401k Plan data: EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY plan

EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 401k Plan overview

Plan Name	EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY
Plan identification number	001

EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

METHODIST CHILDRENS HOME SOCIETY has sponsored the creation of one or more 401k plans.

Company Name: METHODIST CHILDRENS HOME SOCIETY

Employer identification number (EIN): 381240951

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about METHODIST CHILDRENS HOME SOCIETY

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: 742133

More information about METHODIST CHILDRENS HOME SOCIETY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 EARL GODDIN
001 2011-01-01 EARL GODDIN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	EARL GODDIN
001	2011-01-01	EARL GODDIN

Plan Statistics for EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY

401k plan membership statisitcs for EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY

Measure Date Value
2012: EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 85
Number of retired or separated participants receiving benefits 2012-01-01 15
Number of other retired or separated participants entitled to future benefits 2012-01-01 105
Total of all active and inactive participants 2012-01-01 205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 5
Total participants 2012-01-01 210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 2011 401k membership
Total participants, beginning-of-year 2011-01-01 212
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 81
Number of retired or separated participants receiving benefits 2011-01-01 16
Number of other retired or separated participants entitled to future benefits 2011-01-01 99
Total of all active and inactive participants 2011-01-01 196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 5
Total participants 2011-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 5

Measure	Date	Value
2012: EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	85
Number of retired or separated participants receiving benefits	2012-01-01	15
Number of other retired or separated participants entitled to future benefits	2012-01-01	105
Total of all active and inactive participants	2012-01-01	205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	5
Total participants	2012-01-01	210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	212
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	81
Number of retired or separated participants receiving benefits	2011-01-01	16
Number of other retired or separated participants entitled to future benefits	2011-01-01	99
Total of all active and inactive participants	2011-01-01	196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	5
Total participants	2011-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	5

Financial Data on EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY

Measure	Date	Value
2012 : EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,479,102
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$393,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$393,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$465,524
Value of total assets at end of year	2012-12-31	$8,707,967
Value of total assets at beginning of year	2012-12-31	$7,622,557
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$448
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$294,554
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$294,554
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$10,224
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$9,850
Administrative expenses (other) incurred	2012-12-31	$448
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,085,410
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$8,707,967
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,622,557
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$8,697,743
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,612,707
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$719,024
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$465,524
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$393,244
Did the plan have assets held for investment	2012-12-31	Yes
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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2012-12-31	381357951
2011 : EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$471,344
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$502,023
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$501,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$420,000
Value of total assets at end of year	2011-12-31	$7,622,557
Value of total assets at beginning of year	2011-12-31	$7,653,236
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$489
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$252,417
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$252,417
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$9,850
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$10,602
Administrative expenses (other) incurred	2011-12-31	$489
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-30,679
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,622,557
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,653,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$7,612,707
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$7,642,634
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-201,073
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$420,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$501,534
Did the plan have assets held for investment	2011-12-31	Yes
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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2011-12-31	381357951

Form 5500 Responses for EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY

2012: EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: EMPLOYEE BENEFITS PLAN OF METHODIST CHILDREN'S HOME SOCIETY 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	METHODIST CHILDRENS HOME SOCIETY
Employer identification number (EIN):	381240951
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	742133