401k Plan data: BOULEVARD HEALTHCARE 401(K) PLAN plan

BOULEVARD HEALTHCARE 401(K) PLAN 401k Plan overview

Plan Name	BOULEVARD HEALTHCARE 401(K) PLAN
Plan identification number	001

BOULEVARD HEALTHCARE 401(K) PLAN Benefits

401k Plan Type

Defined 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 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

BOULEVARD HEALTHCARE has sponsored the creation of one or more 401k plans.

Company Name: BOULEVARD HEALTHCARE

Employer identification number (EIN): 364346480

NAIC Classification: 551112
NAIC Description: Offices of Other Holding Companies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOULEVARD HEALTHCARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 ALVIN PANGILINAN
001 2009-01-01 WILLIAM HIGGINS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	ALVIN PANGILINAN
001	2009-01-01	WILLIAM HIGGINS

Plan Statistics for BOULEVARD HEALTHCARE 401(K) PLAN

401k plan membership statisitcs for BOULEVARD HEALTHCARE 401(K) PLAN

Measure Date Value
2014: BOULEVARD HEALTHCARE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 303
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2009: BOULEVARD HEALTHCARE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 861
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 757
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 140
Total of all active and inactive participants 2009-01-01 897
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 897
Number of participants with account balances 2009-01-01 282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 20

Measure	Date	Value
2014: BOULEVARD HEALTHCARE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	303
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2009: BOULEVARD HEALTHCARE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	861
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	757
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	140
Total of all active and inactive participants	2009-01-01	897
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	897
Number of participants with account balances	2009-01-01	282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	20

Financial Data on BOULEVARD HEALTHCARE 401(K) PLAN

Measure	Date	Value
2014 : BOULEVARD HEALTHCARE 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$14,310
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$2,155,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$2,145,586
Expenses. Certain deemed distributions of participant loans	2014-09-30	$153
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$0
Value of total assets at end of year	2014-09-30	$0
Value of total assets at beginning of year	2014-09-30	$2,141,486
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$10,057
Total interest from all sources	2014-09-30	$153
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$266
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-09-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-09-30	$266
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$215,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Participant contributions at beginning of year	2014-09-30	$4,908
Other income not declared elsewhere	2014-09-30	$4,986
Administrative expenses (other) incurred	2014-09-30	$10,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$-2,141,486
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$2,141,486
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-09-30	$752,267
Interest on participant loans	2014-09-30	$153
Value of interest in common/collective trusts at beginning of year	2014-09-30	$1,384,311
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-09-30	$-2,788
Net investment gain or loss from common/collective trusts	2014-09-30	$11,693
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$2,145,586
Did the plan have assets held for investment	2014-09-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	FROST, RUTTENBERG & ROTHBLATT, PC
Accountancy firm EIN	2014-09-30	363402398
2010 : BOULEVARD HEALTHCARE 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$693,489
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,507,397
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$843,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$795,725
Expenses. Certain deemed distributions of participant loans	2010-12-31	$788
Value of total corrective distributions	2010-12-31	$31,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$833,426
Value of total assets at end of year	2010-12-31	$5,750,528
Value of total assets at beginning of year	2010-12-31	$4,393,028
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$15,715
Total interest from all sources	2010-12-31	$29,800
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$653,892
Participant contributions at end of year	2010-12-31	$167,727
Participant contributions at beginning of year	2010-12-31	$126,239
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$58,450
Other income not declared elsewhere	2010-12-31	$12,882
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$664,011
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$5,750,528
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,393,028
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$4,961,558
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$3,858,806
Interest on participant loans	2010-12-31	$11,406
Interest earned on other investments	2010-12-31	$18,394
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$621,243
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$407,983
Net investment gain/loss from pooled separate accounts	2010-12-31	$631,289
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$121,084
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$795,725
Contract administrator fees	2010-12-31	$15,715
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	PLANTE & MORAN PLLC
Accountancy firm EIN	2010-12-31	381357951
2009 : BOULEVARD HEALTHCARE 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for BOULEVARD HEALTHCARE 401(K) PLAN

2014: BOULEVARD HEALTHCARE 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2009: BOULEVARD HEALTHCARE 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

63380

Policy instance

Insurance contract or identification number	63380
Number of Individuals Covered	884
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

Potentially related plans

BOULEVARD HEALTHCARE 401(K) PLAN [EIN = 264831215]

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Company Name:	BOULEVARD HEALTHCARE
Employer identification number (EIN):	364346480
NAIC Classification:	551112
NAIC Description:	Offices of Other Holding Companies