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| Plan Name | 403(B) THRIFT PLAN OF BLUE WATER MENTAL HEALTH CLINIC |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | BLUE WATER MENTAL HEALTH CLINIC |
| Employer identification number (EIN): | 381518941 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
Additional information about BLUE WATER MENTAL HEALTH CLINIC
| Jurisdiction of Incorporation: | Michigan Department of Licensing & Regulatory Affairs |
| Incorporation Date: | |
| Company Identification Number: | 811261 |
More information about BLUE WATER MENTAL HEALTH CLINIC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2022-01-01 | MICHAEL DUFFY | 2023-07-21 | ||
| 003 | 2022-01-01 | MICHAEL DUFFY | 2023-10-23 | ||
| 003 | 2021-01-01 | MICHAEL DUFFY | 2022-04-26 | ||
| 003 | 2020-01-01 | MICHAEL DUFFY | 2021-07-27 | ||
| 003 | 2019-01-01 | MICHAEL DUFFY | 2020-06-01 | ||
| 003 | 2018-01-01 | MICHAEL DUFFY | 2019-10-01 | ||
| 003 | 2017-01-01 | MICHAEL J. DUFFY, JR., ED.D. | 2018-04-13 | MICHAEL J. DUFFY, JR., ED.D. | 2018-04-13 |
| 003 | 2016-01-01 | MICHAEL J. DUFFY, JR., EDD | 2017-03-31 | ||
| 003 | 2015-01-01 | MICHAEL J. DUFFY, JR., EDD | 2016-05-06 | ||
| 003 | 2014-01-01 | MICHAEL DUFFY | 2015-04-15 | ||
| 003 | 2013-01-01 | MICHAEL J. DUFFY JR. | 2014-06-13 | ||
| 003 | 2012-01-01 | MICHAEL J. DUFFY, JR. | 2013-07-29 | MICHAEL J. DUFFY, JR. | 2013-07-29 |
| 003 | 2011-01-01 | MICHAEL J. DUFFY, JR. | 2012-07-31 | MICHAEL J. DUFFY, JR. | 2012-07-31 |
| 003 | 2010-01-01 | DR. MICHAEL J. DUFFY JR. | DR. MICHAEL J. DUFFY JR. | 2011-07-20 | |
| 003 | 2009-01-01 | DR. MICHAEL J. DUFFY JR. | DR. MICHAEL J. DUFFY JR. | 2010-10-07 |
| Measure | Date | Value |
|---|---|---|
| 2010: 403(B) THRIFT PLAN OF BLUE WATER MENTAL HEALTH CLINIC 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 16 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 5 |
| Total of all active and inactive participants | 2010-01-01 | 21 |
| Total participants | 2010-01-01 | 21 |
| Number of participants with account balances | 2010-01-01 | 21 |
| 2009: 403(B) THRIFT PLAN OF BLUE WATER MENTAL HEALTH CLINIC 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 15 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 6 |
| Total of all active and inactive participants | 2009-01-01 | 21 |
| Total participants | 2009-01-01 | 21 |
| Number of participants with account balances | 2009-01-01 | 21 |
| Measure | Date | Value |
|---|---|---|
| 2010 : 403(B) THRIFT PLAN OF BLUE WATER MENTAL HEALTH CLINIC 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $239,419 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $44,341 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $44,062 |
| Total plan assets at end of year | 2010-12-31 | $1,057,783 |
| Total plan assets at beginning of year | 2010-12-31 | $862,705 |
| Total contributions received or receivable from participants | 2010-12-31 | $109,397 |
| Contributions received from other sources (not participants or employers) | 2010-12-31 | $753 |
| Other income received | 2010-12-31 | $129,269 |
| Net income (gross income less expenses) | 2010-12-31 | $195,078 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $1,057,783 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $862,705 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $279 |
| 2010: 403(B) THRIFT PLAN OF BLUE WATER MENTAL HEALTH CLINIC 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: 403(B) THRIFT PLAN OF BLUE WATER MENTAL HEALTH CLINIC 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) | |||||||||||||||||||||
| Policy contract number | 006983H | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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