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PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 401k Plan overview

Plan NamePUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN
Plan identification number 001

PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

PUGET SOUND KIDNEY CENTERS has sponsored the creation of one or more 401k plans.

Company Name:PUGET SOUND KIDNEY CENTERS
Employer identification number (EIN):911102033
NAIC Classification:621492
NAIC Description:Kidney Dialysis Centers

Additional information about PUGET SOUND KIDNEY CENTERS

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1979-11-09
Company Identification Number: 600401431
Legal Registered Office Address: 1019 PACIFIC AVE

EVERETT
United States of America (USA)
982014148

More information about PUGET SOUND KIDNEY CENTERS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-04-01
0012021-04-01
0012020-04-01
0012019-04-01
0012018-04-01
0012017-04-01AARON HEROLD
0012016-04-01AARON HEROLD
0012015-04-01AARON HEROLD
0012014-04-01AARON HEROLD
0012013-04-01KEN KOUCHI
0012012-04-01TERESA WHARTON
0012011-04-01TERESA WHARTON
0012009-04-01TERESA WHARTON TERESA WHARTON2012-05-23

Plan Statistics for PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN

401k plan membership statisitcs for PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN

Measure Date Value
2022: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01489
Total number of active participants reported on line 7a of the Form 55002022-04-01262
Number of retired or separated participants receiving benefits2022-04-0116
Number of other retired or separated participants entitled to future benefits2022-04-01236
Total of all active and inactive participants2022-04-01514
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-04-010
Total participants2022-04-01514
Number of participants with account balances2022-04-01452
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-04-010
2021: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01368
Total number of active participants reported on line 7a of the Form 55002021-04-01263
Number of retired or separated participants receiving benefits2021-04-0115
Number of other retired or separated participants entitled to future benefits2021-04-01211
Total of all active and inactive participants2021-04-01489
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-04-010
Total participants2021-04-01489
Number of participants with account balances2021-04-01429
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-04-010
2020: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01384
Total number of active participants reported on line 7a of the Form 55002020-04-01239
Number of retired or separated participants receiving benefits2020-04-0117
Number of other retired or separated participants entitled to future benefits2020-04-01112
Total of all active and inactive participants2020-04-01368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-04-010
Total participants2020-04-01368
Number of participants with account balances2020-04-01357
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-04-0116
2019: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01336
Total number of active participants reported on line 7a of the Form 55002019-04-01272
Number of other retired or separated participants entitled to future benefits2019-04-01111
Total of all active and inactive participants2019-04-01383
Total participants2019-04-01383
Number of participants with account balances2019-04-01334
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-04-010
2018: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01331
Total number of active participants reported on line 7a of the Form 55002018-04-01219
Number of other retired or separated participants entitled to future benefits2018-04-01106
Total of all active and inactive participants2018-04-01325
Total participants2018-04-01325
Number of participants with account balances2018-04-01297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-04-010
2017: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01303
Total number of active participants reported on line 7a of the Form 55002017-04-01233
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-0198
Total of all active and inactive participants2017-04-01331
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-01331
Number of participants with account balances2017-04-01295
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-04-010
2016: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01366
Total number of active participants reported on line 7a of the Form 55002016-04-01217
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-0188
Total of all active and inactive participants2016-04-01305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-01305
Number of participants with account balances2016-04-01274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01344
Total number of active participants reported on line 7a of the Form 55002015-04-01212
Number of other retired or separated participants entitled to future benefits2015-04-01151
Total of all active and inactive participants2015-04-01363
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-01363
Number of participants with account balances2015-04-01339
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010
2014: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01317
Total number of active participants reported on line 7a of the Form 55002014-04-01192
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-01133
Total of all active and inactive participants2014-04-01325
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-010
Total participants2014-04-01325
Number of participants with account balances2014-04-01325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-010
2013: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01326
Total number of active participants reported on line 7a of the Form 55002013-04-01213
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-0174
Total of all active and inactive participants2013-04-01287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-01287
Number of participants with account balances2013-04-01243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-010
2012: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01321
Total number of active participants reported on line 7a of the Form 55002012-04-01212
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-01107
Total of all active and inactive participants2012-04-01319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-01319
Number of participants with account balances2012-04-01260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-010
2011: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01301
Total number of active participants reported on line 7a of the Form 55002011-04-01221
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-01102
Total of all active and inactive participants2011-04-01323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-01323
Number of participants with account balances2011-04-01254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
2009: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01221
Total number of active participants reported on line 7a of the Form 55002009-04-01131
Number of retired or separated participants receiving benefits2009-04-012
Number of other retired or separated participants entitled to future benefits2009-04-0183
Total of all active and inactive participants2009-04-01216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-01216
Number of participants with account balances2009-04-01216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Financial Data on PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN

Measure Date Value
2023 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2023 401k financial data
Total income from all sources (including contributions)2023-03-31$1,877,654
Total of all expenses incurred2023-03-31$2,183,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$2,089,815
Expenses. Certain deemed distributions of participant loans2023-03-31$8,394
Value of total corrective distributions2023-03-31$1,374
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$2,748,945
Value of total assets at end of year2023-03-31$25,834,743
Value of total assets at beginning of year2023-03-31$26,140,826
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$84,154
Total interest from all sources2023-03-31$221,528
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$538,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-03-31$538,007
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$500,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$1,176,588
Participant contributions at end of year2023-03-31$215,393
Participant contributions at beginning of year2023-03-31$200,962
Income. Received or receivable in cash from other sources (including rollovers)2023-03-31$939,715
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$-306,083
Value of net assets at end of year (total assets less liabilities)2023-03-31$25,834,743
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$26,140,826
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-03-31$16,851,822
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-03-31$17,000,179
Interest on participant loans2023-03-31$9,451
Interest earned on other investments2023-03-31$212,077
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-03-31$8,767,528
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-03-31$8,939,685
Expenses. Payments to insurance carriers foe the provision of benefits2023-03-31$1,100,144
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-03-31$-1,630,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$632,642
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$989,671
Contract administrator fees2023-03-31$84,154
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31CLARK NUBER P.S.
Accountancy firm EIN2023-03-31911194016
2022 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$59,251
Total income from all sources (including contributions)2022-03-31$3,219,100
Total of all expenses incurred2022-03-31$1,318,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$1,226,802
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$2,067,194
Value of total assets at end of year2022-03-31$26,140,826
Value of total assets at beginning of year2022-03-31$24,299,100
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$91,321
Total interest from all sources2022-03-31$194,425
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$662,942
Total dividends received from registered investment company shares (eg mutual funds)2022-03-31$662,942
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$500,000
If this is an individual account plan, was there a blackout period2022-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2022-03-31$0
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$1,296,421
Participant contributions at end of year2022-03-31$200,962
Participant contributions at beginning of year2022-03-31$237,389
Income. Received or receivable in cash from other sources (including rollovers)2022-03-31$90,177
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-03-31$59,251
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$1,900,977
Value of net assets at end of year (total assets less liabilities)2022-03-31$26,140,826
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$24,239,849
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-03-31$17,000,179
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-03-31$16,037,521
Interest on participant loans2022-03-31$9,555
Interest earned on other investments2022-03-31$184,870
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-03-31$8,939,685
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-03-31$8,024,190
Expenses. Payments to insurance carriers foe the provision of benefits2022-03-31$392,509
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-03-31$294,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$680,596
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-31$834,293
Contract administrator fees2022-03-31$91,321
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31CLARK NUBER P.S.
Accountancy firm EIN2022-03-31911194016
2021 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$59,251
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$0
Total income from all sources (including contributions)2021-03-31$6,839,543
Total of all expenses incurred2021-03-31$1,163,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$1,085,686
Expenses. Certain deemed distributions of participant loans2021-03-31$5,197
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$1,546,427
Value of total assets at end of year2021-03-31$24,299,100
Value of total assets at beginning of year2021-03-31$18,564,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$72,943
Total interest from all sources2021-03-31$196,059
Total dividends received (eg from common stock, registered investment company shares)2021-03-31$417,234
Total dividends received from registered investment company shares (eg mutual funds)2021-03-31$417,234
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$500,000
If this is an individual account plan, was there a blackout period2021-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-03-31$0
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$984,291
Participant contributions at end of year2021-03-31$237,389
Participant contributions at beginning of year2021-03-31$206,913
Income. Received or receivable in cash from other sources (including rollovers)2021-03-31$27,137
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-03-31$59,251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$5,675,717
Value of net assets at end of year (total assets less liabilities)2021-03-31$24,239,849
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$18,564,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-03-31$16,037,521
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-03-31$10,788,040
Interest on participant loans2021-03-31$10,326
Interest earned on other investments2021-03-31$185,733
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-03-31$8,024,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-03-31$7,569,179
Expenses. Payments to insurance carriers foe the provision of benefits2021-03-31$597,205
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-03-31$4,679,823
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$534,999
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-31$488,481
Contract administrator fees2021-03-31$72,943
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Disclaimer
Accountancy firm name2021-03-31CLARK NUBER P.S.
Accountancy firm EIN2021-03-31911194016
2020 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-03-31$1,074,352
Total of all expenses incurred2020-03-31$1,751,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$1,684,430
Expenses. Certain deemed distributions of participant loans2020-03-31$-361
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$1,766,603
Value of total assets at end of year2020-03-31$18,564,132
Value of total assets at beginning of year2020-03-31$19,241,560
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$67,711
Total interest from all sources2020-03-31$193,080
Total dividends received (eg from common stock, registered investment company shares)2020-03-31$412,671
Total dividends received from registered investment company shares (eg mutual funds)2020-03-31$412,671
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$500,000
If this is an individual account plan, was there a blackout period2020-03-31No
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Contributions received from participants2020-03-31$936,495
Participant contributions at end of year2020-03-31$206,913
Participant contributions at beginning of year2020-03-31$267,787
Income. Received or receivable in cash from other sources (including rollovers)2020-03-31$295,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$-677,428
Value of net assets at end of year (total assets less liabilities)2020-03-31$18,564,132
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$19,241,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-03-31$10,788,040
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-03-31$12,110,259
Interest on participant loans2020-03-31$10,898
Interest earned on other investments2020-03-31$182,182
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-03-31$7,569,179
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-03-31$6,863,514
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-03-31$-1,298,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31No
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$535,008
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-03-31$1,684,430
Contract administrator fees2020-03-31$67,711
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31Yes
Opinion of an independent qualified public accountant for this plan2020-03-31Disclaimer
Accountancy firm name2020-03-31CLARK NUBER P.S.
Accountancy firm EIN2020-03-31911194016
2019 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-03-31$2,376,257
Total of all expenses incurred2019-03-31$978,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-03-31$917,077
Expenses. Certain deemed distributions of participant loans2019-03-31$3,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-03-31$1,534,108
Value of total assets at end of year2019-03-31$19,241,560
Value of total assets at beginning of year2019-03-31$17,844,188
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-03-31$58,669
Total interest from all sources2019-03-31$178,604
Total dividends received (eg from common stock, registered investment company shares)2019-03-31$423,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-03-31$423,143
Was this plan covered by a fidelity bond2019-03-31Yes
Value of fidelity bond cover2019-03-31$500,000
If this is an individual account plan, was there a blackout period2019-03-31No
Were there any nonexempt tranactions with any party-in-interest2019-03-31No
Contributions received from participants2019-03-31$873,963
Participant contributions at end of year2019-03-31$267,787
Participant contributions at beginning of year2019-03-31$238,491
Income. Received or receivable in cash from other sources (including rollovers)2019-03-31$130,022
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Value of net income/loss2019-03-31$1,397,372
Value of net assets at end of year (total assets less liabilities)2019-03-31$19,241,560
Value of net assets at beginning of year (total assets less liabilities)2019-03-31$17,844,188
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-03-31No
Were any leases to which the plan was party in default or uncollectible2019-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-03-31$12,110,259
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-03-31$11,385,584
Interest on participant loans2019-03-31$11,127
Interest earned on other investments2019-03-31$167,477
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-03-31$6,863,514
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-03-31$6,220,113
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-03-31$240,402
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-03-31No
Was there a failure to transmit to the plan any participant contributions2019-03-31No
Has the plan failed to provide any benefit when due under the plan2019-03-31No
Contributions received in cash from employer2019-03-31$530,123
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-03-31$917,077
Contract administrator fees2019-03-31$58,669
Did the plan have assets held for investment2019-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-03-31Yes
Opinion of an independent qualified public accountant for this plan2019-03-31Disclaimer
Accountancy firm name2019-03-31CLARK NUBER P. S.
Accountancy firm EIN2019-03-31911194016
2018 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-03-31$3,038,553
Total of all expenses incurred2018-03-31$942,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-03-31$909,884
Expenses. Certain deemed distributions of participant loans2018-03-31$-3,794
Value of total corrective distributions2018-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-03-31$1,633,221
Value of total assets at end of year2018-03-31$17,844,188
Value of total assets at beginning of year2018-03-31$15,748,017
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-03-31$36,292
Total interest from all sources2018-03-31$162,623
Total dividends received (eg from common stock, registered investment company shares)2018-03-31$335,103
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-03-31$335,103
Was this plan covered by a fidelity bond2018-03-31Yes
Value of fidelity bond cover2018-03-31$500,000
If this is an individual account plan, was there a blackout period2018-03-31No
Were there any nonexempt tranactions with any party-in-interest2018-03-31No
Contributions received from participants2018-03-31$849,773
Participant contributions at end of year2018-03-31$238,491
Participant contributions at beginning of year2018-03-31$186,678
Income. Received or receivable in cash from other sources (including rollovers)2018-03-31$250,301
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Value of net income/loss2018-03-31$2,096,171
Value of net assets at end of year (total assets less liabilities)2018-03-31$17,844,188
Value of net assets at beginning of year (total assets less liabilities)2018-03-31$15,748,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-03-31No
Were any leases to which the plan was party in default or uncollectible2018-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-03-31$11,385,584
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-03-31$9,806,176
Interest on participant loans2018-03-31$9,312
Interest earned on other investments2018-03-31$153,311
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-03-31$6,220,113
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-03-31$5,755,163
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-03-31$907,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-03-31No
Was there a failure to transmit to the plan any participant contributions2018-03-31No
Has the plan failed to provide any benefit when due under the plan2018-03-31No
Contributions received in cash from employer2018-03-31$533,147
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-03-31$909,884
Contract administrator fees2018-03-31$36,292
Did the plan have assets held for investment2018-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-03-31Yes
Opinion of an independent qualified public accountant for this plan2018-03-31Disclaimer
Accountancy firm name2018-03-31CLARK NUBER P.S
Accountancy firm EIN2018-03-31911194016
2017 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Total income from all sources (including contributions)2017-03-31$3,004,469
Total loss/gain on sale of assets2017-03-31$0
Total of all expenses incurred2017-03-31$1,325,940
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$1,289,988
Expenses. Certain deemed distributions of participant loans2017-03-31$20,232
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$1,694,001
Value of total assets at end of year2017-03-31$15,748,017
Value of total assets at beginning of year2017-03-31$14,069,488
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$15,720
Total interest from all sources2017-03-31$145,630
Total dividends received (eg from common stock, registered investment company shares)2017-03-31$309,741
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-03-31$309,741
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$500,000
If this is an individual account plan, was there a blackout period2017-03-31No
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Contributions received from participants2017-03-31$811,071
Participant contributions at end of year2017-03-31$186,678
Participant contributions at beginning of year2017-03-31$205,497
Income. Received or receivable in cash from other sources (including rollovers)2017-03-31$366,142
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Value of net income/loss2017-03-31$1,678,529
Value of net assets at end of year (total assets less liabilities)2017-03-31$15,748,017
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$14,069,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-03-31$9,806,176
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-03-31$8,974,051
Interest on participant loans2017-03-31$8,773
Interest earned on other investments2017-03-31$136,857
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-03-31$5,755,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-03-31$4,889,940
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-03-31$855,097
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31No
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Contributions received in cash from employer2017-03-31$516,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-03-31$1,289,988
Contract administrator fees2017-03-31$15,720
Did the plan have assets held for investment2017-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31Yes
Opinion of an independent qualified public accountant for this plan2017-03-31Disclaimer
Accountancy firm name2017-03-31CLARK NUBER P.S.
Accountancy firm EIN2017-03-31911194016
2016 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$0
Total income from all sources (including contributions)2016-03-31$1,213,436
Total loss/gain on sale of assets2016-03-31$0
Total of all expenses incurred2016-03-31$627,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$619,514
Expenses. Certain deemed distributions of participant loans2016-03-31$-9,940
Value of total corrective distributions2016-03-31$2,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$1,227,302
Value of total assets at end of year2016-03-31$14,069,488
Value of total assets at beginning of year2016-03-31$13,483,502
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$15,376
Total interest from all sources2016-03-31$132,531
Total dividends received (eg from common stock, registered investment company shares)2016-03-31$335,217
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$500,000
If this is an individual account plan, was there a blackout period2016-03-31No
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Contributions received from participants2016-03-31$755,148
Participant contributions at end of year2016-03-31$205,497
Participant contributions at beginning of year2016-03-31$178,752
Income. Received or receivable in cash from other sources (including rollovers)2016-03-31$9,130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$585,986
Value of net assets at end of year (total assets less liabilities)2016-03-31$14,069,488
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$13,483,502
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-03-31$8,974,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-03-31$8,969,599
Interest on participant loans2016-03-31$8,292
Interest earned on other investments2016-03-31$124,239
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-03-31$4,889,940
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-03-31$4,335,151
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-03-31$-481,614
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31No
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$463,024
Income. Dividends from common stock2016-03-31$335,217
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$619,514
Contract administrator fees2016-03-31$15,376
Did the plan have assets held for investment2016-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31Yes
Opinion of an independent qualified public accountant for this plan2016-03-31Disclaimer
Accountancy firm name2016-03-31CLARK NUBER P.S.
Accountancy firm EIN2016-03-31911194016
2015 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Total income from all sources (including contributions)2015-03-31$2,045,737
Total loss/gain on sale of assets2015-03-31$0
Total of all expenses incurred2015-03-31$463,511
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$404,434
Expenses. Certain deemed distributions of participant loans2015-03-31$33,814
Value of total corrective distributions2015-03-31$8,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$1,219,400
Value of total assets at end of year2015-03-31$13,483,502
Value of total assets at beginning of year2015-03-31$11,901,276
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$16,675
Total interest from all sources2015-03-31$120,018
Total dividends received (eg from common stock, registered investment company shares)2015-03-31$299,202
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-03-31$299,202
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$500,000
If this is an individual account plan, was there a blackout period2015-03-31No
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Contributions received from participants2015-03-31$726,054
Participant contributions at end of year2015-03-31$178,752
Participant contributions at beginning of year2015-03-31$145,063
Income. Received or receivable in cash from other sources (including rollovers)2015-03-31$13,238
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Value of net income/loss2015-03-31$1,582,226
Value of net assets at end of year (total assets less liabilities)2015-03-31$13,483,502
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$11,901,276
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-03-31$8,969,599
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-03-31$7,888,095
Interest on participant loans2015-03-31$5,722
Interest earned on other investments2015-03-31$114,296
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-03-31$4,335,151
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-03-31$3,868,118
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-03-31$407,117
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31No
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$480,108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$404,434
Contract administrator fees2015-03-31$16,675
Did the plan have assets held for investment2015-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31Yes
Opinion of an independent qualified public accountant for this plan2015-03-31Disclaimer
Accountancy firm name2015-03-31CLARK NUBER P. S.
Accountancy firm EIN2015-03-31911194016
2014 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total income from all sources (including contributions)2014-03-31$2,342,629
Total loss/gain on sale of assets2014-03-31$0
Total of all expenses incurred2014-03-31$979,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$939,763
Expenses. Certain deemed distributions of participant loans2014-03-31$19,157
Value of total corrective distributions2014-03-31$4,442
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$1,082,341
Value of total assets at end of year2014-03-31$11,901,276
Value of total assets at beginning of year2014-03-31$10,538,137
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$16,128
Total interest from all sources2014-03-31$110,389
Total dividends received (eg from common stock, registered investment company shares)2014-03-31$164,703
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-03-31$164,703
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$500,000
If this is an individual account plan, was there a blackout period2014-03-31No
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$641,177
Participant contributions at end of year2014-03-31$145,063
Participant contributions at beginning of year2014-03-31$83,921
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Value of net income/loss2014-03-31$1,363,139
Value of net assets at end of year (total assets less liabilities)2014-03-31$11,901,276
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$10,538,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-03-31$7,888,095
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-03-31$6,834,357
Interest on participant loans2014-03-31$4,181
Interest earned on other investments2014-03-31$106,208
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-03-31$3,868,118
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-03-31$3,619,859
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-03-31$985,196
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$441,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$939,763
Contract administrator fees2014-03-31$16,128
Did the plan have assets held for investment2014-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31Yes
Opinion of an independent qualified public accountant for this plan2014-03-31Disclaimer
Accountancy firm name2014-03-31CLARK NUBER P.S.
Accountancy firm EIN2014-03-31911194016
2013 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$0
Total income from all sources (including contributions)2013-03-31$1,896,482
Total loss/gain on sale of assets2013-03-31$0
Total of all expenses incurred2013-03-31$305,129
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$268,967
Expenses. Certain deemed distributions of participant loans2013-03-31$21,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$1,114,525
Value of total assets at end of year2013-03-31$10,538,137
Value of total assets at beginning of year2013-03-31$8,946,784
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$14,202
Total interest from all sources2013-03-31$98,936
Total dividends received (eg from common stock, registered investment company shares)2013-03-31$64,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$500,000
If this is an individual account plan, was there a blackout period2013-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$649,253
Participant contributions at end of year2013-03-31$83,921
Participant contributions at beginning of year2013-03-31$94,218
Income. Received or receivable in cash from other sources (including rollovers)2013-03-31$28,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Value of net income/loss2013-03-31$1,591,353
Value of net assets at end of year (total assets less liabilities)2013-03-31$10,538,137
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$8,946,784
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-03-31$6,834,357
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-03-31$5,708,008
Interest on participant loans2013-03-31$2,874
Interest earned on other investments2013-03-31$96,062
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-03-31$3,619,859
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-03-31$3,144,558
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-03-31$618,209
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31No
Was there a failure to transmit to the plan any participant contributions2013-03-31Yes
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$437,229
Income. Dividends from common stock2013-03-31$64,812
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$268,967
Contract administrator fees2013-03-31$14,202
Did the plan have assets held for investment2013-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31Yes
Opinion of an independent qualified public accountant for this plan2013-03-31Disclaimer
Accountancy firm name2013-03-31CLARK NUBER PS
Accountancy firm EIN2013-03-31911194016
2012 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$0
Total income from all sources (including contributions)2012-03-31$1,176,775
Total loss/gain on sale of assets2012-03-31$0
Total of all expenses incurred2012-03-31$268,914
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$256,468
Expenses. Certain deemed distributions of participant loans2012-03-31$-159
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$956,716
Value of total assets at end of year2012-03-31$8,946,784
Value of total assets at beginning of year2012-03-31$8,038,923
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$12,605
Total interest from all sources2012-03-31$84,363
Total dividends received (eg from common stock, registered investment company shares)2012-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$400,000
If this is an individual account plan, was there a blackout period2012-03-31No
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$572,322
Participant contributions at end of year2012-03-31$94,218
Participant contributions at beginning of year2012-03-31$47,240
Income. Received or receivable in cash from other sources (including rollovers)2012-03-31$4,514
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Value of net income/loss2012-03-31$907,861
Value of net assets at end of year (total assets less liabilities)2012-03-31$8,946,784
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$8,038,923
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-03-31$5,708,008
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-03-31$5,585,818
Interest on participant loans2012-03-31$2,282
Interest earned on other investments2012-03-31$82,081
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-03-31$3,144,558
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-03-31$2,405,865
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-03-31$135,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31No
Was there a failure to transmit to the plan any participant contributions2012-03-31Yes
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$379,880
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$256,468
Contract administrator fees2012-03-31$12,605
Did the plan have assets held for investment2012-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31Yes
Opinion of an independent qualified public accountant for this plan2012-03-31Disclaimer
Accountancy firm name2012-03-31CLARK NUBER PS
Accountancy firm EIN2012-03-31911194016
2011 : PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-03-31$776,673
Total unrealized appreciation/depreciation of assets2011-03-31$776,673
Total income from all sources (including contributions)2011-03-31$1,764,472
Total of all expenses incurred2011-03-31$1,096,713
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$1,082,081
Expenses. Certain deemed distributions of participant loans2011-03-31$14,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$891,169
Value of total assets at end of year2011-03-31$8,307,603
Value of total assets at beginning of year2011-03-31$7,639,844
Total interest from all sources2011-03-31$96,630
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$400,000
If this is an individual account plan, was there a blackout period2011-03-31No
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$518,527
Participant contributions at end of year2011-03-31$354,456
Participant contributions at beginning of year2011-03-31$351,756
Income. Received or receivable in cash from other sources (including rollovers)2011-03-31$14,459
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$667,759
Value of net assets at end of year (total assets less liabilities)2011-03-31$8,307,603
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$7,639,844
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-03-31$5,585,818
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-03-31$5,080,868
Interest on participant loans2011-03-31$2,215
Interest earned on other investments2011-03-31$76,580
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-03-31$36,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-03-31$18,160
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-03-31$18,160
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-03-31$96,630
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-03-31$2,367,329
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-03-31$2,207,219
Asset value of US Government securities at end of year2011-03-31$990
Asset value of US Government securities at beginning of year2011-03-31$905
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31No
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$358,183
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$1,082,081
Asset. Corporate debt instrument debt (other) at end of year2011-03-31$136,320
Asset. Corporate debt instrument debt (other) at beginning of year2011-03-31$180,778
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-03-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-03-31$5,412,239
Assets. Corporate common stocks other than exployer securities at beginning of year2011-03-31$4,881,026
Did the plan have assets held for investment2011-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31Yes
Opinion of an independent qualified public accountant for this plan2011-03-31Disclaimer
Accountancy firm name2011-03-31CLARK NUBER P.S.
Accountancy firm EIN2011-03-31911194016

Form 5500 Responses for PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN

2022: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2009: PUGET SOUND KIDNEY CENTERS TAX-SHELTERED ANNUITY PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedYes
2009-04-01This submission is the final filingNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered429
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered59
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $464
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $383
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered407
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered63
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $502
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $332
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered66
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $581
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $289
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered333
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered311
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered72
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $490
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $311
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered274
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered77
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $86
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered272
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered84
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $52
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26
Insurance broker organization code?3
Insurance broker nameEVERS, GILBERT
VARIABLE ANNUITY LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered310
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered100
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $176
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $115
Insurance broker organization code?3
Insurance broker nameMARIA, MICHAEL A
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered106
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $255
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $146
Insurance broker organization code?3
Insurance broker namePANDIANI, WILLIAM R
VARIABLE ANNUITY LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered294
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered177
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered115
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $81
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $47
Insurance broker organization code?3
Insurance broker nameEVERS, GILBERT
VARIABLE ANNUITY LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 2
Insurance contract or identification number41097
Number of Individuals Covered164
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered169
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $1,257
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,067
Insurance broker organization code?3
Insurance broker nameEVERS, GILBERT
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered255
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $14,829
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41097
Policy instance 1
Insurance contract or identification number41097
Number of Individuals Covered229
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $13,974
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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