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| Plan Name | CANTON REGIONAL CHAMBER HEALTH FUND |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TEMPLE ISRAEL |
| Employer identification number (EIN): | 340733128 |
| NAIC Classification: | 531190 |
| NAIC Description: | Lessors of Other Real Estate Property |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-01-01 | JONATHAN WILKOF | 2021-08-01 | JONATHAN WILKOF | 2021-08-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 3 |
| Total of all active and inactive participants | 2020-01-01 | 3 |
| Measure | Date | Value |
|---|---|---|
| 2020 : CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k financial data | ||
| Transfers to/from the plan | 2020-12-31 | $1 |
| Total plan liabilities at end of year | 2020-12-31 | $679 |
| Total income from all sources | 2020-12-31 | $6,554 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $6,017 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $68 |
| Total plan assets at end of year | 2020-12-31 | $1,217 |
| Value of fidelity bond covering the plan | 2020-12-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2020-12-31 | $3,277 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $5 |
| Net income (gross income less expenses) | 2020-12-31 | $537 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $538 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $3,277 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $5,944 |
| 2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 ) | |||||||||||||||||||
| Policy contract number | HF2470 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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