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HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 401k Plan overview

Plan NameHILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN
Plan identification number 002

HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

HILL COUNTRY COMMUNITY CLINIC has sponsored the creation of one or more 401k plans.

Company Name:HILL COUNTRY COMMUNITY CLINIC
Employer identification number (EIN):942831597
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Additional information about HILL COUNTRY COMMUNITY CLINIC

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1982-06-24
Company Identification Number: C1115626
Legal Registered Office Address: 29632 Hwy 299 E

Round Mountain
United States of America (USA)
96084

More information about HILL COUNTRY COMMUNITY CLINIC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-01-01JULIE A SCHWAB2023-02-23 JO CAMPBELL2023-02-23
0022020-01-01JULIE A. SCHWAB2021-10-12 JULIE A. SCHWAB2021-10-12
0022020-01-01JULIE A. SCHWAB2021-11-12 LYNN DORROH2021-11-12
0022019-01-01NICK CUTLER2020-10-12 NICK CUTLER2020-10-12

Plan Statistics for HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN

401k plan membership statisitcs for HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN

Measure Date Value
2021: HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01194
Total number of active participants reported on line 7a of the Form 55002021-01-01210
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0115
Total of all active and inactive participants2021-01-01225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01225
Number of participants with account balances2021-01-01101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0112
2020: HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01165
Total number of active participants reported on line 7a of the Form 55002020-01-01177
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0114
Total of all active and inactive participants2020-01-01191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01191
Number of participants with account balances2020-01-0191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-015
2019: HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01142
Total number of active participants reported on line 7a of the Form 55002019-01-01133
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01142
Number of participants with account balances2019-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-013

Financial Data on HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN

Measure Date Value
2021 : HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$820,341
Total of all expenses incurred2021-12-31$129,895
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$116,077
Value of total corrective distributions2021-12-31$2,705
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$476,210
Value of total assets at end of year2021-12-31$3,147,100
Value of total assets at beginning of year2021-12-31$2,456,654
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$11,113
Total interest from all sources2021-12-31$1,085
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$48,420
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$48,420
Administrative expenses professional fees incurred2021-12-31$1,200
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$416,568
Participant contributions at end of year2021-12-31$23,393
Participant contributions at beginning of year2021-12-31$47,766
Assets. Other investments not covered elsewhere at end of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$10,571
Other income not declared elsewhere2021-12-31$181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$690,446
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,147,100
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,456,654
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$2,991,522
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,312,196
Interest earned on other investments2021-12-31$1,085
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$128,412
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$91,812
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$294,445
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$49,071
Employer contributions (assets) at end of year2021-12-31$3,773
Employer contributions (assets) at beginning of year2021-12-31$4,880
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$116,077
Contract administrator fees2021-12-31$9,913
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FORVIS LLP
Accountancy firm EIN2021-12-31440160260
2020 : HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$745,993
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$9,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$0
Value of total corrective distributions2020-12-31$3,153
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$425,773
Value of total assets at end of year2020-12-31$2,456,654
Value of total assets at beginning of year2020-12-31$1,720,028
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$6,214
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$25,822
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$25,822
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$342,420
Participant contributions at end of year2020-12-31$47,766
Participant contributions at beginning of year2020-12-31$12,601
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$44,825
Other income not declared elsewhere2020-12-31$136
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$736,626
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,456,654
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,720,028
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,312,196
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,664,773
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$91,812
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$41,437
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$294,262
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$38,528
Employer contributions (assets) at end of year2020-12-31$4,880
Employer contributions (assets) at beginning of year2020-12-31$1,217
Contract administrator fees2020-12-31$6,214
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BKD LLP
Accountancy firm EIN2020-12-31440160260
2019 : HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2019 401k financial data
Total transfer of assets to this plan2019-12-31$1,179,581
Total income from all sources (including contributions)2019-12-31$562,186
Total of all expenses incurred2019-12-31$21,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$17,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$289,600
Value of total assets at end of year2019-12-31$1,720,028
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$4,739
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$250,114
Participant contributions at end of year2019-12-31$12,601
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$10,242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$540,447
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,720,028
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,664,773
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$41,437
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$272,586
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$29,244
Employer contributions (assets) at end of year2019-12-31$1,217
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$17,000
Contract administrator fees2019-12-31$4,739
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD LLP
Accountancy firm EIN2019-12-31440160260

Form 5500 Responses for HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN

2021: HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HILL COUNTRY COMMUNITY CLINIC 403B ERISA PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered172
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $54
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees54
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered200
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $29
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees29
Additional information about fees paid to insurance brokerREFERRAL SERVICE FEE
Insurance broker organization code?5
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered183
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees14
Additional information about fees paid to insurance brokerREFERRAL SERVICE FEE
Insurance broker organization code?5

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