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MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN 401k Plan overview

Plan NameMCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN
Plan identification number 501

MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

MCKENZIE MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:MCKENZIE MEMORIAL HOSPITAL
Employer identification number (EIN):381738615
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about MCKENZIE MEMORIAL HOSPITAL

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number: 765103

More information about MCKENZIE MEMORIAL HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012011-10-01AMY RUEDISUELI AMY RUEDISUELI2013-07-03
5012009-10-01AMY RUEDISUELI
5012009-10-01AMY RUEDISUELI

Plan Statistics for MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN

401k plan membership statisitcs for MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN

Measure Date Value
2011: MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01106
Total number of active participants reported on line 7a of the Form 55002011-10-010
Total of all active and inactive participants2011-10-010
2009: MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01117
Total number of active participants reported on line 7a of the Form 55002009-10-01108
Number of retired or separated participants receiving benefits2009-10-017
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01115

Financial Data on MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN

Measure Date Value
2012 : MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$211,939
Total income from all sources (including contributions)2012-09-30$112,182
Total of all expenses incurred2012-09-30$160,271
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$126,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$112,182
Value of total assets at end of year2012-09-30$458
Value of total assets at beginning of year2012-09-30$260,486
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$33,594
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30Yes
Was this plan covered by a fidelity bond2012-09-30No
If this is an individual account plan, was there a blackout period2012-09-30No
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-09-30$126,677
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-09-30$47,832
Administrative expenses (other) incurred2012-09-30$12
Total non interest bearing cash at end of year2012-09-30$458
Total non interest bearing cash at beginning of year2012-09-30$715
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$-48,089
Value of net assets at end of year (total assets less liabilities)2012-09-30$458
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$48,547
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$112,182
Employer contributions (assets) at beginning of year2012-09-30$211,939
Contract administrator fees2012-09-30$33,582
Liabilities. Value of benefit claims payable at beginning of year2012-09-30$211,939
Did the plan have assets held for investment2012-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30BRINING & NARTKER, PC
Accountancy firm EIN2012-09-30382477354
2011 : MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$211,939
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$189,054
Total income from all sources (including contributions)2011-09-30$1,452,261
Total of all expenses incurred2011-09-30$1,426,925
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$1,163,788
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$1,452,261
Value of total assets at end of year2011-09-30$260,486
Value of total assets at beginning of year2011-09-30$212,265
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$263,137
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30No
If this is an individual account plan, was there a blackout period2011-09-30No
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$198,659
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$91,140
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-09-30$1,163,788
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-09-30$47,832
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-09-30$20,890
Total non interest bearing cash at end of year2011-09-30$715
Total non interest bearing cash at beginning of year2011-09-30$2,321
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$25,336
Value of net assets at end of year (total assets less liabilities)2011-09-30$48,547
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$23,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$1,162,462
Employer contributions (assets) at end of year2011-09-30$211,939
Employer contributions (assets) at beginning of year2011-09-30$189,054
Contract administrator fees2011-09-30$263,137
Liabilities. Value of benefit claims payable at end of year2011-09-30$211,939
Liabilities. Value of benefit claims payable at beginning of year2011-09-30$189,054
Did the plan have assets held for investment2011-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30BRINING & NARTKER, PC
Accountancy firm EIN2011-09-30382477354

Form 5500 Responses for MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN

2011: MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan funding arrangement – General assets of the sponsorYes
2011-10-01Plan benefit arrangement – General assets of the sponsorYes
2009: MCKENZIE MEMORIAL HOSPITAL HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01First time form 5500 has been submittedYes
2009-10-01Submission has been amendedYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan funding arrangement – General assets of the sponsorYes
2009-10-01Plan benefit arrangement – General assets of the sponsorYes

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