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ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 401k Plan overview

Plan NameST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN
Plan identification number 001

ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION 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

ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME has sponsored the creation of one or more 401k plans.

Company Name:ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME
Employer identification number (EIN):810221486
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012017-01-01PAUL SOUKUP
0012016-01-01PAUL SOUKUP
0012015-01-01PAUL SOUKUP
0012014-01-01PAUL SOUKUP
0012013-01-01PAUL SOUKUP PAUL SOUKUP2014-10-14
0012012-01-01PAUL SOUKUP PAUL SOUKUP2013-10-14
0012011-01-01PAUL SOUKUP PAUL SOUKUP2012-10-24
0012009-01-01PAUL SOUKUP PAUL SOUKUP2010-10-14

Plan Statistics for ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN

401k plan membership statisitcs for ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN

Measure Date Value
2022: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01611
Total number of active participants reported on line 7a of the Form 55002022-01-01356
Number of retired or separated participants receiving benefits2022-01-0147
Number of other retired or separated participants entitled to future benefits2022-01-01217
Total of all active and inactive participants2022-01-01620
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01620
Number of participants with account balances2022-01-01565
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01595
Total number of active participants reported on line 7a of the Form 55002021-01-01296
Number of retired or separated participants receiving benefits2021-01-0143
Number of other retired or separated participants entitled to future benefits2021-01-01216
Total of all active and inactive participants2021-01-01555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01555
Number of participants with account balances2021-01-01543
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-014
2020: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01608
Total number of active participants reported on line 7a of the Form 55002020-01-01313
Number of retired or separated participants receiving benefits2020-01-0160
Number of other retired or separated participants entitled to future benefits2020-01-01204
Total of all active and inactive participants2020-01-01577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01577
Number of participants with account balances2020-01-01554
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01634
Total number of active participants reported on line 7a of the Form 55002019-01-01343
Number of retired or separated participants receiving benefits2019-01-0152
Number of other retired or separated participants entitled to future benefits2019-01-01190
Total of all active and inactive participants2019-01-01585
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01585
Number of participants with account balances2019-01-01539
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01227
Total number of active participants reported on line 7a of the Form 55002018-01-01227
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01227
Total participants2018-01-01227
Number of participants with account balances2018-01-010
2017: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01227
Total number of active participants reported on line 7a of the Form 55002017-01-01227
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01227
Total participants2017-01-01227
2016: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01233
Total number of active participants reported on line 7a of the Form 55002016-01-01227
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01227
Total participants2016-01-01227
2015: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01243
Total number of active participants reported on line 7a of the Form 55002015-01-01233
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01233
Total participants2015-01-01233
2014: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01255
Total number of active participants reported on line 7a of the Form 55002014-01-01243
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01243
Total participants2014-01-01243
2013: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01249
Total number of active participants reported on line 7a of the Form 55002013-01-01255
Total of all active and inactive participants2013-01-01255
Total participants2013-01-01255
2012: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01408
Total number of active participants reported on line 7a of the Form 55002012-01-01249
Total of all active and inactive participants2012-01-01249
Total participants2012-01-01249
2011: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01408
Total number of active participants reported on line 7a of the Form 55002011-01-01408
Total of all active and inactive participants2011-01-01408
Total participants2011-01-01408
2009: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01372
Total number of active participants reported on line 7a of the Form 55002009-01-01408
Total of all active and inactive participants2009-01-01408
Total participants2009-01-01408

Financial Data on ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN

Measure Date Value
2022 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-499,430
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,813,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,724,732
Expenses. Certain deemed distributions of participant loans2022-12-31$36,157
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,169,470
Value of total assets at end of year2022-12-31$20,511,529
Value of total assets at beginning of year2022-12-31$22,824,818
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$52,970
Total interest from all sources2022-12-31$13,083
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
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$949,133
Participant contributions at end of year2022-12-31$193,164
Participant contributions at beginning of year2022-12-31$275,984
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$501,051
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,313,289
Value of net assets at end of year (total assets less liabilities)2022-12-31$20,511,529
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$22,824,818
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$15,685,909
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$17,625,600
Interest on participant loans2022-12-31$13,083
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$4,632,456
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$4,923,234
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,681,983
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$719,286
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,724,732
Contract administrator fees2022-12-31$52,970
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 plan2022-12-31Disclaimer
Accountancy firm name2022-12-31WIPFLI LLP
Accountancy firm EIN2022-12-31390758449
2021 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$3,942,130
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,551,392
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,497,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,581,309
Value of total assets at end of year2021-12-31$22,824,818
Value of total assets at beginning of year2021-12-31$20,434,080
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$53,900
Total interest from all sources2021-12-31$14,337
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
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$882,989
Participant contributions at end of year2021-12-31$275,984
Participant contributions at beginning of year2021-12-31$336,409
Participant contributions at beginning of year2021-12-31$84,949
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$27,092
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$2,390,738
Value of net assets at end of year (total assets less liabilities)2021-12-31$22,824,818
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$20,434,080
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$17,625,600
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$14,720,891
Interest on participant loans2021-12-31$14,337
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$4,923,234
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$5,291,831
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,346,484
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$671,228
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,497,492
Contract administrator fees2021-12-31$53,900
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 name2021-12-31WIPFLI LLP
Accountancy firm EIN2021-12-31390758449
2020 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$432,967
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,801,645
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$4,055,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,010,446
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,845,801
Value of total assets at end of year2020-12-31$20,434,967
Value of total assets at beginning of year2020-12-31$20,256,199
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$45,398
Total interest from all sources2020-12-31$27,578
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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$937,292
Participant contributions at end of year2020-12-31$331,747
Participant contributions at beginning of year2020-12-31$423,667
Participant contributions at end of year2020-12-31$-1,227
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$261,099
Other income not declared elsewhere2020-12-31$153,558
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-254,199
Value of net assets at end of year (total assets less liabilities)2020-12-31$20,434,967
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$20,256,199
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$14,812,616
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$13,635,583
Interest on participant loans2020-12-31$27,578
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$5,291,831
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$6,196,949
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,774,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
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$647,410
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,010,446
Contract administrator fees2020-12-31$45,398
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 plan2020-12-31Disclaimer
Accountancy firm name2020-12-31WIPFLI LLP
Accountancy firm EIN2020-12-31390758449
2019 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,144,200
Total income from all sources (including contributions)2019-12-31$4,144,200
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,829,171
Total of all expenses incurred2019-12-31$1,829,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,785,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,785,134
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,550,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,550,424
Value of total assets at end of year2019-12-31$20,301,985
Value of total assets at end of year2019-12-31$20,301,985
Value of total assets at beginning of year2019-12-31$17,986,956
Value of total assets at beginning of year2019-12-31$17,986,956
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$44,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$44,037
Total interest from all sources2019-12-31$21,824
Total interest from all sources2019-12-31$21,824
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
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
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$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
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$921,465
Contributions received from participants2019-12-31$921,465
Participant contributions at end of year2019-12-31$423,668
Participant contributions at end of year2019-12-31$423,668
Participant contributions at beginning of year2019-12-31$489,149
Participant contributions at beginning of year2019-12-31$489,149
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$34,312
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$34,312
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$2,315,029
Value of net income/loss2019-12-31$2,315,029
Value of net assets at end of year (total assets less liabilities)2019-12-31$20,301,985
Value of net assets at end of year (total assets less liabilities)2019-12-31$20,301,985
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$17,986,956
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$17,986,956
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$19,878,317
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$19,878,317
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,497,807
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,497,807
Interest on participant loans2019-12-31$21,824
Interest on participant loans2019-12-31$21,824
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$6,196,949
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$6,676,441
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,571,952
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,571,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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$594,647
Contributions received in cash from employer2019-12-31$594,647
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,785,134
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,785,134
Contract administrator fees2019-12-31$44,037
Contract administrator fees2019-12-31$44,037
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)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31WIPFLI LLP
Accountancy firm name2019-12-31WIPFLI LLP
Accountancy firm EIN2019-12-31390758449
Accountancy firm EIN2019-12-31390758449
2018 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-12-31$1,208,878
Total unrealized appreciation/depreciation of assets2018-12-31$1,208,878
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,366,204
Total loss/gain on sale of assets2018-12-31$78,553
Total of all expenses incurred2018-12-31$9,202,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$9,199,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$22,103
Value of total assets at end of year2018-12-31$8,366,743
Value of total assets at beginning of year2018-12-31$16,202,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,785
Total interest from all sources2018-12-31$25,178
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$31,492
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$31,492
Administrative expenses professional fees incurred2018-12-31$2,785
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$22,103
Participant contributions at end of year2018-12-31$257,690
Participant contributions at beginning of year2018-12-31$463,269
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-7,835,943
Value of net assets at end of year (total assets less liabilities)2018-12-31$8,366,743
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$16,202,686
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$8,109,053
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$15,739,417
Interest on participant loans2018-12-31$18,324
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$6,854
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$9,199,362
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
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
Aggregate proceeds on sale of assets2018-12-31$78,553
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WIPFLI LLP
Accountancy firm EIN2018-12-31390758449
2017 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$175,497
Total unrealized appreciation/depreciation of assets2017-12-31$175,497
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,826,655
Total loss/gain on sale of assets2017-12-31$73,274
Total of all expenses incurred2017-12-31$1,513,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,513,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,502,210
Value of total assets at end of year2017-12-31$16,202,686
Value of total assets at beginning of year2017-12-31$15,889,880
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$36,170
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$39,504
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$39,504
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$961,729
Participant contributions at end of year2017-12-31$463,269
Participant contributions at beginning of year2017-12-31$527,130
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$26,557
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$955
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$312,806
Value of net assets at end of year (total assets less liabilities)2017-12-31$16,202,686
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$15,889,880
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$15,739,417
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$15,362,750
Interest on participant loans2017-12-31$23,727
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$12,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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$513,924
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,512,894
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
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
Aggregate proceeds on sale of assets2017-12-31$73,274
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WIPFLI LLP
Accountancy firm EIN2017-12-31390758449
2016 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$417,796
Total unrealized appreciation/depreciation of assets2016-12-31$417,796
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,035,348
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$754,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$753,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,538,605
Value of total assets at end of year2016-12-31$15,889,880
Value of total assets at beginning of year2016-12-31$14,608,981
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$953
Total interest from all sources2016-12-31$39,443
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$39,504
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$39,504
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$871,069
Participant contributions at end of year2016-12-31$527,130
Participant contributions at beginning of year2016-12-31$484,513
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$192,087
Administrative expenses (other) incurred2016-12-31$953
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$1,280,899
Value of net assets at end of year (total assets less liabilities)2016-12-31$15,889,880
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$14,608,981
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$15,362,750
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$14,124,468
Interest on participant loans2016-12-31$24,115
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$15,328
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
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$475,449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$753,496
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
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)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WIPFLI LLP
Accountancy firm EIN2016-12-31390758449
2015 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$103,295
Total unrealized appreciation/depreciation of assets2015-12-31$103,295
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$1,639,599
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$512,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$511,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,454,078
Value of total assets at end of year2015-12-31$14,608,981
Value of total assets at beginning of year2015-12-31$13,481,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$765
Total interest from all sources2015-12-31$39,204
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$43,022
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$43,022
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$732,605
Participant contributions at end of year2015-12-31$484,513
Participant contributions at beginning of year2015-12-31$483,643
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$220,203
Administrative expenses (other) incurred2015-12-31$765
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$1,127,145
Value of net assets at end of year (total assets less liabilities)2015-12-31$14,608,981
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$13,481,836
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$14,124,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$12,998,193
Interest on participant loans2015-12-31$22,826
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$16,378
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
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$501,270
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$511,689
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
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)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31WIPFLI LLP
Accountancy firm EIN2015-12-31390758449
2014 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$440,273
Total unrealized appreciation/depreciation of assets2014-12-31$440,273
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$1,648,531
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$469,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$468,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,126,736
Value of total assets at end of year2014-12-31$13,481,836
Value of total assets at beginning of year2014-12-31$12,302,309
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$771
Total interest from all sources2014-12-31$36,309
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$45,213
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$45,213
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$622,897
Participant contributions at end of year2014-12-31$483,643
Participant contributions at beginning of year2014-12-31$454,837
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$10,274
Administrative expenses (other) incurred2014-12-31$771
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,179,527
Value of net assets at end of year (total assets less liabilities)2014-12-31$13,481,836
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$12,302,309
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$12,998,193
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$11,847,472
Interest on participant loans2014-12-31$21,754
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$14,555
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$493,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$468,233
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31WIPFLI LLP
Accountancy firm EIN2014-12-31390758449
2013 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$689,496
Total unrealized appreciation/depreciation of assets2013-12-31$689,496
Total income from all sources (including contributions)2013-12-31$2,137,586
Total of all expenses incurred2013-12-31$436,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$435,199
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,345,955
Value of total assets at end of year2013-12-31$12,302,309
Value of total assets at beginning of year2013-12-31$10,601,027
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,105
Total interest from all sources2013-12-31$49,156
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$31,089
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$31,089
Was this plan covered by a fidelity bond2013-12-31No
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$834,886
Participant contributions at end of year2013-12-31$454,837
Participant contributions at beginning of year2013-12-31$464,690
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$46,331
Administrative expenses (other) incurred2013-12-31$1,105
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$1,701,282
Value of net assets at end of year (total assets less liabilities)2013-12-31$12,302,309
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$10,601,027
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$11,847,472
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$10,136,337
Interest on participant loans2013-12-31$20,909
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$28,247
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$21,890
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 contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$464,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$435,199
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)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31GALUSHA, HIGGINS & GALUSHA PC
Accountancy firm EIN2013-12-31810272932
2012 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$448,125
Total unrealized appreciation/depreciation of assets2012-12-31$448,125
Total income from all sources (including contributions)2012-12-31$1,726,687
Total of all expenses incurred2012-12-31$389,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$388,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,192,790
Value of total assets at end of year2012-12-31$10,601,027
Value of total assets at beginning of year2012-12-31$9,263,393
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,038
Total interest from all sources2012-12-31$53,686
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$24,225
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$24,225
Was this plan covered by a fidelity bond2012-12-31No
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$559,851
Participant contributions at end of year2012-12-31$464,690
Participant contributions at beginning of year2012-12-31$408,814
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$185,898
Administrative expenses (other) incurred2012-12-31$1,038
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$1,337,634
Value of net assets at end of year (total assets less liabilities)2012-12-31$10,601,027
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$9,263,393
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$10,136,337
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$8,854,579
Interest on participant loans2012-12-31$19,566
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$34,120
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$7,861
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$447,041
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$388,015
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
2011 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-10,531
Total unrealized appreciation/depreciation of assets2011-12-31$-10,531
Total income from all sources (including contributions)2011-12-31$1,430,437
Total of all expenses incurred2011-12-31$516,742
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$515,940
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,347,849
Value of total assets at end of year2011-12-31$9,263,393
Value of total assets at beginning of year2011-12-31$8,349,698
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$802
Total interest from all sources2011-12-31$65,968
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$25,585
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$25,585
Was this plan covered by a fidelity bond2011-12-31No
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$533,661
Participant contributions at end of year2011-12-31$408,814
Participant contributions at beginning of year2011-12-31$302,697
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$364,577
Administrative expenses (other) incurred2011-12-31$802
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$913,695
Value of net assets at end of year (total assets less liabilities)2011-12-31$9,263,393
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$8,349,698
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$8,854,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$8,047,001
Interest on participant loans2011-12-31$18,618
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$47,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$1,566
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 contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$449,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$515,940
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)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31GALUSHA, HIGGINS & GALUSHA, PC
Accountancy firm EIN2011-12-31810272932
2010 : ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$301,898
Total unrealized appreciation/depreciation of assets2010-12-31$301,898
Total income from all sources (including contributions)2010-12-31$1,370,583
Total of all expenses incurred2010-12-31$401,540
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$400,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$964,233
Value of total assets at end of year2010-12-31$8,349,698
Value of total assets at beginning of year2010-12-31$7,771,877
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$756
Total interest from all sources2010-12-31$82,543
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$21,909
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$21,909
Was this plan covered by a fidelity bond2010-12-31No
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$464,800
Participant contributions at end of year2010-12-31$302,697
Participant contributions at beginning of year2010-12-31$345,184
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$63,953
Administrative expenses (other) incurred2010-12-31$756
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$969,043
Value of net assets at end of year (total assets less liabilities)2010-12-31$8,349,698
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$7,771,877
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$8,047,001
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$7,426,693
Interest earned on other investments2010-12-31$82,543
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$166
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 contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$435,480
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$400,784
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31GALUSHA, HIGGINS & GALUSHA, PC
Accountancy firm EIN2010-12-31810272932

Form 5500 Responses for ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN

2022: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ST. LUKE COMMUNITY HOSPITAL AND NURSING HOME EMPLOYEE PENSION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number0229
Policy instance 2
Insurance contract or identification number0229
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $289
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $289
Amount paid for insurance broker fees0
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number
Policy instance 1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,363
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $3,363
Amount paid for insurance broker fees0
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number0229
Policy instance 2
Insurance contract or identification number0229
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $287
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $287
Amount paid for insurance broker fees0
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number
Policy instance 1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $256
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $151
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number0229
Policy instance 2
Insurance contract or identification number0229
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $349
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $349
Amount paid for insurance broker fees0
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number
Policy instance 1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,559
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $2,559
Amount paid for insurance broker fees0
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number0229
Policy instance 2
Insurance contract or identification number0229
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $497
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $497
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number
Policy instance 1
Number of Individuals Covered539
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,544
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,544
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number0229
Policy instance 1
Insurance contract or identification number0229
Number of Individuals Covered220
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $55,580
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,489
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number0229
Policy instance 1
Insurance contract or identification number0229
Number of Individuals Covered220
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $55,580
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,489
Insurance broker organization code?3
Insurance broker nameVOYA FINANCIAL ADVISORS

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