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PEACE MEMORIAL MINISTRIES 403(B) PLAN 401k Plan overview

Plan NamePEACE MEMORIAL MINISTRIES 403(B) PLAN
Plan identification number 001

PEACE MEMORIAL MINISTRIES 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PEACE MEMORIAL MINISTRIES has sponsored the creation of one or more 401k plans.

Company Name:PEACE MEMORIAL MINISTRIES
Employer identification number (EIN):363386534
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEACE MEMORIAL MINISTRIES 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01PLAN SPONSOR2023-07-12
0012021-01-01HEATHER PABISINSKI2022-05-05 ROGER ELLENS2022-05-24
0012020-01-01HEATHER PABISINSKI2021-04-28 ROGER ELLENS2021-05-04
0012019-01-01HEATHER PABISINSKI2020-05-23 ROGER ELLENS2020-05-26
0012018-01-01ROGER ELLENS2019-06-07 ROGER ELLENS2019-06-07
0012017-01-01ROGER ELLENS ROGER ELLENS2018-08-31
0012016-01-01ROGER ELLENS
0012015-01-01ROGER ELLENS2016-05-05 ROGER ELLENS2016-05-05
0012014-01-01ROGER ELLENS2015-04-22 ROGER ELLENS2015-04-22
0012013-01-01ROGER ELLENS2014-05-15
0012012-01-01ROGER ELLENS2013-06-28
0012011-01-01ROGER ELLENS2012-05-14
0012010-01-01ROGER ELLENS2011-09-07

Plan Statistics for PEACE MEMORIAL MINISTRIES 403(B) PLAN

401k plan membership statisitcs for PEACE MEMORIAL MINISTRIES 403(B) PLAN

Measure Date Value
2017: PEACE MEMORIAL MINISTRIES 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01105
Total number of active participants reported on line 7a of the Form 55002017-01-0199
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0124
Total of all active and inactive participants2017-01-01124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-012
Total participants2017-01-01126
Number of participants with account balances2017-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0114
2016: PEACE MEMORIAL MINISTRIES 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01125
Total number of active participants reported on line 7a of the Form 55002016-01-0192
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-0126
Total of all active and inactive participants2016-01-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-012
Total participants2016-01-01121
Number of participants with account balances2016-01-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013

Financial Data on PEACE MEMORIAL MINISTRIES 403(B) PLAN

Measure Date Value
2017 : PEACE MEMORIAL MINISTRIES 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$516,188
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$152,430
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$150,398
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$270,320
Value of total assets at end of year2017-12-31$2,105,000
Value of total assets at beginning of year2017-12-31$1,741,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,032
Total interest from all sources2017-12-31$8,117
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
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$150,000
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$125,795
Participant contributions at end of year2017-12-31$17,500
Participant contributions at beginning of year2017-12-31$20,934
Participant contributions at end of year2017-12-31$4,304
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$9,873
Administrative expenses (other) incurred2017-12-31$2,032
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$363,758
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,105,000
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,741,242
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$1,845,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,523,835
Interest on participant loans2017-12-31$1,805
Interest earned on other investments2017-12-31$6,312
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$232,927
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$196,473
Net investment gain/loss from pooled separate accounts2017-12-31$237,751
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 contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$134,652
Employer contributions (assets) at end of year2017-12-31$5,019
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$150,398
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 name2017-12-31PLANTE & MORAN PLLC
Accountancy firm EIN2017-12-31381359951
2016 : PEACE MEMORIAL MINISTRIES 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$446,370
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$245,278
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$243,018
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$335,171
Value of total assets at end of year2016-12-31$1,741,242
Value of total assets at beginning of year2016-12-31$1,540,150
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,260
Total interest from all sources2016-12-31$6,811
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$150,000
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$144,547
Participant contributions at end of year2016-12-31$47,426
Participant contributions at beginning of year2016-12-31$25,290
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$50,487
Administrative expenses (other) incurred2016-12-31$2,260
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$201,092
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,741,242
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,540,150
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 pooled separate accounts at end of year2016-12-31$1,497,343
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,264,779
Interest earned on other investments2016-12-31$6,811
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$196,473
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$250,081
Net investment gain/loss from pooled separate accounts2016-12-31$104,388
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 contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$140,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$243,018
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 name2016-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2016-12-31381359951

Form 5500 Responses for PEACE MEMORIAL MINISTRIES 403(B) PLAN

2017: PEACE MEMORIAL MINISTRIES 403(B) 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
2016: PEACE MEMORIAL MINISTRIES 403(B) 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

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-751759
Policy instance 1
Insurance contract or identification numberGA-751759
Number of Individuals Covered103
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,458
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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

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