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GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameGOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN
Plan identification number 507

GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

GOOD SAMARITAN HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:GOOD SAMARITAN HOSPITAL
Employer identification number (EIN):910961134

Additional information about GOOD SAMARITAN HOSPITAL

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1975-08-22
Company Identification Number: 275003631
Legal Registered Office Address: 222 NORTH J ST STE B

TACOMA
United States of America (USA)
98403

More information about GOOD SAMARITAN HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072010-01-01KIMBERLY A. LINTOTT
5072009-01-01KIMBERLY A. LINTOTT

Plan Statistics for GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN

401k plan membership statisitcs for GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN

Measure Date Value
2010: GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-016
Total number of active participants reported on line 7a of the Form 55002010-01-010
Number of retired or separated participants receiving benefits2010-01-016
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-016
2009: GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-016
Total number of active participants reported on line 7a of the Form 55002009-01-010
Number of retired or separated participants receiving benefits2009-01-016
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-016

Financial Data on GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN

Measure Date Value
2010 : GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN 2010 401k financial data
Total income from all sources2010-12-31$3,240
Expenses. Total of all expenses incurred2010-12-31$2,786
Benefits paid (including direct rollovers)2010-12-31$2,786
Total plan assets at end of year2010-12-31$17,457
Total plan assets at beginning of year2010-12-31$17,003
Value of fidelity bond covering the plan2010-12-31$1,000,000
Net income (gross income less expenses)2010-12-31$454
Net plan assets at end of year (total assets less liabilities)2010-12-31$17,457
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$17,003
Total contributions received or receivable from employer(s)2010-12-31$3,240

Form 5500 Responses for GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN

2010: GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: GOOD SAMARITAN COMMUNITY HEALTHCARE RETIREE HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

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