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KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 401k Plan overview

Plan NameKANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN
Plan identification number 002

KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • 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

KANE COMMUNITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:KANE COMMUNITY HOSPITAL
Employer identification number (EIN):250998168
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-07-01SUSAN TESTA2024-01-16
0022021-07-01SUSAN TESTA2022-12-12
0022020-07-01SUSAN TESTA2021-12-27
0022019-07-01SUSAN TESTA2021-01-21
0022018-07-01SUSAN TESTA2019-10-24
0022017-07-01SUSAN TESTA2019-02-05
0022016-07-01MARK PAPALIA
0022015-07-01JOHN RHODES
0022014-07-01JOHN RHODES
0022013-07-01JOHN RHODES
0022012-07-01JOHN RHODES JOHN RHODES2014-01-23
0022011-07-01JOHN RHODES JOHN RHODES2013-04-15
0022010-07-01JOHN RHODES JOHN RHODES2013-08-27
0022009-07-01JOHN RHODES JOHN RHODES2013-08-19

Plan Statistics for KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN

401k plan membership statisitcs for KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN

Measure Date Value
2016: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01237
Total number of active participants reported on line 7a of the Form 55002016-07-01216
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-0113
Total of all active and inactive participants2016-07-01229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-01229
Number of participants with account balances2016-07-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01237
Total number of active participants reported on line 7a of the Form 55002015-07-01230
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-0111
Total of all active and inactive participants2015-07-01241
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-01241
Number of participants with account balances2015-07-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01238
Total number of active participants reported on line 7a of the Form 55002014-07-01257
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-0110
Total of all active and inactive participants2014-07-01267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01267
Number of participants with account balances2014-07-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01236
Total number of active participants reported on line 7a of the Form 55002013-07-01224
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-0110
Total of all active and inactive participants2013-07-01234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01234
Number of participants with account balances2013-07-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01242
Total number of active participants reported on line 7a of the Form 55002012-07-01223
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-0110
Total of all active and inactive participants2012-07-01233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01233
Number of participants with account balances2012-07-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01197
Total number of active participants reported on line 7a of the Form 55002011-07-01222
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0112
Total of all active and inactive participants2011-07-01234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01234
Number of participants with account balances2011-07-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01237
Total number of active participants reported on line 7a of the Form 55002010-07-01227
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-019
Total of all active and inactive participants2010-07-01236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-01236
Number of participants with account balances2010-07-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
2009: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01228
Total number of active participants reported on line 7a of the Form 55002009-07-01220
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-0111
Total of all active and inactive participants2009-07-01231
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01231
Number of participants with account balances2009-07-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN

Measure Date Value
2017 : KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$854,803
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$5,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$5,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$343,882
Value of total assets at end of year2017-06-30$4,221,096
Value of total assets at beginning of year2017-06-30$3,371,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$0
Total interest from all sources2017-06-30$42
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$57,447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$57,447
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$343,882
Participant contributions at end of year2017-06-30$708
Participant contributions at beginning of year2017-06-30$1,316
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$1,157
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$1,316
Other income not declared elsewhere2017-06-30$2,129
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$849,699
Value of net assets at end of year (total assets less liabilities)2017-06-30$4,221,096
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$3,371,397
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$3,861,936
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$3,019,444
Interest on participant loans2017-06-30$42
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$357,295
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$349,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$349,321
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$451,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$5,104
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30LUMSDEN MCCORMICK, LLP
Accountancy firm EIN2017-06-30160765486
2016 : KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$377,776
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$70,556
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$70,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$412,863
Value of total assets at end of year2016-06-30$3,371,397
Value of total assets at beginning of year2016-06-30$3,064,177
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$0
Total interest from all sources2016-06-30$69
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$39,687
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$39,687
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$5,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$347,755
Participant contributions at end of year2016-06-30$1,316
Participant contributions at beginning of year2016-06-30$1,922
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$65,108
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$1,316
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$16
Other income not declared elsewhere2016-06-30$1,742
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$307,220
Value of net assets at end of year (total assets less liabilities)2016-06-30$3,371,397
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$3,064,177
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$3,019,444
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$2,797,020
Interest on participant loans2016-06-30$69
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$349,321
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$265,219
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$265,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-76,585
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$70,556
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30LUMSDEN MCCORMICK, LLP
Accountancy firm EIN2016-06-30160765486
2015 : KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$1,242,290
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$303
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$1,152,718
Value of total assets at end of year2015-06-30$3,064,177
Value of total assets at beginning of year2015-06-30$1,822,190
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$0
Total interest from all sources2015-06-30$95
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$28,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$28,840
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$5,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$290,913
Participant contributions at end of year2015-06-30$1,922
Participant contributions at beginning of year2015-06-30$2,503
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$861,805
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$16
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$3
Other income not declared elsewhere2015-06-30$1,573
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$1,241,987
Value of net assets at end of year (total assets less liabilities)2015-06-30$3,064,177
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$1,822,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$2,797,020
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$1,598,684
Interest on participant loans2015-06-30$95
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$265,219
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$221,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$221,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$59,064
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$303
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30LUMSDEN MCCORMICK, LLP
Accountancy firm EIN2015-06-30160765486
2014 : KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$535,486
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$175,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$174,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$258,647
Value of total assets at end of year2014-06-30$1,822,190
Value of total assets at beginning of year2014-06-30$1,461,740
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$125
Total interest from all sources2014-06-30$115
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$18,323
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$18,323
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$5,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$258,647
Participant contributions at end of year2014-06-30$2,503
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$3
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$41
Other income not declared elsewhere2014-06-30$1,317
Administrative expenses (other) incurred2014-06-30$125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$360,450
Value of net assets at end of year (total assets less liabilities)2014-06-30$1,822,190
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,461,740
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$1,598,684
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$1,242,791
Interest on participant loans2014-06-30$115
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$221,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$218,908
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$218,908
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$257,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$174,911
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30LUMSDEN MCCORMICK, LLP
Accountancy firm EIN2014-06-30160765486
2013 : KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$380,613
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$173,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$173,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$196,801
Value of total assets at end of year2013-06-30$1,461,740
Value of total assets at beginning of year2013-06-30$1,254,768
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$0
Total interest from all sources2013-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$21,924
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$21,924
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$5,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$196,801
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$41
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$70
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$206,972
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,461,740
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,254,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$1,242,791
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$1,050,669
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$218,908
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$204,029
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$204,029
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$161,888
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$173,641
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30LUMSDEN MCCORMICK, LLP
Accountancy firm EIN2013-06-30160765486
2012 : KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$-3,315
Total unrealized appreciation/depreciation of assets2012-06-30$-3,315
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total income from all sources (including contributions)2012-06-30$206,967
Total loss/gain on sale of assets2012-06-30$11,787
Total of all expenses incurred2012-06-30$144,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$144,361
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$181,722
Value of total assets at end of year2012-06-30$1,254,768
Value of total assets at beginning of year2012-06-30$1,192,162
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$0
Total interest from all sources2012-06-30$389
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$16,384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$16,384
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$3,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$181,722
Participant contributions at beginning of year2012-06-30$3,312
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$70
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$16
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$62,606
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,254,768
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$1,192,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$1,050,669
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$1,003,715
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$204,029
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$185,119
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$185,119
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$144,361
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Aggregate proceeds on sale of assets2012-06-30$170,695
Aggregate carrying amount (costs) on sale of assets2012-06-30$158,908
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30LUMSDEN MCCORMICK, LLP
Accountancy firm EIN2012-06-30160765486
2011 : KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total income from all sources (including contributions)2011-06-30$408,593
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$33,335
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$31,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$215,699
Value of total assets at end of year2011-06-30$1,192,162
Value of total assets at beginning of year2011-06-30$816,904
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$2,042
Total interest from all sources2011-06-30$310
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$192,584
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$192,584
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$200,000
If this is an individual account plan, was there a blackout period2011-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$215,699
Participant contributions at end of year2011-06-30$3,312
Participant contributions at beginning of year2011-06-30$10,386
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$16
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$25
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$375,258
Value of net assets at end of year (total assets less liabilities)2011-06-30$1,192,162
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$816,904
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$2,042
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$1,003,715
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$663,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$185,119
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$142,555
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$142,555
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$310
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$31,293
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30LUMSDEN & MCCORMICK, LLP
Accountancy firm EIN2011-06-30160765486
2010 : KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN

2016: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement - TrustYes
2015: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement - TrustYes
2014: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement - TrustYes
2013: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement - TrustYes
2012: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement - TrustYes
2011: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement - TrustYes
2010: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedYes
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement - TrustYes
2009: KANE COMMUNITY HOSPITAL 403(B) SUPPLEMENTAL RETIREMENT PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedYes
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement - TrustYes

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