| Plan Name | RETIREMENT PLAN OF CENTRAL VIRGINIA HEALTH NETWORK, INC. |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | CENTRAL VIRGINIA HEALTH NETWORK, INC. |
| Employer identification number (EIN): | 541669297 |
| NAIC Classification: | 621399 |
| NAIC Description: | Offices of All Other Miscellaneous Health Practitioners |
Additional information about CENTRAL VIRGINIA HEALTH NETWORK, INC.
| Jurisdiction of Incorporation: | Virginia Secretary of State |
| Incorporation Date: | 1993-05-28 |
| Company Identification Number: | 0410237 |
| Legal Registered Office Address: |
4900 COX ROAD POST OFFICE BOX 1122 GLEN ALLEN United States of America (USA) 23060 |
More information about CENTRAL VIRGINIA HEALTH NETWORK, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2015-01-01 | CATHY DANCY | |||
| 001 | 2014-01-01 | CATHY DANCY | 2015-06-01 | ||
| 001 | 2013-01-01 | CATHY DANCY | 2014-07-31 | ||
| 001 | 2012-01-01 | CATHY DANCY | 2013-07-22 | ||
| 001 | 2011-01-01 | CATHY DANCY | 2012-07-03 | ||
| 001 | 2010-01-01 | CATHY DANCY | 2011-07-27 |
| Measure | Date | Value |
|---|---|---|
| 2015 : RETIREMENT PLAN OF CENTRAL VIRGINIA HEALTH NETWORK, INC. 2015 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $0 |
| Total income from all sources (including contributions) | 2015-12-31 | $521,217 |
| Total loss/gain on sale of assets | 2015-12-31 | $0 |
| Total of all expenses incurred | 2015-12-31 | $178,495 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $178,227 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $604,847 |
| Value of total assets at end of year | 2015-12-31 | $4,784,989 |
| Value of total assets at beginning of year | 2015-12-31 | $4,442,267 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $268 |
| Total interest from all sources | 2015-12-31 | $1,132 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $394,271 |
| Participant contributions at end of year | 2015-12-31 | $22,263 |
| Participant contributions at beginning of year | 2015-12-31 | $30,862 |
| Participant contributions at end of year | 2015-12-31 | $13,486 |
| Participant contributions at beginning of year | 2015-12-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2015-12-31 | $28,878 |
| Total non interest bearing cash at end of year | 2015-12-31 | $3,593 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $3,593 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $342,722 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $4,784,989 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $4,442,267 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Value of interest in pooled separate accounts at end of year | 2015-12-31 | $4,739,814 |
| Value of interest in pooled separate accounts at beginning of year | 2015-12-31 | $4,407,812 |
| Interest earned on other investments | 2015-12-31 | $1,132 |
| Net investment gain or loss from common/collective trusts | 2015-12-31 | $-84,762 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $181,698 |
| Employer contributions (assets) at end of year | 2015-12-31 | $5,833 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $178,227 |
| Contract administrator fees | 2015-12-31 | $268 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Disclaimer |
| Accountancy firm name | 2015-12-31 | VANHUSS & ASSOCS. PLLC DBA KIMBLE |
| Accountancy firm EIN | 2015-12-31 | 208426521 |
| 2015: RETIREMENT PLAN OF CENTRAL VIRGINIA HEALTH NETWORK, INC. 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) | |
| Policy contract number | 69923 |
| Policy instance | 1 |