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SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 401k Plan overview

Plan NameSUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN
Plan identification number 001

SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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(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.
  • 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER
Employer identification number (EIN):208979596
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01JOSHUA SIVERS2017-07-28
0012015-01-01JAMES H YOXTHEIMER2016-10-14 JAMES H YOXTHEIMER2016-10-14
0012014-01-01JAMES H. YOXTHEIMER JAMES H. YOXTHEIMER2015-07-31
0012013-01-01JAMES H. YOXTHEIMER JAMES H. YOXTHEIMER2014-07-31
0012012-01-01JAMES H. YOXTHEIMER JAMES H. YOXTHEIMER2013-07-23
0012011-01-01JAMES H. YOXTHEIMER JAMES H. YOXTHEIMER2012-10-16

Plan Statistics for SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN

401k plan membership statisitcs for SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN

Measure Date Value
2022: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01129
Total number of active participants reported on line 7a of the Form 55002022-01-01113
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 participants2022-01-01134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01134
Number of participants with account balances2022-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-011
2014: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0163
Total number of active participants reported on line 7a of the Form 55002014-01-0165
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0169
Number of participants with account balances2014-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0153
Total number of active participants reported on line 7a of the Form 55002013-01-0162
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0166
Number of participants with account balances2013-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0147
Total number of active participants reported on line 7a of the Form 55002012-01-0148
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0153
Number of participants with account balances2012-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0140
Total number of active participants reported on line 7a of the Form 55002011-01-0144
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0148
Number of participants with account balances2011-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN

Measure Date Value
2022 : SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$42,075
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$49,889
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$37,186
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$405,786
Value of total assets at end of year2022-12-31$2,477,269
Value of total assets at beginning of year2022-12-31$2,485,083
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$12,703
Total interest from all sources2022-12-31$505
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$28,389
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$28,389
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$250,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$254,301
Participant contributions at end of year2022-12-31$7,253
Participant contributions at beginning of year2022-12-31$9,369
Participant contributions at end of year2022-12-31$788
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$23,814
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-7,814
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,477,269
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,485,083
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$12,703
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$2,387,410
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,475,714
Interest on participant loans2022-12-31$505
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$15,417
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-392,605
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 contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$127,671
Employer contributions (assets) at end of year2022-12-31$66,401
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$37,186
Contract administrator fees2022-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
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 name2022-12-31MCKONLY & ASBURY
Accountancy firm EIN2022-12-31231909723
2014 : SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2014 401k financial data
Total income from all sources2014-12-31$178,286
Expenses. Total of all expenses incurred2014-12-31$7,267
Benefits paid (including direct rollovers)2014-12-31$4,663
Total plan assets at end of year2014-12-31$649,368
Total plan assets at beginning of year2014-12-31$478,349
Value of fidelity bond covering the plan2014-12-31$25,000
Total contributions received or receivable from participants2014-12-31$147,695
Contributions received from other sources (not participants or employers)2014-12-31$2,008
Other income received2014-12-31$28,583
Net income (gross income less expenses)2014-12-31$171,019
Net plan assets at end of year (total assets less liabilities)2014-12-31$649,368
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$478,349
Assets. Value of participant loans2014-12-31$3,124
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$2,604
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2013 401k financial data
Total income from all sources2013-12-31$215,192
Expenses. Total of all expenses incurred2013-12-31$12,465
Benefits paid (including direct rollovers)2013-12-31$10,674
Total plan assets at end of year2013-12-31$478,349
Total plan assets at beginning of year2013-12-31$275,622
Value of fidelity bond covering the plan2013-12-31$25,000
Total contributions received or receivable from participants2013-12-31$123,447
Other income received2013-12-31$63,088
Net income (gross income less expenses)2013-12-31$202,727
Net plan assets at end of year (total assets less liabilities)2013-12-31$478,349
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$275,622
Total contributions received or receivable from employer(s)2013-12-31$28,657
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,791
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2012 401k financial data
Total income from all sources2012-12-31$176,249
Expenses. Total of all expenses incurred2012-12-31$36,257
Benefits paid (including direct rollovers)2012-12-31$35,144
Total plan assets at end of year2012-12-31$275,622
Total plan assets at beginning of year2012-12-31$135,630
Value of fidelity bond covering the plan2012-12-31$25,000
Total contributions received or receivable from participants2012-12-31$122,821
Expenses. Other expenses not covered elsewhere2012-12-31$1,113
Other income received2012-12-31$24,705
Net income (gross income less expenses)2012-12-31$139,992
Net plan assets at end of year (total assets less liabilities)2012-12-31$275,622
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$135,630
Total contributions received or receivable from employer(s)2012-12-31$28,723
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2011 401k financial data
Total income from all sources2011-12-31$136,352
Expenses. Total of all expenses incurred2011-12-31$722
Benefits paid (including direct rollovers)2011-12-31$430
Total plan assets at end of year2011-12-31$135,630
Total plan assets at beginning of year2011-12-31$0
Total contributions received or receivable from participants2011-12-31$114,903
Contributions received from other sources (not participants or employers)2011-12-31$24,470
Other income received2011-12-31$-3,021
Net income (gross income less expenses)2011-12-31$135,630
Net plan assets at end of year (total assets less liabilities)2011-12-31$135,630
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$292
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0

Form 5500 Responses for SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN

2022: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) 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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2014: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SUSQUEHANNA COMMUNITY HEALTH & DENTAL CENTER 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

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