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EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN 401k Plan overview

Plan NameEDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN
Plan identification number 001

EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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

EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC.
Employer identification number (EIN):042513817
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012015-06-01DAVID SMALL2016-12-29 DAVID SMALL2016-12-29
0012014-06-01DAVID SMALL2016-12-29 DAVID SMALL2016-12-29
0012013-06-01DAVID SMALL2016-12-29 DAVID SMALL2016-12-29
0012012-06-01DAVID SMALL2016-12-29 DAVID SMALL2016-12-29
0012011-06-01DAVID SMALL2016-12-29 DAVID SMALL2016-12-29
0012009-06-01ANTONIA G. MCGUIRE
0012009-06-01LEO AUDETTE

Plan Statistics for EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN

401k plan membership statisitcs for EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN

Measure Date Value
2009: EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-01305
Total number of active participants reported on line 7a of the Form 55002009-06-01222
Number of other retired or separated participants entitled to future benefits2009-06-0182
Total of all active and inactive participants2009-06-01304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-06-011
Total participants2009-06-01305
Number of participants with account balances2009-06-01305

Financial Data on EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN

Measure Date Value
2011 : EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN 2011 401k financial data
Total transfer of assets from this plan2011-05-31$3,039,679
Total income from all sources (including contributions)2011-05-31$206,688
Total of all expenses incurred2011-05-31$69,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$69,353
Value of total assets at end of year2011-05-31$358,553
Value of total assets at beginning of year2011-05-31$3,261,447
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$550
Total interest from all sources2011-05-31$620
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2011-05-31$0
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$300,000
If this is an individual account plan, was there a blackout period2011-05-31No
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Participant contributions at end of year2011-05-31$16,366
Participant contributions at beginning of year2011-05-31$82,170
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$136,785
Value of net assets at end of year (total assets less liabilities)2011-05-31$358,553
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$3,261,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Value of interest in pooled separate accounts at end of year2011-05-31$342,187
Value of interest in pooled separate accounts at beginning of year2011-05-31$3,179,277
Interest earned on other investments2011-05-31$620
Net investment gain/loss from pooled separate accounts2011-05-31$206,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31No
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$69,353
Contract administrator fees2011-05-31$550
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-05-31No
Did the plan have assets held for investment2011-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31Yes
Opinion of an independent qualified public accountant for this plan2011-05-31Disclaimer
Accountancy firm name2011-05-31FEELEY & DRISCOLL, P.C.
Accountancy firm EIN2011-05-31042684828

Form 5500 Responses for EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN

2009: EDWARD M. KENNEDY COMMUNITY HEALTH CENTER INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedYes
2009-06-01This submission is the final filingNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number751852
Policy instance 1
Insurance contract or identification number751852
Number of Individuals Covered22
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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