401k Plan data: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN plan

ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 401k Plan overview

Plan Name	ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN
Plan identification number	501

ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN Benefits

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

401k Sponsoring company profile

ALEXIAN VILLAGE OF TENNESSEE has sponsored the creation of one or more 401k plans.

Company Name: ALEXIAN VILLAGE OF TENNESSEE

Employer identification number (EIN): 621136742

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2009-03-01 KEITH CONBOY
501 2008-03-01 KEITH CONBOY
501 2007-03-01 KEITH CONBOY
501 2006-03-01 KEITH CONBOY
501 2005-03-01 KEITH CONBOY
501 2004-03-01 KEITH CONBOY
501 2003-03-01 KEITH CONBOY
501 2002-03-01 KEITH CONBOY
501 2001-03-01 KEITH CONBOY
501 2000-03-01 KEITH CONBOY

Plan id#	Filing Submission Date	Name of Administrator
501	2009-03-01	KEITH CONBOY
501	2008-03-01	KEITH CONBOY
501	2007-03-01	KEITH CONBOY
501	2006-03-01	KEITH CONBOY
501	2005-03-01	KEITH CONBOY
501	2004-03-01	KEITH CONBOY
501	2003-03-01	KEITH CONBOY
501	2002-03-01	KEITH CONBOY
501	2001-03-01	KEITH CONBOY
501	2000-03-01	KEITH CONBOY

Plan Statistics for ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN

401k plan membership statisitcs for ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN

Measure Date Value
2009: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-03-01 744
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 784
Total of all active and inactive participants 2009-03-01 784
Total participants 2009-03-01 784
2008: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year 2008-03-01 744
Total number of active participants reported on line 7a of the Form 5500 2008-03-01 757
Total of all active and inactive participants 2008-03-01 757
Total participants 2008-03-01 757
2007: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year 2007-03-01 552
Total number of active participants reported on line 7a of the Form 5500 2007-03-01 744
Total of all active and inactive participants 2007-03-01 744
Total participants 2007-03-01 744
2006: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year 2006-03-01 607
Total number of active participants reported on line 7a of the Form 5500 2006-03-01 552
Total of all active and inactive participants 2006-03-01 552
Total participants 2006-03-01 552
2005: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2005 401k membership
Total participants, beginning-of-year 2005-03-01 607
Total number of active participants reported on line 7a of the Form 5500 2005-03-01 552
Total of all active and inactive participants 2005-03-01 552
Total participants 2005-03-01 552
2004: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2004 401k membership
Total participants, beginning-of-year 2004-03-01 607
Total number of active participants reported on line 7a of the Form 5500 2004-03-01 552
Total of all active and inactive participants 2004-03-01 552
Total participants 2004-03-01 552
2003: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2003 401k membership
Total participants, beginning-of-year 2003-03-01 607
Total number of active participants reported on line 7a of the Form 5500 2003-03-01 552
Total of all active and inactive participants 2003-03-01 552
Total participants 2003-03-01 552
2002: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2002 401k membership
Total participants, beginning-of-year 2002-03-01 607
Total number of active participants reported on line 7a of the Form 5500 2002-03-01 552
Total of all active and inactive participants 2002-03-01 552
Total participants 2002-03-01 552
2001: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2001 401k membership
Total participants, beginning-of-year 2001-03-01 436
Total number of active participants reported on line 7a of the Form 5500 2001-03-01 607
Total of all active and inactive participants 2001-03-01 607
Total participants 2001-03-01 607
2000: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2000 401k membership
Total participants, beginning-of-year 2000-03-01 0
Total number of active participants reported on line 7a of the Form 5500 2000-03-01 436
Total of all active and inactive participants 2000-03-01 436
Total participants 2000-03-01 436

Measure	Date	Value
2009: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-03-01	744
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	784
Total of all active and inactive participants	2009-03-01	784
Total participants	2009-03-01	784
2008: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year	2008-03-01	744
Total number of active participants reported on line 7a of the Form 5500	2008-03-01	757
Total of all active and inactive participants	2008-03-01	757
Total participants	2008-03-01	757
2007: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year	2007-03-01	552
Total number of active participants reported on line 7a of the Form 5500	2007-03-01	744
Total of all active and inactive participants	2007-03-01	744
Total participants	2007-03-01	744
2006: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year	2006-03-01	607
Total number of active participants reported on line 7a of the Form 5500	2006-03-01	552
Total of all active and inactive participants	2006-03-01	552
Total participants	2006-03-01	552
2005: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2005 401k membership
Total participants, beginning-of-year	2005-03-01	607
Total number of active participants reported on line 7a of the Form 5500	2005-03-01	552
Total of all active and inactive participants	2005-03-01	552
Total participants	2005-03-01	552
2004: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2004 401k membership
Total participants, beginning-of-year	2004-03-01	607
Total number of active participants reported on line 7a of the Form 5500	2004-03-01	552
Total of all active and inactive participants	2004-03-01	552
Total participants	2004-03-01	552
2003: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2003 401k membership
Total participants, beginning-of-year	2003-03-01	607
Total number of active participants reported on line 7a of the Form 5500	2003-03-01	552
Total of all active and inactive participants	2003-03-01	552
Total participants	2003-03-01	552
2002: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2002 401k membership
Total participants, beginning-of-year	2002-03-01	607
Total number of active participants reported on line 7a of the Form 5500	2002-03-01	552
Total of all active and inactive participants	2002-03-01	552
Total participants	2002-03-01	552
2001: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2001 401k membership
Total participants, beginning-of-year	2001-03-01	436
Total number of active participants reported on line 7a of the Form 5500	2001-03-01	607
Total of all active and inactive participants	2001-03-01	607
Total participants	2001-03-01	607
2000: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2000 401k membership
Total participants, beginning-of-year	2000-03-01	0
Total number of active participants reported on line 7a of the Form 5500	2000-03-01	436
Total of all active and inactive participants	2000-03-01	436
Total participants	2000-03-01	436

Form 5500 Responses for ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN

2009: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	Submission has been amended	No
2009-03-01	This submission is the final filing	No
2009-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-03-01	Plan is a collectively bargained plan	No
2009-03-01	Plan funding arrangement – Insurance	Yes
2009-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-03-01	Plan benefit arrangement – Insurance	Yes
2009-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2008 form 5500 responses
2008-03-01	Type of plan entity	Single employer plan
2008-03-01	Submission has been amended	No
2008-03-01	This submission is the final filing	No
2008-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-03-01	Plan is a collectively bargained plan	No
2008-03-01	Plan funding arrangement – Insurance	Yes
2008-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-03-01	Plan benefit arrangement – Insurance	Yes
2008-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2007: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2007 form 5500 responses
2007-03-01	Type of plan entity	Single employer plan
2007-03-01	Submission has been amended	No
2007-03-01	This submission is the final filing	No
2007-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-03-01	Plan is a collectively bargained plan	No
2007-03-01	Plan funding arrangement – Insurance	Yes
2007-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2007-03-01	Plan benefit arrangement – Insurance	Yes
2007-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2006: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2006 form 5500 responses
2006-03-01	Type of plan entity	Single employer plan
2006-03-01	Submission has been amended	No
2006-03-01	This submission is the final filing	No
2006-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-03-01	Plan is a collectively bargained plan	No
2006-03-01	Plan funding arrangement – Insurance	Yes
2006-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2006-03-01	Plan benefit arrangement – Insurance	Yes
2006-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2005: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2005 form 5500 responses
2005-03-01	Type of plan entity	Single employer plan
2005-03-01	Submission has been amended	No
2005-03-01	This submission is the final filing	No
2005-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-03-01	Plan is a collectively bargained plan	No
2005-03-01	Plan funding arrangement – Insurance	Yes
2005-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2005-03-01	Plan benefit arrangement – Insurance	Yes
2005-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2004: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2004 form 5500 responses
2004-03-01	Type of plan entity	Single employer plan
2004-03-01	Submission has been amended	No
2004-03-01	This submission is the final filing	No
2004-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-03-01	Plan is a collectively bargained plan	No
2004-03-01	Plan funding arrangement – Insurance	Yes
2004-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2004-03-01	Plan benefit arrangement – Insurance	Yes
2004-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2003: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2003 form 5500 responses
2003-03-01	Type of plan entity	Single employer plan
2003-03-01	Submission has been amended	No
2003-03-01	This submission is the final filing	No
2003-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-03-01	Plan is a collectively bargained plan	No
2003-03-01	Plan funding arrangement – Insurance	Yes
2003-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2003-03-01	Plan benefit arrangement – Insurance	Yes
2003-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2002: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2002 form 5500 responses
2002-03-01	Type of plan entity	Single employer plan
2002-03-01	Submission has been amended	No
2002-03-01	This submission is the final filing	No
2002-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2002-03-01	Plan is a collectively bargained plan	No
2002-03-01	Plan funding arrangement – Insurance	Yes
2002-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2002-03-01	Plan benefit arrangement – Insurance	Yes
2002-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2001: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2001 form 5500 responses
2001-03-01	Type of plan entity	Single employer plan
2001-03-01	Submission has been amended	No
2001-03-01	This submission is the final filing	No
2001-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2001-03-01	Plan is a collectively bargained plan	No
2001-03-01	Plan funding arrangement – Insurance	Yes
2001-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2001-03-01	Plan benefit arrangement – Insurance	Yes
2001-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2000: ALEXIAN VILLAGE OF TENNESSEE WELFARE PLAN 2000 form 5500 responses
2000-03-01	Type of plan entity	Single employer plan
2000-03-01	First time form 5500 has been submitted	Yes
2000-03-01	Submission has been amended	No
2000-03-01	This submission is the final filing	No
2000-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2000-03-01	Plan is a collectively bargained plan	No
2000-03-01	Plan funding arrangement – Insurance	Yes
2000-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2000-03-01	Plan benefit arrangement – Insurance	Yes
2000-03-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	ALEXIAN VILLAGE OF TENNESSEE
Employer identification number (EIN):	621136742
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities