| Plan Name | VALOR HEALTHCARE RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | VALOR HEALTHCARE, INC. |
| Employer identification number (EIN): | 203585174 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
Additional information about VALOR HEALTHCARE, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2005-12-01 |
| Company Identification Number: | 0800577842 |
| Legal Registered Office Address: |
14643 DALLAS PKWY STE 100 DALLAS United States of America (USA) 75254 |
More information about VALOR HEALTHCARE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2013-01-01 | DEBORAH TRIPLETT | |||
| 001 | 2012-01-01 | DEBORAH TRIPLETT | |||
| 001 | 2011-01-01 | ALICE GRAY | |||
| 001 | 2010-01-01 | ALICE GRAY | |||
| 001 | 2009-01-01 | ALICE GRAY | ALICE GRAY | 2010-08-05 | |
| 001 | 2009-01-01 | ALICE GRAY | ALICE GRAY | 2010-11-01 |
| Measure | Date | Value |
|---|---|---|
| 2013 : VALOR HEALTHCARE RETIREMENT PLAN 2013 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2013-10-08 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-10-08 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-10-08 | $33,465 |
| Total income from all sources (including contributions) | 2013-10-08 | $503,733 |
| Total loss/gain on sale of assets | 2013-10-08 | $0 |
| Total of all expenses incurred | 2013-10-08 | $4,393,522 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-10-08 | $4,365,234 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-10-08 | $4,566 |
| Value of total assets at end of year | 2013-10-08 | $0 |
| Value of total assets at beginning of year | 2013-10-08 | $3,923,254 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-10-08 | $28,288 |
| Total interest from all sources | 2013-10-08 | $4,345 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-10-08 | $24,801 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-10-08 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2013-10-08 | $0 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-10-08 | $24,801 |
| Was this plan covered by a fidelity bond | 2013-10-08 | Yes |
| Value of fidelity bond cover | 2013-10-08 | $20,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-10-08 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-10-08 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-10-08 | No |
| Participant contributions at beginning of year | 2013-10-08 | $106,984 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-10-08 | $33,465 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-10-08 | No |
| Value of net income/loss | 2013-10-08 | $-3,889,789 |
| Value of net assets at end of year (total assets less liabilities) | 2013-10-08 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-10-08 | $3,889,789 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-10-08 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-10-08 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-10-08 | No |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-10-08 | $3,274,456 |
| Interest on participant loans | 2013-10-08 | $4,039 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-10-08 | $541,814 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-10-08 | $541,814 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-10-08 | $306 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-10-08 | $470,021 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-10-08 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-10-08 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-10-08 | No |
| Contributions received in cash from employer | 2013-10-08 | $4,566 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-10-08 | $4,365,234 |
| Contract administrator fees | 2013-10-08 | $28,288 |
| Did the plan have assets held for investment | 2013-10-08 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-10-08 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-10-08 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-10-08 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2013-10-08 | Disclaimer |
| Accountancy firm name | 2013-10-08 | HAN GROUP LLC |
| Accountancy firm EIN | 2013-10-08 | 263151447 |
| 2012 : VALOR HEALTHCARE RETIREMENT PLAN 2012 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $33,465 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $0 |
| Total income from all sources (including contributions) | 2012-12-31 | $894,255 |
| Total loss/gain on sale of assets | 2012-12-31 | $0 |
| Total of all expenses incurred | 2012-12-31 | $262,701 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $261,801 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $525,101 |
| Value of total assets at end of year | 2012-12-31 | $3,923,254 |
| Value of total assets at beginning of year | 2012-12-31 | $3,258,235 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $900 |
| Total interest from all sources | 2012-12-31 | $5,654 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $43,756 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2012-12-31 | $0 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-12-31 | $43,756 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $20,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $523,285 |
| Participant contributions at end of year | 2012-12-31 | $106,984 |
| Participant contributions at beginning of year | 2012-12-31 | $137,408 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-12-31 | $1,816 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $33,465 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $631,554 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $3,889,789 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $3,258,235 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $3,274,456 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $2,490,009 |
| Interest on participant loans | 2012-12-31 | $5,643 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $541,814 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $513,728 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $513,728 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $11 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $319,744 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $117,090 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $261,801 |
| Contract administrator fees | 2012-12-31 | $900 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Disclaimer |
| Accountancy firm name | 2012-12-31 | HAN GROUP LLC |
| Accountancy firm EIN | 2012-12-31 | 263151447 |
| 2011 : VALOR HEALTHCARE RETIREMENT PLAN 2011 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $0 |
| Total income from all sources (including contributions) | 2011-12-31 | $767,006 |
| Total loss/gain on sale of assets | 2011-12-31 | $0 |
| Total of all expenses incurred | 2011-12-31 | $231,028 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $229,503 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $860,017 |
| Value of total assets at end of year | 2011-12-31 | $3,258,235 |
| Value of total assets at beginning of year | 2011-12-31 | $2,722,257 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $1,525 |
| Total interest from all sources | 2011-12-31 | $6,118 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $32,788 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-12-31 | $32,788 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $727,602 |
| Participant contributions at end of year | 2011-12-31 | $137,408 |
| Participant contributions at beginning of year | 2011-12-31 | $128,674 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2011-12-31 | $15,325 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $535,978 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $3,258,235 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $2,722,257 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $2,490,009 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $2,077,272 |
| Interest on participant loans | 2011-12-31 | $6,118 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $513,728 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $394,761 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $394,761 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $-131,917 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $117,090 |
| Employer contributions (assets) at end of year | 2011-12-31 | $117,090 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $121,550 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $229,503 |
| Contract administrator fees | 2011-12-31 | $1,525 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | HAN GROUP |
| Accountancy firm EIN | 2011-12-31 | 263151447 |
| 2010 : VALOR HEALTHCARE RETIREMENT PLAN 2010 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $5,760 |
| Total income from all sources (including contributions) | 2010-12-31 | $1,021,021 |
| Total loss/gain on sale of assets | 2010-12-31 | $0 |
| Total of all expenses incurred | 2010-12-31 | $288,258 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $286,758 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $764,944 |
| Value of total assets at end of year | 2010-12-31 | $2,722,257 |
| Value of total assets at beginning of year | 2010-12-31 | $1,995,254 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $1,500 |
| Total interest from all sources | 2010-12-31 | $3,606 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $24,923 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $24,923 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $624,607 |
| Participant contributions at end of year | 2010-12-31 | $128,674 |
| Participant contributions at beginning of year | 2010-12-31 | $70,589 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2010-12-31 | $14,582 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $5,760 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $732,763 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $2,722,257 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $1,989,494 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $2,077,272 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $1,465,108 |
| Interest on participant loans | 2010-12-31 | $3,483 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $394,761 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $361,719 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $361,719 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $123 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-12-31 | $227,548 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $125,755 |
| Employer contributions (assets) at end of year | 2010-12-31 | $121,550 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $97,838 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $286,758 |
| Contract administrator fees | 2010-12-31 | $1,500 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Disclaimer |
| Accountancy firm name | 2010-12-31 | HAN GROUP |
| Accountancy firm EIN | 2010-12-31 | 263151447 |
| 2009 : VALOR HEALTHCARE RETIREMENT PLAN 2009 401k financial data | ||
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2009-12-31 | $0 |
| 2013: VALOR HEALTHCARE RETIREMENT 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) | Yes |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: VALOR HEALTHCARE RETIREMENT 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 – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: VALOR HEALTHCARE RETIREMENT 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 – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2010: VALOR HEALTHCARE RETIREMENT PLAN 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | Yes |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: VALOR HEALTHCARE RETIREMENT 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 – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |