401k Plan data: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) plan

LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 401k Plan overview

Plan Name	LIFESHARE COMMUNITY BLOOD SERVICES 401(K)
Plan identification number	002

LIFESHARE COMMUNITY BLOOD SERVICES 401(K) Benefits

401k Plan Type

Defined 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.

401k Sponsoring company profile

LIFESHARE COMMUNITY BLOOD SERVICES has sponsored the creation of one or more 401k plans.

Company Name: LIFESHARE COMMUNITY BLOOD SERVICES

Employer identification number (EIN): 341163202

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFESHARE COMMUNITY BLOOD SERVICES 401(K)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 STEPHANIE HYSTER
002 2015-01-01 STEPHANIE HYSTER
002 2014-01-01 STEPHANIE HYSTER
002 2013-01-01 STEPHANIE HYSTER
002 2012-01-01 STEPHANIE HYSTER
002 2011-01-01 STEPHANIE HYSTER
002 2010-01-01 STEPHANIE HYSTER
002 2009-01-01 STEPHANIE HYSTER

Plan id#	Filing Submission Date	Name of Administrator
002	2016-01-01	STEPHANIE HYSTER
002	2015-01-01	STEPHANIE HYSTER
002	2014-01-01	STEPHANIE HYSTER
002	2013-01-01	STEPHANIE HYSTER
002	2012-01-01	STEPHANIE HYSTER
002	2011-01-01	STEPHANIE HYSTER
002	2010-01-01	STEPHANIE HYSTER
002	2009-01-01	STEPHANIE HYSTER

Plan Statistics for LIFESHARE COMMUNITY BLOOD SERVICES 401(K)

401k plan membership statisitcs for LIFESHARE COMMUNITY BLOOD SERVICES 401(K)

Measure Date Value
2016: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2016 401k membership
Total participants, beginning-of-year 2016-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2015 401k membership
Total participants, beginning-of-year 2015-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 117
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 47
Total of all active and inactive participants 2015-01-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 164
Number of participants with account balances 2015-01-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 21
2014: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2014 401k membership
Total participants, beginning-of-year 2014-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 108
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 25
Total of all active and inactive participants 2014-01-01 133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 133
Number of participants with account balances 2014-01-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 6
2013: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2013 401k membership
Total participants, beginning-of-year 2013-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 116
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 23
Total of all active and inactive participants 2013-01-01 139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 139
Number of participants with account balances 2013-01-01 136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 7
2012: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2012 401k membership
Total participants, beginning-of-year 2012-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 108
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 21
Total of all active and inactive participants 2012-01-01 129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 129
Number of participants with account balances 2012-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 9
2011: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2011 401k membership
Total participants, beginning-of-year 2011-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 106
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 16
Total of all active and inactive participants 2011-01-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 122
Number of participants with account balances 2011-01-01 121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 7
2010: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2010 401k membership
Total participants, beginning-of-year 2010-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 109
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 16
Total of all active and inactive participants 2010-01-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 125
Number of participants with account balances 2010-01-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2009 401k membership
Total participants, beginning-of-year 2009-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 103
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 15
Total of all active and inactive participants 2009-01-01 118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 118
Number of participants with account balances 2009-01-01 87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2016: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2016 401k membership
Total participants, beginning-of-year	2016-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2015 401k membership
Total participants, beginning-of-year	2015-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	117
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	47
Total of all active and inactive participants	2015-01-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	164
Number of participants with account balances	2015-01-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	21
2014: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2014 401k membership
Total participants, beginning-of-year	2014-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	108
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	25
Total of all active and inactive participants	2014-01-01	133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	133
Number of participants with account balances	2014-01-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	6
2013: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2013 401k membership
Total participants, beginning-of-year	2013-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	116
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	23
Total of all active and inactive participants	2013-01-01	139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	139
Number of participants with account balances	2013-01-01	136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	7
2012: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2012 401k membership
Total participants, beginning-of-year	2012-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	108
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	21
Total of all active and inactive participants	2012-01-01	129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	129
Number of participants with account balances	2012-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	9
2011: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2011 401k membership
Total participants, beginning-of-year	2011-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	106
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	16
Total of all active and inactive participants	2011-01-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	122
Number of participants with account balances	2011-01-01	121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	7
2010: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2010 401k membership
Total participants, beginning-of-year	2010-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	109
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	16
Total of all active and inactive participants	2010-01-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	125
Number of participants with account balances	2010-01-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2009 401k membership
Total participants, beginning-of-year	2009-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	103
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	15
Total of all active and inactive participants	2009-01-01	118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	118
Number of participants with account balances	2009-01-01	87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on LIFESHARE COMMUNITY BLOOD SERVICES 401(K)

Measure	Date	Value
2016 : LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-11-30	$0
Total transfer of assets from this plan	2016-11-30	$1,587,725
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-11-30	$0
Total income from all sources (including contributions)	2016-11-30	$75,111
Total loss/gain on sale of assets	2016-11-30	$0
Total of all expenses incurred	2016-11-30	$1,543,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-11-30	$1,388,772
Expenses. Certain deemed distributions of participant loans	2016-11-30	$135,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-11-30	$3,344
Value of total assets at end of year	2016-11-30	$0
Value of total assets at beginning of year	2016-11-30	$3,055,910
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-11-30	$19,474
Total interest from all sources	2016-11-30	$2,219
Total dividends received (eg from common stock, registered investment company shares)	2016-11-30	$6,250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-11-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-11-30	$6,250
Was this plan covered by a fidelity bond	2016-11-30	Yes
Value of fidelity bond cover	2016-11-30	$300,000
If this is an individual account plan, was there a blackout period	2016-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-11-30	No
Contributions received from participants	2016-11-30	$2,091
Participant contributions at end of year	2016-11-30	$0
Participant contributions at beginning of year	2016-11-30	$138,352
Participant contributions at end of year	2016-11-30	$0
Participant contributions at beginning of year	2016-11-30	$3,614
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-30	No
Value of net income/loss	2016-11-30	$-1,468,185
Value of net assets at end of year (total assets less liabilities)	2016-11-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-11-30	$3,055,910
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-11-30	No
Were any leases to which the plan was party in default or uncollectible	2016-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-11-30	$2,763,156
Interest on participant loans	2016-11-30	$822
Interest earned on other investments	2016-11-30	$1,397
Value of interest in common/collective trusts at end of year	2016-11-30	$0
Value of interest in common/collective trusts at beginning of year	2016-11-30	$148,626
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-11-30	$63,298
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-11-30	Yes
Was there a failure to transmit to the plan any participant contributions	2016-11-30	No
Has the plan failed to provide any benefit when due under the plan	2016-11-30	No
Contributions received in cash from employer	2016-11-30	$1,253
Employer contributions (assets) at end of year	2016-11-30	$0
Employer contributions (assets) at beginning of year	2016-11-30	$2,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-11-30	$1,388,772
Contract administrator fees	2016-11-30	$19,474
Did the plan have assets held for investment	2016-11-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-11-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-11-30	Disclaimer
Accountancy firm name	2016-11-30	MALONEY & NOVOTNY, LLC
Accountancy firm EIN	2016-11-30	340677006
2015 : LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$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	$342,503
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,812,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,782,416
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$348,218
Value of total assets at end of year	2015-12-31	$3,055,910
Value of total assets at beginning of year	2015-12-31	$4,525,510
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$29,687
Total interest from all sources	2015-12-31	$5,961
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$195,651
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$195,651
Administrative expenses professional fees incurred	2015-12-31	$29,687
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$300,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$228,264
Participant contributions at end of year	2015-12-31	$138,352
Participant contributions at beginning of year	2015-12-31	$142,255
Participant contributions at end of year	2015-12-31	$3,614
Participant contributions at beginning of year	2015-12-31	$14,435
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-1,469,600
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,055,910
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,525,510
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,763,156
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$4,087,199
Interest on participant loans	2015-12-31	$5,961
Value of interest in common/collective trusts at end of year	2015-12-31	$148,626
Value of interest in common/collective trusts at beginning of year	2015-12-31	$275,211
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-207,327
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$119,954
Employer contributions (assets) at end of year	2015-12-31	$2,162
Employer contributions (assets) at beginning of year	2015-12-31	$6,410
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,782,416
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MALONEY & NOVOTNY, LLC
Accountancy firm EIN	2015-12-31	340677006
2014 : LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$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	$669,272
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$102,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$74,340
Value of total corrective distributions	2014-12-31	$1,011
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$501,293
Value of total assets at end of year	2014-12-31	$4,525,510
Value of total assets at beginning of year	2014-12-31	$3,958,721
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$27,132
Total interest from all sources	2014-12-31	$6,094
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$137,387
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$137,387
Administrative expenses professional fees incurred	2014-12-31	$27,132
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$300,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$329,170
Participant contributions at end of year	2014-12-31	$142,255
Participant contributions at beginning of year	2014-12-31	$148,385
Participant contributions at end of year	2014-12-31	$14,435
Participant contributions at beginning of year	2014-12-31	$11,303
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$566,789
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,525,510
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,958,721
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$4,087,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,535,792
Interest on participant loans	2014-12-31	$6,094
Value of interest in common/collective trusts at end of year	2014-12-31	$275,211
Value of interest in common/collective trusts at beginning of year	2014-12-31	$256,969
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$24,498
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$171,819
Employer contributions (assets) at end of year	2014-12-31	$6,410
Employer contributions (assets) at beginning of year	2014-12-31	$6,272
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$74,340
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MALONEY & NOVOTNY, LLC
Accountancy firm EIN	2014-12-31	340677006
2013 : LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$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	$988,233
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$54,329
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$30,514
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$474,832
Value of total assets at end of year	2013-12-31	$3,958,721
Value of total assets at beginning of year	2013-12-31	$3,024,817
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$22,329
Total interest from all sources	2013-12-31	$5,715
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$91,833
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$91,833
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$300,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$291,931
Participant contributions at end of year	2013-12-31	$148,385
Participant contributions at beginning of year	2013-12-31	$128,232
Participant contributions at end of year	2013-12-31	$11,303
Participant contributions at beginning of year	2013-12-31	$10,827
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$22,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$933,904
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,958,721
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,024,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$20,704
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$3,535,792
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$302,585
Interest on participant loans	2013-12-31	$5,715
Value of interest in common/collective trusts at end of year	2013-12-31	$256,969
Value of interest in common/collective trusts at beginning of year	2013-12-31	$2,577,238
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$415,853
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$160,786
Employer contributions (assets) at end of year	2013-12-31	$6,272
Employer contributions (assets) at beginning of year	2013-12-31	$5,935
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$30,514
Contract administrator fees	2013-12-31	$1,625
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MALONEY & NOVOTNY, LLC
Accountancy firm EIN	2013-12-31	340677006
2012 : LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$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	$697,749
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$249,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$224,777
Expenses. Certain deemed distributions of participant loans	2012-12-31	$3,348
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$439,644
Value of total assets at end of year	2012-12-31	$3,024,817
Value of total assets at beginning of year	2012-12-31	$2,576,798
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$21,605
Total interest from all sources	2012-12-31	$5,491
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$10,213
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$10,213
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$200,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$292,494
Participant contributions at end of year	2012-12-31	$128,232
Participant contributions at beginning of year	2012-12-31	$139,470
Participant contributions at end of year	2012-12-31	$10,827
Participant contributions at beginning of year	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$448,019
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,024,817
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,576,798
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$20,427
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$302,585
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$219,967
Interest on participant loans	2012-12-31	$5,491
Value of interest in common/collective trusts at end of year	2012-12-31	$2,577,238
Value of interest in common/collective trusts at beginning of year	2012-12-31	$2,217,361
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$22,794
Net investment gain or loss from common/collective trusts	2012-12-31	$219,607
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$147,150
Employer contributions (assets) at end of year	2012-12-31	$5,935
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$224,777
Contract administrator fees	2012-12-31	$1,178
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MALONEY & NOVOTNY, LLC
Accountancy firm EIN	2012-12-31	340677006
2011 : LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$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	$313,532
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$120,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$107,165
Expenses. Certain deemed distributions of participant loans	2011-12-31	$2,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$391,409
Value of total assets at end of year	2011-12-31	$2,576,798
Value of total assets at beginning of year	2011-12-31	$2,384,062
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$11,130
Total interest from all sources	2011-12-31	$6,087
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$7,383
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$7,383
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$200,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$250,357
Participant contributions at end of year	2011-12-31	$139,470
Participant contributions at beginning of year	2011-12-31	$138,877
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$1,484
Administrative expenses (other) incurred	2011-12-31	$195
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$192,736
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,576,798
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,384,062
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$9,285
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$219,967
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$46,763
Interest on participant loans	2011-12-31	$6,087
Value of interest in common/collective trusts at end of year	2011-12-31	$2,217,361
Value of interest in common/collective trusts at beginning of year	2011-12-31	$2,194,918
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$3,504
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$3,504
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-18,636
Net investment gain or loss from common/collective trusts	2011-12-31	$-72,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$139,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$107,165
Contract administrator fees	2011-12-31	$1,650
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MALONEY & NOVOTNY, LLC
Accountancy firm EIN	2011-12-31	340677006
2010 : LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$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	$511,492
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$96,600
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$66,684
Expenses. Certain deemed distributions of participant loans	2010-12-31	$3,596
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$331,632
Value of total assets at end of year	2010-12-31	$2,384,062
Value of total assets at beginning of year	2010-12-31	$1,969,170
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$26,320
Total interest from all sources	2010-12-31	$5,524
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$1,184
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$1,184
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$200,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$211,258
Participant contributions at end of year	2010-12-31	$138,877
Participant contributions at beginning of year	2010-12-31	$91,619
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$414,892
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,384,062
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,969,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$46,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$47,246
Interest on participant loans	2010-12-31	$5,524
Value of interest in common/collective trusts at end of year	2010-12-31	$2,194,918
Value of interest in common/collective trusts at beginning of year	2010-12-31	$1,825,839
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$3,504
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$4,466
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$4,466
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$4,901
Net investment gain or loss from common/collective trusts	2010-12-31	$168,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$120,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$66,684
Contract administrator fees	2010-12-31	$26,320
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MALONEY & NOVOTNY, LLC
Accountancy firm EIN	2010-12-31	340677006
2009 : LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for LIFESHARE COMMUNITY BLOOD SERVICES 401(K)

2016: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: LIFESHARE COMMUNITY BLOOD SERVICES 401(K) 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

332476-01

Policy instance

Insurance contract or identification number	332476-01
Number of Individuals Covered	27
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $467
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $467
Insurance broker organization code?	3
Insurance broker name	DAVID BARTH, ROYAL ALLIANCE ASSOCIA

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

332476-01

Policy instance

Insurance contract or identification number	332476-01
Number of Individuals Covered	29
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $643
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $643
Insurance broker organization code?	3
Insurance broker name	DAVID BARTH, ROYAL ALLIANCE ASSOCIA

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

332476-01

Policy instance

Insurance contract or identification number	332476-01
Number of Individuals Covered	32
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $551
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $551
Insurance broker organization code?	3
Insurance broker name	DAVID BARTH, ROYAL ALLIANCE ASSOCIA

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

332476-01

Policy instance

Insurance contract or identification number	332476-01
Number of Individuals Covered	32
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $451
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $451
Insurance broker organization code?	3
Insurance broker name	DAVID BARTH, ROYAL ALLIANCE ASSOCIA

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

332476-01

Policy instance

Insurance contract or identification number	332476-01
Number of Individuals Covered	33
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $308
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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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Company Name:	LIFESHARE COMMUNITY BLOOD SERVICES
Employer identification number (EIN):	341163202
NAIC Classification:	621900