401k Plan data: GRAYS HARBOR COMMUNITY HOSPITAL plan

GRAYS HARBOR COMMUNITY HOSPITAL 401k Plan overview

Plan Name	GRAYS HARBOR COMMUNITY HOSPITAL
Plan identification number	504

GRAYS HARBOR COMMUNITY HOSPITAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Temporary disability (accident and sickness)

401k Sponsoring company profile

GRAYS HARBOR COMMUNITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: GRAYS HARBOR COMMUNITY HOSPITAL

Employer identification number (EIN): 910568304

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about GRAYS HARBOR COMMUNITY HOSPITAL

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1939-10-31

Company Identification Number: 141005766

Legal Registered Office Address: 915 ANDERSON DR

ABERDEEN
United States of America (USA)
985201006

More information about GRAYS HARBOR COMMUNITY HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAYS HARBOR COMMUNITY HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2015-03-01 JOSEPH VESSEY
504 2015-03-01
504 2014-03-01 TOM JENSEN
504 2013-03-01 JOSEPH E VESSEY
504 2012-03-01 TIM HOWDEN
504 2011-03-01 TIM HOWDEN
504 2010-03-01 TIM HOWDEN
504 2009-01-01 TIM HOWDEN TIM HOWDEN 2010-09-30

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2015-03-01	JOSEPH VESSEY
504	2015-03-01
504	2014-03-01	TOM JENSEN
504	2013-03-01	JOSEPH E VESSEY
504	2012-03-01	TIM HOWDEN
504	2011-03-01	TIM HOWDEN
504	2010-03-01	TIM HOWDEN
504	2009-01-01	TIM HOWDEN	TIM HOWDEN	2010-09-30

Plan Statistics for GRAYS HARBOR COMMUNITY HOSPITAL

401k plan membership statisitcs for GRAYS HARBOR COMMUNITY HOSPITAL

Measure Date Value
2015: GRAYS HARBOR COMMUNITY HOSPITAL 2015 401k membership
Total participants, beginning-of-year 2015-03-01 497
Total number of active participants reported on line 7a of the Form 5500 2015-03-01 486
Number of retired or separated participants receiving benefits 2015-03-01 0
Number of other retired or separated participants entitled to future benefits 2015-03-01 0
Total of all active and inactive participants 2015-03-01 486
2014: GRAYS HARBOR COMMUNITY HOSPITAL 2014 401k membership
Total participants, beginning-of-year 2014-03-01 497
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 497
Number of retired or separated participants receiving benefits 2014-03-01 0
Number of other retired or separated participants entitled to future benefits 2014-03-01 0
Total of all active and inactive participants 2014-03-01 497
2013: GRAYS HARBOR COMMUNITY HOSPITAL 2013 401k membership
Total participants, beginning-of-year 2013-03-01 525
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 497
Number of retired or separated participants receiving benefits 2013-03-01 0
Number of other retired or separated participants entitled to future benefits 2013-03-01 0
Total of all active and inactive participants 2013-03-01 497
2012: GRAYS HARBOR COMMUNITY HOSPITAL 2012 401k membership
Total participants, beginning-of-year 2012-03-01 525
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 525
Number of retired or separated participants receiving benefits 2012-03-01 0
Number of other retired or separated participants entitled to future benefits 2012-03-01 0
Total of all active and inactive participants 2012-03-01 525
2011: GRAYS HARBOR COMMUNITY HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-03-01 517
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 520
Number of retired or separated participants receiving benefits 2011-03-01 5
Number of other retired or separated participants entitled to future benefits 2011-03-01 0
Total of all active and inactive participants 2011-03-01 525
2010: GRAYS HARBOR COMMUNITY HOSPITAL 2010 401k membership
Total participants, beginning-of-year 2010-03-01 502
Total number of active participants reported on line 7a of the Form 5500 2010-03-01 510
Number of retired or separated participants receiving benefits 2010-03-01 7
Number of other retired or separated participants entitled to future benefits 2010-03-01 0
Total of all active and inactive participants 2010-03-01 517
2009: GRAYS HARBOR COMMUNITY HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 495
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 495
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 502

Measure	Date	Value
2015: GRAYS HARBOR COMMUNITY HOSPITAL 2015 401k membership
Total participants, beginning-of-year	2015-03-01	497
Total number of active participants reported on line 7a of the Form 5500	2015-03-01	486
Number of retired or separated participants receiving benefits	2015-03-01	0
Number of other retired or separated participants entitled to future benefits	2015-03-01	0
Total of all active and inactive participants	2015-03-01	486
2014: GRAYS HARBOR COMMUNITY HOSPITAL 2014 401k membership
Total participants, beginning-of-year	2014-03-01	497
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	497
Number of retired or separated participants receiving benefits	2014-03-01	0
Number of other retired or separated participants entitled to future benefits	2014-03-01	0
Total of all active and inactive participants	2014-03-01	497
2013: GRAYS HARBOR COMMUNITY HOSPITAL 2013 401k membership
Total participants, beginning-of-year	2013-03-01	525
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	497
Number of retired or separated participants receiving benefits	2013-03-01	0
Number of other retired or separated participants entitled to future benefits	2013-03-01	0
Total of all active and inactive participants	2013-03-01	497
2012: GRAYS HARBOR COMMUNITY HOSPITAL 2012 401k membership
Total participants, beginning-of-year	2012-03-01	525
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	525
Number of retired or separated participants receiving benefits	2012-03-01	0
Number of other retired or separated participants entitled to future benefits	2012-03-01	0
Total of all active and inactive participants	2012-03-01	525
2011: GRAYS HARBOR COMMUNITY HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-03-01	517
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	520
Number of retired or separated participants receiving benefits	2011-03-01	5
Number of other retired or separated participants entitled to future benefits	2011-03-01	0
Total of all active and inactive participants	2011-03-01	525
2010: GRAYS HARBOR COMMUNITY HOSPITAL 2010 401k membership
Total participants, beginning-of-year	2010-03-01	502
Total number of active participants reported on line 7a of the Form 5500	2010-03-01	510
Number of retired or separated participants receiving benefits	2010-03-01	7
Number of other retired or separated participants entitled to future benefits	2010-03-01	0
Total of all active and inactive participants	2010-03-01	517
2009: GRAYS HARBOR COMMUNITY HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	495
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	495
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	502

Form 5500 Responses for GRAYS HARBOR COMMUNITY HOSPITAL

2015: GRAYS HARBOR COMMUNITY HOSPITAL 2015 form 5500 responses
2015-03-01	Type of plan entity	Single employer plan
2015-03-01	Submission has been amended	No
2015-03-01	This submission is the final filing	No
2015-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-03-01	Plan is a collectively bargained plan	No
2015-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: GRAYS HARBOR COMMUNITY HOSPITAL 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Submission has been amended	No
2014-03-01	This submission is the final filing	No
2014-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-03-01	Plan is a collectively bargained plan	No
2014-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: GRAYS HARBOR COMMUNITY HOSPITAL 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: GRAYS HARBOR COMMUNITY HOSPITAL 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	Submission has been amended	No
2012-03-01	This submission is the final filing	No
2012-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-03-01	Plan is a collectively bargained plan	No
2012-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: GRAYS HARBOR COMMUNITY HOSPITAL 2011 form 5500 responses
2011-03-01	Type of plan entity	Single employer plan
2011-03-01	Submission has been amended	No
2011-03-01	This submission is the final filing	No
2011-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-03-01	Plan is a collectively bargained plan	No
2011-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: GRAYS HARBOR COMMUNITY HOSPITAL 2010 form 5500 responses
2010-03-01	Type of plan entity	Single employer plan
2010-03-01	Submission has been amended	No
2010-03-01	This submission is the final filing	No
2010-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-03-01	Plan is a collectively bargained plan	No
2010-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: GRAYS HARBOR COMMUNITY HOSPITAL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	GRAYS HARBOR COMMUNITY HOSPITAL
Employer identification number (EIN):	910568304
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1939-10-31
Company Identification Number:	141005766
Legal Registered Office Address:	915 ANDERSON DR ABERDEEN United States of America (USA) 985201006