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CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan NameCENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN
Plan identification number 002

CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CENTRAL VALLEY INDIAN HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL VALLEY INDIAN HEALTH, INC.
Employer identification number (EIN):941745488
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01GURPAL BAINS2024-10-09 GURPAL BAINS2024-10-09
0022022-01-01GURPAL BAINS2023-10-11 GURPAL BAINS2023-10-11
0022021-01-01
0022020-01-01
0022018-01-01
0022017-01-01
0022016-01-01
0022015-01-01
0022013-01-01
0022012-01-01GURPAL BAINS2013-03-20 GURPAL BAINS2013-03-20
0022011-01-01GURPAL BAINS2012-03-06 GURPAL BAINS2012-03-06
0022010-01-01GURPAL BAINS2011-02-11 GURPAL BAINS2011-02-11

Plan Statistics for CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN

Measure Date Value
2023: CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01143
Total number of active participants reported on line 7a of the Form 55002023-01-01120
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0122
Total of all active and inactive participants2023-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01142
Number of participants with account balances2023-01-01142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-013
2022: CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01131
Total number of active participants reported on line 7a of the Form 55002022-01-01110
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0121
Total of all active and inactive participants2022-01-01131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01131
Number of participants with account balances2022-01-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-013

Financial Data on CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN

Measure Date Value
2024 : CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN 2024 401k financial data
Total unrealized appreciation/depreciation of assets2024-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2024-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2024-01-01$0
Total income from all sources (including contributions)2024-01-01$5,684,984
Total loss/gain on sale of assets2024-01-01$0
Total of all expenses incurred2024-01-01$806,947
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2024-01-01$721,431
Total contributions o plan (from employers,participants, others, non cash contrinutions)2024-01-01$3,523,241
Value of total assets at end of year2024-01-01$20,045,042
Value of total assets at beginning of year2024-01-01$15,167,005
Total of administrative expenses incurred including professional, contract, advisory and management fees2024-01-01$85,516
Total interest from all sources2024-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2024-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2024-01-01No
Was this plan covered by a fidelity bond2024-01-01Yes
Value of fidelity bond cover2024-01-01$2,000,000
If this is an individual account plan, was there a blackout period2024-01-01No
Were there any nonexempt tranactions with any party-in-interest2024-01-01No
Contributions received from participants2024-01-01$1,022,536
Participant contributions at end of year2024-01-01$0
Income. Received or receivable in cash from other sources (including rollovers)2024-01-01$1,402,636
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2024-01-01No
Value of net income/loss2024-01-01$4,878,037
Value of net assets at end of year (total assets less liabilities)2024-01-01$20,045,042
Value of net assets at beginning of year (total assets less liabilities)2024-01-01$15,167,005
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2024-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2024-01-01No
Were any leases to which the plan was party in default or uncollectible2024-01-01No
Investment advisory and management fees2024-01-01$85,516
Value of interest in registered invesment companies (eg mutual funds) at end of year2024-01-01$18,946,973
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2024-01-01$14,206,958
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2024-01-01$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2024-01-01$2,161,743
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2024-01-01No
Was there a failure to transmit to the plan any participant contributions2024-01-01No
Has the plan failed to provide any benefit when due under the plan2024-01-01No
Contributions received in cash from employer2024-01-01$1,098,069
Employer contributions (assets) at end of year2024-01-01$1,098,069
Employer contributions (assets) at beginning of year2024-01-01$960,047
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2024-01-01$721,431
Did the plan have assets held for investment2024-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2024-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2024-01-01No
Opinion of an independent qualified public accountant for this plan2024-01-011
Accountancy firm name2024-01-01EVIN EDWARDS, II
Accountancy firm EIN2024-01-01203942205
2023 : CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN 2023 401k financial data
Total income from all sources (including contributions)2023-12-31$4,193,744
Total of all expenses incurred2023-12-31$1,680,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$1,615,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,999,607
Value of total assets at end of year2023-12-31$15,167,005
Value of total assets at beginning of year2023-12-31$12,654,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$65,156
Total interest from all sources2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$2,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$880,073
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$159,487
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$2,512,838
Value of net assets at end of year (total assets less liabilities)2023-12-31$15,167,005
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$12,654,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$65,156
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$14,206,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$11,711,215
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$2,194,137
Net investment gain/loss from pooled separate accounts2023-12-31$0
Net investment gain or loss from common/collective trusts2023-12-31$0
Net gain/loss from 103.12 investment entities2023-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$960,047
Employer contributions (assets) at end of year2023-12-31$960,047
Employer contributions (assets) at beginning of year2023-12-31$942,952
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$1,615,750
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31EVIN EDWARDS, II
Accountancy firm EIN2023-12-31203942205
Total income from all sources (including contributions)2023-01-01$4,193,744
Total of all expenses incurred2023-01-01$1,680,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$1,615,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$1,999,607
Value of total assets at end of year2023-01-01$15,167,005
Value of total assets at beginning of year2023-01-01$12,654,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$65,156
Total interest from all sources2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$2,000,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$880,073
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$159,487
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$2,512,838
Value of net assets at end of year (total assets less liabilities)2023-01-01$15,167,005
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$12,654,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Investment advisory and management fees2023-01-01$65,156
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$14,206,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$11,711,215
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$2,194,137
Net investment gain/loss from pooled separate accounts2023-01-01$0
Net investment gain or loss from common/collective trusts2023-01-01$0
Net gain/loss from 103.12 investment entities2023-01-01$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$960,047
Employer contributions (assets) at end of year2023-01-01$960,047
Employer contributions (assets) at beginning of year2023-01-01$942,952
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$1,615,750
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01EVIN EDWARDS, II
Accountancy firm EIN2023-01-01203942205
2022 : CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-852,565
Total of all expenses incurred2022-12-31$1,023,504
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$985,514
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,825,415
Value of total assets at end of year2022-12-31$12,654,167
Value of total assets at beginning of year2022-12-31$14,530,236
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$37,990
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$877,156
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$5,084
Administrative expenses (other) incurred2022-12-31$850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,876,069
Value of net assets at end of year (total assets less liabilities)2022-12-31$12,654,167
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$14,530,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$37,140
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$11,711,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$14,526,058
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$4,178
Net investment gain/loss from pooled separate accounts2022-12-31$-2,677,980
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$943,175
Employer contributions (assets) at end of year2022-12-31$942,952
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$985,514
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31EVIN EDWARDS, II
Accountancy firm EIN2022-12-31203942205
Total income from all sources (including contributions)2022-01-01$-852,565
Total of all expenses incurred2022-01-01$1,023,504
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$985,514
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,825,415
Value of total assets at end of year2022-01-01$12,654,167
Value of total assets at beginning of year2022-01-01$14,530,236
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$37,990
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$2,000,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$877,156
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$5,084
Administrative expenses (other) incurred2022-01-01$850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-1,876,069
Value of net assets at end of year (total assets less liabilities)2022-01-01$12,654,167
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$14,530,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Investment advisory and management fees2022-01-01$37,140
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$11,711,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$14,526,058
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$4,178
Net investment gain/loss from pooled separate accounts2022-01-01$-2,677,980
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01Yes
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$943,175
Employer contributions (assets) at end of year2022-01-01$942,952
Employer contributions (assets) at beginning of year2022-01-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$985,514
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01EVIN EDWARDS, II
Accountancy firm EIN2022-01-01203942205

Form 5500 Responses for CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN

2023: CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: CENTRAL VALLEY INDIAN HEALTH SERVICES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number63482
Policy instance 1

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