401k Plan data: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN plan

WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

WESTERN RESERVE HEALTH SYSTEM, LLC has sponsored the creation of one or more 401k plans.

Company Name: WESTERN RESERVE HEALTH SYSTEM, LLC

Employer identification number (EIN): 273552128

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about WESTERN RESERVE HEALTH SYSTEM, LLC

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 2010-09-15

Company Identification Number: 1962235

Legal Registered Office Address: 3033 STATE RD, STE 101
-
CUYAHOGA FALLS
United States of America (USA)
44223

More information about WESTERN RESERVE HEALTH SYSTEM, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 HERMAN FRIEDMAN HERMAN FRIEDMAN 2016-04-26
001 2014-01-01 HERMAN FRIEDMAN HERMAN FRIEDMAN 2015-06-30
001 2013-01-01 HERMAN FRIEDMAN HERMAN FRIEDMAN 2014-01-16
001 2012-01-01 HERMAN FRIEDMAN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	HERMAN FRIEDMAN	HERMAN FRIEDMAN	2016-04-26
001	2014-01-01	HERMAN FRIEDMAN	HERMAN FRIEDMAN	2015-06-30
001	2013-01-01	HERMAN FRIEDMAN	HERMAN FRIEDMAN	2014-01-16
001	2012-01-01	HERMAN FRIEDMAN

Plan Statistics for WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2015: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
2014: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 8
Total of all active and inactive participants 2014-01-01 8
Total participants 2014-01-01 8
Number of participants with account balances 2014-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2
2013: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 10
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 12
Total participants 2013-01-01 12
Number of participants with account balances 2013-01-01 12
2012: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 5
Number of participants with account balances 2012-01-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2015: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
2014: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	8
Total of all active and inactive participants	2014-01-01	8
Total participants	2014-01-01	8
Number of participants with account balances	2014-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2
2013: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	10
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	12
Total participants	2013-01-01	12
Number of participants with account balances	2013-01-01	12
2012: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	5
Number of participants with account balances	2012-01-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2015 : WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$-681
Expenses. Total of all expenses incurred	2015-12-31	$43,397
Benefits paid (including direct rollovers)	2015-12-31	$43,197
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$44,078
Expenses. Other expenses not covered elsewhere	2015-12-31	$200
Other income received	2015-12-31	$-681
Net income (gross income less expenses)	2015-12-31	$-44,078
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$44,078
2014 : WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$37,259
Expenses. Total of all expenses incurred	2014-12-31	$50,161
Benefits paid (including direct rollovers)	2014-12-31	$50,036
Total plan assets at end of year	2014-12-31	$44,078
Total plan assets at beginning of year	2014-12-31	$56,980
Value of fidelity bond covering the plan	2014-12-31	$5,000
Total contributions received or receivable from participants	2014-12-31	$9,171
Contributions received from other sources (not participants or employers)	2014-12-31	$14,868
Other income received	2014-12-31	$9,909
Net income (gross income less expenses)	2014-12-31	$-12,902
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$44,078
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$56,980
Total contributions received or receivable from employer(s)	2014-12-31	$3,311
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$125
2013 : WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$26,424
Total plan assets at end of year	2013-12-31	$56,950
Total plan assets at beginning of year	2013-12-31	$30,526
Total contributions received or receivable from participants	2013-12-31	$15,431
Other income received	2013-12-31	$7,238
Net income (gross income less expenses)	2013-12-31	$26,424
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$56,950
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$30,526
Total contributions received or receivable from employer(s)	2013-12-31	$3,755
2012 : WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$30,526
Total plan assets at end of year	2012-12-31	$30,526
Total plan assets at beginning of year	2012-12-31	$0
Total contributions received or receivable from participants	2012-12-31	$7,172
Contributions received from other sources (not participants or employers)	2012-12-31	$17,076
Other income received	2012-12-31	$2,150
Net income (gross income less expenses)	2012-12-31	$30,526
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$30,526
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$4,128

Form 5500 Responses for WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN

2015: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: WESTERN RESERVE HEALTH SYSTEM, LLC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WESTERN RESERVE HEALTH SYSTEM, LLC
Employer identification number (EIN):	273552128
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	2010-09-15
Company Identification Number:	1962235
Legal Registered Office Address:	3033 STATE RD, STE 101 - CUYAHOGA FALLS United States of America (USA) 44223