401k Plan data: PACIFIC GUARDIAN LIFE plan

PACIFIC GUARDIAN LIFE 401k Plan overview

Plan Name	PACIFIC GUARDIAN LIFE
Plan identification number	506

PACIFIC GUARDIAN LIFE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

401k Sponsoring company profile

CARE HAWAII, INC. has sponsored the creation of one or more 401k plans.

Company Name: CARE HAWAII, INC.

Employer identification number (EIN): 990339749

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PACIFIC GUARDIAN LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2014-09-01 ROSE VIGGAYAN
506 2013-09-01 ROSE VIGGAYAN
506 2012-09-01 ROSE VIGGAYAN
506 2011-09-01 ROSE VIGGAYAN

Plan id#	Filing Submission Date	Name of Administrator
506	2014-09-01	ROSE VIGGAYAN
506	2013-09-01	ROSE VIGGAYAN
506	2012-09-01	ROSE VIGGAYAN
506	2011-09-01	ROSE VIGGAYAN

Plan Statistics for PACIFIC GUARDIAN LIFE

401k plan membership statisitcs for PACIFIC GUARDIAN LIFE

Measure Date Value
2014: PACIFIC GUARDIAN LIFE 2014 401k membership
Total participants, beginning-of-year 2014-09-01 145
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 128
Total of all active and inactive participants 2014-09-01 128
Total participants 2014-09-01 128
2013: PACIFIC GUARDIAN LIFE 2013 401k membership
Total participants, beginning-of-year 2013-09-01 187
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 145
Total of all active and inactive participants 2013-09-01 145
Total participants 2013-09-01 145
2012: PACIFIC GUARDIAN LIFE 2012 401k membership
Total participants, beginning-of-year 2012-09-01 189
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 187
Total of all active and inactive participants 2012-09-01 187
Total participants 2012-09-01 187
2011: PACIFIC GUARDIAN LIFE 2011 401k membership
Total participants, beginning-of-year 2011-09-01 178
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 189
Total of all active and inactive participants 2011-09-01 189
Total participants 2011-09-01 189

Measure	Date	Value
2014: PACIFIC GUARDIAN LIFE 2014 401k membership
Total participants, beginning-of-year	2014-09-01	145
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	128
Total of all active and inactive participants	2014-09-01	128
Total participants	2014-09-01	128
2013: PACIFIC GUARDIAN LIFE 2013 401k membership
Total participants, beginning-of-year	2013-09-01	187
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	145
Total of all active and inactive participants	2013-09-01	145
Total participants	2013-09-01	145
2012: PACIFIC GUARDIAN LIFE 2012 401k membership
Total participants, beginning-of-year	2012-09-01	189
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	187
Total of all active and inactive participants	2012-09-01	187
Total participants	2012-09-01	187
2011: PACIFIC GUARDIAN LIFE 2011 401k membership
Total participants, beginning-of-year	2011-09-01	178
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	189
Total of all active and inactive participants	2011-09-01	189
Total participants	2011-09-01	189

Form 5500 Responses for PACIFIC GUARDIAN LIFE

2014: PACIFIC GUARDIAN LIFE 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	First time form 5500 has been submitted	Yes
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: PACIFIC GUARDIAN LIFE 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	First time form 5500 has been submitted	Yes
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: PACIFIC GUARDIAN LIFE 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	First time form 5500 has been submitted	Yes
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: PACIFIC GUARDIAN LIFE 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	First time form 5500 has been submitted	Yes
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CARE HAWAII, INC.
Employer identification number (EIN):	990339749
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists