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HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 401k Plan overview

Plan NameHOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN
Plan identification number 002

HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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.

401k Sponsoring company profile

HOSPICE OF SAINT JOHN FOUNDATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOSPICE OF SAINT JOHN FOUNDATION, INC.
Employer identification number (EIN):742254709
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Additional information about HOSPICE OF SAINT JOHN FOUNDATION, INC.

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1981-03-23
Company Identification Number: 19871429473
Legal Registered Office Address: 1320 EVERETT CT

Lakewood
United States of America (USA)
80215

More information about HOSPICE OF SAINT JOHN FOUNDATION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022014-01-01
0022013-01-01
0022012-01-01STEVEN COOPER, O.S.J.
0022011-01-01JERRY L. HUSON
0022009-01-01JERRY HUSON JERRY HUSON2011-10-28
0022009-01-01JERRY L HUSON

Plan Statistics for HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN

401k plan membership statisitcs for HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN

Measure Date Value
2013: HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01366
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0159
Total of all active and inactive participants2013-01-0159
Total participants2013-01-0159
Number of participants with account balances2013-01-0159
2012: HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01222
Total number of active participants reported on line 7a of the Form 55002012-01-01312
Number of other retired or separated participants entitled to future benefits2012-01-0154
Total of all active and inactive participants2012-01-01366
Total participants2012-01-01366
Number of participants with account balances2012-01-0180
2011: HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01268
Total number of active participants reported on line 7a of the Form 55002011-01-01160
Number of other retired or separated participants entitled to future benefits2011-01-0162
Total of all active and inactive participants2011-01-01222
Total participants2011-01-01222
Number of participants with account balances2011-01-0194
2009: HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01126
Total number of active participants reported on line 7a of the Form 55002009-01-01118
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0118
Total of all active and inactive participants2009-01-01136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01136
Number of participants with account balances2009-01-01118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-019

Financial Data on HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN

Measure Date Value
2013 : HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$268,341
Total of all expenses incurred2013-12-31$804,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$778,017
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$33,594
Value of total assets at end of year2013-12-31$1,105,573
Value of total assets at beginning of year2013-12-31$1,642,066
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$26,817
Total interest from all sources2013-12-31$3,569
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$4,552
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2013-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$4,552
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$33,594
Participant contributions at beginning of year2013-12-31$2,580
Assets. Other investments not covered elsewhere at end of year2013-12-31$11,398
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$28,921
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-536,493
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,105,573
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,642,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$943,544
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,453,354
Interest earned on other investments2013-12-31$3,569
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$150,631
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$157,211
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$226,626
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$778,017
Contract administrator fees2013-12-31$26,817
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31EIDE BAILLY LLP
Accountancy firm EIN2013-12-31450250958
2012 : HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$274,780
Total of all expenses incurred2012-12-31$375,465
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$371,462
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$81,969
Value of total assets at end of year2012-12-31$1,642,066
Value of total assets at beginning of year2012-12-31$1,742,751
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$4,003
Total interest from all sources2012-12-31$5,036
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$4,502
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$4,502
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$76,584
Participant contributions at end of year2012-12-31$2,580
Participant contributions at beginning of year2012-12-31$4,047
Assets. Other investments not covered elsewhere at end of year2012-12-31$28,921
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-100,685
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,642,066
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,742,751
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,453,354
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,539,831
Interest earned on other investments2012-12-31$5,036
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$157,211
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$198,873
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$183,273
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$5,385
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$371,462
Contract administrator fees2012-12-31$4,003
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31EIDE BAILLY LLP
Accountancy firm EIN2012-12-31450250958
2011 : HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$84,071
Total of all expenses incurred2011-12-31$83,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$80,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$128,384
Value of total assets at end of year2011-12-31$1,742,751
Value of total assets at beginning of year2011-12-31$1,742,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,641
Total interest from all sources2011-12-31$10,631
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$1,000,000
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
Contributions received from participants2011-12-31$122,235
Participant contributions at end of year2011-12-31$4,047
Participant contributions at beginning of year2011-12-31$10,716
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$6,149
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$268
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,742,751
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,742,483
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 end of year2011-12-31$1,539,831
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,517,034
Interest on participant loans2011-12-31$3,665
Interest earned on other investments2011-12-31$6,966
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$198,873
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$214,733
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-54,944
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 contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$80,162
Contract administrator fees2011-12-31$3,641
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 investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
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 name2011-12-31EIDE BAILLY LLP
Accountancy firm EIN2011-12-31450250958
2010 : HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$349,304
Total of all expenses incurred2010-12-31$270,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$210,777
Expenses. Certain deemed distributions of participant loans2010-12-31$54,771
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$146,173
Value of total assets at end of year2010-12-31$1,701,260
Value of total assets at beginning of year2010-12-31$1,622,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$5,190
Total interest from all sources2010-12-31$10,969
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$500,000
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
Contributions received from participants2010-12-31$146,173
Participant contributions at end of year2010-12-31$13,551
Participant contributions at beginning of year2010-12-31$1,901
Administrative expenses (other) incurred2010-12-31$1,901
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$78,566
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,701,260
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,622,694
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
Investment advisory and management fees2010-12-31$3,289
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,448,708
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,388,047
Interest on participant loans2010-12-31$3,094
Interest earned on other investments2010-12-31$7,875
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$228,285
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$217,600
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$192,162
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 contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Employer contributions (assets) at end of year2010-12-31$10,716
Employer contributions (assets) at beginning of year2010-12-31$15,146
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$210,777
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 name2010-12-31STOCKMAN KAST RYAN & CO, LLP
Accountancy firm EIN2010-12-31841509584

Form 5500 Responses for HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN

2013: HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: HOSPICE OF SAINT JOHN 403(B) MATCHING RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number49573
Policy instance 1
Insurance contract or identification number49573
Number of Individuals Covered59
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $499
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $346
Insurance broker organization code?3
Insurance broker nameMARK J DUNN
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number49573
Policy instance 1
Insurance contract or identification number49573
Number of Individuals Covered80
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,030
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $381
Insurance broker organization code?3
Insurance broker nameMARK J DUNN
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number49573
Policy instance 1
Insurance contract or identification number49573
Number of Individuals Covered94
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,752
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number49573
Policy instance 1
Insurance contract or identification number49573
Number of Individuals Covered96
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,471
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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