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HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN 401k Plan overview

Plan NameHILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN
Plan identification number 501

HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

HILLS & DALES GENERAL HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:HILLS & DALES GENERAL HOSPITAL, INC.
Employer identification number (EIN):381619577
NAIC Classification:621493
NAIC Description:Freestanding Ambulatory Surgical and Emergency Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012009-09-01KENNETH BARANSKI
5012009-09-01KENNETH BARANSKI
5012009-09-01KENNETH BARANSKI
5012009-09-01KENNETH BARANSKI
5012009-09-01KENNETH BARANSKI
5012008-09-01KENNETH BARANSKI

Plan Statistics for HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN

401k plan membership statisitcs for HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN

Measure Date Value
2009: HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01325
Total number of active participants reported on line 7a of the Form 55002009-09-01215
Number of retired or separated participants receiving benefits2009-09-013
Total of all active and inactive participants2009-09-01218
Total participants2009-09-01218
Number of other retired or separated participants entitled to future benefits2009-09-010
2008: HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year2008-09-01370
Total number of active participants reported on line 7a of the Form 55002008-09-01322
Number of retired or separated participants receiving benefits2008-09-013
Total of all active and inactive participants2008-09-01325
Total participants2008-09-01325

Financial Data on HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN

Measure Date Value
2010 : HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-08-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-08-31$0
Total income from all sources (including contributions)2010-08-31$0
Total loss/gain on sale of assets2010-08-31$0
Total of all expenses incurred2010-08-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-08-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-08-31$0
Value of total assets at end of year2010-08-31$0
Value of total assets at beginning of year2010-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-08-31$0
Total interest from all sources2010-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2010-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-08-31No
Was this plan covered by a fidelity bond2010-08-31No
If this is an individual account plan, was there a blackout period2010-08-31No
Were there any nonexempt tranactions with any party-in-interest2010-08-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-08-31No
Value of net income/loss2010-08-31$0
Value of net assets at end of year (total assets less liabilities)2010-08-31$0
Value of net assets at beginning of year (total assets less liabilities)2010-08-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-08-31No
Were any leases to which the plan was party in default or uncollectible2010-08-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-08-31No
Has the plan failed to provide any benefit when due under the plan2010-08-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-08-31No
Did the plan have assets held for investment2010-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-08-31Yes

Form 5500 Responses for HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN

2009: HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedYes
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2008: HILLS & DALES GENERAL HOSPITAL, INC. INSURED WELFARE PLAN 2008 form 5500 responses
2008-09-01Type of plan entitySingle employer plan
2008-09-01Submission has been amendedNo
2008-09-01This submission is the final filingNo
2008-09-01This return/report is a short plan year return/report (less than 12 months)No
2008-09-01Plan is a collectively bargained planNo
2008-09-01Plan funding arrangement – InsuranceYes
2008-09-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes

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