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FAIRVIEW HEALTH SERVICES PENSION PLAN A 401k Plan overview

Plan NameFAIRVIEW HEALTH SERVICES PENSION PLAN A
Plan identification number 016

FAIRVIEW HEALTH SERVICES PENSION PLAN A 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.

401k Sponsoring company profile

FAIRVIEW HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name:FAIRVIEW HEALTH SERVICES
Employer identification number (EIN):410991680
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAIRVIEW HEALTH SERVICES PENSION PLAN A

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0162011-01-01DANIEL FROMM
0162010-01-01PAULA PHILLIPPE
0162009-01-01PAULA PHILLIPPE

Financial Data on FAIRVIEW HEALTH SERVICES PENSION PLAN A

Measure Date Value
2011 : FAIRVIEW HEALTH SERVICES PENSION PLAN A 2011 401k financial data
Total transfer of assets from this plan2011-12-31$18,264,229
Total income from all sources (including contributions)2011-12-31$844,667
Total of all expenses incurred2011-12-31$803,129
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$803,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$549,479
Value of total assets at beginning of year2011-12-31$18,222,691
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$101
Total interest from all sources2011-12-31$449,024
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
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
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$41,538
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$18,222,691
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
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$17,680,783
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$475,433
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$475,433
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$449,024
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-153,836
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
Contributions received in cash from employer2011-12-31$549,479
Employer contributions (assets) at beginning of year2011-12-31$66,475
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$803,028
Contract administrator fees2011-12-31$101
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 investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31Yes
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 name2011-12-31E & Y
Accountancy firm EIN2011-12-31346565596
2010 : FAIRVIEW HEALTH SERVICES PENSION PLAN A 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$2,573,494
Total of all expenses incurred2010-12-31$1,086,098
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,086,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$344,293
Value of total assets at end of year2010-12-31$18,222,691
Value of total assets at beginning of year2010-12-31$16,745,295
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$71
Total interest from all sources2010-12-31$326,904
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$5,000,000
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
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$1,487,396
Value of net assets at end of year (total assets less liabilities)2010-12-31$18,222,691
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$16,745,295
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$17,680,783
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$15,995,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$475,433
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$475,030
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$475,030
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$326,904
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,902,297
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
Contributions received in cash from employer2010-12-31$344,293
Employer contributions (assets) at end of year2010-12-31$66,475
Employer contributions (assets) at beginning of year2010-12-31$274,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,086,027
Contract administrator fees2010-12-31$71
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2010-12-31ERNST & YOUNG LLP
Accountancy firm EIN2010-12-31346565596

Form 5500 Responses for FAIRVIEW HEALTH SERVICES PENSION PLAN A

2011: FAIRVIEW HEALTH SERVICES PENSION PLAN A 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01This submission is the final filingYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: FAIRVIEW HEALTH SERVICES PENSION PLAN A 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: FAIRVIEW HEALTH SERVICES PENSION PLAN A 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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