401k Plan data: HUGHSON SAMARITAN VILLAGE 403(B) PLAN plan

HUGHSON SAMARITAN VILLAGE 403(B) PLAN 401k Plan overview

Plan Name	HUGHSON SAMARITAN VILLAGE 403(B) PLAN
Plan identification number	001

HUGHSON SAMARITAN VILLAGE 403(B) PLAN Benefits

401k Plan Type

Defined 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

HUGHSON SAMARITAN VILLAGE has sponsored the creation of one or more 401k plans.

Company Name: HUGHSON SAMARITAN VILLAGE

Employer identification number (EIN): 460469127

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about HUGHSON SAMARITAN VILLAGE

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 2001-06-05

Company Identification Number: C2345976

Legal Registered Office Address: 7700 Fox Road

Hughson
United States of America (USA)
95326

More information about HUGHSON SAMARITAN VILLAGE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUGHSON SAMARITAN VILLAGE 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 DANIEL AGULIAR 2023-07-14
001 2022-01-01 DANIEL AGUILAR 2023-07-14
001 2021-01-01
001 2021-01-01 DANIEL AGUILAR
001 2020-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 DANIEL AGUILAR
001 2016-01-01 DANIEL AGUILAR DANIEL AGUILAR 2017-08-17
001 2015-01-01 DANIEL AGUILAR DANIEL AGUILAR 2016-08-02
001 2014-01-01 DAN AGUILAR DAN AGUILAR 2015-10-14
001 2013-01-01 MARI SANFORD MARI SANFORD 2014-07-29
001 2012-01-01 MARI SANFORD
001 2011-01-01 MARI SANFORD
001 2010-01-01 DIANE COUTO DANIEL AGUILAR 2011-10-05
001 2009-01-01 DIANE COUTO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	DANIEL AGULIAR	2023-07-14
001	2022-01-01	DANIEL AGUILAR	2023-07-14
001	2021-01-01
001	2021-01-01	DANIEL AGUILAR
001	2020-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	DANIEL AGUILAR
001	2016-01-01	DANIEL AGUILAR		DANIEL AGUILAR	2017-08-17
001	2015-01-01	DANIEL AGUILAR		DANIEL AGUILAR	2016-08-02
001	2014-01-01	DAN AGUILAR		DAN AGUILAR	2015-10-14
001	2013-01-01	MARI SANFORD		MARI SANFORD	2014-07-29
001	2012-01-01	MARI SANFORD
001	2011-01-01	MARI SANFORD
001	2010-01-01	DIANE COUTO		DANIEL AGUILAR	2011-10-05
001	2009-01-01	DIANE COUTO

Plan Statistics for HUGHSON SAMARITAN VILLAGE 403(B) PLAN

401k plan membership statisitcs for HUGHSON SAMARITAN VILLAGE 403(B) PLAN

Measure Date Value
2022: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 158
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 21
Total of all active and inactive participants 2022-01-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 179
Number of participants with account balances 2022-01-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 6
2021: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 176
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 138
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 35
Total of all active and inactive participants 2021-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 173
Number of participants with account balances 2021-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 1
2020: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 177
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 143
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 33
Total of all active and inactive participants 2020-01-01 176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 176
Number of participants with account balances 2020-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 7
2019: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 137
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 40
Total of all active and inactive participants 2019-01-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 177
Number of participants with account balances 2019-01-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 15
2018: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 152
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 31
Total of all active and inactive participants 2018-01-01 183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 183
Number of participants with account balances 2018-01-01 152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 137
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 35
Total of all active and inactive participants 2017-01-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 172
Number of participants with account balances 2017-01-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 121
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 20
Total of all active and inactive participants 2016-01-01 141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 141
Number of participants with account balances 2016-01-01 186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 124
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 42
Total of all active and inactive participants 2015-01-01 166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 166
Number of participants with account balances 2015-01-01 151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 163
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 20
Total of all active and inactive participants 2014-01-01 183
Total participants 2014-01-01 183
Number of participants with account balances 2014-01-01 128
2013: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 119
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 23
Total of all active and inactive participants 2013-01-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 142
Number of participants with account balances 2013-01-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 43
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 43
Number of participants with account balances 2012-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 172
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 103
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 103
Number of participants with account balances 2011-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 104
Number of retired or separated participants receiving benefits 2010-01-01 34
Number of other retired or separated participants entitled to future benefits 2010-01-01 34
Total of all active and inactive participants 2010-01-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 172
Number of participants with account balances 2010-01-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 11
2009: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 112
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 16
Total of all active and inactive participants 2009-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 128
Number of participants with account balances 2009-01-01 57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2022: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	158
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	21
Total of all active and inactive participants	2022-01-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	179
Number of participants with account balances	2022-01-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	6
2021: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	176
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	138
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	35
Total of all active and inactive participants	2021-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	173
Number of participants with account balances	2021-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	1
2020: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	177
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	143
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	33
Total of all active and inactive participants	2020-01-01	176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	176
Number of participants with account balances	2020-01-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	7
2019: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	137
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	40
Total of all active and inactive participants	2019-01-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	177
Number of participants with account balances	2019-01-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	15
2018: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	152
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	31
Total of all active and inactive participants	2018-01-01	183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	183
Number of participants with account balances	2018-01-01	152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	137
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	35
Total of all active and inactive participants	2017-01-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	172
Number of participants with account balances	2017-01-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	121
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	20
Total of all active and inactive participants	2016-01-01	141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	141
Number of participants with account balances	2016-01-01	186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	124
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	42
Total of all active and inactive participants	2015-01-01	166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	166
Number of participants with account balances	2015-01-01	151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	163
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	20
Total of all active and inactive participants	2014-01-01	183
Total participants	2014-01-01	183
Number of participants with account balances	2014-01-01	128
2013: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	119
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	23
Total of all active and inactive participants	2013-01-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	142
Number of participants with account balances	2013-01-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	43
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	43
Number of participants with account balances	2012-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	172
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	103
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	103
Number of participants with account balances	2011-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	104
Number of retired or separated participants receiving benefits	2010-01-01	34
Number of other retired or separated participants entitled to future benefits	2010-01-01	34
Total of all active and inactive participants	2010-01-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	172
Number of participants with account balances	2010-01-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	11
2009: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	112
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	16
Total of all active and inactive participants	2009-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	128
Number of participants with account balances	2009-01-01	57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on HUGHSON SAMARITAN VILLAGE 403(B) PLAN

Measure	Date	Value
2023 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total income from all sources (including contributions)	2023-12-31	$338,086
Total of all expenses incurred	2023-12-31	$83,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$61,513
Expenses. Certain deemed distributions of participant loans	2023-12-31	$6,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$157,709
Value of total assets at end of year	2023-12-31	$1,299,557
Value of total assets at beginning of year	2023-12-31	$1,045,193
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$16,159
Total interest from all sources	2023-12-31	$1,491
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$53,698
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$53,698
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$385,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$114,551
Participant contributions at end of year	2023-12-31	$17,992
Participant contributions at beginning of year	2023-12-31	$27,424
Other income not declared elsewhere	2023-12-31	$0
Administrative expenses (other) incurred	2023-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$254,364
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$1,299,557
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$1,045,193
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$1,223,436
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$946,363
Income. Interest from loans (other than to participants)	2023-12-31	$1,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-12-31	$14,971
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-12-31	$21,406
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-12-31	$21,406
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-12-31	$0
Asset value of US Government securities at end of year	2023-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$125,188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Assets. Invements in employer securities at end of year	2023-12-31	$0
Assets. Invements in employer securities at beginning of year	2023-12-31	$0
Contributions received in cash from employer	2023-12-31	$43,158
Employer contributions (assets) at end of year	2023-12-31	$43,158
Employer contributions (assets) at beginning of year	2023-12-31	$50,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$61,513
Contract administrator fees	2023-12-31	$16,159
Did the plan have assets held for investment	2023-12-31	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	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Liabilities. Value of acquisition indebtedness at end of year	2023-12-31	$0
Opinion of an independent qualified public accountant for this plan	2023-12-31	Disclaimer
Accountancy firm name	2023-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2023-12-31	941239084
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-01-01	$0
Total income from all sources (including contributions)	2023-01-01	$338,086
Total of all expenses incurred	2023-01-01	$83,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-01-01	$61,513
Expenses. Certain deemed distributions of participant loans	2023-01-01	$6,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-01-01	$157,709
Value of total assets at end of year	2023-01-01	$1,299,557
Value of total assets at beginning of year	2023-01-01	$1,045,193
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-01-01	$16,159
Total interest from all sources	2023-01-01	$1,491
Total dividends received (eg from common stock, registered investment company shares)	2023-01-01	$53,698
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-01-01	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-01-01	$53,698
Was this plan covered by a fidelity bond	2023-01-01	Yes
Value of fidelity bond cover	2023-01-01	$385,000
If this is an individual account plan, was there a blackout period	2023-01-01	No
Were there any nonexempt tranactions with any party-in-interest	2023-01-01	No
Contributions received from participants	2023-01-01	$114,551
Participant contributions at end of year	2023-01-01	$17,992
Participant contributions at beginning of year	2023-01-01	$27,424
Other income not declared elsewhere	2023-01-01	$0
Administrative expenses (other) incurred	2023-01-01	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-01-01	No
Value of net income/loss	2023-01-01	$254,364
Value of net assets at end of year (total assets less liabilities)	2023-01-01	$1,299,557
Value of net assets at beginning of year (total assets less liabilities)	2023-01-01	$1,045,193
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-01-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-01-01	No
Were any leases to which the plan was party in default or uncollectible	2023-01-01	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-01-01	$1,223,436
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-01-01	$946,363
Income. Interest from loans (other than to participants)	2023-01-01	$1,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-01-01	$14,971
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-01-01	$0
Asset value of US Government securities at end of year	2023-01-01	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-01-01	$125,188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-01-01	No
Was there a failure to transmit to the plan any participant contributions	2023-01-01	No
Has the plan failed to provide any benefit when due under the plan	2023-01-01	No
Assets. Invements in employer securities at end of year	2023-01-01	$0
Assets. Invements in employer securities at beginning of year	2023-01-01	$0
Contributions received in cash from employer	2023-01-01	$43,158
Employer contributions (assets) at end of year	2023-01-01	$43,158
Employer contributions (assets) at beginning of year	2023-01-01	$50,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-01-01	$61,513
Contract administrator fees	2023-01-01	$16,159
Did the plan have assets held for investment	2023-01-01	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	2023-01-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-01-01	No
Liabilities. Value of acquisition indebtedness at end of year	2023-01-01	$0
Opinion of an independent qualified public accountant for this plan	2023-01-01	3
Accountancy firm name	2023-01-01	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2023-01-01	941239084
2022 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$25,223
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$155,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$141,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$178,774
Value of total assets at end of year	2022-12-31	$1,045,193
Value of total assets at beginning of year	2022-12-31	$1,175,091
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$13,402
Total interest from all sources	2022-12-31	$1,130
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$56,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$56,071
Administrative expenses professional fees incurred	2022-12-31	$13,402
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$117,510
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$127,412
Participant contributions at end of year	2022-12-31	$27,424
Participant contributions at beginning of year	2022-12-31	$9,681
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$1,362
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-129,898
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,045,193
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,175,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$946,363
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$1,051,943
Interest on participant loans	2022-12-31	$1,130
Income. Interest from loans (other than to participants)	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$21,406
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$63,528
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$63,528
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-210,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$50,000
Employer contributions (assets) at end of year	2022-12-31	$50,000
Employer contributions (assets) at beginning of year	2022-12-31	$49,939
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$141,719
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2022-12-31	941230984
Total unrealized appreciation/depreciation of assets	2022-01-01	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-01-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-01-01	$0
Total income from all sources (including contributions)	2022-01-01	$25,223
Total loss/gain on sale of assets	2022-01-01	$0
Total of all expenses incurred	2022-01-01	$155,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-01-01	$141,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-01-01	$178,774
Value of total assets at end of year	2022-01-01	$1,045,193
Value of total assets at beginning of year	2022-01-01	$1,175,091
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-01-01	$13,402
Total interest from all sources	2022-01-01	$1,130
Total dividends received (eg from common stock, registered investment company shares)	2022-01-01	$56,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-01-01	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-01-01	$56,071
Administrative expenses professional fees incurred	2022-01-01	$13,402
Was this plan covered by a fidelity bond	2022-01-01	Yes
Value of fidelity bond cover	2022-01-01	$117,510
If this is an individual account plan, was there a blackout period	2022-01-01	No
Were there any nonexempt tranactions with any party-in-interest	2022-01-01	No
Contributions received from participants	2022-01-01	$127,412
Participant contributions at end of year	2022-01-01	$27,424
Participant contributions at beginning of year	2022-01-01	$9,681
Income. Received or receivable in cash from other sources (including rollovers)	2022-01-01	$1,362
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-01-01	No
Value of net income/loss	2022-01-01	$-129,898
Value of net assets at end of year (total assets less liabilities)	2022-01-01	$1,045,193
Value of net assets at beginning of year (total assets less liabilities)	2022-01-01	$1,175,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-01-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-01-01	No
Were any leases to which the plan was party in default or uncollectible	2022-01-01	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-01-01	$946,363
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-01-01	$1,051,943
Interest on participant loans	2022-01-01	$1,130
Income. Interest from loans (other than to participants)	2022-01-01	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-01-01	$21,406
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-01-01	$-210,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-01-01	No
Was there a failure to transmit to the plan any participant contributions	2022-01-01	No
Has the plan failed to provide any benefit when due under the plan	2022-01-01	No
Contributions received in cash from employer	2022-01-01	$50,000
Employer contributions (assets) at end of year	2022-01-01	$50,000
Employer contributions (assets) at beginning of year	2022-01-01	$49,939
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-01-01	$141,719
Did the plan have assets held for investment	2022-01-01	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	2022-01-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-01-01	No
Opinion of an independent qualified public accountant for this plan	2022-01-01	3
Accountancy firm name	2022-01-01	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2022-01-01	941230984
2021 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$372,543
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$123,259
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$100,277
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$206,580
Value of total assets at end of year	2021-12-31	$1,175,091
Value of total assets at beginning of year	2021-12-31	$925,807
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$22,982
Total interest from all sources	2021-12-31	$2,341
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$28,275
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$28,275
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$92,600
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$117,487
Participant contributions at end of year	2021-12-31	$9,681
Participant contributions at beginning of year	2021-12-31	$42,448
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$4,307
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$39,154
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$249,284
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,175,091
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$925,807
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$2,168
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$1,051,943
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$835,284
Interest on participant loans	2021-12-31	$2,077
Income. Interest from loans (other than to participants)	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$63,528
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$43,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$43,768
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$264
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$135,347
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$49,939
Employer contributions (assets) at end of year	2021-12-31	$49,939
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$100,277
Contract administrator fees	2021-12-31	$20,814
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2021-12-31	941239084
2020 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$237,828
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$77,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$60,361
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$128,723
Value of total assets at end of year	2020-12-31	$925,807
Value of total assets at beginning of year	2020-12-31	$765,243
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$16,903
Total interest from all sources	2020-12-31	$2,886
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$34,374
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$34,374
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$76,500
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$128,723
Participant contributions at end of year	2020-12-31	$42,448
Participant contributions at beginning of year	2020-12-31	$44,268
Participant contributions at end of year	2020-12-31	$4,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$160,564
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$925,807
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$765,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$1,895
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$835,284
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$672,420
Interest on participant loans	2020-12-31	$2,886
Income. Interest from loans (other than to participants)	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$43,768
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$43,798
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$43,798
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$71,845
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$4,757
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$60,361
Contract administrator fees	2020-12-31	$15,008
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2020-12-31	941239084
2019 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$266,166
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$144,175
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$138,734
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$121,021
Value of total assets at end of year	2019-12-31	$765,243
Value of total assets at beginning of year	2019-12-31	$643,252
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$5,441
Total interest from all sources	2019-12-31	$2,275
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$17,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$17,455
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$64,500
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$121,021
Participant contributions at end of year	2019-12-31	$44,268
Participant contributions at beginning of year	2019-12-31	$32,304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$121,991
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$765,243
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$643,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$1,787
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$672,420
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$567,868
Interest on participant loans	2019-12-31	$2,275
Income. Interest from loans (other than to participants)	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$43,798
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$701
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$701
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$125,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$0
Employer contributions (assets) at end of year	2019-12-31	$4,757
Employer contributions (assets) at beginning of year	2019-12-31	$42,379
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$138,734
Contract administrator fees	2019-12-31	$3,654
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2019-12-31	941239084
2018 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$107,392
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$98,279
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$91,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$151,972
Value of total assets at end of year	2018-12-31	$645,164
Value of total assets at beginning of year	2018-12-31	$636,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$6,283
Total interest from all sources	2018-12-31	$2,514
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$8,251
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$8,251
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$54,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$107,833
Participant contributions at end of year	2018-12-31	$32,456
Participant contributions at beginning of year	2018-12-31	$31,582
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$24
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$3,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$9,113
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$645,164
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$636,051
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$1,688
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$567,868
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$600,302
Interest on participant loans	2018-12-31	$2,506
Income. Interest from loans (other than to participants)	2018-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$701
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$642
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$642
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$8
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-55,345
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$44,139
Employer contributions (assets) at end of year	2018-12-31	$44,139
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$91,996
Contract administrator fees	2018-12-31	$4,595
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2018-12-31	941239084
2017 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$202,193
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$149,667
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$146,606
Expenses. Certain deemed distributions of participant loans	2017-12-31	$1,305
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$117,646
Value of total assets at end of year	2017-12-31	$636,051
Value of total assets at beginning of year	2017-12-31	$583,525
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,756
Total interest from all sources	2017-12-31	$1,612
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$8,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$8,061
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$54,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$114,145
Participant contributions at end of year	2017-12-31	$31,582
Participant contributions at beginning of year	2017-12-31	$30,837
Participant contributions at end of year	2017-12-31	$24
Participant contributions at beginning of year	2017-12-31	$4,695
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$3,501
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$3,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$52,526
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$636,051
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$583,525
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$527
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$600,302
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$6,067
Interest on participant loans	2017-12-31	$1,612
Income. Interest from loans (other than to participants)	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$642
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$541,926
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$74,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$146,606
Contract administrator fees	2017-12-31	$1,229
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2017-12-31	941239084
2016 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$138,733
Total of all expenses incurred	2016-12-31	$115,236
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$105,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$109,691
Value of total assets at end of year	2016-12-31	$583,525
Value of total assets at beginning of year	2016-12-31	$560,028
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$9,915
Total interest from all sources	2016-12-31	$304
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$19,826
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$19,826
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$59,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$109,691
Participant contributions at end of year	2016-12-31	$30,837
Participant contributions at beginning of year	2016-12-31	$4,347
Participant contributions at end of year	2016-12-31	$4,695
Participant contributions at beginning of year	2016-12-31	$102
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$8,912
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$23,497
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$583,525
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$560,028
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$6,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$553,800
Interest on participant loans	2016-12-31	$304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$541,926
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,779
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$105,321
Contract administrator fees	2016-12-31	$9,915
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2016-12-31	941239084
2015 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$113,024
Total of all expenses incurred	2015-12-31	$10,281
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$4,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$121,648
Value of total assets at end of year	2015-12-31	$560,028
Value of total assets at beginning of year	2015-12-31	$457,285
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$6,164
Total interest from all sources	2015-12-31	$250
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$34,408
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$34,408
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$57,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$92,753
Participant contributions at end of year	2015-12-31	$4,347
Participant contributions at beginning of year	2015-12-31	$4,900
Participant contributions at end of year	2015-12-31	$102
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$28,895
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$102,743
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$560,028
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$457,285
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$553,800
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$450,590
Interest on participant loans	2015-12-31	$250
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,779
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,795
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-43,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$4,117
Contract administrator fees	2015-12-31	$6,164
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2015-12-31	941239084
2014 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2014 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$132,714
Total of all expenses incurred	2014-12-31	$11,656
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,966
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$111,740
Value of total assets at end of year	2014-12-31	$457,285
Value of total assets at beginning of year	2014-12-31	$336,227
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$7,690
Total interest from all sources	2014-12-31	$235
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$26,664
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$26,664
Administrative expenses professional fees incurred	2014-12-31	$2,187
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$46,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$76,740
Participant contributions at end of year	2014-12-31	$4,900
Participant contributions at beginning of year	2014-12-31	$3,921
Participant contributions at beginning of year	2014-12-31	$638
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$35,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$121,058
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$457,285
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$336,227
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$450,590
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$330,487
Interest on participant loans	2014-12-31	$235
Interest earned on other investments	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,795
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,181
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-5,925
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,966
Contract administrator fees	2014-12-31	$5,503
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2014-12-31	941239084
2013 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
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	$0
Total income from all sources (including contributions)	2013-12-31	$184,087
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$50,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$46,220
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$137,816
Value of total assets at end of year	2013-12-31	$336,227
Value of total assets at beginning of year	2013-12-31	$202,725
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,365
Total interest from all sources	2013-12-31	$177
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$13,625
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$13,625
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$30,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$58,184
Participant contributions at end of year	2013-12-31	$3,921
Participant contributions at beginning of year	2013-12-31	$5,050
Participant contributions at end of year	2013-12-31	$638
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$79,632
Administrative expenses (other) incurred	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$133,502
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$336,227
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$202,725
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$330,487
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$157,090
Interest on participant loans	2013-12-31	$177
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,181
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$40,585
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$32,469
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$46,220
Contract administrator fees	2013-12-31	$4,365
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2013-12-31	941239084
2012 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$56,559
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$58,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$57,563
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$32,806
Value of total assets at end of year	2012-12-31	$202,725
Value of total assets at beginning of year	2012-12-31	$204,716
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$987
Total interest from all sources	2012-12-31	$1,400
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$20,000
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	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$32,806
Participant contributions at end of year	2012-12-31	$5,050
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$987
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	$-1,991
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$202,725
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$204,716
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 registered invesment companies (eg mutual funds) at end of year	2012-12-31	$157,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$169,103
Interest on participant loans	2012-12-31	$258
Interest earned on other investments	2012-12-31	$1,142
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$40,585
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$35,613
Net investment gain/loss from pooled separate accounts	2012-12-31	$22,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$57,563
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	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2012-12-31	941239084
2011 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$39,427
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$14,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$13,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$47,103
Value of total assets at end of year	2011-12-31	$204,716
Value of total assets at beginning of year	2011-12-31	$180,257
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$987
Total interest from all sources	2011-12-31	$723
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
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	$20,000
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	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$39,632
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$7,471
Administrative expenses (other) incurred	2011-12-31	$987
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	$24,459
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$204,716
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$180,257
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 registered invesment companies (eg mutual funds) at end of year	2011-12-31	$169,103
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$161,491
Interest earned on other investments	2011-12-31	$723
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$35,613
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$18,766
Net investment gain/loss from pooled separate accounts	2011-12-31	$-8,399
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$13,981
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	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2011-12-31	941239084
2010 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$52,541
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$14,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$11,651
Value of total corrective distributions	2010-12-31	$1,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$34,260
Value of total assets at end of year	2010-12-31	$180,257
Value of total assets at beginning of year	2010-12-31	$142,359
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,110
Total interest from all sources	2010-12-31	$581
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
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	$10,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$34,260
Administrative expenses (other) incurred	2010-12-31	$1,110
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	$37,898
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$180,257
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$142,359
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 end of year	2010-12-31	$161,491
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$124,028
Interest earned on other investments	2010-12-31	$581
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$18,766
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$18,331
Net investment gain/loss from pooled separate accounts	2010-12-31	$17,700
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$11,651
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	ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN	2010-12-31	941239084
2009 : HUGHSON SAMARITAN VILLAGE 403(B) PLAN 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	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for HUGHSON SAMARITAN VILLAGE 403(B) PLAN

2022: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HUGHSON SAMARITAN VILLAGE 403(B) 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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HUGHSON SAMARITAN VILLAGE 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	613953
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	613953
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	613953
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	613953
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-751066
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-751066
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-751066
Policy instance	1

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Company Name:	HUGHSON SAMARITAN VILLAGE
Employer identification number (EIN):	460469127
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	2001-06-05
Company Identification Number:	C2345976
Legal Registered Office Address:	7700 Fox Road Hughson United States of America (USA) 95326