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GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 401k Plan overview

Plan NameGREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN
Plan identification number 001

GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

GREAT RIVER WOMENS HEALTH has sponsored the creation of one or more 401k plans.

Company Name:GREAT RIVER WOMENS HEALTH
Employer identification number (EIN):421201981
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012012-01-01CARL HAYS M.D.
0012011-01-01CARL HAYS M.D.
0012010-01-01CARL HAYS M.D.
0012009-01-01CARL HAYS M.D.

Plan Statistics for GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN

401k plan membership statisitcs for GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN

Measure Date Value
2012: GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-019
Total number of active participants reported on line 7a of the Form 55002012-01-010
Total of all active and inactive participants2012-01-010
Total participants2012-01-010
Number of participants with account balances2012-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0130
Total number of active participants reported on line 7a of the Form 55002011-01-019
Total of all active and inactive participants2011-01-019
Total participants2011-01-019
Number of participants with account balances2011-01-019
2010: GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0131
Total number of active participants reported on line 7a of the Form 55002010-01-0130
Total of all active and inactive participants2010-01-0130
Total participants2010-01-0130
Number of participants with account balances2010-01-0130
2009: GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0129
Total number of active participants reported on line 7a of the Form 55002009-01-0129
Number of retired or separated participants receiving benefits2009-01-012
Total of all active and inactive participants2009-01-0131
Total participants2009-01-0131
Number of participants with account balances2009-01-0131

Financial Data on GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN

Measure Date Value
2012 : GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$403,351
Expenses. Total of all expenses incurred2012-12-31$6,084,826
Benefits paid (including direct rollovers)2012-12-31$6,084,826
Total plan assets at end of year2012-12-31$0
Total plan assets at beginning of year2012-12-31$5,681,475
Value of fidelity bond covering the plan2012-12-31$500,000
Other income received2012-12-31$403,351
Net income (gross income less expenses)2012-12-31$-5,681,475
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$5,681,475
2011 : GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$132,460
Expenses. Total of all expenses incurred2011-12-31$1,811,950
Benefits paid (including direct rollovers)2011-12-31$1,811,670
Total plan assets at end of year2011-12-31$5,681,475
Total plan assets at beginning of year2011-12-31$7,360,965
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$50,982
Other income received2011-12-31$73,264
Net income (gross income less expenses)2011-12-31$-1,679,490
Net plan assets at end of year (total assets less liabilities)2011-12-31$5,681,475
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$7,360,965
Total contributions received or receivable from employer(s)2011-12-31$8,214
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$280
2010 : GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$1,057,418
Expenses. Total of all expenses incurred2010-12-31$178
Benefits paid (including direct rollovers)2010-12-31$178
Total plan assets at end of year2010-12-31$7,360,965
Total plan assets at beginning of year2010-12-31$6,303,725
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$124,653
Other income received2010-12-31$741,618
Net income (gross income less expenses)2010-12-31$1,057,240
Net plan assets at end of year (total assets less liabilities)2010-12-31$7,360,965
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$6,303,725
Total contributions received or receivable from employer(s)2010-12-31$191,147

Form 5500 Responses for GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN

2012: GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01This submission is the final filingYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 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: GREAT RIVER WOMENS HEALTH SELF-EMPLOYED PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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