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ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN 401k Plan overview

Plan NameARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN
Plan identification number 001

ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 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.
  • 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

ARTHRITIS FOUNDATION, HEARTLAND REGION, INC. has sponsored the creation of one or more 401k plans.

Company Name:ARTHRITIS FOUNDATION, HEARTLAND REGION, INC.
Employer identification number (EIN):264639290
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01CATHY HOOD2023-06-26
0012021-01-01CATHY HOOD2022-07-27
0012021-01-01CATHY HOOD2022-07-27
0012020-01-01GWEN LONG2021-06-30
0012019-01-01GWEN LONG2020-10-07
0012018-01-01GWEN LONG2019-07-23
0012017-01-01GWEN LONG2018-05-16
0012016-01-01GWEN LONG2017-09-26
0012015-01-01GWEN LONG2016-10-12
0012014-01-01GWEN LONG2015-10-07
0012013-01-01FAYE STREITMATTER2014-10-15
0012012-07-01JEFFREY STOUT
0012012-01-01JEFFREY STOUT2013-07-18
0012011-07-01JEFFREY STOUT
0012011-01-01JEFFREY STOUT2012-10-10
0012010-01-01JEFFREY STOUT2011-10-11

Plan Statistics for ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN

401k plan membership statisitcs for ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN

Measure Date Value
2012: ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0110
Total number of active participants reported on line 7a of the Form 55002012-07-010
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-010
Number of participants with account balances2012-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-019
Total number of active participants reported on line 7a of the Form 55002011-07-011
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-019
Total of all active and inactive participants2011-07-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-0110
Number of participants with account balances2011-07-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010

Financial Data on ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN

Measure Date Value
2012 : ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$12,758
Expenses. Total of all expenses incurred2012-12-31$182,679
Benefits paid (including direct rollovers)2012-12-31$182,611
Total plan assets at end of year2012-12-31$0
Total plan assets at beginning of year2012-12-31$169,921
Other income received2012-12-31$5,489
Net income (gross income less expenses)2012-12-31$-169,921
Net plan assets at end of year (total assets less liabilities)2012-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$169,921
Total contributions received or receivable from employer(s)2012-12-31$7,269
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$68
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$7,269
Amount contributed by the employer to the plan for this plan year2012-12-31$7,269
Total income from all sources2012-06-30$849
Expenses. Total of all expenses incurred2012-06-30$179
Total plan assets at end of year2012-06-30$169,921
Total plan assets at beginning of year2012-06-30$169,251
Other income received2012-06-30$849
Net income (gross income less expenses)2012-06-30$670
Net plan assets at end of year (total assets less liabilities)2012-06-30$169,921
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$169,251
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$179
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Funding deficiency by the employer to the plan for this plan year2012-06-30$0
Minimum employer required contribution for this plan year2012-06-30$0
Amount contributed by the employer to the plan for this plan year2012-06-30$0
2011 : ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-06-30$43,887
Expenses. Total of all expenses incurred2011-06-30$68,885
Benefits paid (including direct rollovers)2011-06-30$68,684
Total plan assets at end of year2011-06-30$169,251
Total plan assets at beginning of year2011-06-30$194,249
Other income received2011-06-30$35,028
Net income (gross income less expenses)2011-06-30$-24,998
Net plan assets at end of year (total assets less liabilities)2011-06-30$169,251
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$194,249
Total contributions received or receivable from employer(s)2011-06-30$8,859
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$201
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
Funding deficiency by the employer to the plan for this plan year2011-06-30$0
Minimum employer required contribution for this plan year2011-06-30$8,859
Amount contributed by the employer to the plan for this plan year2011-06-30$8,859

Form 5500 Responses for ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) RETIREMENT PLAN

2012: ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) 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 filingYes
2012-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: ARTHRITIS FOUNDATION, NEBRASKA CHAPTER 403(B) 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 – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053343-I
Policy instance 1
Insurance contract or identification number053343-I
Number of Individuals Covered0
Insurance policy start date2012-07-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $8
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameANTHONY PERRIN
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053343-I
Policy instance 1
Insurance contract or identification number053343-I
Number of Individuals Covered10
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $19
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number053343-I
Policy instance 1
Insurance contract or identification number053343-I
Number of Individuals Covered9
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $29
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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