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ST. CAMILLUS RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameST. CAMILLUS RETIREMENT SAVINGS PLAN
Plan identification number 001

ST. CAMILLUS RETIREMENT SAVINGS 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ST. CAMILLUS HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name:ST. CAMILLUS HEALTH SYSTEM, INC.
Employer identification number (EIN):390806167
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. CAMILLUS RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-10-01
0012020-10-01
0012019-10-01
0012018-10-01
0012017-10-01
0012016-10-01PAM LOVELESS
0012015-10-01PAM LOVELESS
0012014-10-01PAM LOVELESS
0012013-10-01PAM LOVELESS
0012012-10-01PAM LOVELESS
0012011-10-01PAM LOVELESS
0012009-10-01PAM LOVELESS
0012003-10-01PAM LOVELESS
0012001-10-01PAM LOVELESS

Plan Statistics for ST. CAMILLUS RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for ST. CAMILLUS RETIREMENT SAVINGS PLAN

Measure Date Value
2021: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01483
Total number of active participants reported on line 7a of the Form 55002021-10-01398
Number of retired or separated participants receiving benefits2021-10-0116
Number of other retired or separated participants entitled to future benefits2021-10-0178
Total of all active and inactive participants2021-10-01492
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-010
Total participants2021-10-01492
Number of participants with account balances2021-10-01363
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-0117
2020: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01657
Total number of active participants reported on line 7a of the Form 55002020-10-01385
Number of retired or separated participants receiving benefits2020-10-018
Number of other retired or separated participants entitled to future benefits2020-10-0190
Total of all active and inactive participants2020-10-01483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-01483
Number of participants with account balances2020-10-01355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-0124
2019: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01637
Total number of active participants reported on line 7a of the Form 55002019-10-01516
Number of retired or separated participants receiving benefits2019-10-0115
Number of other retired or separated participants entitled to future benefits2019-10-01126
Total of all active and inactive participants2019-10-01657
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-01657
Number of participants with account balances2019-10-01409
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-0124
2018: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01607
Total number of active participants reported on line 7a of the Form 55002018-10-01514
Number of retired or separated participants receiving benefits2018-10-019
Number of other retired or separated participants entitled to future benefits2018-10-0190
Total of all active and inactive participants2018-10-01613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01613
Number of participants with account balances2018-10-01387
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-0121
2017: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01618
Total number of active participants reported on line 7a of the Form 55002017-10-01517
Number of retired or separated participants receiving benefits2017-10-0112
Number of other retired or separated participants entitled to future benefits2017-10-0175
Total of all active and inactive participants2017-10-01604
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01604
Number of participants with account balances2017-10-01345
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-0125
2016: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01625
Total number of active participants reported on line 7a of the Form 55002016-10-01521
Number of retired or separated participants receiving benefits2016-10-013
Number of other retired or separated participants entitled to future benefits2016-10-0193
Total of all active and inactive participants2016-10-01617
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-011
Total participants2016-10-01618
Number of participants with account balances2016-10-01363
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-0114
2015: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01597
Total number of active participants reported on line 7a of the Form 55002015-10-01544
Number of retired or separated participants receiving benefits2015-10-012
Number of other retired or separated participants entitled to future benefits2015-10-0179
Total of all active and inactive participants2015-10-01625
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01625
Number of participants with account balances2015-10-01292
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-0110
2014: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01584
Total number of active participants reported on line 7a of the Form 55002014-10-01527
Number of retired or separated participants receiving benefits2014-10-013
Number of other retired or separated participants entitled to future benefits2014-10-0166
Total of all active and inactive participants2014-10-01596
Total participants2014-10-01596
Number of participants with account balances2014-10-01226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-0116
2013: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01644
Total number of active participants reported on line 7a of the Form 55002013-10-01533
Number of retired or separated participants receiving benefits2013-10-015
Number of other retired or separated participants entitled to future benefits2013-10-0146
Total of all active and inactive participants2013-10-01584
Total participants2013-10-01584
Number of participants with account balances2013-10-01209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-0111
2012: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01367
Total number of active participants reported on line 7a of the Form 55002012-10-01574
Number of retired or separated participants receiving benefits2012-10-011
Number of other retired or separated participants entitled to future benefits2012-10-0169
Total of all active and inactive participants2012-10-01644
Total participants2012-10-01644
Number of participants with account balances2012-10-01199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-0117
2011: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01421
Total number of active participants reported on line 7a of the Form 55002011-10-01298
Number of retired or separated participants receiving benefits2011-10-011
Number of other retired or separated participants entitled to future benefits2011-10-0168
Total of all active and inactive participants2011-10-01367
Total participants2011-10-01367
Number of participants with account balances2011-10-01199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-017
2009: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01300
Total number of active participants reported on line 7a of the Form 55002009-10-01246
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-0155
Total of all active and inactive participants2009-10-01301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01301
Number of participants with account balances2009-10-01207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-011
2003: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2003 401k membership
Total of all active and inactive participants2003-10-010
Total participants2003-10-010
2001: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2001 401k membership
Total of all active and inactive participants2001-10-010
Total participants2001-10-010

Financial Data on ST. CAMILLUS RETIREMENT SAVINGS PLAN

Measure Date Value
2022 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total income from all sources (including contributions)2022-09-30$-502,175
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$921,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$836,379
Value of total corrective distributions2022-09-30$994
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$1,585,812
Value of total assets at end of year2022-09-30$12,535,104
Value of total assets at beginning of year2022-09-30$13,958,769
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$84,117
Total interest from all sources2022-09-30$59,694
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$680,596
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$680,596
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$1,039,846
Participant contributions at end of year2022-09-30$217,804
Participant contributions at beginning of year2022-09-30$236,720
Participant contributions at end of year2022-09-30$39,703
Participant contributions at beginning of year2022-09-30$35,923
Income. Received or receivable in cash from other sources (including rollovers)2022-09-30$172,347
Other income not declared elsewhere2022-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-1,423,665
Value of net assets at end of year (total assets less liabilities)2022-09-30$12,535,104
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$13,958,769
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Investment advisory and management fees2022-09-30$25,235
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$9,865,105
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$11,222,863
Interest on participant loans2022-09-30$9,213
Interest earned on other investments2022-09-30$50,481
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$2,376,141
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$2,450,849
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-2,828,277
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30Yes
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$373,619
Employer contributions (assets) at end of year2022-09-30$36,351
Employer contributions (assets) at beginning of year2022-09-30$12,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$836,379
Contract administrator fees2022-09-30$58,882
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30WIPFLI LLP
Accountancy firm EIN2022-09-30390758449
2021 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total income from all sources (including contributions)2021-09-30$3,408,933
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$906,353
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$829,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$1,518,228
Value of total assets at end of year2021-09-30$13,958,769
Value of total assets at beginning of year2021-09-30$11,456,189
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$76,403
Total interest from all sources2021-09-30$60,896
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$474,645
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-09-30$474,645
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
If this is an individual account plan, was there a blackout period2021-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$961,644
Participant contributions at end of year2021-09-30$236,720
Participant contributions at beginning of year2021-09-30$191,824
Participant contributions at end of year2021-09-30$35,923
Participant contributions at beginning of year2021-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2021-09-30$213,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$2,502,580
Value of net assets at end of year (total assets less liabilities)2021-09-30$13,958,769
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$11,456,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$11,222,863
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$9,054,679
Interest on participant loans2021-09-30$9,034
Interest earned on other investments2021-09-30$51,862
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-09-30$2,450,849
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-09-30$2,209,686
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$1,355,164
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30Yes
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$342,640
Employer contributions (assets) at end of year2021-09-30$12,414
Employer contributions (assets) at beginning of year2021-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$829,950
Contract administrator fees2021-09-30$76,403
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Disclaimer
Accountancy firm name2021-09-30WIPFLI LLP
Accountancy firm EIN2021-09-30390758449
2020 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$3,905
Total income from all sources (including contributions)2020-09-30$2,111,600
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$1,061,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$1,011,184
Value of total corrective distributions2020-09-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$1,262,959
Value of total assets at end of year2020-09-30$11,456,189
Value of total assets at beginning of year2020-09-30$10,410,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$50,728
Total interest from all sources2020-09-30$60,254
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$354,273
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$354,273
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$929,836
Participant contributions at end of year2020-09-30$191,824
Participant contributions at beginning of year2020-09-30$143,966
Participant contributions at end of year2020-09-30$0
Participant contributions at beginning of year2020-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$5,994
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-09-30$3,905
Other income not declared elsewhere2020-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$1,049,688
Value of net assets at end of year (total assets less liabilities)2020-09-30$11,456,189
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$10,406,501
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Investment advisory and management fees2020-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$9,054,679
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$8,226,601
Interest on participant loans2020-09-30$8,155
Interest earned on other investments2020-09-30$52,099
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-09-30$2,209,686
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-09-30$2,039,839
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$434,114
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30Yes
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$327,129
Employer contributions (assets) at end of year2020-09-30$0
Employer contributions (assets) at beginning of year2020-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$1,011,184
Contract administrator fees2020-09-30$50,728
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30WIPFLI LLP
Accountancy firm EIN2020-09-30390758449
2019 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$3,905
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$114
Total income from all sources (including contributions)2019-09-30$1,810,888
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$655,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$590,821
Value of total corrective distributions2019-09-30$226
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$1,378,886
Value of total assets at end of year2019-09-30$10,410,406
Value of total assets at beginning of year2019-09-30$9,250,759
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$63,985
Total interest from all sources2019-09-30$47,620
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$446,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$446,895
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$840,608
Participant contributions at end of year2019-09-30$143,966
Participant contributions at beginning of year2019-09-30$125,116
Participant contributions at end of year2019-09-30$0
Participant contributions at beginning of year2019-09-30$34,594
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$287,961
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-30$3,905
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-09-30$114
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$1,155,856
Value of net assets at end of year (total assets less liabilities)2019-09-30$10,406,501
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$9,250,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$8,226,601
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$7,339,674
Interest on participant loans2019-09-30$6,059
Interest earned on other investments2019-09-30$41,561
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$2,039,839
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$1,725,142
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$-62,513
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$250,317
Employer contributions (assets) at end of year2019-09-30$0
Employer contributions (assets) at beginning of year2019-09-30$26,233
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$590,821
Contract administrator fees2019-09-30$63,985
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30WIPFLI LLP
Accountancy firm EIN2019-09-30390758449
2018 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$114
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$3,839
Total income from all sources (including contributions)2018-09-30$1,911,934
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$1,621,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$1,537,840
Value of total corrective distributions2018-09-30$4,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$1,253,938
Value of total assets at end of year2018-09-30$9,250,759
Value of total assets at beginning of year2018-09-30$8,964,156
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$79,222
Total interest from all sources2018-09-30$38,403
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$339,998
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$339,998
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$762,799
Participant contributions at end of year2018-09-30$125,116
Participant contributions at beginning of year2018-09-30$131,355
Participant contributions at end of year2018-09-30$34,594
Participant contributions at beginning of year2018-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$220,827
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-09-30$114
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-09-30$3,839
Other income not declared elsewhere2018-09-30$22,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$290,328
Value of net assets at end of year (total assets less liabilities)2018-09-30$9,250,645
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$8,960,317
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Investment advisory and management fees2018-09-30$22,134
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$7,339,674
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$6,948,233
Interest on participant loans2018-09-30$5,630
Interest earned on other investments2018-09-30$32,773
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$1,725,142
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$1,872,361
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$257,461
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$270,312
Employer contributions (assets) at end of year2018-09-30$26,233
Employer contributions (assets) at beginning of year2018-09-30$12,207
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$1,537,840
Contract administrator fees2018-09-30$57,088
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-09-30No
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30WIPFLI LLP
Accountancy firm EIN2018-09-30390758449
2017 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$3,839
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$14,504
Total income from all sources (including contributions)2017-09-30$1,937,405
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$2,138,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$2,062,764
Value of total corrective distributions2017-09-30$967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$1,121,970
Value of total assets at end of year2017-09-30$8,964,156
Value of total assets at beginning of year2017-09-30$9,175,996
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$74,849
Total interest from all sources2017-09-30$35,610
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$230,766
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$230,766
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$683,946
Participant contributions at end of year2017-09-30$131,355
Participant contributions at beginning of year2017-09-30$103,384
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$199,828
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-09-30$3,839
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-09-30$14,504
Other income not declared elsewhere2017-09-30$20,851
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$-201,175
Value of net assets at end of year (total assets less liabilities)2017-09-30$8,960,317
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$9,161,492
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Investment advisory and management fees2017-09-30$21,196
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$6,948,233
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$6,869,489
Value of interest in pooled separate accounts at end of year2017-09-30$0
Value of interest in pooled separate accounts at beginning of year2017-09-30$79,227
Interest on participant loans2017-09-30$3,884
Interest earned on other investments2017-09-30$31,726
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$1,872,361
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$2,111,293
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$528,208
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$238,196
Employer contributions (assets) at end of year2017-09-30$12,207
Employer contributions (assets) at beginning of year2017-09-30$12,603
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$2,062,764
Contract administrator fees2017-09-30$53,653
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-09-30No
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30WIPFLI LLP
Accountancy firm EIN2017-09-30390758449
2016 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$14,504
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$1,695,109
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$1,212,559
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$1,128,339
Expenses. Certain deemed distributions of participant loans2016-09-30$5,551
Value of total corrective distributions2016-09-30$12,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$1,013,065
Value of total assets at end of year2016-09-30$9,175,996
Value of total assets at beginning of year2016-09-30$8,678,942
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$66,526
Total interest from all sources2016-09-30$45,494
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$315,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$315,991
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$590,279
Participant contributions at end of year2016-09-30$103,384
Participant contributions at beginning of year2016-09-30$133,163
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$209,037
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-09-30$14,504
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$0
Other income not declared elsewhere2016-09-30$22,214
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$482,550
Value of net assets at end of year (total assets less liabilities)2016-09-30$9,161,492
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$8,678,942
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Investment advisory and management fees2016-09-30$21,415
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$6,869,489
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$5,708,831
Value of interest in pooled separate accounts at end of year2016-09-30$79,227
Value of interest in pooled separate accounts at beginning of year2016-09-30$77,536
Interest on participant loans2016-09-30$4,316
Interest earned on other investments2016-09-30$41,178
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$2,111,293
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$2,759,412
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$292,016
Net investment gain/loss from pooled separate accounts2016-09-30$6,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$213,749
Employer contributions (assets) at end of year2016-09-30$12,603
Employer contributions (assets) at beginning of year2016-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$1,128,339
Contract administrator fees2016-09-30$45,111
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30Yes
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30WIPFLI LLP
Accountancy firm EIN2016-09-30390758449
2015 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$15,476
Total income from all sources (including contributions)2015-09-30$877,402
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$492,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$490,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$895,121
Value of total assets at end of year2015-09-30$8,678,942
Value of total assets at beginning of year2015-09-30$8,309,023
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$1,117
Total interest from all sources2015-09-30$50,900
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$241,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$241,524
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$512,781
Participant contributions at end of year2015-09-30$133,163
Participant contributions at beginning of year2015-09-30$162,252
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$185,861
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$15,476
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$385,395
Value of net assets at end of year (total assets less liabilities)2015-09-30$8,678,942
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$8,293,547
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Investment advisory and management fees2015-09-30$1,117
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$5,708,831
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$5,427,289
Value of interest in pooled separate accounts at end of year2015-09-30$77,536
Value of interest in pooled separate accounts at beginning of year2015-09-30$95,287
Interest on participant loans2015-09-30$3,931
Interest earned on other investments2015-09-30$46,969
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$2,759,412
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$2,624,195
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-307,693
Net investment gain/loss from pooled separate accounts2015-09-30$-2,450
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$196,479
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$490,890
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30WIPFLI LLP
Accountancy firm EIN2015-09-30390758449
2014 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$15,476
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$1,405,791
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$546,759
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$545,587
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$782,683
Value of total assets at end of year2014-09-30$8,309,023
Value of total assets at beginning of year2014-09-30$7,434,515
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$1,172
Total interest from all sources2014-09-30$47,302
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$103,727
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-09-30$103,727
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$454,319
Participant contributions at end of year2014-09-30$162,252
Participant contributions at beginning of year2014-09-30$150,967
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$130,891
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-09-30$15,476
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$859,032
Value of net assets at end of year (total assets less liabilities)2014-09-30$8,293,547
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$7,434,515
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Investment advisory and management fees2014-09-30$1,172
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$5,427,289
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$4,728,864
Value of interest in pooled separate accounts at end of year2014-09-30$95,287
Value of interest in pooled separate accounts at beginning of year2014-09-30$87,709
Interest on participant loans2014-09-30$2,559
Interest earned on other investments2014-09-30$44,743
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-09-30$2,624,195
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-09-30$2,466,975
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$463,745
Net investment gain/loss from pooled separate accounts2014-09-30$8,334
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$197,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$545,587
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30WIPFLI LLP
Accountancy firm EIN2014-09-30390758449
2013 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$1,470,944
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$1,145,808
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,137,131
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$768,994
Value of total assets at end of year2013-09-30$7,434,515
Value of total assets at beginning of year2013-09-30$7,109,379
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$8,677
Total interest from all sources2013-09-30$43,302
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$80,421
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$80,421
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
If this is an individual account plan, was there a blackout period2013-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$396,188
Participant contributions at end of year2013-09-30$150,967
Participant contributions at beginning of year2013-09-30$118,632
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$208,303
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$325,136
Value of net assets at end of year (total assets less liabilities)2013-09-30$7,434,515
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$7,109,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Investment advisory and management fees2013-09-30$8,677
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$4,728,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$4,666,205
Value of interest in pooled separate accounts at end of year2013-09-30$87,709
Value of interest in pooled separate accounts at beginning of year2013-09-30$92,768
Interest on participant loans2013-09-30$1,998
Interest earned on other investments2013-09-30$41,304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$2,466,975
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$2,231,774
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$570,134
Net investment gain/loss from pooled separate accounts2013-09-30$8,093
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$164,503
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$1,137,131
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30WIPFLI LLP
Accountancy firm EIN2013-09-30390758449
2012 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total income from all sources (including contributions)2012-09-30$1,517,220
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$1,105,528
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$1,098,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$631,696
Value of total assets at end of year2012-09-30$7,109,379
Value of total assets at beginning of year2012-09-30$6,697,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$7,496
Total interest from all sources2012-09-30$28,077
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$5,923
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-09-30$5,923
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
If this is an individual account plan, was there a blackout period2012-09-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$432,298
Participant contributions at end of year2012-09-30$118,632
Participant contributions at beginning of year2012-09-30$135,450
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$22,619
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$411,692
Value of net assets at end of year (total assets less liabilities)2012-09-30$7,109,379
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$6,697,687
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
Investment advisory and management fees2012-09-30$7,496
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$4,666,205
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$1,215,160
Value of interest in pooled separate accounts at end of year2012-09-30$92,768
Value of interest in pooled separate accounts at beginning of year2012-09-30$5,342,845
Interest on participant loans2012-09-30$1,250
Interest earned on other investments2012-09-30$26,827
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$2,231,774
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$4,232
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$400,937
Net investment gain/loss from pooled separate accounts2012-09-30$450,587
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$176,779
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$1,098,032
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-09-30Yes
Did the plan have assets held for investment2012-09-30Yes
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)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30WIPFLI LLP
Accountancy firm EIN2012-09-30390758449
2011 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$519,890
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$389,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$387,610
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$608,216
Value of total assets at end of year2011-09-30$6,697,687
Value of total assets at beginning of year2011-09-30$6,567,403
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$1,996
Total interest from all sources2011-09-30$6,889
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
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 bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
If this is an individual account plan, was there a blackout period2011-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$435,930
Participant contributions at end of year2011-09-30$135,450
Participant contributions at beginning of year2011-09-30$137,843
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$2,059
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$130,284
Value of net assets at end of year (total assets less liabilities)2011-09-30$6,697,687
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$6,567,403
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
Investment advisory and management fees2011-09-30$1,996
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$1,215,160
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$1,262,445
Value of interest in pooled separate accounts at end of year2011-09-30$5,342,845
Value of interest in pooled separate accounts at beginning of year2011-09-30$5,140,569
Interest on participant loans2011-09-30$6,123
Interest earned on other investments2011-09-30$766
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$4,232
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$26,546
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-11,081
Net investment gain/loss from pooled separate accounts2011-09-30$-84,134
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$170,227
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$387,610
Did the plan have assets held for investment2011-09-30Yes
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)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30WIPFLI LLP
Accountancy firm EIN2011-09-30390758449
2010 : ST. CAMILLUS RETIREMENT SAVINGS PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for ST. CAMILLUS RETIREMENT SAVINGS PLAN

2021: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2009: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2003: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2003 form 5500 responses
2003-10-01Type of plan entitySingle employer plan
2003-10-01Submission has been amendedNo
2003-10-01This submission is the final filingNo
2003-10-01This return/report is a short plan year return/report (less than 12 months)No
2003-10-01Plan is a collectively bargained planNo
2001: ST. CAMILLUS RETIREMENT SAVINGS PLAN 2001 form 5500 responses
2001-10-01Type of plan entitySingle employer plan
2001-10-01Submission has been amendedNo
2001-10-01This submission is the final filingNo
2001-10-01This return/report is a short plan year return/report (less than 12 months)No
2001-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894384-007
Policy instance 1
Insurance contract or identification number894384-007
Number of Individuals Covered335
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894384-007
Policy instance 1
Insurance contract or identification number894384-007
Number of Individuals Covered38
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894384-007
Policy instance 1
Insurance contract or identification number894384-007
Number of Individuals Covered343
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894384-007
Policy instance 1
Insurance contract or identification number894384-007
Number of Individuals Covered343
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894384-007
Policy instance 1
Insurance contract or identification number894384-007
Number of Individuals Covered297
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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