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| Plan Name | LAKESHORE COMMUNITY HOSPITAL MONEY PURCHASE PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | LAKESHORE HOSPITAL |
| Employer identification number (EIN): | 382549295 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about LAKESHORE HOSPITAL
| Jurisdiction of Incorporation: | Michigan Department of Licensing & Regulatory Affairs |
| Incorporation Date: | |
| Company Identification Number: | 704607 |
More information about LAKESHORE HOSPITAL
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2010-01-01 | MARK A. GROSS | 2010-11-10 | MARK A. GROSS | 2010-11-10 |
| 002 | 2008-01-01 | JOHN BRYAN |
| Measure | Date | Value |
|---|---|---|
| 2008: LAKESHORE COMMUNITY HOSPITAL MONEY PURCHASE PLAN 2008 401k membership | ||
| Total participants, beginning-of-year | 2008-01-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-01-01 | 100 |
| Number of other retired or separated participants entitled to future benefits | 2008-01-01 | 1 |
| Total of all active and inactive participants | 2008-01-01 | 101 |
| Total participants | 2008-01-01 | 101 |
| Number of participants with account balances | 2008-01-01 | 101 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2008-01-01 | 2 |
| Measure | Date | Value |
|---|---|---|
| 2008 : LAKESHORE COMMUNITY HOSPITAL MONEY PURCHASE PLAN 2008 401k financial data | ||
| Total income from all sources | 2008-12-31 | $-222,100 |
| Expenses. Total of all expenses incurred | 2008-12-31 | $102,293 |
| Benefits paid (including direct rollovers) | 2008-12-31 | $101,548 |
| Total plan assets at end of year | 2008-12-31 | $1,154,441 |
| Total plan assets at beginning of year | 2008-12-31 | $1,478,834 |
| Value of fidelity bond covering the plan | 2008-12-31 | $15,000,000 |
| Total contributions received or receivable from participants | 2008-12-31 | $40,161 |
| Expenses. Other expenses not covered elsewhere | 2008-12-31 | $745 |
| Other income received | 2008-12-31 | $-389,611 |
| Net income (gross income less expenses) | 2008-12-31 | $-324,393 |
| Net plan assets at end of year (total assets less liabilities) | 2008-12-31 | $1,154,441 |
| Net plan assets at beginning of year (total assets less liabilities) | 2008-12-31 | $1,478,834 |
| Total contributions received or receivable from employer(s) | 2008-12-31 | $127,350 |
| Funding deficiency by the employer to the plan for this plan year | 2008-12-31 | $-1 |
| Minimum employer required contribution for this plan year | 2008-12-31 | $127,907 |
| Amount contributed by the employer to the plan for this plan year | 2008-12-31 | $127,908 |
| 2008: LAKESHORE COMMUNITY HOSPITAL MONEY PURCHASE PLAN 2008 form 5500 responses | ||
|---|---|---|
| 2008-01-01 | Type of plan entity | Single employer plan |
| 2008-01-01 | Submission has been amended | Yes |
| 2008-01-01 | This submission is the final filing | No |
| 2008-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-01-01 | Plan is a collectively bargained plan | No |
| 2008-01-01 | Plan funding arrangement – Insurance | Yes |
| 2008-01-01 | Plan benefit arrangement – Insurance | Yes |
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