401k Plan data: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN plan

LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 401k Plan overview

Plan Name	LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN
Plan identification number	505

LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. has sponsored the creation of one or more 401k plans.

Company Name: LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC.

Employer identification number (EIN): 410811697

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2018-01-01 DOUG JOHNSON DOUG JOHNSON 2019-07-02
505 2017-01-01
505 2016-01-01 DOUG JOHNSON 2019-04-22
505 2015-01-01 DOUGLAS JOHNSON 2019-06-10
505 2014-01-01 DOUG JOHNSON DOUG JOHNSON 2019-06-03
505 2013-01-01 DOUG JOHNSON DOUG JOHNSON 2019-06-03

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2018-01-01	DOUG JOHNSON	DOUG JOHNSON	2019-07-02
505	2017-01-01
505	2016-01-01		DOUG JOHNSON	2019-04-22
505	2015-01-01		DOUGLAS JOHNSON	2019-06-10
505	2014-01-01	DOUG JOHNSON	DOUG JOHNSON	2019-06-03
505	2013-01-01	DOUG JOHNSON	DOUG JOHNSON	2019-06-03

Plan Statistics for LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN

401k plan membership statisitcs for LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN

Measure Date Value
2018: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 670
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 519
Number of retired or separated participants receiving benefits 2018-01-01 11
Total of all active and inactive participants 2018-01-01 530
2017: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 627
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 652
Number of retired or separated participants receiving benefits 2017-01-01 18
Total of all active and inactive participants 2017-01-01 670
2016: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 557
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 617
Number of retired or separated participants receiving benefits 2016-01-01 9
Total of all active and inactive participants 2016-01-01 626
2015: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 526
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 535
Number of retired or separated participants receiving benefits 2015-01-01 15
Total of all active and inactive participants 2015-01-01 550
2014: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 549
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 526
Number of retired or separated participants receiving benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 533
2013: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 436
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 410
Number of retired or separated participants receiving benefits 2013-01-01 4
Total of all active and inactive participants 2013-01-01 414

Measure	Date	Value
2018: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	670
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	519
Number of retired or separated participants receiving benefits	2018-01-01	11
Total of all active and inactive participants	2018-01-01	530
2017: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	627
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	652
Number of retired or separated participants receiving benefits	2017-01-01	18
Total of all active and inactive participants	2017-01-01	670
2016: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	557
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	617
Number of retired or separated participants receiving benefits	2016-01-01	9
Total of all active and inactive participants	2016-01-01	626
2015: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	526
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	535
Number of retired or separated participants receiving benefits	2015-01-01	15
Total of all active and inactive participants	2015-01-01	550
2014: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	549
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	526
Number of retired or separated participants receiving benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	533
2013: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	436
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	410
Number of retired or separated participants receiving benefits	2013-01-01	4
Total of all active and inactive participants	2013-01-01	414

Form 5500 Responses for LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN

2018: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: LAKEVIEW HOSPITAL MEDICAL BENEFITS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC.
Employer identification number (EIN):	410811697
NAIC Classification:	622000
NAIC Description:	Hospitals