401k Plan data: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN plan

CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 401k Plan overview

Plan Name	CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN
Plan identification number	001

CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN Benefits

401k Plan Type

Defined 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.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.

401k Sponsoring company profile

CHILDRENS WEST has sponsored the creation of one or more 401k plans.

Company Name: CHILDRENS WEST

Employer identification number (EIN): 411756478

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 REBECCA WOITALEWICZ REBECCA WOITALEWICZ 2015-10-08
001 2013-01-01 KASSIM MAHMOOD
001 2012-01-01 DAVID BRUMBAUGH
001 2011-01-01 DAVID BRUMBAUGH
001 2009-01-01 DAVID BRUMBAUGH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	REBECCA WOITALEWICZ	REBECCA WOITALEWICZ	2015-10-08
001	2013-01-01	KASSIM MAHMOOD
001	2012-01-01	DAVID BRUMBAUGH
001	2011-01-01	DAVID BRUMBAUGH
001	2009-01-01	DAVID BRUMBAUGH

Plan Statistics for CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN

401k plan membership statisitcs for CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN

Measure Date Value
2014: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 69
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 68
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 55
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 14
Total of all active and inactive participants 2013-01-01 69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 69
Number of participants with account balances 2013-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 70
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 54
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 13
Total of all active and inactive participants 2012-01-01 68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 68
Number of participants with account balances 2012-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 78
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 58
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 12
Total of all active and inactive participants 2011-01-01 70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 70
Number of participants with account balances 2011-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2009: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 89
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 62
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 5
Total participants 2009-01-01 71
Number of participants with account balances 2009-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	69
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	68
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	55
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	14
Total of all active and inactive participants	2013-01-01	69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	69
Number of participants with account balances	2013-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	70
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	54
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	13
Total of all active and inactive participants	2012-01-01	68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	68
Number of participants with account balances	2012-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	78
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	58
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	12
Total of all active and inactive participants	2011-01-01	70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	70
Number of participants with account balances	2011-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2009: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	89
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	62
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	5
Total participants	2009-01-01	71
Number of participants with account balances	2009-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN

Measure	Date	Value
2014 : CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$-7,018,789
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$917,669
Expenses. Total of all expenses incurred	2014-12-31	$295,102
Benefits paid (including direct rollovers)	2014-12-31	$295,042
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$6,396,222
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$335,890
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$430,159
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$622,567
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$6,396,222
Assets. Value of participant loans	2014-12-31	$0
Total contributions received or receivable from employer(s)	2014-12-31	$151,620
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$60
2013 : CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$1,483,543
Expenses. Total of all expenses incurred	2013-12-31	$193,840
Benefits paid (including direct rollovers)	2013-12-31	$173,351
Total plan assets at end of year	2013-12-31	$6,396,222
Total plan assets at beginning of year	2013-12-31	$5,106,519
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$321,241
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$39,216
Other income received	2013-12-31	$973,370
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$1,289,703
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$6,396,222
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$5,106,519
Assets. Value of participant loans	2013-12-31	$31,638
Total contributions received or receivable from employer(s)	2013-12-31	$149,716
Value of certain deemed distributions of participant loans	2013-12-31	$20,418
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$71
2012 : CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$1
Total income from all sources	2012-12-31	$977,083
Expenses. Total of all expenses incurred	2012-12-31	$79,160
Benefits paid (including direct rollovers)	2012-12-31	$79,015
Total plan assets at end of year	2012-12-31	$5,106,519
Total plan assets at beginning of year	2012-12-31	$4,208,597
Total contributions received or receivable from participants	2012-12-31	$303,729
Contributions received from other sources (not participants or employers)	2012-12-31	$33
Other income received	2012-12-31	$525,467
Net income (gross income less expenses)	2012-12-31	$897,923
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$5,106,519
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$4,208,596
Assets. Value of participant loans	2012-12-31	$65,262
Total contributions received or receivable from employer(s)	2012-12-31	$147,854
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$145
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$1
Total plan liabilities at beginning of year	2011-12-31	$17
Total income from all sources	2011-12-31	$403,181
Expenses. Total of all expenses incurred	2011-12-31	$96,931
Benefits paid (including direct rollovers)	2011-12-31	$96,765
Total plan assets at end of year	2011-12-31	$4,208,597
Total plan assets at beginning of year	2011-12-31	$3,902,363
Total contributions received or receivable from participants	2011-12-31	$285,598
Contributions received from other sources (not participants or employers)	2011-12-31	$11,392
Other income received	2011-12-31	$-44,072
Net income (gross income less expenses)	2011-12-31	$306,250
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$4,208,596
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,902,346
Assets. Value of participant loans	2011-12-31	$55,060
Total contributions received or receivable from employer(s)	2011-12-31	$150,263
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$166
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$17
Total plan liabilities at beginning of year	2010-12-31	$8
Total income from all sources	2010-12-31	$877,325
Expenses. Total of all expenses incurred	2010-12-31	$131,985
Benefits paid (including direct rollovers)	2010-12-31	$131,779
Total plan assets at end of year	2010-12-31	$3,902,363
Total plan assets at beginning of year	2010-12-31	$3,157,014
Total contributions received or receivable from participants	2010-12-31	$291,972
Contributions received from other sources (not participants or employers)	2010-12-31	$6,316
Other income received	2010-12-31	$426,354
Net income (gross income less expenses)	2010-12-31	$745,340
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,902,346
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,157,006
Assets. Value of participant loans	2010-12-31	$51,472
Total contributions received or receivable from employer(s)	2010-12-31	$152,683
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$206
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN

2014: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 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	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 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	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CHILDREN'S WEST TAX DEFERRED SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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CHILDREN'S WEST SURGERY CENTER 401(K) PLAN [EIN = 621872553]

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Company Name:	CHILDRENS WEST
Employer identification number (EIN):	411756478
NAIC Classification:	622000
NAIC Description:	Hospitals