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GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 401k Plan overview

Plan NameGOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN
Plan identification number 001

GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

GOOD SHEPHERD LUTHERAN SERVICES has sponsored the creation of one or more 401k plans.

Company Name:GOOD SHEPHERD LUTHERAN SERVICES
Employer identification number (EIN):410880871
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012012-01-01RHONDA SPECE
0012011-01-01RHONDA SPECE
0012010-01-01RHONDA SPECE
0012009-01-01RHONDA SPECE
0012009-01-01RHONDA SPECE
0012009-01-01RHONDA SPECE

Plan Statistics for GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN

401k plan membership statisitcs for GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN

Measure Date Value
2012: GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01188
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-010
Number of participants with account balances2012-01-010
2011: GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01189
Total number of active participants reported on line 7a of the Form 55002011-01-01154
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0134
Total of all active and inactive participants2011-01-01188
Total participants2011-01-01188
Number of participants with account balances2011-01-0180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01198
Total number of active participants reported on line 7a of the Form 55002010-01-01158
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0131
Total of all active and inactive participants2010-01-01189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01189
Number of participants with account balances2010-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01166
Total number of active participants reported on line 7a of the Form 55002009-01-0156
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0129
Total of all active and inactive participants2009-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0185
Number of participants with account balances2009-01-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN

Measure Date Value
2012 : GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$50,524
Total of all expenses incurred2012-12-31$948,679
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$947,360
Value of total assets at end of year2012-12-31$0
Value of total assets at beginning of year2012-12-31$898,155
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,319
Total interest from all sources2012-12-31$4,802
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31Yes
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$120,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-898,155
Value of net assets at end of year (total assets less liabilities)2012-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$898,155
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$618,247
Interest earned on other investments2012-12-31$4,802
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$279,908
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$45,722
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$947,360
Contract administrator fees2012-12-31$1,319
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31HARRINGTON LANGER & ASSOCIATES
Accountancy firm EIN2012-12-31411532347
2011 : GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$52,257
Total of all expenses incurred2011-12-31$49,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$47,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$61,877
Value of total assets at end of year2011-12-31$898,155
Value of total assets at beginning of year2011-12-31$895,197
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,513
Total interest from all sources2011-12-31$8,520
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$120,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$61,877
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$2,959
Value of net assets at end of year (total assets less liabilities)2011-12-31$898,155
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$895,197
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$1,513
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$618,247
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$623,255
Interest earned on other investments2011-12-31$8,520
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$279,908
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$271,942
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-18,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$47,785
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31HARRISON LANGER & ASSOCIATES
Accountancy firm EIN2011-12-31411625348
2010 : GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$150,700
Total of all expenses incurred2010-12-31$52,929
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$51,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$64,864
Value of total assets at end of year2010-12-31$895,197
Value of total assets at beginning of year2010-12-31$797,425
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,020
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$120,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$64,864
Other income not declared elsewhere2010-12-31$8,796
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$97,771
Value of net assets at end of year (total assets less liabilities)2010-12-31$895,197
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$797,425
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$1,020
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$623,255
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$523,619
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$271,942
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$273,806
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$77,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$51,909
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31HARRINGTON LANGER & ASSOCIATES
Accountancy firm EIN2010-12-31411532347

Form 5500 Responses for GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN

2012: GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingYes
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GOOD SHEPHERD LUTHERAN SERVICES TAX DEFFERED ANNUITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

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