401k Plan data: BOTSFORD HOSPITAL RETIREMENT PLAN plan

BOTSFORD HOSPITAL RETIREMENT PLAN 401k Plan overview

Plan Name	BOTSFORD HOSPITAL RETIREMENT PLAN
Plan identification number	001

BOTSFORD HOSPITAL RETIREMENT PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN has sponsored the creation of one or more 401k plans.

Company Name: BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN

Employer identification number (EIN): 381426919

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN

Jurisdiction of Incorporation: Michigan Secretary of State

Incorporation Date: 0000-00-00

Company Identification Number: 796358

Legal Registered Office Address: 2000 TOWN CENTER STE 1200 SOUTHFIELD

United States of America (USA)
48075

More information about BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOTSFORD HOSPITAL RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 CHRISTOPHER HARRISON AARON GILLINGHAM 2018-10-12
001 2017-01-01 CHRISTOPHER HARRISON AARON GILLINGHAM 2018-10-12
001 2016-01-01 JOHN G. KERNDL J PAUL CONWAY 2017-10-16
001 2015-01-01 JOHN T. FOX J PAUL CONWAY 2016-10-17
001 2014-01-01 BARBARA PALMER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01	CHRISTOPHER HARRISON	AARON GILLINGHAM	2018-10-12
001	2017-01-01	CHRISTOPHER HARRISON	AARON GILLINGHAM	2018-10-12
001	2016-01-01	JOHN G. KERNDL	J PAUL CONWAY	2017-10-16
001	2015-01-01	JOHN T. FOX	J PAUL CONWAY	2016-10-17
001	2014-01-01	BARBARA PALMER

Plan Statistics for BOTSFORD HOSPITAL RETIREMENT PLAN

401k plan membership statisitcs for BOTSFORD HOSPITAL RETIREMENT PLAN

Measure Date Value
2018: BOTSFORD HOSPITAL RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,257
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: BOTSFORD HOSPITAL RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,288
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 77
Number of retired or separated participants receiving benefits 2017-01-01 912
Number of other retired or separated participants entitled to future benefits 2017-01-01 241
Total of all active and inactive participants 2017-01-01 1,230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 27
Total participants 2017-01-01 1,257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: BOTSFORD HOSPITAL RETIREMENT PLAN 2016 401k membership
Market value of plan assets 2016-12-31 122,631,115
Acturial value of plan assets 2016-12-31 128,734,752
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 59,629,464
Number of terminated vested participants 2016-12-31 727
Fundng target for terminated vested participants 2016-12-31 29,242,086
Active participant vested funding target 2016-12-31 27,537,003
Number of active participants 2016-12-31 720
Total funding liabilities for active participants 2016-12-31 28,017,371
Total participant count 2016-12-31 2,324
Total funding target for all participants 2016-12-31 116,888,921
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 12,587,431
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 720,000
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 11,867,431
Present value of excess contributions 2016-12-31 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 11,798,600
Total employer contributions 2016-12-31 0
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 1,210,000
Net shortfall amortization installment of oustanding balance 2016-12-31 0
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 1,162,769
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 1,162,769
Additional cash requirement 2016-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 2,316
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 658
Number of retired or separated participants receiving benefits 2016-01-01 894
Number of other retired or separated participants entitled to future benefits 2016-01-01 715
Total of all active and inactive participants 2016-01-01 2,267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 21
Total participants 2016-01-01 2,288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BOTSFORD HOSPITAL RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,378
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 720
Number of retired or separated participants receiving benefits 2015-01-01 854
Number of other retired or separated participants entitled to future benefits 2015-01-01 722
Total of all active and inactive participants 2015-01-01 2,296
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 20
Total participants 2015-01-01 2,316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BOTSFORD HOSPITAL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,651
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 785
Number of retired or separated participants receiving benefits 2014-01-01 852
Number of other retired or separated participants entitled to future benefits 2014-01-01 717
Total of all active and inactive participants 2014-01-01 2,354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 24
Total participants 2014-01-01 2,378
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2018: BOTSFORD HOSPITAL RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,257
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: BOTSFORD HOSPITAL RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,288
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	77
Number of retired or separated participants receiving benefits	2017-01-01	912
Number of other retired or separated participants entitled to future benefits	2017-01-01	241
Total of all active and inactive participants	2017-01-01	1,230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	27
Total participants	2017-01-01	1,257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: BOTSFORD HOSPITAL RETIREMENT PLAN 2016 401k membership
Market value of plan assets	2016-12-31	122,631,115
Acturial value of plan assets	2016-12-31	128,734,752
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	59,629,464
Number of terminated vested participants	2016-12-31	727
Fundng target for terminated vested participants	2016-12-31	29,242,086
Active participant vested funding target	2016-12-31	27,537,003
Number of active participants	2016-12-31	720
Total funding liabilities for active participants	2016-12-31	28,017,371
Total participant count	2016-12-31	2,324
Total funding target for all participants	2016-12-31	116,888,921
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	12,587,431
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	720,000
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	11,867,431
Present value of excess contributions	2016-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	11,798,600
Total employer contributions	2016-12-31	0
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	1,210,000
Net shortfall amortization installment of oustanding balance	2016-12-31	0
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	1,162,769
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	1,162,769
Additional cash requirement	2016-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	2,316
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	658
Number of retired or separated participants receiving benefits	2016-01-01	894
Number of other retired or separated participants entitled to future benefits	2016-01-01	715
Total of all active and inactive participants	2016-01-01	2,267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	21
Total participants	2016-01-01	2,288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BOTSFORD HOSPITAL RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,378
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	720
Number of retired or separated participants receiving benefits	2015-01-01	854
Number of other retired or separated participants entitled to future benefits	2015-01-01	722
Total of all active and inactive participants	2015-01-01	2,296
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	20
Total participants	2015-01-01	2,316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BOTSFORD HOSPITAL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,651
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	785
Number of retired or separated participants receiving benefits	2014-01-01	852
Number of other retired or separated participants entitled to future benefits	2014-01-01	717
Total of all active and inactive participants	2014-01-01	2,354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	24
Total participants	2014-01-01	2,378
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on BOTSFORD HOSPITAL RETIREMENT PLAN

Measure	Date	Value
2018 : BOTSFORD HOSPITAL RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-07-19	$-833,253
Total unrealized appreciation/depreciation of assets	2018-07-19	$-833,253
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-07-19	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-07-19	$13,577,303
Total income from all sources (including contributions)	2018-07-19	$17,479,336
Total loss/gain on sale of assets	2018-07-19	$0
Total of all expenses incurred	2018-07-19	$103,250,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-07-19	$102,548,399
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-07-19	$18,150,000
Value of total assets at end of year	2018-07-19	$0
Value of total assets at beginning of year	2018-07-19	$99,348,829
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-07-19	$702,463
Total interest from all sources	2018-07-19	$195,334
Total dividends received (eg from common stock, registered investment company shares)	2018-07-19	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-07-19	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-07-19	$0
Administrative expenses professional fees incurred	2018-07-19	$565,896
Was this plan covered by a fidelity bond	2018-07-19	Yes
Value of fidelity bond cover	2018-07-19	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-07-19	$0
Were there any nonexempt tranactions with any party-in-interest	2018-07-19	No
Assets. Other investments not covered elsewhere at end of year	2018-07-19	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-07-19	$2,504,287
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-07-19	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-07-19	$13,174,020
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-07-19	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-07-19	$12,558,473
Other income not declared elsewhere	2018-07-19	$-32,745
Administrative expenses (other) incurred	2018-07-19	$31,007
Liabilities. Value of operating payables at end of year	2018-07-19	$0
Liabilities. Value of operating payables at beginning of year	2018-07-19	$1,018,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-07-19	No
Value of net income/loss	2018-07-19	$-85,771,526
Value of net assets at end of year (total assets less liabilities)	2018-07-19	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-07-19	$85,771,526
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-07-19	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-07-19	No
Were any leases to which the plan was party in default or uncollectible	2018-07-19	No
Assets. partnership/joint venture interests at end of year	2018-07-19	$0
Assets. partnership/joint venture interests at beginning of year	2018-07-19	$156,262
Investment advisory and management fees	2018-07-19	$105,560
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-07-19	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-07-19	$8,212,546
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-07-19	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-07-19	$12,630,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-07-19	$12,630,074
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-07-19	$195,334
Expenses. Payments to insurance carriers foe the provision of benefits	2018-07-19	$99,915,306
Asset value of US Government securities at end of year	2018-07-19	$0
Asset value of US Government securities at beginning of year	2018-07-19	$15,439,208
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-07-19	Yes
Was there a failure to transmit to the plan any participant contributions	2018-07-19	No
Has the plan failed to provide any benefit when due under the plan	2018-07-19	No
Contributions received in cash from employer	2018-07-19	$18,150,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-07-19	$2,633,093
Asset. Corporate debt instrument preferred debt at end of year	2018-07-19	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2018-07-19	$11,678,643
Asset. Corporate debt instrument debt (other) at end of year	2018-07-19	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-07-19	$35,553,789
Did the plan have assets held for investment	2018-07-19	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-07-19	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-07-19	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-07-19	Yes
Opinion of an independent qualified public accountant for this plan	2018-07-19	Disclaimer
Accountancy firm name	2018-07-19	GEORGE JOHNSON & COMPANY
Accountancy firm EIN	2018-07-19	382029668
2017 : BOTSFORD HOSPITAL RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$1,015,328
Total unrealized appreciation/depreciation of assets	2017-12-31	$1,015,328
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$13,577,303
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$30,446,913
Total income from all sources (including contributions)	2017-12-31	$29,555,024
Total loss/gain on sale of assets	2017-12-31	$1,637,773
Total of all expenses incurred	2017-12-31	$69,923,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$68,405,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$20,000,000
Value of total assets at end of year	2017-12-31	$99,348,829
Value of total assets at beginning of year	2017-12-31	$156,587,333
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,518,596
Total interest from all sources	2017-12-31	$2,149,718
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$580,086
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$579,989
Administrative expenses professional fees incurred	2017-12-31	$1,006,848
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$2,504,287
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$221,877
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$13,174,020
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$20,985,315
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$12,558,473
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$11,947,598
Other income not declared elsewhere	2017-12-31	$-321,201
Administrative expenses (other) incurred	2017-12-31	$174,147
Liabilities. Value of operating payables at end of year	2017-12-31	$1,018,830
Liabilities. Value of operating payables at beginning of year	2017-12-31	$18,499,315
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-40,368,894
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$85,771,526
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$126,140,420
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$337,601
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$8,212,546
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$87,850,319
Income. Interest from US Government securities	2017-12-31	$422,881
Income. Interest from corporate debt instruments	2017-12-31	$1,442,640
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$12,630,074
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$3,240,537
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$3,240,537
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$284,197
Asset value of US Government securities at end of year	2017-12-31	$15,439,208
Asset value of US Government securities at beginning of year	2017-12-31	$30,290,109
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$4,493,320
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$20,000,000
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$120,007
Income. Dividends from common stock	2017-12-31	$97
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$68,405,322
Asset. Corporate debt instrument preferred debt at end of year	2017-12-31	$11,678,643
Asset. Corporate debt instrument preferred debt at beginning of year	2017-12-31	$2,671,766
Asset. Corporate debt instrument debt (other) at end of year	2017-12-31	$35,553,789
Asset. Corporate debt instrument debt (other) at beginning of year	2017-12-31	$11,207,403
Assets. Corporate common stocks other than exployer securities at end of year	2017-12-31	$156,262
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-12-31	$0
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Aggregate proceeds on sale of assets	2017-12-31	$426,986,080
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$425,348,307
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	GEORGE JOHNSON & COMPANY
Accountancy firm EIN	2017-12-31	382029668
2016 : BOTSFORD HOSPITAL RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$-1,784,500
Total unrealized appreciation/depreciation of assets	2016-12-31	$-1,784,500
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$30,446,913
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$3,772,984
Total income from all sources (including contributions)	2016-12-31	$11,592,332
Total loss/gain on sale of assets	2016-12-31	$2,796,208
Total of all expenses incurred	2016-12-31	$8,083,027
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$6,626,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$156,587,333
Value of total assets at beginning of year	2016-12-31	$126,404,099
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$1,456,665
Total interest from all sources	2016-12-31	$1,483,541
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$5,597,113
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$5,597,106
Administrative expenses professional fees incurred	2016-12-31	$443,852
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$50,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$221,877
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$80,996
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$20,985,315
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$3,599,691
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$11,947,598
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$3,772,984
Other income not declared elsewhere	2016-12-31	$114,210
Administrative expenses (other) incurred	2016-12-31	$729,128
Liabilities. Value of operating payables at end of year	2016-12-31	$18,499,315
Liabilities. Value of operating payables at beginning of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$3,509,305
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$126,140,420
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$122,631,115
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$283,685
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$87,850,319
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$79,868,727
Interest earned on other investments	2016-12-31	$318,703
Income. Interest from US Government securities	2016-12-31	$615,473
Income. Interest from corporate debt instruments	2016-12-31	$538,621
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$3,240,537
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$9,846,049
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$9,846,049
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$10,744
Asset value of US Government securities at end of year	2016-12-31	$30,290,109
Asset value of US Government securities at beginning of year	2016-12-31	$29,743,705
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$3,385,760
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Employer contributions (assets) at end of year	2016-12-31	$120,007
Employer contributions (assets) at beginning of year	2016-12-31	$0
Income. Dividends from common stock	2016-12-31	$7
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$6,626,362
Asset. Corporate debt instrument preferred debt at end of year	2016-12-31	$2,671,766
Asset. Corporate debt instrument preferred debt at beginning of year	2016-12-31	$1,665,481
Asset. Corporate debt instrument debt (other) at end of year	2016-12-31	$11,207,403
Asset. Corporate debt instrument debt (other) at beginning of year	2016-12-31	$1,544,097
Assets. Corporate common stocks other than exployer securities at end of year	2016-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-12-31	$55,353
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Aggregate proceeds on sale of assets	2016-12-31	$739,289,816
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$736,493,608
Liabilities. Value of acquisition indebtedness at end of year	2016-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	PLANTE & MORAN LLP
Accountancy firm EIN	2016-12-31	381357951
2015 : BOTSFORD HOSPITAL RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-4,293,969
Total unrealized appreciation/depreciation of assets	2015-12-31	$-4,293,969
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$3,772,984
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$36,508
Total income from all sources (including contributions)	2015-12-31	$-275,398
Total loss/gain on sale of assets	2015-12-31	$-1,599,100
Total of all expenses incurred	2015-12-31	$8,885,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$7,088,241
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$126,404,099
Value of total assets at beginning of year	2015-12-31	$131,828,477
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,797,215
Total interest from all sources	2015-12-31	$624,846
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$6,364,001
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$5,374,326
Assets. Real estate other than employer real property at end of year	2015-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2015-12-31	$5,350,000
Administrative expenses professional fees incurred	2015-12-31	$814,437
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$15,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	Yes
Amount of non-exempt transactions with any party-in-interest	2015-12-31	$316,147
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$80,996
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$3,599,691
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$360,954
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$3,772,984
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$6,606
Other income not declared elsewhere	2015-12-31	$5,600,854
Administrative expenses (other) incurred	2015-12-31	$484,407
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-9,160,854
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$122,631,115
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$131,791,969
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$498,371
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$79,868,727
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$18,811,207
Interest earned on other investments	2015-12-31	$24,180
Income. Interest from US Government securities	2015-12-31	$166,732
Income. Interest from corporate debt instruments	2015-12-31	$292,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$9,846,049
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$4,975,819
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$4,975,819
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$141,260
Asset value of US Government securities at end of year	2015-12-31	$29,743,705
Asset value of US Government securities at beginning of year	2015-12-31	$7,885,579
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-6,972,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$21,000,000
Income. Dividends from common stock	2015-12-31	$989,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$7,088,241
Asset. Corporate debt instrument preferred debt at end of year	2015-12-31	$1,665,481
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$1,544,097
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$15,553,773
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$55,353
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$57,891,145
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Aggregate proceeds on sale of assets	2015-12-31	$355,826,789
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$357,425,889
Liabilities. Value of acquisition indebtedness at end of year	2015-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-12-31	$29,902
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	PLANTE & MORAN LLP
Accountancy firm EIN	2015-12-31	381357951
2014 : BOTSFORD HOSPITAL RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$2,691,975
Total unrealized appreciation/depreciation of assets	2014-12-31	$2,691,975
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$36,508
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$271,775
Total income from all sources (including contributions)	2014-12-31	$28,495,197
Total loss/gain on sale of assets	2014-12-31	$1,570,905
Total of all expenses incurred	2014-12-31	$11,858,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$10,293,113
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$21,000,000
Value of total assets at end of year	2014-12-31	$131,828,477
Value of total assets at beginning of year	2014-12-31	$115,427,210
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,565,550
Total income from rents	2014-12-31	$1,146,976
Total interest from all sources	2014-12-31	$659,317
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,383,275
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Assets. Real estate other than employer real property at end of year	2014-12-31	$5,350,000
Assets. Real estate other than employer real property at beginning of year	2014-12-31	$6,675,000
Administrative expenses professional fees incurred	2014-12-31	$302,244
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$15,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	Yes
Amount of non-exempt transactions with any party-in-interest	2014-12-31	$108,750
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$360,954
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$321,813
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$6,606
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$36,347
Other income not declared elsewhere	2014-12-31	$42,749
Administrative expenses (other) incurred	2014-12-31	$582,848
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$16,636,534
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$131,791,969
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$115,155,435
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$680,458
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$18,811,207
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$0
Interest earned on other investments	2014-12-31	$4,552
Income. Interest from US Government securities	2014-12-31	$213,485
Income. Interest from corporate debt instruments	2014-12-31	$440,718
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$4,975,819
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$4,504,196
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$4,504,196
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$562
Asset value of US Government securities at end of year	2014-12-31	$7,885,579
Asset value of US Government securities at beginning of year	2014-12-31	$9,523,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$21,000,000
Employer contributions (assets) at end of year	2014-12-31	$21,000,000
Employer contributions (assets) at beginning of year	2014-12-31	$2,000,000
Income. Dividends from common stock	2014-12-31	$1,383,275
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$10,293,113
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$15,553,773
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$15,860,213
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$57,891,145
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$76,542,806
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$51,710,464
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$50,139,559
Liabilities. Value of acquisition indebtedness at end of year	2014-12-31	$29,902
Liabilities. Value of acquisition indebtedness at beginning of year	2014-12-31	$235,428
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	PLANTE & MORAN LLP
Accountancy firm EIN	2014-12-31	381357951

Form 5500 Responses for BOTSFORD HOSPITAL RETIREMENT PLAN

2018: BOTSFORD HOSPITAL RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BOTSFORD HOSPITAL RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BOTSFORD HOSPITAL RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BOTSFORD HOSPITAL RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BOTSFORD HOSPITAL RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN
Employer identification number (EIN):	381426919
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	0000-00-00
Company Identification Number:	796358
Legal Registered Office Address:	2000 TOWN CENTER STE 1200 SOUTHFIELD United States of America (USA) 48075