401k Plan data: WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN plan

WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 401k Plan overview

Plan Name	WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN
Plan identification number	004

WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN Benefits

401k Plan Type

Defined 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WINDHAM COMMUNITY MEMORIAL HOSPITAL INC has sponsored the creation of one or more 401k plans.

Company Name: WINDHAM COMMUNITY MEMORIAL HOSPITAL INC

Employer identification number (EIN): 060646966

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2017-01-01
004 2016-01-01 MARK LAPIERRE 2017-10-24
004 2016-01-01 MARK LAPIERRE 2017-09-14
004 2015-01-01 MARK LAPIERRE 2016-10-15
004 2014-01-01 MARK LAPIERRE 2015-10-15
004 2013-01-01 WILLIAM LOCKHART
004 2012-01-01 MARTIN LEVINE
004 2011-01-01 MARTIN LEVINE
004 2009-01-01 MARTIN LEVINE MARTIN LEVINE 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
004	2017-01-01
004	2016-01-01	MARK LAPIERRE	2017-10-24
004	2016-01-01	MARK LAPIERRE	2017-09-14
004	2015-01-01	MARK LAPIERRE	2016-10-15
004	2014-01-01	MARK LAPIERRE	2015-10-15
004	2013-01-01	WILLIAM LOCKHART
004	2012-01-01	MARTIN LEVINE
004	2011-01-01	MARTIN LEVINE
004	2009-01-01	MARTIN LEVINE		MARTIN LEVINE	2010-10-15

Financial Data on WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN

Measure	Date	Value
2013 : WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$153,388
Expenses. Total of all expenses incurred	2013-12-31	$62,449
Benefits paid (including direct rollovers)	2013-12-31	$62,299
Total plan assets at end of year	2013-12-31	$767,745
Total plan assets at beginning of year	2013-12-31	$676,806
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$31,660
Expenses. Other expenses not covered elsewhere	2013-12-31	$150
Other income received	2013-12-31	$121,728
Net income (gross income less expenses)	2013-12-31	$90,939
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$767,745
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$676,806
Assets. Value of participant loans	2013-12-31	$15,188
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$139,790
Expenses. Total of all expenses incurred	2012-12-31	$38,949
Benefits paid (including direct rollovers)	2012-12-31	$38,649
Total plan assets at end of year	2012-12-31	$676,806
Total plan assets at beginning of year	2012-12-31	$575,965
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$61,607
Expenses. Other expenses not covered elsewhere	2012-12-31	$300
Other income received	2012-12-31	$78,183
Net income (gross income less expenses)	2012-12-31	$100,841
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$676,806
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$575,965
Assets. Value of participant loans	2012-12-31	$20,275
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$39,473
Expenses. Total of all expenses incurred	2011-12-31	$19,155
Benefits paid (including direct rollovers)	2011-12-31	$19,005
Total plan assets at end of year	2011-12-31	$575,965
Total plan assets at beginning of year	2011-12-31	$555,647
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$47,053
Assets. Value of loans (other than to participants)	2011-12-31	$15,737
Other income received	2011-12-31	$-7,580
Net income (gross income less expenses)	2011-12-31	$20,318
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$575,965
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$555,647
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$98,887
Expenses. Total of all expenses incurred	2010-12-31	$3,800
Benefits paid (including direct rollovers)	2010-12-31	$3,650
Total plan assets at end of year	2010-12-31	$555,647
Total plan assets at beginning of year	2010-12-31	$460,560
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$45,600
Assets. Value of loans (other than to participants)	2010-12-31	$3,459
Expenses. Other expenses not covered elsewhere	2010-12-31	$150
Other income received	2010-12-31	$53,287
Net income (gross income less expenses)	2010-12-31	$95,087
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$555,647
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$460,560
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN

2013: WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: WINDHAM COMMUNITY MEMORIAL HOSPITAL 403(B) PLAN 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WINDHAM COMMUNITY MEMORIAL HOSPITAL INC
Employer identification number (EIN):	060646966
NAIC Classification:	622000
NAIC Description:	Hospitals