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CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameCALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN
Plan identification number 001

CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS has sponsored the creation of one or more 401k plans.

Company Name:CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS
Employer identification number (EIN):942932254
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1238411

More information about CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01ERICA FORNSHELL2022-07-07
0012020-01-01ERICA FORNSHELL2021-09-07
0012019-01-01ERICA FORNSHELL2020-07-06
0012018-01-01ERICA FORNSHELL2019-07-30
0012017-01-01DAWN WILLIAMS2018-07-31
0012016-01-01AFIYA PALMER2017-07-31
0012015-01-01AFIYA PALMER2016-03-11
0012014-01-01AFIYA PALMER2015-09-08 AFIYA PALMER2015-09-08
0012013-01-01MARSHA WOODEN2014-09-25 MARSHA WOODEN2014-09-25
0012012-01-01MELISSA STAFFORD JONES
0012011-01-01NANCY KAATZ MELISSA STAFFORD JONES2012-07-30
0012010-01-01WILLIAM MELIS
0012009-01-01MICHAEL HOLLAND

Plan Statistics for CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0129
Total number of active participants reported on line 7a of the Form 55002022-01-0118
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0110
Total of all active and inactive participants2022-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0128
Number of participants with account balances2022-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2012: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0134
Total number of active participants reported on line 7a of the Form 55002012-01-0120
Number of retired or separated participants receiving benefits2012-01-015
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0126
Total participants2012-01-0126
Number of participants with account balances2012-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012
2011: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0125
Total number of active participants reported on line 7a of the Form 55002011-01-0116
Number of other retired or separated participants entitled to future benefits2011-01-0110
Total of all active and inactive participants2011-01-0126
Total participants2011-01-0126
Number of participants with account balances2011-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2010: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0123
Total number of active participants reported on line 7a of the Form 55002010-01-0114
Number of other retired or separated participants entitled to future benefits2010-01-018
Total of all active and inactive participants2010-01-0122
Total participants2010-01-0122
Number of participants with account balances2010-01-0122
2009: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0122
Total number of active participants reported on line 7a of the Form 55002009-01-0116
Number of other retired or separated participants entitled to future benefits2009-01-016
Total of all active and inactive participants2009-01-0122
Total participants2009-01-0122
Number of participants with account balances2009-01-0119

Financial Data on CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-12-31$-420,642
Expenses. Total of all expenses incurred2022-12-31$734,533
Benefits paid (including direct rollovers)2022-12-31$701,600
Total plan assets at end of year2022-12-31$4,528,242
Total plan assets at beginning of year2022-12-31$5,683,417
Value of fidelity bond covering the plan2022-12-31$125,000
Total contributions received or receivable from participants2022-12-31$222,126
Expenses. Other expenses not covered elsewhere2022-12-31$6,557
Other income received2022-12-31$-936,351
Net income (gross income less expenses)2022-12-31$-1,155,175
Net plan assets at end of year (total assets less liabilities)2022-12-31$4,528,242
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,683,417
Assets. Value of participant loans2022-12-31$123,410
Total contributions received or receivable from employer(s)2022-12-31$293,583
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$26,376
2012 : CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$256,043
Expenses. Total of all expenses incurred2012-12-31$188,391
Benefits paid (including direct rollovers)2012-12-31$188,391
Total plan assets at end of year2012-12-31$1,042,221
Total plan assets at beginning of year2012-12-31$974,569
Value of fidelity bond covering the plan2012-12-31$125,000
Total contributions received or receivable from participants2012-12-31$79,343
Other income received2012-12-31$106,534
Net income (gross income less expenses)2012-12-31$67,652
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,042,221
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$974,569
Total contributions received or receivable from employer(s)2012-12-31$70,166
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$122,051
Expenses. Total of all expenses incurred2011-12-31$37,616
Benefits paid (including direct rollovers)2011-12-31$37,616
Total plan assets at end of year2011-12-31$974,569
Total plan assets at beginning of year2011-12-31$890,134
Total contributions received or receivable from participants2011-12-31$74,637
Other income received2011-12-31$-27,179
Net income (gross income less expenses)2011-12-31$84,435
Net plan assets at end of year (total assets less liabilities)2011-12-31$974,569
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$890,134
Total contributions received or receivable from employer(s)2011-12-31$74,593
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$231,797
Expenses. Total of all expenses incurred2010-12-31$138,603
Benefits paid (including direct rollovers)2010-12-31$138,603
Total plan assets at end of year2010-12-31$890,135
Total plan assets at beginning of year2010-12-31$796,941
Total contributions received or receivable from participants2010-12-31$89,408
Other income received2010-12-31$88,072
Net income (gross income less expenses)2010-12-31$93,194
Net plan assets at end of year (total assets less liabilities)2010-12-31$890,135
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$796,941
Total contributions received or receivable from employer(s)2010-12-31$54,317

Form 5500 Responses for CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN

2022: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2012: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number34618
Policy instance 1
Insurance contract or identification number34618
Number of Individuals Covered18
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,223
Total amount of fees paid to insurance companyUSD $1,160
Commission paid to Insurance BrokerUSD $826
Amount paid for insurance broker fees1074
Additional information about fees paid to insurance brokerSERVICING FEES/OTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameBOHANNON GRP LLC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number34618
Policy instance 1
Insurance contract or identification number34618
Number of Individuals Covered23
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,200
Total amount of fees paid to insurance companyUSD $2,004
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number34618
Policy instance 1
Insurance contract or identification number34618
Number of Individuals Covered16
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $355
Total amount of fees paid to insurance companyUSD $1,175
Commission paid to Insurance BrokerUSD $312
Amount paid for insurance broker fees705
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameMATT ANAGNOSTOU

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