is a collectively bargained plan | No |
| 2007: FAMILY HEALTH SERVICES OF DARKE COUNTY, INC 2007 form 5500 responses | ||
| 2007-04-01 | Type of plan entity | Single employer plan |
| 2007-04-01 | Submission has been amended | No |
| 2007-04-01 | This submission is the final filing | Yes |
| 2007-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-04-01 | Plan is a collectively bargained plan | No |
| 2007-04-01 | Plan funding arrangement – Trust | Yes |
| 2007-04-01 | Plan benefit arrangement - Trust | Yes |