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LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 401k Plan overview

Plan NameLUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B
Plan identification number 006

LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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)(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.
  • 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 DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0062013-01-01RICKI RAMLO
0062012-01-01RICKI RAMLO
0062011-01-01RICKI RAMLO
0062009-01-01RICKI RAMLO

Plan Statistics for LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B

401k plan membership statisitcs for LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B

Measure Date Value
2013: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2013 401k membership
Total participants, beginning-of-year2013-01-01346
Total number of active participants reported on line 7a of the Form 55002013-01-010
Total of all active and inactive participants2013-01-010
Total participants2013-01-010
2012: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2012 401k membership
Total participants, beginning-of-year2012-01-01324
Total number of active participants reported on line 7a of the Form 55002012-01-01346
Total of all active and inactive participants2012-01-01346
Total participants2012-01-01346
Number of participants with account balances2012-01-0113
2011: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2011 401k membership
Total participants, beginning-of-year2011-01-01331
Total number of active participants reported on line 7a of the Form 55002011-01-01324
Total of all active and inactive participants2011-01-01324
Total participants2011-01-01324
Number of participants with account balances2011-01-0112
2009: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2009 401k membership
Total participants, beginning-of-year2009-01-01334
Total number of active participants reported on line 7a of the Form 55002009-01-01334
Total of all active and inactive participants2009-01-01334
Total participants2009-01-01334
Number of participants with account balances2009-01-0110

Financial Data on LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B

Measure Date Value
2013 : LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets from this plan2013-12-31$401,428
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,315
Total income from all sources (including contributions)2013-12-31$11,602
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$36,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$36,289
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$0
Value of total assets at beginning of year2013-12-31$428,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$542
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$244
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2013-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$244
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$2,315
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$2,315
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-25,229
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$426,657
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$426,657
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$11,358
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$36,289
Contract administrator fees2013-12-31$542
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31SCHAUER & ASSOCIATES, P.C.
Accountancy firm EIN2013-12-31450350118
2012 : LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,315
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,156
Total income from all sources (including contributions)2012-12-31$100,598
Total of all expenses incurred2012-12-31$1,864
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$56,779
Value of total assets at end of year2012-12-31$428,972
Value of total assets at beginning of year2012-12-31$329,080
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,864
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$11,669
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$11,669
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$56,779
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$2,315
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$1,156
Total non interest bearing cash at end of year2012-12-31$2,315
Total non interest bearing cash at beginning of year2012-12-31$1,156
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$98,734
Value of net assets at end of year (total assets less liabilities)2012-12-31$426,657
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$327,924
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$426,657
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$327,924
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$32,150
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contract administrator fees2012-12-31$1,864
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31SCHAUER & ASSOCIATES, P.C.
Accountancy firm EIN2012-12-31450350118
2011 : LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,156
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$374
Total income from all sources (including contributions)2011-12-31$64,139
Total of all expenses incurred2011-12-31$1,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$62,616
Value of total assets at end of year2011-12-31$329,080
Value of total assets at beginning of year2011-12-31$265,442
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,283
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$7,849
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$7,849
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$53,457
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$9,159
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$1,156
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$374
Total non interest bearing cash at end of year2011-12-31$1,156
Total non interest bearing cash at beginning of year2011-12-31$374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$62,856
Value of net assets at end of year (total assets less liabilities)2011-12-31$327,924
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$265,068
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$327,924
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$265,068
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-6,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contract administrator fees2011-12-31$1,283
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31SCHAUER & ASSOCIATES PC
Accountancy firm EIN2011-12-31450350118
2010 : LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$374
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$210
Total income from all sources (including contributions)2010-12-31$63,851
Total of all expenses incurred2010-12-31$39,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$37,854
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$37,088
Value of total assets at end of year2010-12-31$265,442
Value of total assets at beginning of year2010-12-31$240,591
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,310
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$5,339
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$5,339
Administrative expenses professional fees incurred2010-12-31$1,310
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$19,042
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$18,046
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$374
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$210
Total non interest bearing cash at end of year2010-12-31$374
Total non interest bearing cash at beginning of year2010-12-31$210
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$24,687
Value of net assets at end of year (total assets less liabilities)2010-12-31$265,068
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$240,381
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$265,068
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$240,381
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$21,424
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$37,854
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31SCHAUER & ASSOCIATES PC
Accountancy firm EIN2010-12-31450350118

Form 5500 Responses for LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B

2013: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingYes
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LUTHERAN CHARITY ASSOCIATION DBA JAMESTOWN REGIONAL MEDICAL CENTER 403 B 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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