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COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 401k Plan overview

Plan NameCOMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN
Plan identification number 002

COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

COMMUNITY HOSPITAL OF ANACONDA has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HOSPITAL OF ANACONDA
Employer identification number (EIN):810303913
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01STEPH DENHAM2023-09-29
0022021-01-01STEPH DENHAM2022-09-21
0022020-01-01AMBER BENES2021-10-01
0022019-01-01AMBER BENES2020-10-08
0022018-01-01
0022017-01-01AMBER BENES
0022016-01-01MARGARET HICKEY-BOYNTON
0022015-01-01MARGARET HICKEY-BOYNTON
0022014-01-01MARGARET HICKEY-BOYNTON
0022013-01-01MARGARET HICKEY-BOYNTON
0022012-01-01MARGARET HICKEY-BOYNTON
0022011-01-01MARGARET HICKEY-BOYNTON
0022010-01-01MARGARET HICKEY-BOYNTON
0022009-01-01MARGARET HICKEY-BOYNTON

Plan Statistics for COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN

401k plan membership statisitcs for COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN

Measure Date Value
2022: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01531
Total number of active participants reported on line 7a of the Form 55002022-01-01345
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01187
Total of all active and inactive participants2022-01-01532
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01532
Number of participants with account balances2022-01-01476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0112
2021: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01504
Total number of active participants reported on line 7a of the Form 55002021-01-01344
Number of retired or separated participants receiving benefits2021-01-0111
Number of other retired or separated participants entitled to future benefits2021-01-01154
Total of all active and inactive participants2021-01-01509
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01509
Number of participants with account balances2021-01-01467
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0116
2020: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01472
Total number of active participants reported on line 7a of the Form 55002020-01-01344
Number of retired or separated participants receiving benefits2020-01-0119
Number of other retired or separated participants entitled to future benefits2020-01-01124
Total of all active and inactive participants2020-01-01487
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01487
Number of participants with account balances2020-01-01441
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0114
2019: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01431
Total number of active participants reported on line 7a of the Form 55002019-01-01347
Number of retired or separated participants receiving benefits2019-01-0135
Number of other retired or separated participants entitled to future benefits2019-01-0177
Total of all active and inactive participants2019-01-01459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01459
Number of participants with account balances2019-01-01406
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0132
2018: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01506
Total number of active participants reported on line 7a of the Form 55002018-01-01351
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0162
Total of all active and inactive participants2018-01-01413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01414
Number of participants with account balances2018-01-01369
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0112
2017: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01477
Total number of active participants reported on line 7a of the Form 55002017-01-01349
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01143
Total of all active and inactive participants2017-01-01492
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01492
Number of participants with account balances2017-01-01419
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0114
2016: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01416
Total number of active participants reported on line 7a of the Form 55002016-01-01341
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01126
Total of all active and inactive participants2016-01-01467
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01467
Number of participants with account balances2016-01-01382
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0111
2015: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01399
Total number of active participants reported on line 7a of the Form 55002015-01-01308
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-01104
Total of all active and inactive participants2015-01-01414
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-012
Total participants2015-01-01416
Number of participants with account balances2015-01-01316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0160
2014: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01380
Total number of active participants reported on line 7a of the Form 55002014-01-01313
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-0185
Total of all active and inactive participants2014-01-01399
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01399
Number of participants with account balances2014-01-01289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0140
2013: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01343
Total number of active participants reported on line 7a of the Form 55002013-01-01301
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-0168
Total of all active and inactive participants2013-01-01370
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01371
Number of participants with account balances2013-01-01259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0142
2012: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01328
Total number of active participants reported on line 7a of the Form 55002012-01-01281
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0159
Total of all active and inactive participants2012-01-01340
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01340
Number of participants with account balances2012-01-01237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0133
2011: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01293
Total number of active participants reported on line 7a of the Form 55002011-01-01271
Number of retired or separated participants receiving benefits2011-01-011
Number of other retired or separated participants entitled to future benefits2011-01-0156
Total of all active and inactive participants2011-01-01328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01328
Number of participants with account balances2011-01-01228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0140
2010: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01301
Total number of active participants reported on line 7a of the Form 55002010-01-01249
Number of retired or separated participants receiving benefits2010-01-011
Number of other retired or separated participants entitled to future benefits2010-01-0143
Total of all active and inactive participants2010-01-01293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01293
Number of participants with account balances2010-01-01210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0140
2009: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01211
Total number of active participants reported on line 7a of the Form 55002009-01-01191
Number of other retired or separated participants entitled to future benefits2009-01-0138
Total of all active and inactive participants2009-01-01229
Total participants2009-01-01229
Number of participants with account balances2009-01-01193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0111

Financial Data on COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN

Measure Date Value
2022 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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$17,068
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$13,627
Total income from all sources (including contributions)2022-12-31$-1,273,727
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,913,232
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,787,266
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,338,736
Value of total assets at end of year2022-12-31$17,174,832
Value of total assets at beginning of year2022-12-31$21,358,350
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$125,966
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$12,197
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$12,197
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,659,465
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$178,302
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$17,068
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$13,627
Administrative expenses (other) incurred2022-12-31$3,303
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-4,186,959
Value of net assets at end of year (total assets less liabilities)2022-12-31$17,157,764
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$21,344,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$117,963
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$16,677,826
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$20,864,851
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,624,660
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$500,969
Employer contributions (assets) at end of year2022-12-31$497,006
Employer contributions (assets) at beginning of year2022-12-31$493,499
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,787,266
Contract administrator fees2022-12-31$4,700
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31DINGUS, ZARECOR & ASSOC., PLLC
Accountancy firm EIN2022-12-31200079326
2021 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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$13,627
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$8,500
Total income from all sources (including contributions)2021-12-31$4,731,957
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,805,704
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,684,284
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,151,875
Value of total assets at end of year2021-12-31$21,358,350
Value of total assets at beginning of year2021-12-31$18,426,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$121,420
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$107,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$107,540
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,549,388
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$108,988
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$13,627
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$8,500
Administrative expenses (other) incurred2021-12-31$5,190
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$2,926,253
Value of net assets at end of year (total assets less liabilities)2021-12-31$21,344,723
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$18,418,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$113,680
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$20,864,851
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$17,964,468
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,472,542
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$493,499
Employer contributions (assets) at end of year2021-12-31$493,499
Employer contributions (assets) at beginning of year2021-12-31$462,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,684,284
Contract administrator fees2021-12-31$2,550
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 name2021-12-31DINGUS, ZARECOR & ASSOC., PLLC
Accountancy firm EIN2021-12-31200079326
2020 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$8,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,017
Total income from all sources (including contributions)2020-12-31$4,111,093
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,102,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$999,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,870,687
Value of total assets at end of year2020-12-31$18,426,970
Value of total assets at beginning of year2020-12-31$15,410,457
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$102,934
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$304,806
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$304,806
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,406,904
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$1,342
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$8,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1,017
Administrative expenses (other) incurred2020-12-31$7,348
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$3,009,030
Value of net assets at end of year (total assets less liabilities)2020-12-31$18,418,470
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$15,409,440
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$91,186
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$17,964,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$14,967,983
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,935,600
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$462,441
Employer contributions (assets) at end of year2020-12-31$462,502
Employer contributions (assets) at beginning of year2020-12-31$442,474
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$999,129
Contract administrator fees2020-12-31$4,400
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 name2020-12-31DINGUS, ZARECOR & ASSOC., PLLC
Accountancy firm EIN2020-12-31200079326
2019 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2019 401k financial data
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$1,017
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$4,918,001
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$546,497
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$468,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,520,243
Value of total assets at end of year2019-12-31$15,410,457
Value of total assets at beginning of year2019-12-31$11,037,936
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$78,050
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$490,894
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$490,894
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,363,956
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$1,012
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$713,813
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$1,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1,017
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Administrative expenses (other) incurred2019-12-31$752
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$4,371,504
Value of net assets at end of year (total assets less liabilities)2019-12-31$15,409,440
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,037,936
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 leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$74,298
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$14,967,983
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$10,640,673
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,906,864
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$442,474
Employer contributions (assets) at end of year2019-12-31$442,474
Employer contributions (assets) at beginning of year2019-12-31$396,251
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$466,449
Contract administrator fees2019-12-31$3,000
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
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
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DINGUS, ZARECOR & ASSOC., PLLC
Accountancy firm EIN2019-12-31200079326
2018 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
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$1,381,181
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$671,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$609,381
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,800,700
Value of total assets at end of year2018-12-31$11,037,936
Value of total assets at beginning of year2018-12-31$10,328,743
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$62,607
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,155,184
Participant contributions at end of year2018-12-31$1,012
Participant contributions at beginning of year2018-12-31$1,012
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$249,265
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$709,193
Value of net assets at end of year (total assets less liabilities)2018-12-31$11,037,936
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$10,328,743
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$60,107
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$10,640,673
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$9,972,911
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-419,519
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$396,251
Employer contributions (assets) at end of year2018-12-31$396,251
Employer contributions (assets) at beginning of year2018-12-31$354,820
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$609,381
Contract administrator fees2018-12-31$2,500
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
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 name2018-12-31DINGUS, ZARECOR & ASSOC., PLLC
Accountancy firm EIN2018-12-31200079326
2017 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
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$3,515,800
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,123,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,084,218
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,375,074
Value of total assets at end of year2017-12-31$10,328,743
Value of total assets at beginning of year2017-12-31$7,936,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$38,845
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$842,774
Participant contributions at end of year2017-12-31$1,012
Participant contributions at beginning of year2017-12-31$1,012
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,177,480
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$11,266
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$985
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$2,392,737
Value of net assets at end of year (total assets less liabilities)2017-12-31$10,328,743
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$7,936,006
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$36,045
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$9,972,911
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$7,642,431
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,139,741
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$354,820
Employer contributions (assets) at end of year2017-12-31$354,820
Employer contributions (assets) at beginning of year2017-12-31$292,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,072,952
Contract administrator fees2017-12-31$2,800
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31DINGUS, ZARECOR & ASSOC., PLLC
Accountancy firm EIN2017-12-31200079326
2016 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-8,195
Total unrealized appreciation/depreciation of assets2016-12-31$-8,195
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$1,433,957
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$306,521
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$302,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$944,798
Value of total assets at end of year2016-12-31$7,936,006
Value of total assets at beginning of year2016-12-31$6,808,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,773
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
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 period2016-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$633,849
Participant contributions at end of year2016-12-31$1,012
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$18,386
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$1,095
Other income not declared elsewhere2016-12-31$497,354
Administrative expenses (other) incurred2016-12-31$3,773
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$1,127,436
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,936,006
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,808,570
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$7,642,431
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$5,135,220
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest in common/collective trusts at beginning of year2016-12-31$1,647,127
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$292,563
Employer contributions (assets) at end of year2016-12-31$292,563
Employer contributions (assets) at beginning of year2016-12-31$26,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$301,653
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
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 name2016-12-31DINGUS, ZARECOR & ASSOC., PLLC
Accountancy firm EIN2016-12-31200079326
2015 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$832,004
Total of all expenses incurred2015-12-31$437,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$430,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$744,063
Value of total assets at end of year2015-12-31$6,808,570
Value of total assets at beginning of year2015-12-31$6,413,739
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$6,843
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$250,553
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$250,553
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$3,200,000
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$389,232
Participant contributions at beginning of year2015-12-31$14,342
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$44,888
Other income not declared elsewhere2015-12-31$-11,577
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$394,831
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,808,570
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,413,739
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$5,135,220
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$4,938,260
Value of interest in common/collective trusts at end of year2015-12-31$1,647,127
Value of interest in common/collective trusts at beginning of year2015-12-31$1,432,068
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-151,035
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$309,943
Employer contributions (assets) at end of year2015-12-31$26,223
Employer contributions (assets) at beginning of year2015-12-31$29,069
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$430,330
Contract administrator fees2015-12-31$6,843
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 name2015-12-31DINGUS, ZARECOR & ASSOCIATES, PLLC
Accountancy firm EIN2015-12-31200079326
2014 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,124,581
Total of all expenses incurred2014-12-31$196,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$190,017
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$700,085
Value of total assets at end of year2014-12-31$6,413,739
Value of total assets at beginning of year2014-12-31$5,485,346
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$6,171
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$302,171
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$302,171
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$3,200,000
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$333,251
Participant contributions at end of year2014-12-31$14,342
Participant contributions at beginning of year2014-12-31$13,001
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$10,059
Other income not declared elsewhere2014-12-31$9,661
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$928,393
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,413,739
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,485,346
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$4,938,260
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$4,160,580
Value of interest in common/collective trusts at end of year2014-12-31$1,432,068
Value of interest in common/collective trusts at beginning of year2014-12-31$1,273,946
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$112,664
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$356,775
Employer contributions (assets) at end of year2014-12-31$29,069
Employer contributions (assets) at beginning of year2014-12-31$37,819
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$190,017
Contract administrator fees2014-12-31$6,171
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 name2014-12-31DINGUS, ZARECOR & ASSOCIATES, PLLC
Accountancy firm EIN2014-12-31200079326
2013 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$1,426,565
Total of all expenses incurred2013-12-31$455,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$449,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$577,330
Value of total assets at end of year2013-12-31$5,485,346
Value of total assets at beginning of year2013-12-31$4,514,308
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$5,588
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$155,533
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$155,533
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$3,200,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$253,407
Participant contributions at end of year2013-12-31$13,001
Participant contributions at beginning of year2013-12-31$7,920
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$14,343
Other income not declared elsewhere2013-12-31$-23,918
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$971,038
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,485,346
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,514,308
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$4,160,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,265,653
Value of interest in common/collective trusts at end of year2013-12-31$1,273,946
Value of interest in common/collective trusts at beginning of year2013-12-31$1,207,450
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$717,620
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$309,580
Employer contributions (assets) at end of year2013-12-31$37,819
Employer contributions (assets) at beginning of year2013-12-31$33,285
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$449,939
Contract administrator fees2013-12-31$5,588
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31DINGUS, ZARECOR & ASSOCIATES, PLLC
Accountancy firm EIN2013-12-31200079326
2012 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$887,816
Total of all expenses incurred2012-12-31$120,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$113,383
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$490,587
Value of total assets at end of year2012-12-31$4,514,308
Value of total assets at beginning of year2012-12-31$3,747,135
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$7,260
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$78,786
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$78,786
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$3,200,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$198,990
Participant contributions at end of year2012-12-31$7,920
Participant contributions at beginning of year2012-12-31$6,862
Other income not declared elsewhere2012-12-31$7,763
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$767,173
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,514,308
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,747,135
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$3,265,653
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$2,684,208
Value of interest in common/collective trusts at end of year2012-12-31$1,207,450
Value of interest in common/collective trusts at beginning of year2012-12-31$1,036,500
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$310,680
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$291,597
Employer contributions (assets) at end of year2012-12-31$33,285
Employer contributions (assets) at beginning of year2012-12-31$19,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$113,383
Contract administrator fees2012-12-31$7,260
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31DINGUS, ZARECOR & ASSOCIATES, PLLC
Accountancy firm EIN2012-12-31200079326
2011 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$416,190
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$264,940
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$255,710
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$426,756
Value of total assets at end of year2011-12-31$3,747,135
Value of total assets at beginning of year2011-12-31$3,595,885
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$9,230
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$46,767
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$46,767
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$415,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$157,406
Participant contributions at end of year2011-12-31$6,862
Participant contributions at beginning of year2011-12-31$5,393
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$30,508
Other income not declared elsewhere2011-12-31$26,266
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$151,250
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,747,135
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,595,885
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$2,684,208
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,566,058
Value of interest in common/collective trusts at end of year2011-12-31$1,036,500
Value of interest in common/collective trusts at beginning of year2011-12-31$1,007,951
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-83,599
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$238,842
Employer contributions (assets) at end of year2011-12-31$19,565
Employer contributions (assets) at beginning of year2011-12-31$16,483
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$255,710
Contract administrator fees2011-12-31$9,230
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ANASTASI & MOORE, PLLC
Accountancy firm EIN2011-12-31208149084
2010 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$675,874
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$263,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$254,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$367,190
Value of total assets at end of year2010-12-31$3,595,885
Value of total assets at beginning of year2010-12-31$3,183,015
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$8,443
Total interest from all sources2010-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$48,010
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$48,010
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$3,200,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$144,384
Participant contributions at end of year2010-12-31$5,393
Participant contributions at beginning of year2010-12-31$4,890
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$22,263
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$412,870
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,595,885
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,183,015
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$2,566,058
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,255,220
Value of interest in common/collective trusts at end of year2010-12-31$1,007,951
Value of interest in common/collective trusts at beginning of year2010-12-31$915,418
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$237,731
Net investment gain or loss from common/collective trusts2010-12-31$22,943
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$200,543
Employer contributions (assets) at end of year2010-12-31$16,483
Employer contributions (assets) at beginning of year2010-12-31$7,487
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$254,561
Contract administrator fees2010-12-31$8,443
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 investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31ANASTASI & MOORE, PLLC
Accountancy firm EIN2010-12-31208149084
2009 : COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN

2022: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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 – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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 – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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 – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: COMMUNITY HOSPITAL OF ANACONDA 401K PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number500915-01
Policy instance 1
Insurance contract or identification number500915-01
Number of Individuals Covered139
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?Yes
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number500915-01
Policy instance 1
Insurance contract or identification number500915-01
Number of Individuals Covered148
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?Yes
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number500915-01
Policy instance 1
Insurance contract or identification number500915-01
Number of Individuals Covered141
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,479
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?Yes
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 $1,479
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number500915-01
Policy instance 1
Insurance contract or identification number500915-01
Number of Individuals Covered145
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,510
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?Yes
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 $3,510
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number500915-01
Policy instance 1
Insurance contract or identification number500915-01
Number of Individuals Covered138
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,874
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?Yes
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 $3,874
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number500915-01
Policy instance 1
Insurance contract or identification number500915-01
Number of Individuals Covered232
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,877
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?Yes
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 $3,877
Insurance broker organization code?3
Insurance broker nameJAMES LOESSBERG, RAYMOND JAMES

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