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CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 401k Plan overview

Plan NameCLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST
Plan identification number 501

CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST has sponsored the creation of one or more 401k plans.

Company Name:CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST
Employer identification number (EIN):471948283
NAIC Classification:921000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01LEE EBY
5012016-01-01MATT ELLINGTON
5012015-06-01STEPHEN STEINBURG

Plan Statistics for CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST

401k plan membership statisitcs for CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST

Measure Date Value
2022: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-010
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
2021: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01114
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-01131
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01131
2020: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01101
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-01114
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01114
2019: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01100
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-01101
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01101
2018: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-0194
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-01100
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01100
2017: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-0183
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-0194
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0194
2016: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-0198
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-0183
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0183
2015: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2015 401k membership
Total participants, beginning-of-year2015-06-010
Total number of active participants reported on line 7a of the Form 55002015-06-010
Number of retired or separated participants receiving benefits2015-06-0198
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-0198

Financial Data on CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST

Measure Date Value
2022 : CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-558
Total unrealized appreciation/depreciation of assets2022-12-31$-558
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$9,000
Total income from all sources (including contributions)2022-12-31$895,650
Total of all expenses incurred2022-12-31$1,836,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,744,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,717,012
Value of total assets at end of year2022-12-31$5,577,202
Value of total assets at beginning of year2022-12-31$6,526,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$91,312
Total interest from all sources2022-12-31$3,222
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$170,119
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$170,119
Administrative expenses professional fees incurred2022-12-31$25,256
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$386,969
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$8,159
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$3,274
Administrative expenses (other) incurred2022-12-31$18,466
Total non interest bearing cash at end of year2022-12-31$117,258
Total non interest bearing cash at beginning of year2022-12-31$244,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-940,555
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,577,202
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,517,757
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$16,390
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$5,123,083
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$6,027,626
Income. Interest from US Government securities2022-12-31$2,383
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$25,723
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$178,113
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$178,113
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$839
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,744,893
Asset value of US Government securities at end of year2022-12-31$219,181
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-994,145
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,330,043
Employer contributions (assets) at end of year2022-12-31$83,798
Employer contributions (assets) at beginning of year2022-12-31$72,826
Contract administrator fees2022-12-31$31,200
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$9,000
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BJORKLUND & MONTPLAISIR
Accountancy firm EIN2022-12-31931015766
2021 : CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$9,000
Total income from all sources (including contributions)2021-12-31$2,351,985
Total of all expenses incurred2021-12-31$1,827,064
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,737,368
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,763,681
Value of total assets at end of year2021-12-31$6,526,757
Value of total assets at beginning of year2021-12-31$5,992,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$89,696
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$192,554
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$192,554
Administrative expenses professional fees incurred2021-12-31$32,454
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$506,521
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$3,274
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$5,752
Administrative expenses (other) incurred2021-12-31$11,470
Total non interest bearing cash at end of year2021-12-31$244,918
Total non interest bearing cash at beginning of year2021-12-31$448,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$524,921
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,517,757
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,992,836
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$11,820
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$6,027,626
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,450,829
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$178,113
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$18,426
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$18,426
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,737,368
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$395,750
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,257,160
Employer contributions (assets) at end of year2021-12-31$72,826
Employer contributions (assets) at beginning of year2021-12-31$68,885
Contract administrator fees2021-12-31$33,952
Liabilities. Value of benefit claims payable at end of year2021-12-31$9,000
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BJORKLUND & MONTPLAISIR
Accountancy firm EIN2021-12-31931015766
2020 : CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$2,246,809
Total of all expenses incurred2020-12-31$1,483,039
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,409,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,693,029
Value of total assets at end of year2020-12-31$5,992,836
Value of total assets at beginning of year2020-12-31$5,229,066
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$73,325
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$121,705
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$121,705
Administrative expenses professional fees incurred2020-12-31$18,535
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$400,426
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$5,752
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$7,388
Administrative expenses (other) incurred2020-12-31$10,853
Total non interest bearing cash at end of year2020-12-31$448,944
Total non interest bearing cash at beginning of year2020-12-31$231,877
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$763,770
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,992,836
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$5,229,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$11,496
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,450,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,909,127
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$18,426
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$17,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$17,844
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,409,714
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$432,075
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,292,603
Employer contributions (assets) at end of year2020-12-31$68,885
Employer contributions (assets) at beginning of year2020-12-31$62,830
Contract administrator fees2020-12-31$32,441
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BJORKLUND & MONTPLAISIR
Accountancy firm EIN2020-12-31931015766
2019 : CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$2,316,075
Total income from all sources (including contributions)2019-12-31$2,316,075
Total of all expenses incurred2019-12-31$1,298,586
Total of all expenses incurred2019-12-31$1,298,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,225,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,225,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,548,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,548,322
Value of total assets at end of year2019-12-31$5,229,066
Value of total assets at end of year2019-12-31$5,229,066
Value of total assets at beginning of year2019-12-31$4,211,577
Value of total assets at beginning of year2019-12-31$4,211,577
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$72,874
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$72,874
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$123,401
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$123,401
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$123,401
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$123,401
Administrative expenses professional fees incurred2019-12-31$20,112
Administrative expenses professional fees incurred2019-12-31$20,112
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$294,600
Contributions received from participants2019-12-31$294,600
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$7,388
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$7,388
Administrative expenses (other) incurred2019-12-31$10,609
Administrative expenses (other) incurred2019-12-31$10,609
Total non interest bearing cash at end of year2019-12-31$231,877
Total non interest bearing cash at end of year2019-12-31$231,877
Total non interest bearing cash at beginning of year2019-12-31$287,332
Total non interest bearing cash at beginning of year2019-12-31$287,332
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,017,489
Value of net income/loss2019-12-31$1,017,489
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,229,066
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,229,066
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,211,577
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,211,577
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$8,953
Investment advisory and management fees2019-12-31$8,953
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,909,127
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,909,127
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,704,732
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,704,732
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$17,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$17,844
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$173,439
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$173,439
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$173,439
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$173,439
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,225,712
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,225,712
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$644,352
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$644,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,253,722
Contributions received in cash from employer2019-12-31$1,253,722
Employer contributions (assets) at end of year2019-12-31$62,830
Employer contributions (assets) at beginning of year2019-12-31$46,074
Employer contributions (assets) at beginning of year2019-12-31$46,074
Contract administrator fees2019-12-31$33,200
Contract administrator fees2019-12-31$33,200
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BJORKLUND & MONTPLAISIR
Accountancy firm EIN2019-12-31931015766
Accountancy firm EIN2019-12-31931015766
2018 : CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$1,116,363
Total of all expenses incurred2018-12-31$1,236,080
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,168,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,312,850
Value of total assets at end of year2018-12-31$4,211,577
Value of total assets at beginning of year2018-12-31$4,331,294
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$67,688
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$110,035
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$110,035
Administrative expenses professional fees incurred2018-12-31$15,615
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$232,037
Administrative expenses (other) incurred2018-12-31$13,159
Total non interest bearing cash at end of year2018-12-31$287,332
Total non interest bearing cash at beginning of year2018-12-31$207,915
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-119,717
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,211,577
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,331,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$8,914
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,704,732
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,078,653
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$173,439
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$4,919
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$4,919
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,168,392
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-306,522
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,080,813
Employer contributions (assets) at end of year2018-12-31$46,074
Employer contributions (assets) at beginning of year2018-12-31$39,807
Contract administrator fees2018-12-31$30,000
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BJORKLUND & MONTPLAISIR
Accountancy firm EIN2018-12-31931015766
2017 : CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2017 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$79,411
Total income from all sources (including contributions)2017-12-31$1,789,638
Total of all expenses incurred2017-12-31$1,165,893
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,086,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,257,343
Value of total assets at end of year2017-12-31$4,331,294
Value of total assets at beginning of year2017-12-31$3,786,960
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$79,402
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$80,148
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$80,148
Administrative expenses professional fees incurred2017-12-31$26,430
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$229,095
Administrative expenses (other) incurred2017-12-31$14,093
Liabilities. Value of operating payables at beginning of year2017-12-31$9,500
Total non interest bearing cash at end of year2017-12-31$207,915
Total non interest bearing cash at beginning of year2017-12-31$388,066
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$623,745
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,331,294
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,707,549
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$8,879
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,078,653
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,312,831
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$4,919
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$47,325
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$47,325
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,086,491
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$452,147
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,028,248
Employer contributions (assets) at end of year2017-12-31$39,807
Employer contributions (assets) at beginning of year2017-12-31$38,738
Contract administrator fees2017-12-31$30,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$69,911
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BJORKLUND & MONTPLAISIR
Accountancy firm EIN2017-12-31931015766
2016 : CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$79,411
Total income from all sources (including contributions)2016-12-31$1,389,049
Total of all expenses incurred2016-12-31$940,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$863,752
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,188,497
Value of total assets at end of year2016-12-31$3,786,960
Value of total assets at beginning of year2016-12-31$3,259,031
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$76,779
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$67,060
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$67,060
Administrative expenses professional fees incurred2016-12-31$26,789
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$162,760
Administrative expenses (other) incurred2016-12-31$12,450
Liabilities. Value of operating payables at end of year2016-12-31$9,500
Total non interest bearing cash at end of year2016-12-31$388,066
Total non interest bearing cash at beginning of year2016-12-31$278,915
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$448,518
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,707,549
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,259,031
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$7,540
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,312,831
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,895,740
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$47,325
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$48,405
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$48,405
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$863,752
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$133,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,025,737
Employer contributions (assets) at end of year2016-12-31$38,738
Employer contributions (assets) at beginning of year2016-12-31$35,971
Contract administrator fees2016-12-31$30,000
Liabilities. Value of benefit claims payable at end of year2016-12-31$69,911
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BJORKLUND & MONTPLAISIR
Accountancy firm EIN2016-12-31931015766
2015 : CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$3,739,425
Total of all expenses incurred2015-12-31$480,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$448,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,790,195
Value of total assets at end of year2015-12-31$3,259,031
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$32,061
Total interest from all sources2015-12-31$2,305
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$53,765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$53,765
Administrative expenses professional fees incurred2015-12-31$7,491
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$121,879
Administrative expenses (other) incurred2015-12-31$6,468
Total non interest bearing cash at end of year2015-12-31$278,915
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,259,031
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,259,031
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$2,781
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,895,740
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$48,405
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$2,305
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$448,333
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-106,840
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$3,668,316
Employer contributions (assets) at end of year2015-12-31$35,971
Contract administrator fees2015-12-31$15,321
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BJORKLUND & MONTPLAISIR
Accountancy firm EIN2015-12-31931015766

Form 5500 Responses for CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST

2022: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CLACKAMAS COUNTY SHERIFF'S OFFICE INDEPENDENT RETIREE MEDICAL TRUST 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01First time form 5500 has been submittedYes
2015-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes

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