401k Plan data: BURGESS HEALTH CENTER GROUP HEALTH PLAN plan

BURGESS HEALTH CENTER GROUP HEALTH PLAN 401k Plan overview

Plan Name	BURGESS HEALTH CENTER GROUP HEALTH PLAN
Plan identification number	504

BURGESS HEALTH CENTER GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

BURGESS HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name: BURGESS HEALTH CENTER

Employer identification number (EIN): 420859940

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about BURGESS HEALTH CENTER

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 1959-04-16

Company Identification Number: 098416

Legal Registered Office Address: 1600 DIAMOND ST

ONAWA
United States of America (USA)
51040

More information about BURGESS HEALTH CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BURGESS HEALTH CENTER GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2022-01-01 LYNN WOLD 2023-09-28 LYNN R. WOLD 2023-09-28
504 2021-01-01 JOHN WILKER 2022-07-11
504 2020-01-01 JOHN WILKER 2021-10-08
504 2019-01-01 FRANCIS TRAMP 2020-07-23
504 2018-01-01
504 2017-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2022-01-01	LYNN WOLD	2023-09-28	LYNN R. WOLD	2023-09-28
504	2021-01-01	JOHN WILKER	2022-07-11
504	2020-01-01	JOHN WILKER	2021-10-08
504	2019-01-01	FRANCIS TRAMP	2020-07-23
504	2018-01-01
504	2017-01-01

Plan Statistics for BURGESS HEALTH CENTER GROUP HEALTH PLAN

401k plan membership statisitcs for BURGESS HEALTH CENTER GROUP HEALTH PLAN

Measure Date Value
2022: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 166
Number of retired or separated participants receiving benefits 2022-01-01 3
Total of all active and inactive participants 2022-01-01 169
2021: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 163
Number of retired or separated participants receiving benefits 2021-01-01 1
Total of all active and inactive participants 2021-01-01 164
2020: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 162
Total of all active and inactive participants 2020-01-01 162
2019: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 153
Number of retired or separated participants receiving benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 154
2018: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 157
Total of all active and inactive participants 2018-01-01 157
2017: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 181
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 153
Total of all active and inactive participants 2017-01-01 153

Measure	Date	Value
2022: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	166
Number of retired or separated participants receiving benefits	2022-01-01	3
Total of all active and inactive participants	2022-01-01	169
2021: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	163
Number of retired or separated participants receiving benefits	2021-01-01	1
Total of all active and inactive participants	2021-01-01	164
2020: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	162
Total of all active and inactive participants	2020-01-01	162
2019: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	153
Number of retired or separated participants receiving benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	154
2018: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	157
Total of all active and inactive participants	2018-01-01	157
2017: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	181
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	153
Total of all active and inactive participants	2017-01-01	153

Form 5500 Responses for BURGESS HEALTH CENTER GROUP HEALTH PLAN

2022: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: BURGESS HEALTH CENTER GROUP HEALTH PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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: BURGESS HEALTH CENTER GROUP HEALTH 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

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Company Name:	BURGESS HEALTH CENTER
Employer identification number (EIN):	420859940
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	1959-04-16
Company Identification Number:	098416
Legal Registered Office Address:	1600 DIAMOND ST ONAWA United States of America (USA) 51040