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HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN 401k Plan overview

Plan NameHOSPITAL DR. DOMINGUEZ RETIREMENT PLAN
Plan identification number 001

HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN Benefits

401k Plan TypeOther Pension Benefit
Plan Features/Benefits
  • Non-U.S. plan - Pension plan maintained outside the United States primarily for nonresident aliens.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.

401k Sponsoring company profile

HOSPITAL DR. DOMINGUEZ has sponsored the creation of one or more 401k plans.

Company Name:HOSPITAL DR. DOMINGUEZ
Employer identification number (EIN):660600873

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012002-01-01MIGUEL SOLIVAN

Plan Statistics for HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN

401k plan membership statisitcs for HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN

Measure Date Value
2002: HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN 2002 401k membership
Total participants, beginning-of-year2002-01-01206
Total number of active participants reported on line 7a of the Form 55002002-01-01175
Number of retired or separated participants receiving benefits2002-01-010
Number of other retired or separated participants entitled to future benefits2002-01-0131
Total of all active and inactive participants2002-01-01206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2002-01-010
Total participants2002-01-01206
Number of participants with account balances2002-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2002-01-010

Financial Data on HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN

Measure Date Value
2002 : HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN 2002 401k financial data
Total unrealized appreciation/depreciation of assets2002-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2002-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2002-12-31$0
Total income from all sources (including contributions)2002-12-31$67,216
Total loss/gain on sale of assets2002-12-31$0
Total of all expenses incurred2002-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2002-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2002-12-31$66,892
Value of total assets at end of year2002-12-31$76,236
Value of total assets at beginning of year2002-12-31$9,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2002-12-31$0
Total interest from all sources2002-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2002-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2002-12-31No
Was this plan covered by a fidelity bond2002-12-31No
If this is an individual account plan, was there a blackout period2002-12-31No
Were there any nonexempt tranactions with any party-in-interest2002-12-31No
Contributions received from participants2002-12-31$66,892
Participant contributions at end of year2002-12-31$3,464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2002-12-31No
Value of net income/loss2002-12-31$67,216
Value of net assets at end of year (total assets less liabilities)2002-12-31$76,236
Value of net assets at beginning of year (total assets less liabilities)2002-12-31$9,020
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2002-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2002-12-31No
Were any leases to which the plan was party in default or uncollectible2002-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2002-12-31$72,772
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2002-12-31$9,020
Net investment gain/loss from registered investment companies (e.g. mutual funds)2002-12-31$324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2002-12-31No
Was there a failure to transmit to the plan any participant contributions2002-12-31No
Has the plan failed to provide any benefit when due under the plan2002-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32002-12-31Yes
Did the plan have assets held for investment2002-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2002-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2002-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2002-12-31Yes
Opinion of an independent qualified public accountant for this plan2002-12-31Disclaimer
Accountancy firm name2002-12-31CPA EDELMIRO LEBRON JIMENEZ
Accountancy firm EIN2002-12-31660681064

Form 5500 Responses for HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN

2002: HOSPITAL DR. DOMINGUEZ RETIREMENT PLAN 2002 form 5500 responses
2002-01-01Type of plan entitySingle employer plan
2002-01-01Submission has been amendedYes
2002-01-01This submission is the final filingNo
2002-01-01This return/report is a short plan year return/report (less than 12 months)No
2002-01-01Plan is a collectively bargained planNo
2002-01-01Plan funding arrangement – TrustYes
2002-01-01Plan benefit arrangement - TrustYes

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