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AVANTI HOSPITALS, LLC 401(K) PLAN 401k Plan overview

Plan NameAVANTI HOSPITALS, LLC 401(K) PLAN
Plan identification number 001

AVANTI HOSPITALS, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • 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

AVANTI HOSPITALS, LLC has sponsored the creation of one or more 401k plans.

Company Name:AVANTI HOSPITALS, LLC
Employer identification number (EIN):274846142
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about AVANTI HOSPITALS, LLC

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 2011-01-27
Company Identification Number: 20111064475
Legal Registered Office Address: 701 S CARSON ST STE 200

CARSON CITY
United States of America (USA)
89701

More information about AVANTI HOSPITALS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AVANTI HOSPITALS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01TRACI BOWEN2021-09-24
0012019-01-01
0012018-01-01PAUL CELUCH
0012017-01-01PAUL CELUCH
0012016-01-01PAUL CELUCH
0012015-01-01PAUL CELUCH
0012014-01-01PAUL CELUCH
0012013-01-01PAUL CELUCH
0012012-01-01CHERYL TONG

Plan Statistics for AVANTI HOSPITALS, LLC 401(K) PLAN

401k plan membership statisitcs for AVANTI HOSPITALS, LLC 401(K) PLAN

Measure Date Value
2020: AVANTI HOSPITALS, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,998
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0133
2019: AVANTI HOSPITALS, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,933
Total number of active participants reported on line 7a of the Form 55002019-01-011,719
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01243
Total of all active and inactive participants2019-01-011,962
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-011,962
Number of participants with account balances2019-01-011,139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0153
2018: AVANTI HOSPITALS, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,999
Total number of active participants reported on line 7a of the Form 55002018-01-011,689
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01220
Total of all active and inactive participants2018-01-011,909
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,909
Number of participants with account balances2018-01-011,111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0119
2017: AVANTI HOSPITALS, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,000
Total number of active participants reported on line 7a of the Form 55002017-01-011,766
Number of other retired or separated participants entitled to future benefits2017-01-01219
Total of all active and inactive participants2017-01-011,985
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,985
Number of participants with account balances2017-01-011,116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0135
2016: AVANTI HOSPITALS, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,021
Total number of active participants reported on line 7a of the Form 55002016-01-011,710
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01248
Total of all active and inactive participants2016-01-011,958
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,958
Number of participants with account balances2016-01-011,097
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0167
2015: AVANTI HOSPITALS, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,928
Total number of active participants reported on line 7a of the Form 55002015-01-011,709
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01265
Total of all active and inactive participants2015-01-011,974
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-011,975
Number of participants with account balances2015-01-011,109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0131
2014: AVANTI HOSPITALS, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,064
Total number of active participants reported on line 7a of the Form 55002014-01-011,666
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01227
Total of all active and inactive participants2014-01-011,893
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-011,894
Number of participants with account balances2014-01-01818
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0148
2013: AVANTI HOSPITALS, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,020
Total number of active participants reported on line 7a of the Form 55002013-01-011,792
Number of other retired or separated participants entitled to future benefits2013-01-01221
Total of all active and inactive participants2013-01-012,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-012,014
Number of participants with account balances2013-01-01836
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0137
2012: AVANTI HOSPITALS, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01529
Total number of active participants reported on line 7a of the Form 55002012-01-011,757
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01221
Total of all active and inactive participants2012-01-011,978
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,978
Number of participants with account balances2012-01-01797
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0152

Financial Data on AVANTI HOSPITALS, LLC 401(K) PLAN

Measure Date Value
2020 : AVANTI HOSPITALS, LLC 401(K) PLAN 2020 401k financial data
Total transfer of assets from this plan2020-12-31$49,659,244
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$230,321
Total income from all sources (including contributions)2020-12-31$11,473,176
Total of all expenses incurred2020-12-31$4,981,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,970,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,845,957
Value of total assets at end of year2020-12-31$0
Value of total assets at beginning of year2020-12-31$43,397,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$10,670
Total interest from all sources2020-12-31$106,019
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
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$5,572,722
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$1,785,085
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$272,784
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$230,321
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$6,491,907
Value of net assets at end of year (total assets less liabilities)2020-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$43,167,337
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$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$41,611,443
Interest on participant loans2020-12-31$106,019
Net investment gain/loss from pooled separate accounts2020-12-31$5,521,200
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 contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$451
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$1,130
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,970,599
Contract administrator fees2020-12-31$10,670
Did the plan have assets held for investment2020-12-31No
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 PBGC2020-12-31Yes
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31JWT & ASSOCIATES, LLP
Accountancy firm EIN2020-12-31472718509
2019 : AVANTI HOSPITALS, LLC 401(K) PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$230,321
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$107,767
Total income from all sources (including contributions)2019-12-31$12,370,043
Total of all expenses incurred2019-12-31$3,786,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,486,153
Expenses. Certain deemed distributions of participant loans2019-12-31$35,352
Value of total corrective distributions2019-12-31$230,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,548,828
Value of total assets at end of year2019-12-31$43,397,658
Value of total assets at beginning of year2019-12-31$34,691,394
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$34,507
Total interest from all sources2019-12-31$112,713
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 bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
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$5,346,028
Participant contributions at end of year2019-12-31$1,785,085
Participant contributions at beginning of year2019-12-31$1,847,394
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$188,091
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$230,321
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$107,767
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$8,583,710
Value of net assets at end of year (total assets less liabilities)2019-12-31$43,167,337
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$34,583,627
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$41,611,443
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$32,449,057
Interest on participant loans2019-12-31$112,713
Net investment gain/loss from pooled separate accounts2019-12-31$6,708,502
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 contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$14,709
Employer contributions (assets) at end of year2019-12-31$1,130
Employer contributions (assets) at beginning of year2019-12-31$394,943
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,486,153
Contract administrator fees2019-12-31$34,507
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 name2019-12-31JWT & ASSOCIATES, LLP
Accountancy firm EIN2019-12-31472718509
2018 : AVANTI HOSPITALS, LLC 401(K) PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$107,767
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$58,137
Total income from all sources (including contributions)2018-12-31$3,397,730
Total of all expenses incurred2018-12-31$2,770,721
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,573,803
Expenses. Certain deemed distributions of participant loans2018-12-31$46,454
Value of total corrective distributions2018-12-31$107,767
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$5,541,167
Value of total assets at end of year2018-12-31$34,691,394
Value of total assets at beginning of year2018-12-31$34,014,755
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$42,697
Total interest from all sources2018-12-31$93,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$4,921,601
Participant contributions at end of year2018-12-31$1,847,394
Participant contributions at beginning of year2018-12-31$1,610,401
Participant contributions at beginning of year2018-12-31$782
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$224,623
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$107,767
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$58,137
Administrative expenses (other) incurred2018-12-31$388
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$627,009
Value of net assets at end of year (total assets less liabilities)2018-12-31$34,583,627
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$33,956,618
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$32,449,057
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$32,403,572
Interest on participant loans2018-12-31$93,601
Net investment gain/loss from pooled separate accounts2018-12-31$-2,237,038
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$394,943
Employer contributions (assets) at end of year2018-12-31$394,943
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,573,803
Contract administrator fees2018-12-31$42,309
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31JWT & ASSOCIATES, LLP
Accountancy firm EIN2018-12-31472718509
2017 : AVANTI HOSPITALS, LLC 401(K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$58,137
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$37,861
Total income from all sources (including contributions)2017-12-31$8,805,803
Total of all expenses incurred2017-12-31$3,489,344
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$3,339,898
Expenses. Certain deemed distributions of participant loans2017-12-31$42,291
Value of total corrective distributions2017-12-31$58,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,572,039
Value of total assets at end of year2017-12-31$34,014,755
Value of total assets at beginning of year2017-12-31$28,678,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$49,017
Total interest from all sources2017-12-31$74,534
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$4,419,720
Participant contributions at end of year2017-12-31$1,610,401
Participant contributions at beginning of year2017-12-31$1,382,377
Participant contributions at end of year2017-12-31$782
Participant contributions at beginning of year2017-12-31$85,130
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$152,319
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$58,137
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$37,861
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$5,316,459
Value of net assets at end of year (total assets less liabilities)2017-12-31$33,956,618
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$28,640,159
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$32,403,572
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$27,210,513
Interest on participant loans2017-12-31$74,534
Net investment gain/loss from pooled separate accounts2017-12-31$4,159,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,339,898
Contract administrator fees2017-12-31$49,017
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31JWT & ASSOCIATES, LLP
Accountancy firm EIN2017-12-31472718509
2016 : AVANTI HOSPITALS, LLC 401(K) PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$37,861
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$40,386
Total income from all sources (including contributions)2016-12-31$5,704,204
Total of all expenses incurred2016-12-31$2,356,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,287,523
Value of total corrective distributions2016-12-31$37,861
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,203,187
Value of total assets at end of year2016-12-31$28,678,020
Value of total assets at beginning of year2016-12-31$25,333,226
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$31,501
Total interest from all sources2016-12-31$50,219
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$4,064,331
Participant contributions at end of year2016-12-31$1,382,377
Participant contributions at beginning of year2016-12-31$1,177,661
Participant contributions at end of year2016-12-31$85,130
Participant contributions at beginning of year2016-12-31$85,800
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$138,856
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$37,861
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$40,386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$3,347,319
Value of net assets at end of year (total assets less liabilities)2016-12-31$28,640,159
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$25,292,840
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$27,210,513
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$23,771,638
Interest on participant loans2016-12-31$50,219
Net investment gain/loss from pooled separate accounts2016-12-31$1,450,798
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Employer contributions (assets) at beginning of year2016-12-31$298,127
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,287,523
Contract administrator fees2016-12-31$31,501
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31JWT & ASSOCIATES, LLP
Accountancy firm EIN2016-12-31472718509
2015 : AVANTI HOSPITALS, LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$40,386
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$50,217
Total income from all sources (including contributions)2015-12-31$3,815,069
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,736,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,671,837
Value of total corrective distributions2015-12-31$39,555
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,011,950
Value of total assets at end of year2015-12-31$25,333,226
Value of total assets at beginning of year2015-12-31$24,263,996
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$24,616
Total interest from all sources2015-12-31$48,123
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
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
Contributions received from participants2015-12-31$3,574,738
Participant contributions at end of year2015-12-31$1,177,661
Participant contributions at beginning of year2015-12-31$1,243,677
Participant contributions at end of year2015-12-31$85,800
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$139,085
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$40,386
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$50,217
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$1,079,061
Value of net assets at end of year (total assets less liabilities)2015-12-31$25,292,840
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$24,213,779
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$23,771,638
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$22,794,598
Interest on participant loans2015-12-31$48,123
Net investment gain/loss from pooled separate accounts2015-12-31$-245,004
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$298,127
Employer contributions (assets) at end of year2015-12-31$298,127
Employer contributions (assets) at beginning of year2015-12-31$225,721
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,671,837
Contract administrator fees2015-12-31$24,616
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
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 name2015-12-31JWT & ASSOCIATES, LLP
Accountancy firm EIN2015-12-31472718509
2014 : AVANTI HOSPITALS, LLC 401(K) PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$50,217
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$85,200
Total income from all sources (including contributions)2014-12-31$4,298,025
Total of all expenses incurred2014-12-31$2,418,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,344,462
Value of total corrective distributions2014-12-31$50,217
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,205,034
Value of total assets at end of year2014-12-31$24,263,996
Value of total assets at beginning of year2014-12-31$22,418,973
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$23,340
Total interest from all sources2014-12-31$49,977
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
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
Contributions received from participants2014-12-31$2,882,988
Participant contributions at end of year2014-12-31$1,243,677
Participant contributions at beginning of year2014-12-31$1,278,726
Participant contributions at beginning of year2014-12-31$339
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$96,325
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$50,217
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$85,200
Other income not declared elsewhere2014-12-31$216
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$1,880,006
Value of net assets at end of year (total assets less liabilities)2014-12-31$24,213,779
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$22,333,773
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$22,794,598
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$18,861,134
Interest on participant loans2014-12-31$49,977
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$2,062,123
Net investment gain/loss from pooled separate accounts2014-12-31$1,042,798
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 contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$225,721
Employer contributions (assets) at end of year2014-12-31$225,721
Employer contributions (assets) at beginning of year2014-12-31$216,651
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,344,462
Contract administrator fees2014-12-31$23,340
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
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 name2014-12-31JWT & ASSOCIATES, LLP
Accountancy firm EIN2014-12-31472718509
2013 : AVANTI HOSPITALS, LLC 401(K) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$0
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$85,200
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$165,676
Total income from all sources (including contributions)2013-12-31$5,960,050
Total of all expenses incurred2013-12-31$2,092,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,984,468
Value of total corrective distributions2013-12-31$85,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,148,465
Value of total assets at end of year2013-12-31$22,418,973
Value of total assets at beginning of year2013-12-31$18,632,108
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$23,041
Total interest from all sources2013-12-31$34,064
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,685,496
Participant contributions at end of year2013-12-31$1,278,726
Participant contributions at beginning of year2013-12-31$1,020,504
Participant contributions at end of year2013-12-31$339
Participant contributions at beginning of year2013-12-31$56,414
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$246,318
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$85,200
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$165,676
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
Value of net income/loss2013-12-31$3,867,341
Value of net assets at end of year (total assets less liabilities)2013-12-31$22,333,773
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$18,466,432
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$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$18,861,134
Value of interest in pooled separate accounts at beginning of year2013-12-31$15,459,416
Interest on participant loans2013-12-31$31,672
Interest earned on other investments2013-12-31$2,392
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$2,062,123
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,866,562
Net investment gain/loss from pooled separate accounts2013-12-31$2,777,521
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 contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$216,651
Employer contributions (assets) at end of year2013-12-31$216,651
Employer contributions (assets) at beginning of year2013-12-31$229,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,984,468
Contract administrator fees2013-12-31$23,041
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31TCA PARTNERS, LLP
Accountancy firm EIN2013-12-31202707086
2012 : AVANTI HOSPITALS, LLC 401(K) PLAN 2012 401k financial data
Total transfer of assets to this plan2012-12-31$15,751,511
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$165,676
Total income from all sources (including contributions)2012-12-31$4,338,715
Total of all expenses incurred2012-12-31$1,623,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,494,947
Value of total corrective distributions2012-12-31$96,915
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,891,783
Value of total assets at end of year2012-12-31$18,632,108
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$31,932
Total interest from all sources2012-12-31$43,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,633,775
Participant contributions at end of year2012-12-31$1,020,504
Participant contributions at end of year2012-12-31$56,414
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$20,285
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$165,676
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
Value of net income/loss2012-12-31$2,714,921
Value of net assets at end of year (total assets less liabilities)2012-12-31$18,466,432
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
Value of interest in pooled separate accounts at end of year2012-12-31$15,459,416
Interest on participant loans2012-12-31$43,910
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,866,562
Net investment gain/loss from pooled separate accounts2012-12-31$1,403,022
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 contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$237,723
Employer contributions (assets) at end of year2012-12-31$229,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,494,947
Contract administrator fees2012-12-31$31,932
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31TCA PARTNERS, LLP
Accountancy firm EIN2012-12-31202707086

Form 5500 Responses for AVANTI HOSPITALS, LLC 401(K) PLAN

2020: AVANTI HOSPITALS, LLC 401(K) 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 filingYes
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: AVANTI HOSPITALS, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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
2018: AVANTI HOSPITALS, LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: AVANTI HOSPITALS, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: AVANTI HOSPITALS, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: AVANTI HOSPITALS, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: AVANTI HOSPITALS, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: AVANTI HOSPITALS, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: AVANTI HOSPITALS, LLC 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600965-000
Policy instance 1
Insurance contract or identification number600965-000
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $122,161
Total amount of fees paid to insurance companyUSD $29,552
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $54,291
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTPA FEES
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600965-000
Policy instance 1
Insurance contract or identification number600965-000
Number of Individuals Covered1139
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $108,050
Total amount of fees paid to insurance companyUSD $26,303
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $54,025
Insurance broker organization code?3
Amount paid for insurance broker fees26303
Additional information about fees paid to insurance brokerTPA FEES
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600965-000
Policy instance 1
Insurance contract or identification number600965-000
Number of Individuals Covered1111
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $97,530
Total amount of fees paid to insurance companyUSD $23,560
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $48,765
Insurance broker organization code?3
Amount paid for insurance broker fees23560
Additional information about fees paid to insurance brokerTPA FEES
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600965-000
Policy instance 1
Insurance contract or identification number600965-000
Number of Individuals Covered1116
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $85,872
Total amount of fees paid to insurance companyUSD $20,847
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $42,936
Insurance broker organization code?3
Amount paid for insurance broker fees20847
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameQBI, LLC
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600965-000
Policy instance 1
Insurance contract or identification number600965-000
Number of Individuals Covered1109
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $67,930
Total amount of fees paid to insurance companyUSD $16,111
Are there contracts with allocated funds for individual policies?No
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
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,965
Insurance broker organization code?3
Amount paid for insurance broker fees16111
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameQBI, LLC
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600965-000
Policy instance 1
Insurance contract or identification number600965-000
Number of Individuals Covered818
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $62,510
Total amount of fees paid to insurance companyUSD $15,175
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $28,588
Insurance broker organization code?3
Amount paid for insurance broker fees15175
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameWELLS FARGO ADVISORS INS. AGENCY
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600965-000
Policy instance 1
Insurance contract or identification number600965-000
Number of Individuals Covered836
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $55,024
Total amount of fees paid to insurance companyUSD $12,930
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $6,698
Insurance broker organization code?3
Amount paid for insurance broker fees12930
Additional information about fees paid to insurance brokerPENSION ADMINISTRATION SERVICES
Insurance broker nameWS INSURANCE SERVICES LLC
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600965-000
Policy instance 1
Insurance contract or identification number600965-000
Number of Individuals Covered797
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $92,684
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $42,061
Insurance broker organization code?3
Insurance broker nameQBI, LLC

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