401k Plan data: GOOD SAMARITAN BEHAVIORAL HEALTH 401K PLAN plan

GOOD SAMARITAN BEHAVIORAL HEALTH 401K PLAN 401k Plan overview

Plan Name	GOOD SAMARITAN BEHAVIORAL HEALTH 401K PLAN
Plan identification number	001

GOOD SAMARITAN BEHAVIORAL HEALTH 401K PLAN Benefits

401k Plan Type

Defined 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

GOOD SAMARITAN BEHAVIORAL HEALTH has sponsored the creation of one or more 401k plans.

Company Name: GOOD SAMARITAN BEHAVIORAL HEALTH

Employer identification number (EIN): 815443092

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOD SAMARITAN BEHAVIORAL HEALTH 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 ANDREW SCHMIDT 2022-08-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01	ANDREW SCHMIDT	2022-08-13

Financial Data on GOOD SAMARITAN BEHAVIORAL HEALTH 401K PLAN

Measure	Date	Value
2022 : GOOD SAMARITAN BEHAVIORAL HEALTH 401K PLAN 2022 401k financial data
Total expenses incurred by plan in this plan year	2022-08-13	6149
Net assets as of the end of the plan year	2022-08-13	23705
Total assets as of the beginning of the plan year	2022-08-13	24195
Value of plan covered by a fidelity bond	2022-08-13	3000
Participant contributions to plan in this plan year	2022-08-13	2211
Other income to plan in this plan year	2022-08-13	3395
Plan net income in this plan year	2022-08-13	-490
Net assets as of the end of the plan year	2022-08-13	23705
Net assets as of the beginning of the plan year	2022-08-13	24195
Employer contributions to plan in this plan year	2022-08-13	53
Expensese paid to adminstrative service provicers from plan in this plan year	2022-08-13	589

Potentially related plans

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Company Name:	GOOD SAMARITAN BEHAVIORAL HEALTH
Employer identification number (EIN):	815443092
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)