401k Plan data: MARYHAVEN SEC 125 CAFETERIA PLAN plan

MARYHAVEN SEC 125 CAFETERIA PLAN 401k Plan overview

Plan Name	MARYHAVEN SEC 125 CAFETERIA PLAN
Plan identification number	501

MARYHAVEN SEC 125 CAFETERIA PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

MARYHAVEN CENTER OF HOPE has sponsored the creation of one or more 401k plans.

Company Name: MARYHAVEN CENTER OF HOPE

Employer identification number (EIN): 112861698

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARYHAVEN SEC 125 CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 LAURA PEPPER LAURA PEPPER 2015-07-23
501 2012-01-01 LAURA PEPPER LAURA PEPPER 2013-07-30
501 2011-01-01 SUSAN DICKINSON
501 2009-01-01 SUSAN DICKINSON 2010-07-30
501 2009-01-01 SUSAN DICKINSON

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	LAURA PEPPER	LAURA PEPPER	2015-07-23
501	2012-01-01	LAURA PEPPER	LAURA PEPPER	2013-07-30
501	2011-01-01	SUSAN DICKINSON
501	2009-01-01		SUSAN DICKINSON	2010-07-30
501	2009-01-01	SUSAN DICKINSON

Plan Statistics for MARYHAVEN SEC 125 CAFETERIA PLAN

401k plan membership statisitcs for MARYHAVEN SEC 125 CAFETERIA PLAN

Measure Date Value
2013: MARYHAVEN SEC 125 CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,212
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
2012: MARYHAVEN SEC 125 CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,065
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,212
Total of all active and inactive participants 2012-01-01 1,212
Total participants 2012-01-01 1,212
2011: MARYHAVEN SEC 125 CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,111
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,065
Total of all active and inactive participants 2011-01-01 1,065
Total participants 2011-01-01 1,065
2009: MARYHAVEN SEC 125 CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 924
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,000
Total of all active and inactive participants 2009-01-01 1,000
Total participants 2009-01-01 1,000

Measure	Date	Value
2013: MARYHAVEN SEC 125 CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,212
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
2012: MARYHAVEN SEC 125 CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,065
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,212
Total of all active and inactive participants	2012-01-01	1,212
Total participants	2012-01-01	1,212
2011: MARYHAVEN SEC 125 CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,111
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,065
Total of all active and inactive participants	2011-01-01	1,065
Total participants	2011-01-01	1,065
2009: MARYHAVEN SEC 125 CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	924
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,000
Total of all active and inactive participants	2009-01-01	1,000
Total participants	2009-01-01	1,000

Form 5500 Responses for MARYHAVEN SEC 125 CAFETERIA PLAN

2013: MARYHAVEN SEC 125 CAFETERIA PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MARYHAVEN SEC 125 CAFETERIA PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MARYHAVEN SEC 125 CAFETERIA PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MARYHAVEN SEC 125 CAFETERIA PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	MARYHAVEN CENTER OF HOPE
Employer identification number (EIN):	112861698
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations