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HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN 401k Plan overview

Plan NameHOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN
Plan identification number 002

HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN Benefits

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

HOUCHIN COMMUNITY BLOOD BANK 403B RETIREMENT PLAN has sponsored the creation of one or more 401k plans.

Company Name:HOUCHIN COMMUNITY BLOOD BANK 403B RETIREMENT PLAN
Employer identification number (EIN):951726412
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01LESLEE DUNNIGAN2023-10-02
0022022-01-01LESLEE DUNNIGAN2024-02-20
0022021-01-01TINA FREGEAU2022-10-03 TINA FREGEAU2022-10-03
0022020-01-01TINA FREGEAU2021-10-05
0022019-01-01LISA BURKHART2020-09-09 LISA BURKHART2020-09-09
0022018-01-01KAREN WHITE2019-06-28 KAREN WHITE2019-06-28
0022017-01-01KAREN WHITE2018-03-09 KAREN WHITE2018-03-09
0022016-01-01KAREN WHITE2017-07-12 KAREN WHITE2017-07-12
0022015-01-01KAREN WHITE2017-06-06 KAREN WHITE2017-06-06
0022015-01-01KAREN WHITE2016-04-19 KAREN WHITE2016-04-19
0022014-01-01KAREN WHITE2015-05-21 KAREN WHITE2015-05-21
0022013-01-01KAREN WHITE2014-07-28 KAREN WHITE2014-07-28
0022012-01-01PATI DELPAPA2013-06-25 PATI DELPAPA2013-06-25
0022011-01-01PATI DELPAPA2012-05-22 PATI DELPAPA2012-05-22
0022010-01-01PATI DELPAPA2011-02-02 PATI DELPAPA2011-02-02

Plan Statistics for HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN

401k plan membership statisitcs for HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN

Measure Date Value
2022: HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01131
Total number of active participants reported on line 7a of the Form 55002022-01-0163
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0121
Total of all active and inactive participants2022-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0184
Number of participants with account balances2022-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-015

Financial Data on HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN

Measure Date Value
2022 : HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$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$0
Total income from all sources (including contributions)2022-12-31$-329,995
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$230,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$222,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$253,695
Value of total assets at end of year2022-12-31$2,735,720
Value of total assets at beginning of year2022-12-31$3,296,264
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$7,659
Total interest from all sources2022-12-31$3,738
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$80,973
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$80,973
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Participant contributions at end of year2022-12-31$35,716
Participant contributions at beginning of year2022-12-31$41,625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-560,544
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,735,720
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,296,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$2,268,013
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,902,319
Interest on participant loans2022-12-31$1,722
Interest earned on other investments2022-12-31$2,016
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$431,991
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$352,320
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-668,401
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$253,695
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$222,890
Contract administrator fees2022-12-31$7,659
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CPA AUDIT GROUP
Accountancy firm EIN2022-12-31814637885

Form 5500 Responses for HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN

2022: HOUCHIN COMMUNITY BLOOD BANK MONEY PURCHASE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441462
Policy instance 1
Insurance contract or identification number441462
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number817075
Policy instance 2
Insurance contract or identification number817075
Number of Individuals Covered84
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number994938
Policy instance 3
Insurance contract or identification number994938
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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