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LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 401k Plan overview

Plan NameLAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN
Plan identification number 002

LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

LAKESIDE MEMORIAL HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:LAKESIDE MEMORIAL HOSPITAL, INC.
Employer identification number (EIN):160743068
NAIC Classification:621900

Additional information about LAKESIDE MEMORIAL HOSPITAL, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1939-03-22
Company Identification Number: 40342
Legal Registered Office Address: 156 WEST AVENUE
Monroe
BROCKPORT
United States of America (USA)
144201286

More information about LAKESIDE MEMORIAL HOSPITAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022015-01-01FRED KLYCEK
0022014-01-01FRED KLYCEK
0022013-01-01JAMES CUMMINGS
0022012-01-01JAMES CUMMINGS
0022011-01-01JAMES CUMMINGS
0022010-01-01JAMES CUMMINGS
0022009-01-01JAMES CUMMINGS

Plan Statistics for LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN

401k plan membership statisitcs for LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN

Measure Date Value
2015: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01473
Total number of active participants reported on line 7a of the Form 55002015-01-0141
Number of retired or separated participants receiving benefits2015-01-01221
Number of other retired or separated participants entitled to future benefits2015-01-01198
Total of all active and inactive participants2015-01-01460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-017
Total participants2015-01-01467
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01481
Total number of active participants reported on line 7a of the Form 55002014-01-0149
Number of retired or separated participants receiving benefits2014-01-01209
Number of other retired or separated participants entitled to future benefits2014-01-01208
Total of all active and inactive participants2014-01-01466
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-017
Total participants2014-01-01473
2013: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01499
Total number of active participants reported on line 7a of the Form 55002013-01-0155
Number of retired or separated participants receiving benefits2013-01-01198
Number of other retired or separated participants entitled to future benefits2013-01-01222
Total of all active and inactive participants2013-01-01475
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-016
Total participants2013-01-01481
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01515
Total number of active participants reported on line 7a of the Form 55002012-01-01142
Number of retired or separated participants receiving benefits2012-01-01172
Number of other retired or separated participants entitled to future benefits2012-01-01179
Total of all active and inactive participants2012-01-01493
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-016
Total participants2012-01-01499
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01522
Total number of active participants reported on line 7a of the Form 55002011-01-01164
Number of retired or separated participants receiving benefits2011-01-01156
Number of other retired or separated participants entitled to future benefits2011-01-01192
Total of all active and inactive participants2011-01-01512
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-013
Total participants2011-01-01515
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01528
Total number of active participants reported on line 7a of the Form 55002010-01-01187
Number of retired or separated participants receiving benefits2010-01-01143
Number of other retired or separated participants entitled to future benefits2010-01-01189
Total of all active and inactive participants2010-01-01519
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-013
Total participants2010-01-01522
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-011
2009: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01533
Total number of active participants reported on line 7a of the Form 55002009-01-01214
Number of retired or separated participants receiving benefits2009-01-01124
Number of other retired or separated participants entitled to future benefits2009-01-01188
Total of all active and inactive participants2009-01-01526
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-012
Total participants2009-01-01528
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN

Measure Date Value
2015 : LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-199,988
Total unrealized appreciation/depreciation of assets2015-12-31$-199,988
Total transfer of assets to this plan2015-12-31$0
Total transfer of assets from this plan2015-12-31$0
Expenses. Interest paid2015-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-12-31$0
Total income from all sources (including contributions)2015-12-31$84,044
Total loss/gain on sale of assets2015-12-31$-199,797
Total of all expenses incurred2015-12-31$1,018,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$971,996
Expenses. Certain deemed distributions of participant loans2015-12-31$0
Value of total corrective distributions2015-12-31$0
Value of total assets at end of year2015-12-31$11,804,402
Value of total assets at beginning of year2015-12-31$12,738,626
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$46,272
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$483,829
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2015-12-31$0
Administrative expenses professional fees incurred2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at end of year2015-12-31$11,308,843
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$12,177,339
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Administrative expenses (other) incurred2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-934,224
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,804,402
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$12,738,626
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$46,272
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$495,559
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$561,287
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$561,287
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Asset value of US Government securities at beginning of year2015-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Employer contributions (assets) at beginning of year2015-12-31$0
Income. Dividends from common stock2015-12-31$483,829
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$971,996
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$0
Contract administrator fees2015-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$0
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$8,021,834
Aggregate carrying amount (costs) on sale of assets2015-12-31$8,221,631
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BONADIO & COMPANY LLP
Accountancy firm EIN2015-12-31161131146
2014 : LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-182,588
Total unrealized appreciation/depreciation of assets2014-12-31$-182,588
Total income from all sources (including contributions)2014-12-31$164,045
Total loss/gain on sale of assets2014-12-31$-181,035
Total of all expenses incurred2014-12-31$1,102,374
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$920,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$12,738,626
Value of total assets at beginning of year2014-12-31$13,676,955
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$181,531
Total interest from all sources2014-12-31$1,051
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$526,617
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2014-12-31$0
Administrative expenses professional fees incurred2014-12-31$4,770
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Assets. Other investments not covered elsewhere at end of year2014-12-31$12,177,339
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Administrative expenses (other) incurred2014-12-31$127,659
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-938,329
Value of net assets at end of year (total assets less liabilities)2014-12-31$12,738,626
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$13,676,955
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$49,102
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$21,943
Income. Interest from US Government securities2014-12-31$1,051
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$561,287
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$303,529
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$303,529
Asset value of US Government securities at end of year2014-12-31$0
Asset value of US Government securities at beginning of year2014-12-31$6,460,417
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$0
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$0
Income. Dividends from common stock2014-12-31$526,617
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$920,843
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$6,891,066
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$0
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$6,286,692
Aggregate carrying amount (costs) on sale of assets2014-12-31$6,467,727
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BONADIO & COMPANY
Accountancy firm EIN2014-12-31161131146
2013 : LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-414,574
Total unrealized appreciation/depreciation of assets2013-12-31$-414,574
Total transfer of assets to this plan2013-12-31$0
Total transfer of assets from this plan2013-12-31$0
Expenses. Interest paid2013-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$0
Total income from all sources (including contributions)2013-12-31$89,314
Total loss/gain on sale of assets2013-12-31$-14,957
Total of all expenses incurred2013-12-31$1,025,905
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$898,424
Expenses. Certain deemed distributions of participant loans2013-12-31$0
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$13,676,955
Value of total assets at beginning of year2013-12-31$14,613,546
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$127,481
Total interest from all sources2013-12-31$518,312
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$2,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$11,925
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$0
Administrative expenses (other) incurred2013-12-31$69,099
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Income. Non cash contributions2013-12-31$0
Value of net income/loss2013-12-31$-936,591
Value of net assets at end of year (total assets less liabilities)2013-12-31$13,676,955
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$14,613,546
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$46,457
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$21,943
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$142,976
Interest on participant loans2013-12-31$0
Income. Interest from loans (other than to participants)2013-12-31$0
Interest earned on other investments2013-12-31$0
Income. Interest from US Government securities2013-12-31$221,006
Income. Interest from corporate debt instruments2013-12-31$274,047
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$303,529
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,322,304
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,322,304
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$23,259
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Asset value of US Government securities at end of year2013-12-31$6,460,417
Asset value of US Government securities at beginning of year2013-12-31$7,103,784
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-1,476
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$0
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$0
Income. Dividends from common stock2013-12-31$2,009
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$898,424
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$6,891,066
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$6,044,482
Contract administrator fees2013-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$0
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$3,658,662
Aggregate carrying amount (costs) on sale of assets2013-12-31$3,673,619
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31EFP ROTENBERG LLP
Accountancy firm EIN2013-12-31264298079
2012 : LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-314,207
Total unrealized appreciation/depreciation of assets2012-12-31$-314,207
Total transfer of assets to this plan2012-12-31$0
Total transfer of assets from this plan2012-12-31$0
Expenses. Interest paid2012-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-12-31$0
Total income from all sources (including contributions)2012-12-31$2,578,655
Total loss/gain on sale of assets2012-12-31$1,886,814
Total of all expenses incurred2012-12-31$957,830
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$831,974
Expenses. Certain deemed distributions of participant loans2012-12-31$0
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$802,551
Value of total assets at end of year2012-12-31$14,613,546
Value of total assets at beginning of year2012-12-31$12,992,721
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$125,856
Total interest from all sources2012-12-31$-4,958
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$215,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$4,400
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Administrative expenses (other) incurred2012-12-31$45,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Income. Non cash contributions2012-12-31$0
Value of net income/loss2012-12-31$1,620,825
Value of net assets at end of year (total assets less liabilities)2012-12-31$14,613,546
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$12,992,721
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$76,346
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$142,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$4,527,764
Income. Interest from corporate debt instruments2012-12-31$-4,958
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,322,304
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$235,090
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$235,090
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Asset value of US Government securities at end of year2012-12-31$7,103,784
Asset value of US Government securities at beginning of year2012-12-31$1,761,322
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$-7,200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$802,551
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$359,919
Income. Dividends from common stock2012-12-31$215,655
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$831,974
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$6,044,482
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$166,402
Contract administrator fees2012-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$5,942,224
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$23,233,989
Aggregate carrying amount (costs) on sale of assets2012-12-31$21,347,175
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31EFP ROTENBERG LLP
Accountancy firm EIN2012-12-31264298079
2011 : LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-304,208
Total unrealized appreciation/depreciation of assets2011-12-31$-304,208
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$15,560
Total income from all sources (including contributions)2011-12-31$783,578
Total loss/gain on sale of assets2011-12-31$302,501
Total of all expenses incurred2011-12-31$784,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$641,620
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$844,597
Value of total assets at end of year2011-12-31$12,992,721
Value of total assets at beginning of year2011-12-31$13,009,426
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$143,103
Total interest from all sources2011-12-31$72,636
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$78,374
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$15,560
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$920,300
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Administrative expenses (other) incurred2011-12-31$55,899
Liabilities. Value of operating payables at beginning of year2011-12-31$15,560
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Income. Non cash contributions2011-12-31$0
Value of net income/loss2011-12-31$-1,145
Value of net assets at end of year (total assets less liabilities)2011-12-31$12,992,721
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$12,993,866
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$71,644
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$4,527,764
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$4,303,402
Income. Interest from US Government securities2011-12-31$72,636
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$235,090
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$279,027
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$279,027
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Asset value of US Government securities at end of year2011-12-31$1,761,322
Asset value of US Government securities at beginning of year2011-12-31$2,583,400
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-210,322
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$844,597
Employer contributions (assets) at end of year2011-12-31$359,919
Employer contributions (assets) at beginning of year2011-12-31$157,869
Income. Dividends from common stock2011-12-31$78,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$641,620
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$166,402
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$172,038
Contract administrator fees2011-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$5,942,224
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$4,593,390
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$12,584,348
Aggregate carrying amount (costs) on sale of assets2011-12-31$12,281,847
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31EFP ROTENBERG LLP
Accountancy firm EIN2011-12-31264298079
2010 : LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-585
Total unrealized appreciation/depreciation of assets2010-12-31$-585
Total transfer of assets from this plan2010-12-31$61,347
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$15,560
Total income from all sources (including contributions)2010-12-31$2,214,385
Total loss/gain on sale of assets2010-12-31$929,174
Total of all expenses incurred2010-12-31$675,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$602,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$715,130
Value of total assets at end of year2010-12-31$13,009,426
Value of total assets at beginning of year2010-12-31$11,516,374
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$73,418
Total income from rents2010-12-31$0
Total interest from all sources2010-12-31$88,795
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$212,984
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$166,482
Administrative expenses professional fees incurred2010-12-31$19,460
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$0
Assets. Other investments not covered elsewhere at end of year2010-12-31$920,300
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$1,806,109
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$25,820
Administrative expenses (other) incurred2010-12-31$573
Liabilities. Value of operating payables at end of year2010-12-31$15,560
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,538,839
Value of net assets at end of year (total assets less liabilities)2010-12-31$12,993,866
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$11,516,374
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$53,385
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$4,303,402
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,847,260
Interest on participant loans2010-12-31$0
Income. Interest from loans (other than to participants)2010-12-31$0
Interest earned on other investments2010-12-31$0
Income. Interest from US Government securities2010-12-31$0
Income. Interest from corporate debt instruments2010-12-31$2,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$279,027
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$390,902
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$390,902
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$86,537
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Asset value of US Government securities at end of year2010-12-31$2,583,400
Asset value of US Government securities at beginning of year2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$268,887
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$715,130
Employer contributions (assets) at end of year2010-12-31$157,869
Employer contributions (assets) at beginning of year2010-12-31$0
Income. Dividends from preferred stock2010-12-31$3,195
Income. Dividends from common stock2010-12-31$43,307
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$602,128
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$538,369
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$172,038
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$1,127,715
Contract administrator fees2010-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$4,593,390
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$5,780,199
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$14,461,395
Aggregate carrying amount (costs) on sale of assets2010-12-31$13,532,221
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31EFP ROTENBERG LLP
Accountancy firm EIN2010-12-31264298079
2009 : LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN

2015: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: LAKESIDE MEMORIAL HOSPITAL INC RETIREMENT 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 benefit arrangement - TrustYes

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