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GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN 401k Plan overview

Plan NameGOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN
Plan identification number 001

GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

GOOD SHEPHERD FAIRVIEW HOME has sponsored the creation of one or more 401k plans.

Company Name:GOOD SHEPHERD FAIRVIEW HOME
Employer identification number (EIN):160962256
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012012-01-01PATRICIA MACKEY

Plan Statistics for GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN

401k plan membership statisitcs for GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN

Measure Date Value
2012: GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01393
Total number of active participants reported on line 7a of the Form 55002012-01-01387
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0131
Total of all active and inactive participants2012-01-01418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01418
Number of participants with account balances2012-01-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN

Measure Date Value
2012 : GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$602,265
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$98,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$89,493
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$404,677
Value of total assets at end of year2012-12-31$1,972,328
Value of total assets at beginning of year2012-12-31$1,468,200
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$8,644
Total interest from all sources2012-12-31$2,292
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$43,853
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$43,853
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$275,000
If this is an individual account plan, was there a blackout period2012-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$157,080
Participant contributions at end of year2012-12-31$69,073
Participant contributions at beginning of year2012-12-31$57,610
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$6,530
Administrative expenses (other) incurred2012-12-31$8,644
Total non interest bearing cash at end of year2012-12-31$6,401
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$504,128
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,972,328
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,468,200
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,431,694
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,410,590
Interest on participant loans2012-12-31$2,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$447,093
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$26
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$151,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$241,067
Employer contributions (assets) at end of year2012-12-31$18,067
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$89,493
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31Yes
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31JOHNSON LAUDER & SAVIDGE LLP
Accountancy firm EIN2012-12-31160919630

Form 5500 Responses for GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN

2012: GOOD SHEPHERD FAIRVIEW HOME 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes

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