401k Plan data: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST plan

BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 401k Plan overview

Plan Name	BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST
Plan identification number	003

BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.

401k Sponsoring company profile

BLOOD BANK OF HAWAII has sponsored the creation of one or more 401k plans.

Company Name: BLOOD BANK OF HAWAII

Employer identification number (EIN): 990073479

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-02-01
003 2021-02-01
003 2020-02-01
003 2019-02-01
003 2018-02-01
003 2017-02-01 KIM-ANH NGUYEN
003 2017-02-01 KIM-ANH NGUYEN
003 2016-02-01 KIM-ANH NGUYEN
003 2015-02-01
003 2014-02-01 ALBERT N. YOZA
003 2013-02-01 KIM-ANH NGUYEN

Plan Statistics for BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST

401k plan membership statisitcs for BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST

Measure Date Value
2022: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year 2022-02-01 133
Total number of active participants reported on line 7a of the Form 5500 2022-02-01 78
Number of retired or separated participants receiving benefits 2022-02-01 70
Number of other retired or separated participants entitled to future benefits 2022-02-01 0
Total of all active and inactive participants 2022-02-01 148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-02-01 0
Total participants 2022-02-01 148
Number of participants with account balances 2022-02-01 145
2021: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year 2021-02-01 133
Total number of active participants reported on line 7a of the Form 5500 2021-02-01 67
Number of retired or separated participants receiving benefits 2021-02-01 0
Number of other retired or separated participants entitled to future benefits 2021-02-01 66
Total of all active and inactive participants 2021-02-01 133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-02-01 0
Total participants 2021-02-01 133
Number of participants with account balances 2021-02-01 131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-02-01 4
2020: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year 2020-02-01 126
Total number of active participants reported on line 7a of the Form 5500 2020-02-01 75
Number of retired or separated participants receiving benefits 2020-02-01 0
Number of other retired or separated participants entitled to future benefits 2020-02-01 58
Total of all active and inactive participants 2020-02-01 133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-02-01 0
Total participants 2020-02-01 133
Number of participants with account balances 2020-02-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-02-01 3
2019: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-02-01 123
Total number of active participants reported on line 7a of the Form 5500 2019-02-01 68
Number of retired or separated participants receiving benefits 2019-02-01 0
Number of other retired or separated participants entitled to future benefits 2019-02-01 58
Total of all active and inactive participants 2019-02-01 126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-02-01 0
Total participants 2019-02-01 126
Number of participants with account balances 2019-02-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-02-01 3
2018: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-02-01 125
Total number of active participants reported on line 7a of the Form 5500 2018-02-01 55
Number of retired or separated participants receiving benefits 2018-02-01 0
Number of other retired or separated participants entitled to future benefits 2018-02-01 68
Total of all active and inactive participants 2018-02-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-02-01 0
Total participants 2018-02-01 123
Number of participants with account balances 2018-02-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-02-01 6
2017: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-02-01 113
Total number of active participants reported on line 7a of the Form 5500 2017-02-01 72
Number of retired or separated participants receiving benefits 2017-02-01 0
Number of other retired or separated participants entitled to future benefits 2017-02-01 47
Total of all active and inactive participants 2017-02-01 119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-02-01 0
Total participants 2017-02-01 119
Number of participants with account balances 2017-02-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-02-01 4
2016: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-02-01 144
Total number of active participants reported on line 7a of the Form 5500 2016-02-01 71
Number of retired or separated participants receiving benefits 2016-02-01 0
Number of other retired or separated participants entitled to future benefits 2016-02-01 38
Total of all active and inactive participants 2016-02-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-02-01 0
Total participants 2016-02-01 109
Number of participants with account balances 2016-02-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-02-01 0
2015: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-02-01 130
Total number of active participants reported on line 7a of the Form 5500 2015-02-01 71
Number of retired or separated participants receiving benefits 2015-02-01 0
Number of other retired or separated participants entitled to future benefits 2015-02-01 73
Total of all active and inactive participants 2015-02-01 144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-02-01 0
Total participants 2015-02-01 144
Number of participants with account balances 2015-02-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-02-01 10
2014: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-02-01 125
Total number of active participants reported on line 7a of the Form 5500 2014-02-01 82
Number of retired or separated participants receiving benefits 2014-02-01 0
Number of other retired or separated participants entitled to future benefits 2014-02-01 48
Total of all active and inactive participants 2014-02-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-02-01 0
Total participants 2014-02-01 130
Number of participants with account balances 2014-02-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-02-01 3
2013: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-02-01 114
Total number of active participants reported on line 7a of the Form 5500 2013-02-01 97
Number of retired or separated participants receiving benefits 2013-02-01 0
Number of other retired or separated participants entitled to future benefits 2013-02-01 28
Total of all active and inactive participants 2013-02-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-02-01 0
Total participants 2013-02-01 125
Number of participants with account balances 2013-02-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-02-01 2

Measure	Date	Value
2022: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year	2022-02-01	133
Total number of active participants reported on line 7a of the Form 5500	2022-02-01	78
Number of retired or separated participants receiving benefits	2022-02-01	70
Number of other retired or separated participants entitled to future benefits	2022-02-01	0
Total of all active and inactive participants	2022-02-01	148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-02-01	0
Total participants	2022-02-01	148
Number of participants with account balances	2022-02-01	145
2021: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year	2021-02-01	133
Total number of active participants reported on line 7a of the Form 5500	2021-02-01	67
Number of retired or separated participants receiving benefits	2021-02-01	0
Number of other retired or separated participants entitled to future benefits	2021-02-01	66
Total of all active and inactive participants	2021-02-01	133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-02-01	0
Total participants	2021-02-01	133
Number of participants with account balances	2021-02-01	131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-02-01	4
2020: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year	2020-02-01	126
Total number of active participants reported on line 7a of the Form 5500	2020-02-01	75
Number of retired or separated participants receiving benefits	2020-02-01	0
Number of other retired or separated participants entitled to future benefits	2020-02-01	58
Total of all active and inactive participants	2020-02-01	133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-02-01	0
Total participants	2020-02-01	133
Number of participants with account balances	2020-02-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-02-01	3
2019: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-02-01	123
Total number of active participants reported on line 7a of the Form 5500	2019-02-01	68
Number of retired or separated participants receiving benefits	2019-02-01	0
Number of other retired or separated participants entitled to future benefits	2019-02-01	58
Total of all active and inactive participants	2019-02-01	126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-02-01	0
Total participants	2019-02-01	126
Number of participants with account balances	2019-02-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-02-01	3
2018: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-02-01	125
Total number of active participants reported on line 7a of the Form 5500	2018-02-01	55
Number of retired or separated participants receiving benefits	2018-02-01	0
Number of other retired or separated participants entitled to future benefits	2018-02-01	68
Total of all active and inactive participants	2018-02-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-02-01	0
Total participants	2018-02-01	123
Number of participants with account balances	2018-02-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-02-01	6
2017: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-02-01	113
Total number of active participants reported on line 7a of the Form 5500	2017-02-01	72
Number of retired or separated participants receiving benefits	2017-02-01	0
Number of other retired or separated participants entitled to future benefits	2017-02-01	47
Total of all active and inactive participants	2017-02-01	119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-02-01	0
Total participants	2017-02-01	119
Number of participants with account balances	2017-02-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-02-01	4
2016: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-02-01	144
Total number of active participants reported on line 7a of the Form 5500	2016-02-01	71
Number of retired or separated participants receiving benefits	2016-02-01	0
Number of other retired or separated participants entitled to future benefits	2016-02-01	38
Total of all active and inactive participants	2016-02-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-02-01	0
Total participants	2016-02-01	109
Number of participants with account balances	2016-02-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-02-01	0
2015: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-02-01	130
Total number of active participants reported on line 7a of the Form 5500	2015-02-01	71
Number of retired or separated participants receiving benefits	2015-02-01	0
Number of other retired or separated participants entitled to future benefits	2015-02-01	73
Total of all active and inactive participants	2015-02-01	144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-02-01	0
Total participants	2015-02-01	144
Number of participants with account balances	2015-02-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-02-01	10
2014: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-02-01	125
Total number of active participants reported on line 7a of the Form 5500	2014-02-01	82
Number of retired or separated participants receiving benefits	2014-02-01	0
Number of other retired or separated participants entitled to future benefits	2014-02-01	48
Total of all active and inactive participants	2014-02-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-02-01	0
Total participants	2014-02-01	130
Number of participants with account balances	2014-02-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-02-01	3
2013: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-02-01	114
Total number of active participants reported on line 7a of the Form 5500	2013-02-01	97
Number of retired or separated participants receiving benefits	2013-02-01	0
Number of other retired or separated participants entitled to future benefits	2013-02-01	28
Total of all active and inactive participants	2013-02-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-02-01	0
Total participants	2013-02-01	125
Number of participants with account balances	2013-02-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-02-01	2

Financial Data on BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST

Measure	Date	Value
2023 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2023 401k financial data
Total income from all sources (including contributions)	2023-01-31	$20,887
Total of all expenses incurred	2023-01-31	$376,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-01-31	$342,410
Expenses. Certain deemed distributions of participant loans	2023-01-31	$4,584
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-01-31	$259,439
Value of total assets at end of year	2023-01-31	$3,642,193
Value of total assets at beginning of year	2023-01-31	$3,997,751
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-01-31	$29,451
Total interest from all sources	2023-01-31	$1,695
Total dividends received (eg from common stock, registered investment company shares)	2023-01-31	$260,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-01-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-01-31	$260,840
Was this plan covered by a fidelity bond	2023-01-31	Yes
Value of fidelity bond cover	2023-01-31	$500,000
If this is an individual account plan, was there a blackout period	2023-01-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-01-31	No
Contributions received from participants	2023-01-31	$122,539
Participant contributions at end of year	2023-01-31	$21,526
Participant contributions at beginning of year	2023-01-31	$22,883
Participant contributions at beginning of year	2023-01-31	$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	2023-01-31	No
Value of net income/loss	2023-01-31	$-355,558
Value of net assets at end of year (total assets less liabilities)	2023-01-31	$3,642,193
Value of net assets at beginning of year (total assets less liabilities)	2023-01-31	$3,997,751
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-01-31	No
Were any leases to which the plan was party in default or uncollectible	2023-01-31	No
Investment advisory and management fees	2023-01-31	$29,451
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-01-31	$3,491,734
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-01-31	$3,822,148
Interest on participant loans	2023-01-31	$1,017
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-01-31	$678
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-01-31	$57,984
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-01-31	$87,992
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-01-31	$-501,087
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-01-31	No
Was there a failure to transmit to the plan any participant contributions	2023-01-31	Yes
Has the plan failed to provide any benefit when due under the plan	2023-01-31	No
Contributions received in cash from employer	2023-01-31	$136,900
Employer contributions (assets) at end of year	2023-01-31	$70,949
Employer contributions (assets) at beginning of year	2023-01-31	$64,728
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-01-31	$342,410
Did the plan have assets held for investment	2023-01-31	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	2023-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-01-31	No
Opinion of an independent qualified public accountant for this plan	2023-01-31	Unqualified
Accountancy firm name	2023-01-31	N&K CPAS INC.
Accountancy firm EIN	2023-01-31	990169131
2022 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2022 401k financial data
Total income from all sources (including contributions)	2022-01-31	$614,342
Total of all expenses incurred	2022-01-31	$470,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-01-31	$437,852
Expenses. Certain deemed distributions of participant loans	2022-01-31	$7,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-01-31	$291,512
Value of total assets at end of year	2022-01-31	$3,997,751
Value of total assets at beginning of year	2022-01-31	$3,854,221
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-01-31	$25,168
Total interest from all sources	2022-01-31	$2,678
Total dividends received (eg from common stock, registered investment company shares)	2022-01-31	$357,410
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-01-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-01-31	$357,410
Was this plan covered by a fidelity bond	2022-01-31	Yes
Value of fidelity bond cover	2022-01-31	$500,000
If this is an individual account plan, was there a blackout period	2022-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2022-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2022-01-31	No
Contributions received from participants	2022-01-31	$148,544
Participant contributions at end of year	2022-01-31	$22,883
Participant contributions at beginning of year	2022-01-31	$45,218
Participant contributions at end of year	2022-01-31	$0
Participant contributions at beginning of year	2022-01-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-01-31	$0
Other income not declared elsewhere	2022-01-31	$38
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-01-31	No
Income. Non cash contributions	2022-01-31	$0
Value of net income/loss	2022-01-31	$143,530
Value of net assets at end of year (total assets less liabilities)	2022-01-31	$3,997,751
Value of net assets at beginning of year (total assets less liabilities)	2022-01-31	$3,854,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-01-31	No
Were any leases to which the plan was party in default or uncollectible	2022-01-31	No
Investment advisory and management fees	2022-01-31	$25,168
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-01-31	$3,822,148
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-01-31	$3,661,927
Interest on participant loans	2022-01-31	$1,929
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-01-31	$749
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-01-31	$87,992
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-01-31	$73,891
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-01-31	$-37,296
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-01-31	No
Was there a failure to transmit to the plan any participant contributions	2022-01-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-01-31	No
Contributions received in cash from employer	2022-01-31	$142,968
Employer contributions (assets) at end of year	2022-01-31	$64,728
Employer contributions (assets) at beginning of year	2022-01-31	$73,185
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-01-31	$437,852
Did the plan have assets held for investment	2022-01-31	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	2022-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-01-31	No
Opinion of an independent qualified public accountant for this plan	2022-01-31	Unqualified
Accountancy firm name	2022-01-31	N&K CPAS INC.
Accountancy firm EIN	2022-01-31	990169131
2021 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2021 401k financial data
Total income from all sources (including contributions)	2021-01-31	$785,750
Total of all expenses incurred	2021-01-31	$239,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-01-31	$216,809
Expenses. Certain deemed distributions of participant loans	2021-01-31	$2,113
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-01-31	$309,099
Value of total assets at end of year	2021-01-31	$3,854,221
Value of total assets at beginning of year	2021-01-31	$3,307,819
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-01-31	$20,426
Total interest from all sources	2021-01-31	$3,224
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-01-31	No
Was this plan covered by a fidelity bond	2021-01-31	Yes
Value of fidelity bond cover	2021-01-31	$500,000
If this is an individual account plan, was there a blackout period	2021-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-01-31	No
Contributions received from participants	2021-01-31	$150,823
Participant contributions at end of year	2021-01-31	$45,218
Participant contributions at beginning of year	2021-01-31	$70,512
Participant contributions at end of year	2021-01-31	$0
Participant contributions at beginning of year	2021-01-31	$6,358
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-01-31	No
Value of net income/loss	2021-01-31	$546,402
Value of net assets at end of year (total assets less liabilities)	2021-01-31	$3,854,221
Value of net assets at beginning of year (total assets less liabilities)	2021-01-31	$3,307,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-01-31	No
Were any leases to which the plan was party in default or uncollectible	2021-01-31	No
Investment advisory and management fees	2021-01-31	$20,426
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-01-31	$3,661,927
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-01-31	$3,081,758
Interest on participant loans	2021-01-31	$3,224
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-01-31	$73,891
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-01-31	$69,933
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-01-31	$473,427
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-01-31	No
Was there a failure to transmit to the plan any participant contributions	2021-01-31	No
Has the plan failed to provide any benefit when due under the plan	2021-01-31	No
Contributions received in cash from employer	2021-01-31	$158,276
Employer contributions (assets) at end of year	2021-01-31	$73,185
Employer contributions (assets) at beginning of year	2021-01-31	$79,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-01-31	$216,809
Did the plan have assets held for investment	2021-01-31	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	2021-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-01-31	No
Opinion of an independent qualified public accountant for this plan	2021-01-31	Disclaimer
Accountancy firm name	2021-01-31	N&K CPAS INC.
Accountancy firm EIN	2021-01-31	990161931
2020 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-01-31	$0
Total unrealized appreciation/depreciation of assets	2020-01-31	$0
Total transfer of assets to this plan	2020-01-31	$0
Total transfer of assets to this plan	2020-01-31	$0
Total transfer of assets from this plan	2020-01-31	$0
Total transfer of assets from this plan	2020-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-01-31	$0
Total income from all sources (including contributions)	2020-01-31	$670,925
Total income from all sources (including contributions)	2020-01-31	$670,925
Total loss/gain on sale of assets	2020-01-31	$0
Total loss/gain on sale of assets	2020-01-31	$0
Total of all expenses incurred	2020-01-31	$102,443
Total of all expenses incurred	2020-01-31	$102,443
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-01-31	$81,677
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-01-31	$81,677
Expenses. Certain deemed distributions of participant loans	2020-01-31	$2,092
Expenses. Certain deemed distributions of participant loans	2020-01-31	$2,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-01-31	$336,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-01-31	$336,501
Value of total assets at end of year	2020-01-31	$3,307,819
Value of total assets at beginning of year	2020-01-31	$2,739,337
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-01-31	$18,674
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-01-31	$18,674
Total interest from all sources	2020-01-31	$3,411
Total interest from all sources	2020-01-31	$3,411
Total dividends received (eg from common stock, registered investment company shares)	2020-01-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-01-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-01-31	No
Was this plan covered by a fidelity bond	2020-01-31	Yes
Was this plan covered by a fidelity bond	2020-01-31	Yes
Value of fidelity bond cover	2020-01-31	$500,000
Value of fidelity bond cover	2020-01-31	$500,000
If this is an individual account plan, was there a blackout period	2020-01-31	No
If this is an individual account plan, was there a blackout period	2020-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-01-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-01-31	No
Contributions received from participants	2020-01-31	$170,051
Participant contributions at end of year	2020-01-31	$70,512
Participant contributions at beginning of year	2020-01-31	$50,387
Participant contributions at end of year	2020-01-31	$6,358
Participant contributions at beginning of year	2020-01-31	$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	2020-01-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-01-31	No
Value of net income/loss	2020-01-31	$568,482
Value of net income/loss	2020-01-31	$568,482
Value of net assets at end of year (total assets less liabilities)	2020-01-31	$3,307,819
Value of net assets at beginning of year (total assets less liabilities)	2020-01-31	$2,739,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-01-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-01-31	No
Were any leases to which the plan was party in default or uncollectible	2020-01-31	No
Were any leases to which the plan was party in default or uncollectible	2020-01-31	No
Investment advisory and management fees	2020-01-31	$18,674
Investment advisory and management fees	2020-01-31	$18,674
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-01-31	$3,081,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-01-31	$2,546,123
Income. Interest from loans (other than to participants)	2020-01-31	$3,411
Income. Interest from loans (other than to participants)	2020-01-31	$3,411
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-01-31	$69,933
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-01-31	$79,177
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-01-31	$331,013
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-01-31	$331,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-01-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-01-31	No
Was there a failure to transmit to the plan any participant contributions	2020-01-31	Yes
Was there a failure to transmit to the plan any participant contributions	2020-01-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-01-31	No
Has the plan failed to provide any benefit when due under the plan	2020-01-31	No
Contributions received in cash from employer	2020-01-31	$166,450
Employer contributions (assets) at end of year	2020-01-31	$79,258
Employer contributions (assets) at beginning of year	2020-01-31	$63,650
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-01-31	$81,677
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-01-31	$81,677
Did the plan have assets held for investment	2020-01-31	Yes
Did the plan have assets held for investment	2020-01-31	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	2020-01-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-01-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2020-01-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2020-01-31	Disclaimer
Accountancy firm name	2020-01-31	N&K CPAS INC.
Accountancy firm name	2020-01-31	N&K CPAS INC.
Accountancy firm EIN	2020-01-31	990169131
Accountancy firm EIN	2020-01-31	990169131
2019 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-01-31	$0
Total transfer of assets to this plan	2019-01-31	$0
Total transfer of assets from this plan	2019-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-01-31	$0
Total income from all sources (including contributions)	2019-01-31	$199,670
Total loss/gain on sale of assets	2019-01-31	$0
Total of all expenses incurred	2019-01-31	$428,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-01-31	$404,949
Expenses. Certain deemed distributions of participant loans	2019-01-31	$6,017
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-01-31	$333,109
Value of total assets at end of year	2019-01-31	$2,739,337
Value of total assets at beginning of year	2019-01-31	$2,968,175
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-01-31	$17,542
Total interest from all sources	2019-01-31	$1,849
Total dividends received (eg from common stock, registered investment company shares)	2019-01-31	$236,813
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-01-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-01-31	$236,813
Was this plan covered by a fidelity bond	2019-01-31	Yes
Value of fidelity bond cover	2019-01-31	$500,000
If this is an individual account plan, was there a blackout period	2019-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-01-31	No
Contributions received from participants	2019-01-31	$168,714
Participant contributions at end of year	2019-01-31	$50,387
Participant contributions at beginning of year	2019-01-31	$35,563
Income. Received or receivable in cash from other sources (including rollovers)	2019-01-31	$8,461
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-01-31	No
Value of net income/loss	2019-01-31	$-228,838
Value of net assets at end of year (total assets less liabilities)	2019-01-31	$2,739,337
Value of net assets at beginning of year (total assets less liabilities)	2019-01-31	$2,968,175
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-01-31	No
Were any leases to which the plan was party in default or uncollectible	2019-01-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-01-31	$2,546,123
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-01-31	$2,790,367
Interest on participant loans	2019-01-31	$1,849
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-01-31	$79,177
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-01-31	$69,628
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-01-31	$-372,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-01-31	No
Was there a failure to transmit to the plan any participant contributions	2019-01-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-01-31	No
Contributions received in cash from employer	2019-01-31	$155,934
Employer contributions (assets) at end of year	2019-01-31	$63,650
Employer contributions (assets) at beginning of year	2019-01-31	$72,617
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-01-31	$404,949
Contract administrator fees	2019-01-31	$17,542
Did the plan have assets held for investment	2019-01-31	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	2019-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-01-31	Disclaimer
Accountancy firm name	2019-01-31	N&K CPAS INC.
Accountancy firm EIN	2019-01-31	990169131
2018 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-01-31	$0
Total transfer of assets to this plan	2018-01-31	$0
Total transfer of assets from this plan	2018-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-01-31	$0
Total income from all sources (including contributions)	2018-01-31	$835,589
Total loss/gain on sale of assets	2018-01-31	$0
Total of all expenses incurred	2018-01-31	$963,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-01-31	$945,645
Expenses. Certain deemed distributions of participant loans	2018-01-31	$5,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-01-31	$382,756
Value of total assets at end of year	2018-01-31	$2,968,175
Value of total assets at beginning of year	2018-01-31	$3,096,523
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-01-31	$12,462
Total interest from all sources	2018-01-31	$1,730
Total dividends received (eg from common stock, registered investment company shares)	2018-01-31	$153,921
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-01-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-01-31	$153,921
Was this plan covered by a fidelity bond	2018-01-31	Yes
Value of fidelity bond cover	2018-01-31	$500,000
If this is an individual account plan, was there a blackout period	2018-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-01-31	No
Contributions received from participants	2018-01-31	$207,136
Participant contributions at end of year	2018-01-31	$35,563
Participant contributions at beginning of year	2018-01-31	$36,190
Income. Received or receivable in cash from other sources (including rollovers)	2018-01-31	$2,163
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-01-31	No
Value of net income/loss	2018-01-31	$-128,348
Value of net assets at end of year (total assets less liabilities)	2018-01-31	$2,968,175
Value of net assets at beginning of year (total assets less liabilities)	2018-01-31	$3,096,523
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-01-31	No
Were any leases to which the plan was party in default or uncollectible	2018-01-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-01-31	$2,790,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-01-31	$2,869,988
Interest on participant loans	2018-01-31	$1,730
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-01-31	$69,628
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-01-31	$123,734
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-01-31	$297,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-01-31	No
Was there a failure to transmit to the plan any participant contributions	2018-01-31	No
Has the plan failed to provide any benefit when due under the plan	2018-01-31	No
Contributions received in cash from employer	2018-01-31	$173,457
Employer contributions (assets) at end of year	2018-01-31	$72,617
Employer contributions (assets) at beginning of year	2018-01-31	$66,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-01-31	$945,645
Contract administrator fees	2018-01-31	$12,462
Did the plan have assets held for investment	2018-01-31	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	2018-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-01-31	Disclaimer
Accountancy firm name	2018-01-31	N&K CPAS INC.
Accountancy firm EIN	2018-01-31	990169131
2017 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-01-31	$0
Total transfer of assets to this plan	2017-01-31	$0
Total transfer of assets from this plan	2017-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-01-31	$0
Total income from all sources (including contributions)	2017-01-31	$753,025
Total loss/gain on sale of assets	2017-01-31	$0
Total of all expenses incurred	2017-01-31	$521,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-01-31	$501,212
Expenses. Certain deemed distributions of participant loans	2017-01-31	$1,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-01-31	$378,504
Value of total assets at end of year	2017-01-31	$3,096,523
Value of total assets at beginning of year	2017-01-31	$2,864,878
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-01-31	$18,203
Total interest from all sources	2017-01-31	$967
Total dividends received (eg from common stock, registered investment company shares)	2017-01-31	$173,641
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-01-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-01-31	$173,641
Was this plan covered by a fidelity bond	2017-01-31	Yes
Value of fidelity bond cover	2017-01-31	$500,000
If this is an individual account plan, was there a blackout period	2017-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-01-31	No
Contributions received from participants	2017-01-31	$209,747
Participant contributions at end of year	2017-01-31	$36,190
Participant contributions at beginning of year	2017-01-31	$19,177
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-01-31	No
Value of net income/loss	2017-01-31	$231,645
Value of net assets at end of year (total assets less liabilities)	2017-01-31	$3,096,523
Value of net assets at beginning of year (total assets less liabilities)	2017-01-31	$2,864,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-01-31	No
Were any leases to which the plan was party in default or uncollectible	2017-01-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-01-31	$2,869,988
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-01-31	$2,684,621
Interest on participant loans	2017-01-31	$967
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-01-31	$123,734
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-01-31	$92,414
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-01-31	$199,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-01-31	No
Was there a failure to transmit to the plan any participant contributions	2017-01-31	No
Has the plan failed to provide any benefit when due under the plan	2017-01-31	No
Contributions received in cash from employer	2017-01-31	$168,757
Employer contributions (assets) at end of year	2017-01-31	$66,611
Employer contributions (assets) at beginning of year	2017-01-31	$68,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-01-31	$501,212
Contract administrator fees	2017-01-31	$18,203
Did the plan have assets held for investment	2017-01-31	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	2017-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-01-31	Disclaimer
Accountancy firm name	2017-01-31	N&K CPAS INC.
Accountancy firm EIN	2017-01-31	990169131
2016 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-01-31	$0
Total income from all sources (including contributions)	2016-01-31	$333,250
Total loss/gain on sale of assets	2016-01-31	$0
Total of all expenses incurred	2016-01-31	$646,797
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-01-31	$628,600
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-01-31	$455,338
Value of total assets at end of year	2016-01-31	$2,864,878
Value of total assets at beginning of year	2016-01-31	$3,178,425
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-01-31	$18,197
Total interest from all sources	2016-01-31	$1,376
Total dividends received (eg from common stock, registered investment company shares)	2016-01-31	$224,273
Total dividends received from registered investment company shares (eg mutual funds)	2016-01-31	$224,273
Was this plan covered by a fidelity bond	2016-01-31	Yes
Value of fidelity bond cover	2016-01-31	$500,000
If this is an individual account plan, was there a blackout period	2016-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-01-31	No
Contributions received from participants	2016-01-31	$274,217
Participant contributions at end of year	2016-01-31	$19,177
Participant contributions at beginning of year	2016-01-31	$18,036
Income. Received or receivable in cash from other sources (including rollovers)	2016-01-31	$2,367
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-01-31	No
Value of net income/loss	2016-01-31	$-313,547
Value of net assets at end of year (total assets less liabilities)	2016-01-31	$2,864,878
Value of net assets at beginning of year (total assets less liabilities)	2016-01-31	$3,178,425
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-01-31	No
Were any leases to which the plan was party in default or uncollectible	2016-01-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-01-31	$2,684,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-01-31	$3,028,687
Interest on participant loans	2016-01-31	$1,376
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-01-31	$92,414
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-01-31	$55,704
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-01-31	$-347,737
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-01-31	No
Was there a failure to transmit to the plan any participant contributions	2016-01-31	No
Has the plan failed to provide any benefit when due under the plan	2016-01-31	No
Contributions received in cash from employer	2016-01-31	$178,754
Employer contributions (assets) at end of year	2016-01-31	$68,666
Employer contributions (assets) at beginning of year	2016-01-31	$75,998
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-01-31	$628,600
Contract administrator fees	2016-01-31	$18,197
Did the plan have assets held for investment	2016-01-31	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	2016-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-01-31	Disclaimer
Accountancy firm name	2016-01-31	N&K CPAS INC.
Accountancy firm EIN	2016-01-31	990169131
2015 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-01-31	$0
Total income from all sources (including contributions)	2015-01-31	$830,197
Total loss/gain on sale of assets	2015-01-31	$0
Total of all expenses incurred	2015-01-31	$339,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-01-31	$320,265
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-01-31	$619,949
Value of total assets at end of year	2015-01-31	$3,178,425
Value of total assets at beginning of year	2015-01-31	$2,687,367
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-01-31	$18,874
Total interest from all sources	2015-01-31	$2,374
Total dividends received (eg from common stock, registered investment company shares)	2015-01-31	$187,080
Total dividends received from registered investment company shares (eg mutual funds)	2015-01-31	$187,080
Was this plan covered by a fidelity bond	2015-01-31	Yes
Value of fidelity bond cover	2015-01-31	$500,000
If this is an individual account plan, was there a blackout period	2015-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-01-31	No
Contributions received from participants	2015-01-31	$293,742
Participant contributions at end of year	2015-01-31	$18,036
Participant contributions at beginning of year	2015-01-31	$54,904
Income. Received or receivable in cash from other sources (including rollovers)	2015-01-31	$125,308
Administrative expenses (other) incurred	2015-01-31	$18,874
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-01-31	No
Value of net income/loss	2015-01-31	$491,058
Value of net assets at end of year (total assets less liabilities)	2015-01-31	$3,178,425
Value of net assets at beginning of year (total assets less liabilities)	2015-01-31	$2,687,367
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-01-31	No
Were any leases to which the plan was party in default or uncollectible	2015-01-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-01-31	$3,028,687
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-01-31	$2,476,423
Interest on participant loans	2015-01-31	$2,374
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-01-31	$55,704
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-01-31	$65,278
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-01-31	$20,794
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-01-31	No
Was there a failure to transmit to the plan any participant contributions	2015-01-31	No
Has the plan failed to provide any benefit when due under the plan	2015-01-31	No
Contributions received in cash from employer	2015-01-31	$200,899
Employer contributions (assets) at end of year	2015-01-31	$75,998
Employer contributions (assets) at beginning of year	2015-01-31	$90,762
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-01-31	$320,265
Did the plan have assets held for investment	2015-01-31	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	2015-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-01-31	Disclaimer
Accountancy firm name	2015-01-31	N&K CPAS INC.
Accountancy firm EIN	2015-01-31	990169131
2014 : BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-01-31	$0
Total income from all sources (including contributions)	2014-01-31	$2,785,108
Total loss/gain on sale of assets	2014-01-31	$0
Total of all expenses incurred	2014-01-31	$97,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-01-31	$86,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-01-31	$2,605,342
Value of total assets at end of year	2014-01-31	$2,687,367
Value of total assets at beginning of year	2014-01-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-01-31	$11,598
Total interest from all sources	2014-01-31	$919
Total dividends received (eg from common stock, registered investment company shares)	2014-01-31	$128,194
Total dividends received from registered investment company shares (eg mutual funds)	2014-01-31	$128,194
Was this plan covered by a fidelity bond	2014-01-31	No
If this is an individual account plan, was there a blackout period	2014-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-01-31	No
Contributions received from participants	2014-01-31	$373,104
Participant contributions at end of year	2014-01-31	$54,904
Participant contributions at beginning of year	2014-01-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-01-31	$1,968,957
Administrative expenses (other) incurred	2014-01-31	$11,598
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-01-31	No
Value of net income/loss	2014-01-31	$2,687,367
Value of net assets at end of year (total assets less liabilities)	2014-01-31	$2,687,367
Value of net assets at beginning of year (total assets less liabilities)	2014-01-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-01-31	No
Were any leases to which the plan was party in default or uncollectible	2014-01-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-01-31	$2,476,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-01-31	$0
Interest on participant loans	2014-01-31	$919
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-01-31	$65,278
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-01-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-01-31	$50,653
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-01-31	No
Was there a failure to transmit to the plan any participant contributions	2014-01-31	No
Has the plan failed to provide any benefit when due under the plan	2014-01-31	No
Contributions received in cash from employer	2014-01-31	$263,281
Employer contributions (assets) at end of year	2014-01-31	$90,762
Employer contributions (assets) at beginning of year	2014-01-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-01-31	$86,143
Did the plan have assets held for investment	2014-01-31	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	2014-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-01-31	Disclaimer
Accountancy firm name	2014-01-31	N&K CPAS INC.
Accountancy firm EIN	2014-01-31	990169131

Form 5500 Responses for BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST

2022: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2022 form 5500 responses
2022-02-01	Type of plan entity	Single employer plan
2022-02-01	Plan funding arrangement – Insurance	Yes
2022-02-01	Plan funding arrangement – Trust	Yes
2022-02-01	Plan benefit arrangement - Trust	Yes
2021: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2021 form 5500 responses
2021-02-01	Type of plan entity	Single employer plan
2021-02-01	Plan funding arrangement – Insurance	Yes
2021-02-01	Plan funding arrangement – Trust	Yes
2021-02-01	Plan benefit arrangement - Trust	Yes
2020: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2020 form 5500 responses
2020-02-01	Type of plan entity	Single employer plan
2020-02-01	Plan funding arrangement – Insurance	Yes
2020-02-01	Plan funding arrangement – Trust	Yes
2020-02-01	Plan benefit arrangement - Trust	Yes
2019: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2019 form 5500 responses
2019-02-01	Type of plan entity	Single employer plan
2019-02-01	Submission has been amended	No
2019-02-01	This submission is the final filing	No
2019-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-02-01	Plan is a collectively bargained plan	No
2019-02-01	Plan funding arrangement – Insurance	Yes
2019-02-01	Plan funding arrangement – Trust	Yes
2019-02-01	Plan benefit arrangement - Trust	Yes
2018: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2018 form 5500 responses
2018-02-01	Type of plan entity	Single employer plan
2018-02-01	Submission has been amended	No
2018-02-01	This submission is the final filing	No
2018-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-02-01	Plan is a collectively bargained plan	No
2018-02-01	Plan funding arrangement – Insurance	Yes
2018-02-01	Plan funding arrangement – Trust	Yes
2018-02-01	Plan benefit arrangement - Trust	Yes
2017: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2017 form 5500 responses
2017-02-01	Type of plan entity	Single employer plan
2017-02-01	Submission has been amended	No
2017-02-01	This submission is the final filing	No
2017-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-02-01	Plan is a collectively bargained plan	No
2017-02-01	Plan funding arrangement – Insurance	Yes
2017-02-01	Plan funding arrangement – Trust	Yes
2017-02-01	Plan benefit arrangement - Trust	Yes
2016: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2016 form 5500 responses
2016-02-01	Type of plan entity	Single employer plan
2016-02-01	Submission has been amended	No
2016-02-01	This submission is the final filing	No
2016-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-02-01	Plan is a collectively bargained plan	No
2016-02-01	Plan funding arrangement – Insurance	Yes
2016-02-01	Plan funding arrangement – Trust	Yes
2016-02-01	Plan benefit arrangement - Trust	Yes
2015: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2015 form 5500 responses
2015-02-01	Type of plan entity	Single employer plan
2015-02-01	Submission has been amended	No
2015-02-01	This submission is the final filing	No
2015-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-02-01	Plan is a collectively bargained plan	No
2015-02-01	Plan funding arrangement – Trust	Yes
2015-02-01	Plan benefit arrangement – Insurance	Yes
2015-02-01	Plan benefit arrangement - Trust	Yes
2014: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2014 form 5500 responses
2014-02-01	Type of plan entity	Single employer plan
2014-02-01	Submission has been amended	No
2014-02-01	This submission is the final filing	No
2014-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-02-01	Plan is a collectively bargained plan	No
2014-02-01	Plan funding arrangement – Trust	Yes
2014-02-01	Plan benefit arrangement – Insurance	Yes
2014-02-01	Plan benefit arrangement - Trust	Yes
2013: BLOOD BANK OF HAWAII 401(K) RETIREMENT SAVINGS PLAN AND TRUST 2013 form 5500 responses
2013-02-01	Type of plan entity	Single employer plan
2013-02-01	First time form 5500 has been submitted	Yes
2013-02-01	Submission has been amended	No
2013-02-01	This submission is the final filing	No
2013-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-02-01	Plan is a collectively bargained plan	No
2013-02-01	Plan funding arrangement – Trust	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes
2013-02-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

335231-01

Policy instance

Insurance contract or identification number	335231-01
Number of Individuals Covered	10
Insurance policy start date	2022-02-01
Insurance policy end date	2023-01-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

335231-01

Policy instance

Insurance contract or identification number	335231-01
Number of Individuals Covered	7
Insurance policy start date	2021-02-01
Insurance policy end date	2022-01-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

335231-01

Policy instance

Insurance contract or identification number	335231-01
Number of Individuals Covered	6
Insurance policy start date	2020-02-01
Insurance policy end date	2021-01-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

335231-01

Policy instance

Insurance contract or identification number	335231-01
Number of Individuals Covered	5
Insurance policy start date	2019-02-01
Insurance policy end date	2020-01-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

335231-01

Policy instance

Insurance contract or identification number	335231-01
Number of Individuals Covered	4
Insurance policy start date	2017-02-01
Insurance policy end date	2018-01-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

335231-01

Policy instance

Insurance contract or identification number	335231-01
Number of Individuals Covered	7
Insurance policy start date	2015-02-01
Insurance policy end date	2016-01-31
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

335231-01

Policy instance

Insurance contract or identification number	335231-01
Number of Individuals Covered	129
Insurance policy start date	2014-02-01
Insurance policy end date	2015-01-31
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

335231-01

Policy instance

Insurance contract or identification number	335231-01
Number of Individuals Covered	119
Insurance policy start date	2013-02-01
Insurance policy end date	2014-01-31
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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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Company Name:	BLOOD BANK OF HAWAII
Employer identification number (EIN):	990073479
NAIC Classification:	621900