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HUMBOLDT PARK HEALTH 403(B) PLAN 401k Plan overview

Plan NameHUMBOLDT PARK HEALTH 403(B) PLAN
Plan identification number 003

HUMBOLDT PARK HEALTH 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

HUMBOLDT PARK HEALTH has sponsored the creation of one or more 401k plans.

Company Name:HUMBOLDT PARK HEALTH
Employer identification number (EIN):361564290
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUMBOLDT PARK HEALTH 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01
0032021-01-01
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01DIANNA SANDEEN
0032016-01-01PAUL SKIEM PAUL SKIEM2017-10-12
0032015-01-01DONNA MAZIARZ
0032014-01-01DONNA MAZIARZ
0032013-01-01DONNA MAZIARZ
0032012-01-01DONNA MAZIARZ
0032011-01-01DONNA MAZIARZ
0032010-01-01MARCIA L. POWERS MARCIA L. POWERS2011-10-17
0032009-01-01DUANE FITCH DUANE FITCH2010-10-15

Plan Statistics for HUMBOLDT PARK HEALTH 403(B) PLAN

401k plan membership statisitcs for HUMBOLDT PARK HEALTH 403(B) PLAN

Measure Date Value
2022: HUMBOLDT PARK HEALTH 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,003
Total number of active participants reported on line 7a of the Form 55002022-01-01777
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01175
Total of all active and inactive participants2022-01-01952
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-01953
Number of participants with account balances2022-01-01457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0117
2021: HUMBOLDT PARK HEALTH 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,231
Total number of active participants reported on line 7a of the Form 55002021-01-01743
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01192
Total of all active and inactive participants2021-01-01935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-015
Total participants2021-01-01940
Number of participants with account balances2021-01-01479
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0127
2020: HUMBOLDT PARK HEALTH 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,273
Total number of active participants reported on line 7a of the Form 55002020-01-01805
Number of retired or separated participants receiving benefits2020-01-019
Number of other retired or separated participants entitled to future benefits2020-01-01428
Total of all active and inactive participants2020-01-011,242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0111
Total participants2020-01-011,253
Number of participants with account balances2020-01-01783
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0119
2019: HUMBOLDT PARK HEALTH 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,186
Total number of active participants reported on line 7a of the Form 55002019-01-01867
Number of retired or separated participants receiving benefits2019-01-0125
Number of other retired or separated participants entitled to future benefits2019-01-01367
Total of all active and inactive participants2019-01-011,259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0114
Total participants2019-01-011,273
Number of participants with account balances2019-01-01787
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0110
2018: HUMBOLDT PARK HEALTH 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01740
Total number of active participants reported on line 7a of the Form 55002018-01-01815
Number of retired or separated participants receiving benefits2018-01-0123
Number of other retired or separated participants entitled to future benefits2018-01-01334
Total of all active and inactive participants2018-01-011,172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0114
Total participants2018-01-011,186
Number of participants with account balances2018-01-01772
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0116
2017: HUMBOLDT PARK HEALTH 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,058
Total number of active participants reported on line 7a of the Form 55002017-01-01390
Number of retired or separated participants receiving benefits2017-01-0125
Number of other retired or separated participants entitled to future benefits2017-01-01317
Total of all active and inactive participants2017-01-01732
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-018
Total participants2017-01-01740
Number of participants with account balances2017-01-01740
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0119
2016: HUMBOLDT PARK HEALTH 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,104
Total number of active participants reported on line 7a of the Form 55002016-01-01729
Number of retired or separated participants receiving benefits2016-01-0125
Number of other retired or separated participants entitled to future benefits2016-01-01298
Total of all active and inactive participants2016-01-011,052
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-016
Total participants2016-01-011,058
Number of participants with account balances2016-01-01734
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0114
2015: HUMBOLDT PARK HEALTH 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01939
Total number of active participants reported on line 7a of the Form 55002015-01-01785
Number of retired or separated participants receiving benefits2015-01-0121
Number of other retired or separated participants entitled to future benefits2015-01-01296
Total of all active and inactive participants2015-01-011,102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-012
Total participants2015-01-011,104
Number of participants with account balances2015-01-01705
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0113
2014: HUMBOLDT PARK HEALTH 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,002
Total number of active participants reported on line 7a of the Form 55002014-01-01629
Number of retired or separated participants receiving benefits2014-01-0120
Number of other retired or separated participants entitled to future benefits2014-01-01289
Total of all active and inactive participants2014-01-01938
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01939
Number of participants with account balances2014-01-01680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0119
2013: HUMBOLDT PARK HEALTH 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01990
Total number of active participants reported on line 7a of the Form 55002013-01-01723
Number of retired or separated participants receiving benefits2013-01-019
Number of other retired or separated participants entitled to future benefits2013-01-01269
Total of all active and inactive participants2013-01-011,001
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-011,002
Number of participants with account balances2013-01-01664
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: HUMBOLDT PARK HEALTH 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,035
Total number of active participants reported on line 7a of the Form 55002012-01-01715
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-01272
Total of all active and inactive participants2012-01-01990
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01990
Number of participants with account balances2012-01-01671
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-019
2011: HUMBOLDT PARK HEALTH 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01879
Total number of active participants reported on line 7a of the Form 55002011-01-01761
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01271
Total of all active and inactive participants2011-01-011,032
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-013
Total participants2011-01-011,035
Number of participants with account balances2011-01-01656
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0111
2010: HUMBOLDT PARK HEALTH 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01915
Total number of active participants reported on line 7a of the Form 55002010-01-01874
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-015
Total of all active and inactive participants2010-01-01879
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01879
Number of participants with account balances2010-01-01873
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-015
2009: HUMBOLDT PARK HEALTH 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01863
Total number of active participants reported on line 7a of the Form 55002009-01-01899
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0116
Total of all active and inactive participants2009-01-01915
Total participants2009-01-01915
Number of participants with account balances2009-01-01901

Financial Data on HUMBOLDT PARK HEALTH 403(B) PLAN

Measure Date Value
2022 : HUMBOLDT PARK HEALTH 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$251,534
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,239,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,147,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,652,422
Value of total assets at end of year2022-12-31$21,953,856
Value of total assets at beginning of year2022-12-31$23,941,853
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$91,840
Total interest from all sources2022-12-31$139,267
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$302,426
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$302,426
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,706,780
Participant contributions at end of year2022-12-31$519,910
Participant contributions at beginning of year2022-12-31$571,730
Participant contributions at end of year2022-12-31$208
Assets. Other investments not covered elsewhere at end of year2022-12-31$40,414
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$46,450
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$600,029
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$632
Other income not declared elsewhere2022-12-31$34,603
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,987,997
Value of net assets at end of year (total assets less liabilities)2022-12-31$21,953,856
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$23,941,853
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$34,809
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$16,096,715
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$17,667,422
Interest on participant loans2022-12-31$19,589
Interest earned on other investments2022-12-31$119,678
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$5,296,609
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$5,656,251
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,877,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$345,613
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,147,059
Contract administrator fees2022-12-31$57,031
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31PLANTE MORAN
Accountancy firm EIN2022-12-31381357951
2021 : HUMBOLDT PARK HEALTH 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$4,545,405
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$6,163,086
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,989,777
Expenses. Certain deemed distributions of participant loans2021-12-31$42,994
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,141,930
Value of total assets at end of year2021-12-31$23,941,853
Value of total assets at beginning of year2021-12-31$25,559,534
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$130,315
Total interest from all sources2021-12-31$135,894
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$257,739
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$257,739
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,702,121
Participant contributions at end of year2021-12-31$571,730
Participant contributions at beginning of year2021-12-31$501,300
Assets. Other investments not covered elsewhere at end of year2021-12-31$46,450
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$236,147
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$41,584
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,963
Other income not declared elsewhere2021-12-31$37,312
Administrative expenses (other) incurred2021-12-31$40,131
Total non interest bearing cash at beginning of year2021-12-31$17,261
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-1,617,681
Value of net assets at end of year (total assets less liabilities)2021-12-31$23,941,853
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$25,559,534
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$48,212
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$17,667,422
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$20,294,809
Interest on participant loans2021-12-31$21,293
Interest earned on other investments2021-12-31$114,601
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$11,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$11,450
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$5,656,251
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$4,496,604
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,972,530
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$398,225
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$5,989,777
Contract administrator fees2021-12-31$41,972
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2021-12-31381357951
2020 : HUMBOLDT PARK HEALTH 403(B) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$4,635,590
Total of all expenses incurred2020-12-31$2,610,040
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,489,630
Expenses. Certain deemed distributions of participant loans2020-12-31$14,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,354,634
Value of total assets at end of year2020-12-31$25,559,534
Value of total assets at beginning of year2020-12-31$23,533,984
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$105,551
Total interest from all sources2020-12-31$129,949
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$258,708
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$258,708
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,816,620
Participant contributions at end of year2020-12-31$501,300
Participant contributions at beginning of year2020-12-31$514,228
Assets. Other investments not covered elsewhere at end of year2020-12-31$236,147
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$231,233
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$136,500
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,963
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$1,536
Other income not declared elsewhere2020-12-31$999
Administrative expenses (other) incurred2020-12-31$62,381
Total non interest bearing cash at end of year2020-12-31$17,261
Total non interest bearing cash at beginning of year2020-12-31$20,328
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,025,550
Value of net assets at end of year (total assets less liabilities)2020-12-31$25,559,534
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$23,533,984
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$43,170
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$20,294,809
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$18,112,860
Interest on participant loans2020-12-31$23,375
Interest earned on other investments2020-12-31$106,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$11,450
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,003
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,003
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$4,496,604
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$4,652,796
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,891,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$401,514
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,489,630
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2020-12-31381357951
2019 : HUMBOLDT PARK HEALTH 403(B) PLAN 2019 401k financial data
Total transfer of assets to this plan2019-12-31$25
Total income from all sources (including contributions)2019-12-31$6,277,942
Total of all expenses incurred2019-12-31$2,528,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,398,586
Expenses. Certain deemed distributions of participant loans2019-12-31$19,395
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,639,252
Value of total assets at end of year2019-12-31$23,533,984
Value of total assets at beginning of year2019-12-31$19,784,518
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$110,520
Total interest from all sources2019-12-31$125,804
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$333,038
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$333,038
Administrative expenses professional fees incurred2019-12-31$11,750
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,866,443
Participant contributions at end of year2019-12-31$514,228
Participant contributions at beginning of year2019-12-31$511,238
Assets. Other investments not covered elsewhere at end of year2019-12-31$231,233
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$227,470
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$367,880
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,536
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$826
Other income not declared elsewhere2019-12-31$3,764
Administrative expenses (other) incurred2019-12-31$57,517
Total non interest bearing cash at end of year2019-12-31$20,328
Total non interest bearing cash at beginning of year2019-12-31$12,630
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,749,441
Value of net assets at end of year (total assets less liabilities)2019-12-31$23,533,984
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$19,784,518
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$41,253
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$18,112,860
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$15,058,762
Interest on participant loans2019-12-31$25,196
Interest earned on other investments2019-12-31$100,549
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,003
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,150
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$59
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$4,652,796
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,969,442
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,176,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$404,929
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,398,586
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2019-12-31381357951
2018 : HUMBOLDT PARK HEALTH 403(B) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$1,062,095
Total of all expenses incurred2018-12-31$1,891,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,760,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,041,899
Value of total assets at end of year2018-12-31$19,784,518
Value of total assets at beginning of year2018-12-31$20,614,162
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$130,946
Total interest from all sources2018-12-31$105,860
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$264,857
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$264,857
Administrative expenses professional fees incurred2018-12-31$37,675
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,819,009
Participant contributions at end of year2018-12-31$511,238
Participant contributions at beginning of year2018-12-31$491,245
Assets. Other investments not covered elsewhere at end of year2018-12-31$227,470
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$221,815
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$826
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$383
Other income not declared elsewhere2018-12-31$2,902
Administrative expenses (other) incurred2018-12-31$54,004
Total non interest bearing cash at end of year2018-12-31$12,630
Total non interest bearing cash at beginning of year2018-12-31$6,363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-829,644
Value of net assets at end of year (total assets less liabilities)2018-12-31$19,784,518
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$20,614,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$39,267
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$15,058,762
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$15,883,813
Interest on participant loans2018-12-31$18,939
Interest earned on other investments2018-12-31$86,841
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$4,150
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$32,076
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$32,076
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$80
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,969,442
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$3,817,226
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,353,423
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,075
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$383,056
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,760,793
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2018-12-31381357951
2017 : HUMBOLDT PARK HEALTH 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$5,533,451
Total of all expenses incurred2017-12-31$1,996,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,907,734
Value of total corrective distributions2017-12-31$9,238
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,290,284
Value of total assets at end of year2017-12-31$20,614,162
Value of total assets at beginning of year2017-12-31$17,076,930
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$79,247
Total interest from all sources2017-12-31$82,202
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$269,690
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$269,690
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,686,376
Participant contributions at end of year2017-12-31$491,245
Participant contributions at beginning of year2017-12-31$526,415
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,220,852
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$383
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$658
Other income not declared elsewhere2017-12-31$93
Administrative expenses (other) incurred2017-12-31$46,101
Total non interest bearing cash at end of year2017-12-31$6,363
Total non interest bearing cash at beginning of year2017-12-31$5,086
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,537,232
Value of net assets at end of year (total assets less liabilities)2017-12-31$20,614,162
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$17,076,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$33,146
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$15,883,813
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$13,422,982
Interest on participant loans2017-12-31$17,795
Interest earned on other investments2017-12-31$64,384
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$32,076
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$14,945
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$14,945
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$23
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$3,817,226
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$2,726,258
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,891,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$383,056
Employer contributions (assets) at end of year2017-12-31$383,056
Employer contributions (assets) at beginning of year2017-12-31$380,586
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,907,734
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2017-12-31381357951
2016 : HUMBOLDT PARK HEALTH 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$3,473,266
Total of all expenses incurred2016-12-31$1,649,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,553,896
Expenses. Certain deemed distributions of participant loans2016-12-31$12,405
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,379,360
Value of total assets at end of year2016-12-31$17,076,930
Value of total assets at beginning of year2016-12-31$15,253,519
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$83,554
Total interest from all sources2016-12-31$62,724
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$247,787
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$247,787
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,692,165
Participant contributions at end of year2016-12-31$526,415
Participant contributions at beginning of year2016-12-31$552,687
Assets. Other investments not covered elsewhere at end of year2016-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$110,140
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$291,820
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$658
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other income not declared elsewhere2016-12-31$1,292
Administrative expenses (other) incurred2016-12-31$54,171
Total non interest bearing cash at end of year2016-12-31$5,086
Total non interest bearing cash at beginning of year2016-12-31$5,380
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,823,411
Value of net assets at end of year (total assets less liabilities)2016-12-31$17,076,930
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$15,253,519
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$29,383
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$13,422,982
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$12,720,661
Interest on participant loans2016-12-31$16,849
Interest earned on other investments2016-12-31$45,875
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$14,945
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$6,028
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$6,028
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$2,726,258
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,474,554
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$782,103
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$395,375
Employer contributions (assets) at end of year2016-12-31$380,586
Employer contributions (assets) at beginning of year2016-12-31$384,069
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,553,896
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2016-12-31381357951
2015 : HUMBOLDT PARK HEALTH 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$2,010,322
Total of all expenses incurred2015-12-31$2,206,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,094,082
Expenses. Certain deemed distributions of participant loans2015-12-31$3,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,200,813
Value of total assets at end of year2015-12-31$15,253,519
Value of total assets at beginning of year2015-12-31$15,450,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$109,693
Total interest from all sources2015-12-31$15,254
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$213,384
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$213,384
Administrative expenses professional fees incurred2015-12-31$12,730
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
Contributions received from participants2015-12-31$1,575,080
Participant contributions at end of year2015-12-31$552,687
Participant contributions at beginning of year2015-12-31$529,942
Assets. Other investments not covered elsewhere at end of year2015-12-31$110,140
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$112,500
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$241,664
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$358
Other income not declared elsewhere2015-12-31$-2,360
Administrative expenses (other) incurred2015-12-31$53,682
Total non interest bearing cash at end of year2015-12-31$5,380
Total non interest bearing cash at beginning of year2015-12-31$13,443
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-196,597
Value of net assets at end of year (total assets less liabilities)2015-12-31$15,253,519
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$15,450,116
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
Investment advisory and management fees2015-12-31$43,281
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$12,720,661
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$13,122,686
Interest on participant loans2015-12-31$15,254
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$6,028
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$5
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$5
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,474,554
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,347,247
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-416,769
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 contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$384,069
Employer contributions (assets) at end of year2015-12-31$384,069
Employer contributions (assets) at beginning of year2015-12-31$323,935
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,094,082
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
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 name2015-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2015-12-31381357951
2014 : HUMBOLDT PARK HEALTH 403(B) PLAN 2014 401k financial data
Total transfer of assets to this plan2014-12-31$40,000
Total income from all sources (including contributions)2014-12-31$2,587,732
Total of all expenses incurred2014-12-31$2,130,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,986,709
Expenses. Certain deemed distributions of participant loans2014-12-31$28,134
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,843,533
Value of total assets at end of year2014-12-31$15,450,116
Value of total assets at beginning of year2014-12-31$14,953,318
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$116,091
Total interest from all sources2014-12-31$36,329
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$221,335
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$221,335
Administrative expenses professional fees incurred2014-12-31$15,450
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$1,377,162
Participant contributions at end of year2014-12-31$529,942
Participant contributions at beginning of year2014-12-31$489,549
Assets. Other investments not covered elsewhere at end of year2014-12-31$112,500
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$108,342
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$142,196
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$358
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$615
Other income not declared elsewhere2014-12-31$4,158
Administrative expenses (other) incurred2014-12-31$79,339
Total non interest bearing cash at end of year2014-12-31$13,443
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$456,798
Value of net assets at end of year (total assets less liabilities)2014-12-31$15,450,116
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$14,953,318
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
Investment advisory and management fees2014-12-31$21,302
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$13,122,686
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$12,805,287
Interest on participant loans2014-12-31$15,275
Interest earned on other investments2014-12-31$21,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$5
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$2,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$2,266
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,347,247
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,226,996
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$482,377
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 contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$324,175
Employer contributions (assets) at end of year2014-12-31$323,935
Employer contributions (assets) at beginning of year2014-12-31$320,263
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,986,709
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
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 name2014-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2014-12-31381357951
2013 : HUMBOLDT PARK HEALTH 403(B) PLAN 2013 401k financial data
Total transfer of assets to this plan2013-12-31$1,812
Total income from all sources (including contributions)2013-12-31$3,846,566
Total of all expenses incurred2013-12-31$2,208,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,095,005
Expenses. Certain deemed distributions of participant loans2013-12-31$11,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,833,358
Value of total assets at end of year2013-12-31$14,953,318
Value of total assets at beginning of year2013-12-31$13,313,374
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$101,502
Total interest from all sources2013-12-31$25,660
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$157,502
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$157,502
Administrative expenses professional fees incurred2013-12-31$18,616
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$1,416,218
Participant contributions at end of year2013-12-31$489,549
Participant contributions at beginning of year2013-12-31$473,013
Assets. Other investments not covered elsewhere at end of year2013-12-31$108,342
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$54,976
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$96,877
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$475
Other income not declared elsewhere2013-12-31$8,365
Administrative expenses (other) incurred2013-12-31$56,964
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$6,141
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$1,638,132
Value of net assets at end of year (total assets less liabilities)2013-12-31$14,953,318
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$13,313,374
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
Investment advisory and management fees2013-12-31$25,922
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$12,805,287
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$12,480,144
Interest on participant loans2013-12-31$14,490
Interest earned on other investments2013-12-31$11,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$2,266
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$6,616
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$6,616
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,226,996
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,821,681
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 contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$320,263
Employer contributions (assets) at end of year2013-12-31$320,263
Employer contributions (assets) at beginning of year2013-12-31$292,009
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,095,005
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
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 name2013-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2013-12-31381357951
2012 : HUMBOLDT PARK HEALTH 403(B) PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$2,904,605
Total of all expenses incurred2012-12-31$1,415,915
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,374,463
Expenses. Certain deemed distributions of participant loans2012-12-31$7,154
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,794,367
Value of total assets at end of year2012-12-31$13,313,374
Value of total assets at beginning of year2012-12-31$11,824,684
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$34,298
Total interest from all sources2012-12-31$16,902
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$219,347
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$219,347
Administrative expenses professional fees incurred2012-12-31$6,000
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$1,337,566
Participant contributions at end of year2012-12-31$473,013
Participant contributions at beginning of year2012-12-31$526,402
Assets. Other investments not covered elsewhere at end of year2012-12-31$54,976
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$50,362
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$164,792
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$475
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$400
Other income not declared elsewhere2012-12-31$4,614
Administrative expenses (other) incurred2012-12-31$5,106
Total non interest bearing cash at end of year2012-12-31$6,141
Total non interest bearing cash at beginning of year2012-12-31$3,852
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$1,488,690
Value of net assets at end of year (total assets less liabilities)2012-12-31$13,313,374
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$11,824,684
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
Investment advisory and management fees2012-12-31$23,192
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$12,480,144
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$10,951,672
Interest on participant loans2012-12-31$16,901
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$6,616
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$12,501
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$12,501
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$1
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$869,375
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 contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$292,009
Employer contributions (assets) at end of year2012-12-31$292,009
Employer contributions (assets) at beginning of year2012-12-31$279,495
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,374,463
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
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 name2012-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2012-12-31381357951
2011 : HUMBOLDT PARK HEALTH 403(B) PLAN 2011 401k financial data
Total transfer of assets to this plan2011-12-31$229
Total income from all sources (including contributions)2011-12-31$1,215,588
Total of all expenses incurred2011-12-31$1,703,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,686,677
Expenses. Certain deemed distributions of participant loans2011-12-31$22
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,478,823
Value of total assets at end of year2011-12-31$11,824,684
Value of total assets at beginning of year2011-12-31$12,312,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$16,785
Total interest from all sources2011-12-31$14,480
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$134,589
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$134,589
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 period2011-12-31Yes
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
Contributions received from participants2011-12-31$1,179,102
Participant contributions at end of year2011-12-31$526,402
Participant contributions at beginning of year2011-12-31$398,630
Assets. Other investments not covered elsewhere at end of year2011-12-31$50,362
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$20,226
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$400
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Other income not declared elsewhere2011-12-31$362
Administrative expenses (other) incurred2011-12-31$11,406
Total non interest bearing cash at end of year2011-12-31$3,852
Total non interest bearing cash at beginning of year2011-12-31$427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-487,896
Value of net assets at end of year (total assets less liabilities)2011-12-31$11,824,684
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$12,312,351
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
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$5,379
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$10,951,672
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$10,958,282
Interest on participant loans2011-12-31$14,480
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$12,501
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$669,520
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$669,520
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-412,666
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 contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$279,495
Employer contributions (assets) at end of year2011-12-31$279,495
Employer contributions (assets) at beginning of year2011-12-31$285,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,686,677
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31Yes
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
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 name2011-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2011-12-31381357951
2010 : HUMBOLDT PARK HEALTH 403(B) PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$0
Total unrealized appreciation/depreciation of assets2010-12-31$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$2,768,833
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,031,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$920,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,477,775
Value of total assets at end of year2010-12-31$12,312,351
Value of total assets at beginning of year2010-12-31$10,575,086
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$111,049
Total interest from all sources2010-12-31$12,823
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$219,778
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$219,778
Administrative expenses professional fees incurred2010-12-31$111,049
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
Contributions received from participants2010-12-31$1,172,283
Participant contributions at end of year2010-12-31$398,630
Participant contributions at beginning of year2010-12-31$363,577
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$5,269
Assets. Other investments not covered elsewhere at end of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$20,000
Other income not declared elsewhere2010-12-31$0
Total non interest bearing cash at end of year2010-12-31$427
Total non interest bearing cash 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$1,737,265
Value of net assets at end of year (total assets less liabilities)2010-12-31$12,312,351
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$10,575,086
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
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$10,958,282
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$9,342,892
Interest on participant loans2010-12-31$12,823
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$669,520
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$586,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$586,474
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,058,457
Net investment gain/loss from pooled separate accounts2010-12-31$1,058,457
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 contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$285,492
Employer contributions (assets) at end of year2010-12-31$285,492
Employer contributions (assets) at beginning of year2010-12-31$276,874
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$920,519
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
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 name2010-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2010-12-31381357951
2009 : HUMBOLDT PARK HEALTH 403(B) 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 HUMBOLDT PARK HEALTH 403(B) PLAN

2022: HUMBOLDT PARK HEALTH 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HUMBOLDT PARK HEALTH 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HUMBOLDT PARK HEALTH 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HUMBOLDT PARK HEALTH 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HUMBOLDT PARK HEALTH 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HUMBOLDT PARK HEALTH 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HUMBOLDT PARK HEALTH 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: HUMBOLDT PARK HEALTH 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: HUMBOLDT PARK HEALTH 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: HUMBOLDT PARK HEALTH 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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: HUMBOLDT PARK HEALTH 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HUMBOLDT PARK HEALTH 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: HUMBOLDT PARK HEALTH 403(B) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
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 – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: HUMBOLDT PARK HEALTH 403(B) 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered953
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered940
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered783
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered787
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered772
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered740
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered705
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered680
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA080056
Policy instance 1
Insurance contract or identification numberGA080056
Number of Individuals Covered664
Insurance policy start date2013-04-24
Insurance policy end date2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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