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MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 401k Plan overview

Plan NameMONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN
Plan identification number 001

MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MONARCH HEALTHCARE has sponsored the creation of one or more 401k plans.

Company Name:MONARCH HEALTHCARE
Employer identification number (EIN):330587660
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-01-01AMY PARK
0012015-01-01AMY PARK
0012014-01-01AMY PARK
0012013-01-01AMY PARK
0012012-01-01AMY PARK
0012011-01-01JULIE WEBB JULIE WEBB2012-07-30
0012010-01-01PAMELA SCHULTZ PAMELA SCHULTZ2011-09-14
0012009-01-01PAMELA SCHULTZ PAMELA SCHULTZ2010-09-08

Plan Statistics for MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN

401k plan membership statisitcs for MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN

Measure Date Value
2016: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01292
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01479
Total number of active participants reported on line 7a of the Form 55002015-01-0112
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01279
Total of all active and inactive participants2015-01-01291
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-01292
Number of participants with account balances2015-01-01292
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01116
Total number of active participants reported on line 7a of the Form 55002014-01-0116
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01462
Total of all active and inactive participants2014-01-01478
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01479
Number of participants with account balances2014-01-01479
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0112
2013: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01136
Total number of active participants reported on line 7a of the Form 55002013-01-0117
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0198
Total of all active and inactive participants2013-01-01115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01116
Number of participants with account balances2013-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-014
2012: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01450
Total number of active participants reported on line 7a of the Form 55002012-01-0166
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0170
Total of all active and inactive participants2012-01-01136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01136
Number of participants with account balances2012-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0117
2011: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01403
Total number of active participants reported on line 7a of the Form 55002011-01-01391
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0144
Total of all active and inactive participants2011-01-01435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01435
Number of participants with account balances2011-01-01425
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0123
2010: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01384
Total number of active participants reported on line 7a of the Form 55002010-01-01354
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0132
Total of all active and inactive participants2010-01-01386
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01386
Number of participants with account balances2010-01-01373
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0124
2009: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01370
Total number of active participants reported on line 7a of the Form 55002009-01-01336
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0170
Total of all active and inactive participants2009-01-01406
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01406
Number of participants with account balances2009-01-01359
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0137

Financial Data on MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN

Measure Date Value
2016 : MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-15$0
Total transfer of assets from this plan2016-06-15$6,655,976
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-15$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-15$0
Total income from all sources (including contributions)2016-06-15$66,200
Total loss/gain on sale of assets2016-06-15$0
Total of all expenses incurred2016-06-15$245,613
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-15$244,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-15$0
Value of total assets at end of year2016-06-15$0
Value of total assets at beginning of year2016-06-15$6,835,389
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-15$787
Total interest from all sources2016-06-15$475
Total dividends received (eg from common stock, registered investment company shares)2016-06-15$3,977
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-15No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-15$3,977
Was this plan covered by a fidelity bond2016-06-15Yes
Value of fidelity bond cover2016-06-15$500,000
If this is an individual account plan, was there a blackout period2016-06-15Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-15$0
Were there any nonexempt tranactions with any party-in-interest2016-06-15No
Participant contributions at end of year2016-06-15$0
Participant contributions at beginning of year2016-06-15$25,820
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-15No
Value of net income/loss2016-06-15$-179,413
Value of net assets at end of year (total assets less liabilities)2016-06-15$0
Value of net assets at beginning of year (total assets less liabilities)2016-06-15$6,835,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-15No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-15No
Were any leases to which the plan was party in default or uncollectible2016-06-15No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-15$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-15$2,731,869
Value of interest in pooled separate accounts at end of year2016-06-15$0
Value of interest in pooled separate accounts at beginning of year2016-06-15$3,683,718
Interest on participant loans2016-06-15$475
Value of interest in common/collective trusts at end of year2016-06-15$0
Value of interest in common/collective trusts at beginning of year2016-06-15$393,982
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-15$16,788
Net investment gain/loss from pooled separate accounts2016-06-15$43,426
Net investment gain or loss from common/collective trusts2016-06-15$1,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-15No
Was there a failure to transmit to the plan any participant contributions2016-06-15No
Has the plan failed to provide any benefit when due under the plan2016-06-15No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-15$244,826
Contract administrator fees2016-06-15$787
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-15Yes
Did the plan have assets held for investment2016-06-15No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-15No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-15Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-15Yes
Opinion of an independent qualified public accountant for this plan2016-06-15Disclaimer
Accountancy firm name2016-06-15BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2016-06-15390859910
2015 : MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$-32,028
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$671,954
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$663,116
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$22
Value of total assets at end of year2015-12-31$6,835,389
Value of total assets at beginning of year2015-12-31$7,539,371
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,838
Total interest from all sources2015-12-31$1,722
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$26,505
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$26,505
Administrative expenses professional fees incurred2015-12-31$1,013
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Participant contributions at end of year2015-12-31$25,820
Participant contributions at beginning of year2015-12-31$32,299
Administrative expenses (other) incurred2015-12-31$7,825
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-703,982
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,835,389
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$7,539,371
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,731,869
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,868,246
Value of interest in pooled separate accounts at end of year2015-12-31$3,683,718
Value of interest in pooled separate accounts at beginning of year2015-12-31$4,156,304
Interest on participant loans2015-12-31$1,722
Value of interest in common/collective trusts at end of year2015-12-31$393,982
Value of interest in common/collective trusts at beginning of year2015-12-31$482,522
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-10,356
Net investment gain/loss from pooled separate accounts2015-12-31$-47,888
Net investment gain or loss from common/collective trusts2015-12-31$-2,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$22
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$663,116
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2015-12-31390859910
2014 : MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$676,304
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$670,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$661,424
Value of total corrective distributions2014-12-31$7,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$263,364
Value of total assets at end of year2014-12-31$7,539,371
Value of total assets at beginning of year2014-12-31$7,533,452
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,000
Total interest from all sources2014-12-31$2,828
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$33,375
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$33,375
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$135,478
Participant contributions at end of year2014-12-31$32,299
Participant contributions at beginning of year2014-12-31$71,033
Other income not declared elsewhere2014-12-31$-4,536
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$5,919
Value of net assets at end of year (total assets less liabilities)2014-12-31$7,539,371
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$7,533,452
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$2,868,246
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,718,256
Value of interest in pooled separate accounts at end of year2014-12-31$4,156,304
Value of interest in pooled separate accounts at beginning of year2014-12-31$3,867,292
Interest on participant loans2014-12-31$2,828
Value of interest in common/collective trusts at end of year2014-12-31$482,522
Value of interest in common/collective trusts at beginning of year2014-12-31$382,413
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$91,535
Net investment gain/loss from pooled separate accounts2014-12-31$265,723
Net investment gain or loss from common/collective trusts2014-12-31$24,015
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$127,886
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$494,458
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$661,424
Contract administrator fees2014-12-31$1,000
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31WRIGHT FORD YOUNG & CO.
Accountancy firm EIN2014-12-31953288054
2013 : MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,441,581
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,299,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,298,169
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$202,918
Value of total assets at end of year2013-12-31$7,533,452
Value of total assets at beginning of year2013-12-31$7,391,016
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$976
Total interest from all sources2013-12-31$5,219
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$33,640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$33,640
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$123,554
Participant contributions at end of year2013-12-31$71,033
Participant contributions at beginning of year2013-12-31$124,463
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$142,436
Value of net assets at end of year (total assets less liabilities)2013-12-31$7,533,452
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$7,391,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,718,256
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$2,645,701
Value of interest in pooled separate accounts at end of year2013-12-31$3,867,292
Value of interest in pooled separate accounts at beginning of year2013-12-31$3,572,814
Interest on participant loans2013-12-31$5,219
Value of interest in common/collective trusts at end of year2013-12-31$382,413
Value of interest in common/collective trusts at beginning of year2013-12-31$585,038
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$636,205
Net investment gain/loss from pooled separate accounts2013-12-31$571,675
Net investment gain or loss from common/collective trusts2013-12-31$-8,076
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$79,364
Employer contributions (assets) at end of year2013-12-31$494,458
Employer contributions (assets) at beginning of year2013-12-31$463,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,298,169
Contract administrator fees2013-12-31$976
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31WRIGHT FORD YOUNG AND COMPANY
Accountancy firm EIN2013-12-31953288054
2012 : MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
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$3,144,842
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$8,911,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,910,215
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,130,423
Value of total assets at end of year2012-12-31$7,391,016
Value of total assets at beginning of year2012-12-31$13,157,852
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,463
Total interest from all sources2012-12-31$13,639
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$37,988
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$37,988
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,226,570
Participant contributions at end of year2012-12-31$124,463
Participant contributions at beginning of year2012-12-31$464,639
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$92,445
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$207,544
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Administrative expenses (other) incurred2012-12-31$47
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-5,766,836
Value of net assets at end of year (total assets less liabilities)2012-12-31$7,391,016
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$13,157,852
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$2,645,701
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$4,468,036
Value of interest in pooled separate accounts at end of year2012-12-31$3,572,814
Value of interest in pooled separate accounts at beginning of year2012-12-31$6,461,334
Interest on participant loans2012-12-31$13,639
Value of interest in common/collective trusts at end of year2012-12-31$585,038
Value of interest in common/collective trusts at beginning of year2012-12-31$1,659,810
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$382,644
Net investment gain/loss from pooled separate accounts2012-12-31$592,289
Net investment gain or loss from common/collective trusts2012-12-31$-12,141
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$696,309
Employer contributions (assets) at end of year2012-12-31$463,000
Employer contributions (assets) at beginning of year2012-12-31$11,588
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$8,910,215
Contract administrator fees2012-12-31$1,416
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31WRIGHT FORD YOUNG AND COMPANY
Accountancy firm EIN2012-12-31953288054
2011 : MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$0
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$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$2,584,289
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,479,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,474,232
Expenses. Certain deemed distributions of participant loans2011-12-31$1,000
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,752,949
Value of total assets at end of year2011-12-31$13,157,852
Value of total assets at beginning of year2011-12-31$12,052,814
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$4,019
Total income from rents2011-12-31$0
Total interest from all sources2011-12-31$22,962
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$51,523
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$51,523
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Amount of non-exempt transactions with any party-in-interest2011-12-31$0
Contributions received from participants2011-12-31$1,857,328
Participant contributions at end of year2011-12-31$464,639
Participant contributions at beginning of year2011-12-31$402,092
Participant contributions at end of year2011-12-31$92,445
Participant contributions at beginning of year2011-12-31$50,697
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$544,581
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Other income not declared elsewhere2011-12-31$7,823
Administrative expenses (other) incurred2011-12-31$99
Liabilities. Value of operating payables at beginning of year2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,105,038
Value of net assets at end of year (total assets less liabilities)2011-12-31$13,157,852
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$12,052,814
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2011-12-31$0
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2011-12-31$0
Investment advisory and management fees2011-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$4,468,036
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$4,228,582
Value of interest in pooled separate accounts at end of year2011-12-31$6,461,334
Value of interest in pooled separate accounts at beginning of year2011-12-31$6,041,696
Interest on participant loans2011-12-31$22,962
Income. Interest from loans (other than to participants)2011-12-31$0
Interest earned on other investments2011-12-31$0
Income. Interest from US Government securities2011-12-31$0
Income. Interest from corporate debt instruments2011-12-31$0
Value of interest in common/collective trusts at end of year2011-12-31$1,659,810
Value of interest in common/collective trusts at beginning of year2011-12-31$1,314,955
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-229,796
Net investment gain/loss from pooled separate accounts2011-12-31$-54,057
Net investment gain or loss from common/collective trusts2011-12-31$32,885
Net gain/loss from 103.12 investment entities2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$351,040
Employer contributions (assets) at end of year2011-12-31$11,588
Employer contributions (assets) at beginning of year2011-12-31$14,792
Income. Dividends from preferred stock2011-12-31$0
Income. Dividends from common stock2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,474,232
Contract administrator fees2011-12-31$3,920
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$0
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$0
Aggregate carrying amount (costs) on sale of assets2011-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31WRIGHT FORD YOUNG AND CO
Accountancy firm EIN2011-12-31953288054
2010 : MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$0
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets to this plan2010-12-31$0
Total transfer of assets from this plan2010-12-31$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$0
Total income from all sources (including contributions)2010-12-31$3,249,113
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$649,935
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$645,656
Expenses. Certain deemed distributions of participant loans2010-12-31$0
Value of total corrective distributions2010-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,903,898
Value of total assets at end of year2010-12-31$12,052,814
Value of total assets at beginning of year2010-12-31$9,453,636
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$4,279
Total income from rents2010-12-31$0
Total interest from all sources2010-12-31$18,619
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$40,767
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$40,767
Administrative expenses professional fees incurred2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Amount of non-exempt transactions with any party-in-interest2010-12-31$0
Contributions received from participants2010-12-31$1,626,765
Participant contributions at end of year2010-12-31$402,092
Participant contributions at beginning of year2010-12-31$226,611
Participant contributions at end of year2010-12-31$50,697
Participant contributions at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$60,038
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$0
Other income not declared elsewhere2010-12-31$0
Administrative expenses (other) incurred2010-12-31$535
Liabilities. Value of operating payables at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,599,178
Value of net assets at end of year (total assets less liabilities)2010-12-31$12,052,814
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$9,453,636
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2010-12-31$0
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2010-12-31$0
Investment advisory and management fees2010-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$4,228,582
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$3,442,119
Value of interest in pooled separate accounts at end of year2010-12-31$6,041,696
Value of interest in pooled separate accounts at beginning of year2010-12-31$4,525,997
Interest on participant loans2010-12-31$18,619
Income. Interest from loans (other than to participants)2010-12-31$0
Interest earned on other investments2010-12-31$0
Income. Interest from US Government securities2010-12-31$0
Income. Interest from corporate debt instruments2010-12-31$0
Value of interest in common/collective trusts at end of year2010-12-31$1,314,955
Value of interest in common/collective trusts at beginning of year2010-12-31$1,258,909
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$469,525
Net investment gain/loss from pooled separate accounts2010-12-31$773,418
Net investment gain or loss from common/collective trusts2010-12-31$42,886
Net gain/loss from 103.12 investment entities2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$217,095
Employer contributions (assets) at end of year2010-12-31$14,792
Employer contributions (assets) at beginning of year2010-12-31$0
Income. Dividends from preferred stock2010-12-31$0
Income. Dividends from common stock2010-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$645,656
Contract administrator fees2010-12-31$3,744
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$0
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$0
Aggregate carrying amount (costs) on sale of assets2010-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2010-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31WRIGHT FORD YOUNG AND CO
Accountancy firm EIN2010-12-31953288054
2009 : MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN

2016: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS 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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS 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 – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MONARCH HEALTHCARE RETIREMENT SAVINGS SAVINGS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number517674
Policy instance 1
Insurance contract or identification number517674
Number of Individuals Covered0
Insurance policy start date2016-01-01
Insurance policy end date2016-06-14
Total amount of commissions paid to insurance brokerUSD $6,391
Total amount of fees paid to insurance companyUSD $0
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 Administration0
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 $4,594
Insurance broker organization code?3
Insurance broker nameGCMI SECURITIES CORP
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number517674
Policy instance 1
Insurance contract or identification number517674
Number of Individuals Covered294
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,982
Total amount of fees paid to insurance companyUSD $1,741
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 Administration0
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 $9,982
Insurance broker organization code?3
Amount paid for insurance broker fees1741
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker nameBAKER, GUY E.
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number517674
Policy instance 1
Insurance contract or identification number517674
Number of Individuals Covered482
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,680
Total amount of fees paid to insurance companyUSD $1,741
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 Administration0
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 $9,680
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker nameGCMI SECURITIES CORP
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number517674
Policy instance 1
Insurance contract or identification number517674
Number of Individuals Covered123
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $13,058
Total amount of fees paid to insurance companyUSD $10,863
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 Administration0
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 $13,058
Insurance broker organization code?3
Amount paid for insurance broker fees10863
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE AND PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker nameGCMI SECURITIES CORP
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number517674
Policy instance 1
Insurance contract or identification number517674
Number of Individuals Covered136
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $14,730
Total amount of fees paid to insurance companyUSD $7,091
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 Administration0
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 $11,384
Amount paid for insurance broker fees3326
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameBENNETT ROSS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number517674
Policy instance 1
Insurance contract or identification number517674
Number of Individuals Covered435
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $19,580
Total amount of fees paid to insurance companyUSD $16,950
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number517674
Policy instance 1
Insurance contract or identification number517674
Number of Individuals Covered386
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $16,761
Total amount of fees paid to insurance companyUSD $33,493
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,761
Amount paid for insurance broker fees33493
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE AND PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameMAIN STREET SECURITIES LLC

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