401k Plan data: JOHN BAPST MHS MEDICAL PLAN plan

JOHN BAPST MHS MEDICAL PLAN 401k Plan overview

Plan Name	JOHN BAPST MHS MEDICAL PLAN
Plan identification number	501

JOHN BAPST MHS MEDICAL PLAN Benefits

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

401k Sponsoring company profile

JOHN BAPST MEMORIAL HIGH SCHOOL has sponsored the creation of one or more 401k plans.

Company Name: JOHN BAPST MEMORIAL HIGH SCHOOL

Employer identification number (EIN): 010370309

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN BAPST MHS MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-07-01 WILLIAM MEIER 2015-02-10
501 2012-07-01 WILLIAM MEIER WILLIAM MEIER 2013-12-11
501 2011-07-01 WILLIAM MEIER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2013-07-01	WILLIAM MEIER	2015-02-10
501	2012-07-01	WILLIAM MEIER		WILLIAM MEIER	2013-12-11
501	2011-07-01	WILLIAM MEIER

Plan Statistics for JOHN BAPST MHS MEDICAL PLAN

401k plan membership statisitcs for JOHN BAPST MHS MEDICAL PLAN

Measure Date Value
2012: JOHN BAPST MHS MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 114
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 101
Total of all active and inactive participants 2012-07-01 101
Total participants 2012-07-01 101
2011: JOHN BAPST MHS MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 114
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 114
Total of all active and inactive participants 2011-07-01 114
Total participants 2011-07-01 114

Measure	Date	Value
2012: JOHN BAPST MHS MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	114
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	101
Total of all active and inactive participants	2012-07-01	101
Total participants	2012-07-01	101
2011: JOHN BAPST MHS MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	114
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	114
Total of all active and inactive participants	2011-07-01	114
Total participants	2011-07-01	114

Financial Data on JOHN BAPST MHS MEDICAL PLAN

Measure	Date	Value
2013 : JOHN BAPST MHS MEDICAL PLAN 2013 401k financial data
Transfers to/from the plan	2013-06-30	$0
Total plan liabilities at end of year	2013-06-30	$0
Total plan liabilities at beginning of year	2013-06-30	$0
Total income from all sources	2013-06-30	$0
Expenses. Total of all expenses incurred	2013-06-30	$0
Benefits paid (including direct rollovers)	2013-06-30	$0
Total plan assets at end of year	2013-06-30	$0
Total plan assets at beginning of year	2013-06-30	$0
Value of fidelity bond covering the plan	2013-06-30	$1,000,000
Total contributions received or receivable from participants	2013-06-30	$0
Expenses. Other expenses not covered elsewhere	2013-06-30	$0
Contributions received from other sources (not participants or employers)	2013-06-30	$0
Other income received	2013-06-30	$0
Noncash contributions received	2013-06-30	$0
Net income (gross income less expenses)	2013-06-30	$0
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$0
Total contributions received or receivable from employer(s)	2013-06-30	$0
Value of certain deemed distributions of participant loans	2013-06-30	$0
Value of corrective distributions	2013-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$0
2012 : JOHN BAPST MHS MEDICAL PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-06-30	$0
Total plan liabilities at beginning of year	2012-06-30	$0
Total income from all sources	2012-06-30	$0
Expenses. Total of all expenses incurred	2012-06-30	$0
Benefits paid (including direct rollovers)	2012-06-30	$0
Total plan assets at end of year	2012-06-30	$0
Total plan assets at beginning of year	2012-06-30	$0
Value of fidelity bond covering the plan	2012-06-30	$1,000,000
Total contributions received or receivable from participants	2012-06-30	$0
Expenses. Other expenses not covered elsewhere	2012-06-30	$0
Contributions received from other sources (not participants or employers)	2012-06-30	$0
Other income received	2012-06-30	$0
Noncash contributions received	2012-06-30	$0
Net income (gross income less expenses)	2012-06-30	$0
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$0
Total contributions received or receivable from employer(s)	2012-06-30	$0
Value of certain deemed distributions of participant loans	2012-06-30	$0
Value of corrective distributions	2012-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$0

Form 5500 Responses for JOHN BAPST MHS MEDICAL PLAN

2012: JOHN BAPST MHS MEDICAL PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: JOHN BAPST MHS MEDICAL PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	First time form 5500 has been submitted	Yes
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )

Policy contract number

222006

Policy instance

Insurance contract or identification number	222006
Number of Individuals Covered	114
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $8,610
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $465,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	JOHN BAPST MEMORIAL HIGH SCHOOL
Employer identification number (EIN):	010370309
NAIC Classification:	611000