401k Plan data: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT plan

LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 401k Plan overview

Plan Name	LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT
Plan identification number	003

LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) 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.

401k Sponsoring company profile

LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MED CTR has sponsored the creation of one or more 401k plans.

Company Name: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MED CTR

Employer identification number (EIN): 450231181

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2013-01-01 RICKI RAMLO
003 2012-01-01 RICKI RAMLO
003 2011-01-01 RICKI RAMLO
003 2009-01-01 RICKI RAMLO

Plan id#	Filing Submission Date	Name of Administrator
003	2013-01-01	RICKI RAMLO
003	2012-01-01	RICKI RAMLO
003	2011-01-01	RICKI RAMLO
003	2009-01-01	RICKI RAMLO

Plan Statistics for LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT

401k plan membership statisitcs for LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT

Measure Date Value
2013: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2013 401k membership
Total participants, beginning-of-year 2013-01-01 352
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 380
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 352
Total of all active and inactive participants 2012-01-01 352
Total participants 2012-01-01 352
Number of participants with account balances 2012-01-01 259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 11
2011: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2011 401k membership
Total participants, beginning-of-year 2011-01-01 380
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 319
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 60
Total of all active and inactive participants 2011-01-01 380
Total participants 2011-01-01 380
Number of participants with account balances 2011-01-01 259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 14
2009: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 246
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 326
Number of retired or separated participants receiving benefits 2009-01-01 4
Number of other retired or separated participants entitled to future benefits 2009-01-01 45
Total of all active and inactive participants 2009-01-01 375
Total participants 2009-01-01 375
Number of participants with account balances 2009-01-01 247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 6

Measure	Date	Value
2013: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2013 401k membership
Total participants, beginning-of-year	2013-01-01	352
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	380
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	352
Total of all active and inactive participants	2012-01-01	352
Total participants	2012-01-01	352
Number of participants with account balances	2012-01-01	259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	11
2011: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2011 401k membership
Total participants, beginning-of-year	2011-01-01	380
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	319
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	60
Total of all active and inactive participants	2011-01-01	380
Total participants	2011-01-01	380
Number of participants with account balances	2011-01-01	259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	14
2009: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	326
Number of retired or separated participants receiving benefits	2009-01-01	4
Number of other retired or separated participants entitled to future benefits	2009-01-01	45
Total of all active and inactive participants	2009-01-01	375
Total participants	2009-01-01	375
Number of participants with account balances	2009-01-01	247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	6

Financial Data on LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT

Measure	Date	Value
2013 : LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2013 401k financial data
Total transfer of assets from this plan	2013-01-31	$8,266,219
Total income from all sources (including contributions)	2013-01-31	$102,010
Total of all expenses incurred	2013-01-31	$74,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-01-31	$74,533
Value of total assets at end of year	2013-01-31	$0
Value of total assets at beginning of year	2013-01-31	$8,239,043
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-01-31	$301
Total interest from all sources	2013-01-31	$8
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-01-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-01-31	$0
Was this plan covered by a fidelity bond	2013-01-31	Yes
Value of fidelity bond cover	2013-01-31	$500,000
If this is an individual account plan, was there a blackout period	2013-01-31	No
Funding deficiency by the employer to the plan for this plan year	2013-01-31	$0
Minimum employer required contribution for this plan year	2013-01-31	$0
Amount contributed by the employer to the plan for this plan year	2013-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-01-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-01-31	No
Value of net income/loss	2013-01-31	$27,176
Value of net assets at end of year (total assets less liabilities)	2013-01-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-01-31	$8,239,043
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-01-31	No
Were any leases to which the plan was party in default or uncollectible	2013-01-31	No
Value of interest in common/collective trusts at end of year	2013-01-31	$0
Value of interest in common/collective trusts at beginning of year	2013-01-31	$7,470,702
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-01-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-01-31	$72,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-01-31	$72,844
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-01-31	$8
Net investment gain or loss from common/collective trusts	2013-01-31	$102,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-01-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-01-31	No
Has the plan failed to provide any benefit when due under the plan	2013-01-31	No
Employer contributions (assets) at end of year	2013-01-31	$0
Employer contributions (assets) at beginning of year	2013-01-31	$695,497
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-01-31	$74,533
Contract administrator fees	2013-01-31	$301
Did the plan have assets held for investment	2013-01-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-01-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-01-31	Disclaimer
Accountancy firm name	2013-01-31	SCHAUER & ASSOCIATES, P.C.
Accountancy firm EIN	2013-01-31	450350118
2012 : LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$1,238,438
Total of all expenses incurred	2012-12-31	$581,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$542,208
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$695,497
Value of total assets at end of year	2012-12-31	$8,239,043
Value of total assets at beginning of year	2012-12-31	$7,582,233
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$39,420
Total interest from all sources	2012-12-31	$69
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$695,497
Amount contributed by the employer to the plan for this plan year	2012-12-31	$695,497
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$656,810
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$8,239,043
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,582,233
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in common/collective trusts at end of year	2012-12-31	$7,470,702
Value of interest in common/collective trusts at beginning of year	2012-12-31	$6,814,210
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$72,844
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$9,857
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$9,857
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$69
Net investment gain or loss from common/collective trusts	2012-12-31	$542,872
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$695,497
Employer contributions (assets) at end of year	2012-12-31	$695,497
Employer contributions (assets) at beginning of year	2012-12-31	$758,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$542,208
Contract administrator fees	2012-12-31	$39,420
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	SCHAUER & ASSOCIATES, P.C.
Accountancy firm EIN	2012-12-31	450350118
2011 : LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$959,704
Total of all expenses incurred	2011-12-31	$171,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$144,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$736,807
Value of total assets at end of year	2011-12-31	$7,582,233
Value of total assets at beginning of year	2011-12-31	$6,793,590
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$26,836
Total interest from all sources	2011-12-31	$13
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$758,166
Amount contributed by the employer to the plan for this plan year	2011-12-31	$758,166
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$788,643
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,582,233
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$6,793,590
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in common/collective trusts at end of year	2011-12-31	$6,814,210
Value of interest in common/collective trusts at beginning of year	2011-12-31	$6,105,789
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$9,857
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$21,359
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$21,359
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$13
Net investment gain or loss from common/collective trusts	2011-12-31	$222,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$736,807
Employer contributions (assets) at end of year	2011-12-31	$758,166
Employer contributions (assets) at beginning of year	2011-12-31	$666,442
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$144,225
Contract administrator fees	2011-12-31	$26,836
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	SCHAUER & ASSOCIATES, P.C.
Accountancy firm EIN	2011-12-31	450350118
2010 : LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$1,368,777
Total of all expenses incurred	2010-12-31	$628,039
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$602,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$666,442
Value of total assets at end of year	2010-12-31	$6,793,590
Value of total assets at beginning of year	2010-12-31	$6,052,852
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$25,246
Total interest from all sources	2010-12-31	$24
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$666,442
Amount contributed by the employer to the plan for this plan year	2010-12-31	$666,442
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$740,738
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$6,793,590
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,052,852
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$64
Value of interest in common/collective trusts at end of year	2010-12-31	$6,105,789
Value of interest in common/collective trusts at beginning of year	2010-12-31	$5,464,550
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$21,359
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$12,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$12,247
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$24
Net investment gain or loss from common/collective trusts	2010-12-31	$702,311
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$666,442
Employer contributions (assets) at end of year	2010-12-31	$666,442
Employer contributions (assets) at beginning of year	2010-12-31	$575,991
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$602,793
Contract administrator fees	2010-12-31	$25,246
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	SCHAUER & ASSOCIATES PC
Accountancy firm EIN	2010-12-31	450350118
2009 : LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$575,991
Amount contributed by the employer to the plan for this plan year	2009-12-31	$575,991

Form 5500 Responses for LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT

2013: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LUTHERAN CHARITY ASSOCIATION INC DBA JAMESTOWN HOSPITAL MONEY PURCHASE PLAN AND TRUST AGREEMENT 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MED CTR
Employer identification number (EIN):	450231181
NAIC Classification:	622000
NAIC Description:	Hospitals