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BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 401k Plan overview

Plan NameBLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN
Plan identification number 003

BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

BLANCHARD VALLEY HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:BLANCHARD VALLEY HEALTH SYSTEM
Employer identification number (EIN):344428206
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032013-01-01RYAN FISHER RYAN FISHER2014-07-30
0032012-01-01DAVID CYTLAK
0032011-01-01DAVID CYTLAK
0032010-01-01DAVID CYTLAK
0032009-01-01DAVID CYTLAK

Plan Statistics for BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN

401k plan membership statisitcs for BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN

Measure Date Value
2013: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0139
Total number of active participants reported on line 7a of the Form 55002013-01-0124
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0115
Total of all active and inactive participants2013-01-0139
Total participants2013-01-0139
2012: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0151
Total number of active participants reported on line 7a of the Form 55002012-01-0134
Number of retired or separated participants receiving benefits2012-01-015
Number of other retired or separated participants entitled to future benefits2012-01-0112
Total of all active and inactive participants2012-01-0151
Total participants2012-01-0151
2011: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0151
Total number of active participants reported on line 7a of the Form 55002011-01-0134
Number of other retired or separated participants entitled to future benefits2011-01-0117
Total of all active and inactive participants2011-01-0151
Total participants2011-01-0151
2010: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0152
Total number of active participants reported on line 7a of the Form 55002010-01-0134
Number of retired or separated participants receiving benefits2010-01-011
Number of other retired or separated participants entitled to future benefits2010-01-0117
Total of all active and inactive participants2010-01-0152
Total participants2010-01-0152
2009: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0156
Total number of active participants reported on line 7a of the Form 55002009-01-0138
Number of other retired or separated participants entitled to future benefits2009-01-0114
Total of all active and inactive participants2009-01-0152
Total participants2009-01-0152
Number of participants with account balances2009-01-0152

Financial Data on BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN

Measure Date Value
2011 : BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2011 401k financial data
Total income from all sources2011-12-31$34,327
Expenses. Total of all expenses incurred2011-12-31$142,011
Benefits paid (including direct rollovers)2011-12-31$142,011
Total plan assets at end of year2011-12-31$1,571,896
Total plan assets at beginning of year2011-12-31$1,679,580
Other income received2011-12-31$34,327
Net income (gross income less expenses)2011-12-31$-107,684
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,571,896
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,679,580
2010 : BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2010 401k financial data
Total income from all sources2010-12-31$107,435
Expenses. Total of all expenses incurred2010-12-31$15,090
Benefits paid (including direct rollovers)2010-12-31$15,090
Total plan assets at end of year2010-12-31$1,679,580
Total plan assets at beginning of year2010-12-31$1,587,235
Other income received2010-12-31$107,435
Net income (gross income less expenses)2010-12-31$92,345
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,679,580
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,587,235
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN

2013: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION 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 benefit arrangement - TrustYes
2012: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
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 benefit arrangement - TrustYes
2011: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: BLANCHARD VALLEY HEALTH SYSTEM EMPLOYEES' PENSION 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 – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

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