401k Plan data: GOOD SAMARITAN RETIREMENT PLAN plan

GOOD SAMARITAN RETIREMENT PLAN 401k Plan overview

Plan Name	GOOD SAMARITAN RETIREMENT PLAN
Plan identification number	001

GOOD SAMARITAN RETIREMENT 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.
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.

401k Sponsoring company profile

THE GOOD SAMARITAN HOME OF QUINCY has sponsored the creation of one or more 401k plans.

Company Name: THE GOOD SAMARITAN HOME OF QUINCY

Employer identification number (EIN): 370724112

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about THE GOOD SAMARITAN HOME OF QUINCY

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C3028409

More information about THE GOOD SAMARITAN HOME OF QUINCY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOD SAMARITAN RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-10-01
001 2020-10-01
001 2019-10-01
001 2018-10-01
001 2017-10-01
001 2016-10-01 MICHAEL P. DUFFY
001 2015-10-01 MICHAEL P. DUFFY
001 2014-10-01 MICHAEL P. DUFFY
001 2013-10-01 MICHAEL P. DUFFY
001 2012-10-01 MICHAEL P. DUFFY
001 2011-10-01 MICHAEL P. DUFFY
001 2010-10-01 MICHAEL P. DUFFY
001 2009-10-01 JUDY GRAHAM

Plan Statistics for GOOD SAMARITAN RETIREMENT PLAN

401k plan membership statisitcs for GOOD SAMARITAN RETIREMENT PLAN

Measure Date Value
2021: GOOD SAMARITAN RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 295
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 187
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 62
Total of all active and inactive participants 2021-10-01 249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-10-01 3
Total participants 2021-10-01 252
Number of participants with account balances 2021-10-01 190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-10-01 0
2020: GOOD SAMARITAN RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 267
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 176
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 95
Total of all active and inactive participants 2020-10-01 271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-10-01 2
Total participants 2020-10-01 273
Number of participants with account balances 2020-10-01 246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-10-01 2
2019: GOOD SAMARITAN RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 270
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 210
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 45
Total of all active and inactive participants 2019-10-01 255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-10-01 1
Total participants 2019-10-01 256
Number of participants with account balances 2019-10-01 229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-10-01 4
2018: GOOD SAMARITAN RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 328
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 211
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 47
Total of all active and inactive participants 2018-10-01 258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-10-01 0
Total participants 2018-10-01 258
Number of participants with account balances 2018-10-01 249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-10-01 7
2017: GOOD SAMARITAN RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 329
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 207
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 107
Total of all active and inactive participants 2017-10-01 314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 314
Number of participants with account balances 2017-10-01 289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 9
2016: GOOD SAMARITAN RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 289
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 210
Number of retired or separated participants receiving benefits 2016-10-01 4
Number of other retired or separated participants entitled to future benefits 2016-10-01 78
Total of all active and inactive participants 2016-10-01 292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 292
Number of participants with account balances 2016-10-01 255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 8
2015: GOOD SAMARITAN RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 286
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 226
Number of retired or separated participants receiving benefits 2015-10-01 2
Number of other retired or separated participants entitled to future benefits 2015-10-01 51
Total of all active and inactive participants 2015-10-01 279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 279
Number of participants with account balances 2015-10-01 239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 5
2014: GOOD SAMARITAN RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 268
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 195
Number of retired or separated participants receiving benefits 2014-10-01 3
Number of other retired or separated participants entitled to future benefits 2014-10-01 59
Total of all active and inactive participants 2014-10-01 257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 257
Number of participants with account balances 2014-10-01 229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 5
2013: GOOD SAMARITAN RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 267
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 203
Number of retired or separated participants receiving benefits 2013-10-01 1
Number of other retired or separated participants entitled to future benefits 2013-10-01 49
Total of all active and inactive participants 2013-10-01 253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 253
Number of participants with account balances 2013-10-01 233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 7
2012: GOOD SAMARITAN RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 272
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 208
Number of retired or separated participants receiving benefits 2012-10-01 3
Number of other retired or separated participants entitled to future benefits 2012-10-01 39
Total of all active and inactive participants 2012-10-01 250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 250
Number of participants with account balances 2012-10-01 229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 6
2011: GOOD SAMARITAN RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 279
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 214
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 40
Total of all active and inactive participants 2011-10-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 254
Number of participants with account balances 2011-10-01 234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 10
2010: GOOD SAMARITAN RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 263
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 237
Number of retired or separated participants receiving benefits 2010-10-01 3
Number of other retired or separated participants entitled to future benefits 2010-10-01 22
Total of all active and inactive participants 2010-10-01 262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 262
Number of participants with account balances 2010-10-01 237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 1
2009: GOOD SAMARITAN RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 242
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 214
Number of retired or separated participants receiving benefits 2009-10-01 2
Number of other retired or separated participants entitled to future benefits 2009-10-01 30
Total of all active and inactive participants 2009-10-01 246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 246
Number of participants with account balances 2009-10-01 230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 3

Measure	Date	Value
2021: GOOD SAMARITAN RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	295
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	187
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	62
Total of all active and inactive participants	2021-10-01	249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-10-01	3
Total participants	2021-10-01	252
Number of participants with account balances	2021-10-01	190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-10-01	0
2020: GOOD SAMARITAN RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	267
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	176
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	95
Total of all active and inactive participants	2020-10-01	271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-10-01	2
Total participants	2020-10-01	273
Number of participants with account balances	2020-10-01	246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-10-01	2
2019: GOOD SAMARITAN RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	270
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	210
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	45
Total of all active and inactive participants	2019-10-01	255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-10-01	1
Total participants	2019-10-01	256
Number of participants with account balances	2019-10-01	229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-10-01	4
2018: GOOD SAMARITAN RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	328
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	211
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	47
Total of all active and inactive participants	2018-10-01	258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-10-01	0
Total participants	2018-10-01	258
Number of participants with account balances	2018-10-01	249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-10-01	7
2017: GOOD SAMARITAN RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	329
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	207
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	107
Total of all active and inactive participants	2017-10-01	314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	314
Number of participants with account balances	2017-10-01	289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	9
2016: GOOD SAMARITAN RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	289
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	210
Number of retired or separated participants receiving benefits	2016-10-01	4
Number of other retired or separated participants entitled to future benefits	2016-10-01	78
Total of all active and inactive participants	2016-10-01	292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	292
Number of participants with account balances	2016-10-01	255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	8
2015: GOOD SAMARITAN RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	286
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	226
Number of retired or separated participants receiving benefits	2015-10-01	2
Number of other retired or separated participants entitled to future benefits	2015-10-01	51
Total of all active and inactive participants	2015-10-01	279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	279
Number of participants with account balances	2015-10-01	239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	5
2014: GOOD SAMARITAN RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	268
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	195
Number of retired or separated participants receiving benefits	2014-10-01	3
Number of other retired or separated participants entitled to future benefits	2014-10-01	59
Total of all active and inactive participants	2014-10-01	257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	257
Number of participants with account balances	2014-10-01	229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	5
2013: GOOD SAMARITAN RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	267
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	203
Number of retired or separated participants receiving benefits	2013-10-01	1
Number of other retired or separated participants entitled to future benefits	2013-10-01	49
Total of all active and inactive participants	2013-10-01	253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	253
Number of participants with account balances	2013-10-01	233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	7
2012: GOOD SAMARITAN RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	272
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	208
Number of retired or separated participants receiving benefits	2012-10-01	3
Number of other retired or separated participants entitled to future benefits	2012-10-01	39
Total of all active and inactive participants	2012-10-01	250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	250
Number of participants with account balances	2012-10-01	229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	6
2011: GOOD SAMARITAN RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	279
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	214
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	40
Total of all active and inactive participants	2011-10-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	254
Number of participants with account balances	2011-10-01	234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	10
2010: GOOD SAMARITAN RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	263
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	237
Number of retired or separated participants receiving benefits	2010-10-01	3
Number of other retired or separated participants entitled to future benefits	2010-10-01	22
Total of all active and inactive participants	2010-10-01	262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	262
Number of participants with account balances	2010-10-01	237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	1
2009: GOOD SAMARITAN RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	242
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	214
Number of retired or separated participants receiving benefits	2009-10-01	2
Number of other retired or separated participants entitled to future benefits	2009-10-01	30
Total of all active and inactive participants	2009-10-01	246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	246
Number of participants with account balances	2009-10-01	230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	3

Financial Data on GOOD SAMARITAN RETIREMENT PLAN

Measure	Date	Value
2022 : GOOD SAMARITAN RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total income from all sources (including contributions)	2022-09-30	$-873,910
Total loss/gain on sale of assets	2022-09-30	$0
Total of all expenses incurred	2022-09-30	$780,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-09-30	$748,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-09-30	$357,388
Value of total assets at end of year	2022-09-30	$5,628,938
Value of total assets at beginning of year	2022-09-30	$7,283,053
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-09-30	$32,056
Total interest from all sources	2022-09-30	$1,797
Total dividends received (eg from common stock, registered investment company shares)	2022-09-30	$425,915
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-09-30	$425,915
Was this plan covered by a fidelity bond	2022-09-30	Yes
Value of fidelity bond cover	2022-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2022-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-09-30	No
Contributions received from participants	2022-09-30	$219,336
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-09-30	No
Value of net income/loss	2022-09-30	$-1,654,115
Value of net assets at end of year (total assets less liabilities)	2022-09-30	$5,628,938
Value of net assets at beginning of year (total assets less liabilities)	2022-09-30	$7,283,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-09-30	No
Were any leases to which the plan was party in default or uncollectible	2022-09-30	No
Investment advisory and management fees	2022-09-30	$16,602
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-09-30	$5,552,650
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-09-30	$7,192,700
Interest earned on other investments	2022-09-30	$1,797
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-09-30	$76,288
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-09-30	$90,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-09-30	$-1,659,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-09-30	No
Was there a failure to transmit to the plan any participant contributions	2022-09-30	No
Has the plan failed to provide any benefit when due under the plan	2022-09-30	No
Contributions received in cash from employer	2022-09-30	$138,052
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-09-30	$748,149
Contract administrator fees	2022-09-30	$15,454
Did the plan have assets held for investment	2022-09-30	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	2022-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-09-30	No
Opinion of an independent qualified public accountant for this plan	2022-09-30	Unqualified
Accountancy firm name	2022-09-30	MARCUM LLP
Accountancy firm EIN	2022-09-30	111986323
2021 : GOOD SAMARITAN RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-09-30	$0
Total income from all sources (including contributions)	2021-09-30	$1,652,800
Total loss/gain on sale of assets	2021-09-30	$0
Total of all expenses incurred	2021-09-30	$654,045
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-09-30	$621,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-09-30	$381,812
Value of total assets at end of year	2021-09-30	$7,283,053
Value of total assets at beginning of year	2021-09-30	$6,284,298
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-09-30	$32,554
Total interest from all sources	2021-09-30	$2,631
Total dividends received (eg from common stock, registered investment company shares)	2021-09-30	$254,881
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-09-30	$254,881
Was this plan covered by a fidelity bond	2021-09-30	Yes
Value of fidelity bond cover	2021-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2021-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-09-30	No
Contributions received from participants	2021-09-30	$223,236
Income. Received or receivable in cash from other sources (including rollovers)	2021-09-30	$1,160
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-09-30	No
Value of net income/loss	2021-09-30	$998,755
Value of net assets at end of year (total assets less liabilities)	2021-09-30	$7,283,053
Value of net assets at beginning of year (total assets less liabilities)	2021-09-30	$6,284,298
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-09-30	No
Were any leases to which the plan was party in default or uncollectible	2021-09-30	No
Investment advisory and management fees	2021-09-30	$17,764
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-09-30	$7,192,700
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-09-30	$6,158,300
Interest earned on other investments	2021-09-30	$2,172
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-09-30	$115
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-09-30	$115
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-09-30	$459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-09-30	$90,353
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-09-30	$125,883
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-09-30	$1,013,476
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-09-30	No
Was there a failure to transmit to the plan any participant contributions	2021-09-30	No
Has the plan failed to provide any benefit when due under the plan	2021-09-30	No
Contributions received in cash from employer	2021-09-30	$157,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-09-30	$621,491
Contract administrator fees	2021-09-30	$14,790
Did the plan have assets held for investment	2021-09-30	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	2021-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-09-30	No
Opinion of an independent qualified public accountant for this plan	2021-09-30	Disclaimer
Accountancy firm name	2021-09-30	MARCUM LLP
Accountancy firm EIN	2021-09-30	111986323
2020 : GOOD SAMARITAN RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Total income from all sources (including contributions)	2020-09-30	$991,241
Total loss/gain on sale of assets	2020-09-30	$0
Total of all expenses incurred	2020-09-30	$771,279
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-09-30	$754,619
Value of total corrective distributions	2020-09-30	$5,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-09-30	$341,019
Value of total assets at end of year	2020-09-30	$6,284,298
Value of total assets at beginning of year	2020-09-30	$6,064,336
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-09-30	$11,266
Total interest from all sources	2020-09-30	$6,579
Total dividends received (eg from common stock, registered investment company shares)	2020-09-30	$238,578
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-09-30	$238,578
Was this plan covered by a fidelity bond	2020-09-30	Yes
Value of fidelity bond cover	2020-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2020-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-09-30	No
Contributions received from participants	2020-09-30	$192,600
Income. Received or receivable in cash from other sources (including rollovers)	2020-09-30	$17,876
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-09-30	No
Value of net income/loss	2020-09-30	$219,962
Value of net assets at end of year (total assets less liabilities)	2020-09-30	$6,284,298
Value of net assets at beginning of year (total assets less liabilities)	2020-09-30	$6,064,336
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-09-30	No
Were any leases to which the plan was party in default or uncollectible	2020-09-30	No
Investment advisory and management fees	2020-09-30	$5,115
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-09-30	$6,158,300
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-09-30	$5,943,931
Interest earned on other investments	2020-09-30	$2,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-09-30	$115
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-09-30	$4,366
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-09-30	$125,883
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-09-30	$120,405
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-09-30	$405,065
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-09-30	No
Was there a failure to transmit to the plan any participant contributions	2020-09-30	No
Has the plan failed to provide any benefit when due under the plan	2020-09-30	No
Contributions received in cash from employer	2020-09-30	$130,543
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-09-30	$754,619
Contract administrator fees	2020-09-30	$6,151
Did the plan have assets held for investment	2020-09-30	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	2020-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-09-30	Disclaimer
Accountancy firm name	2020-09-30	MARCUM LLP
Accountancy firm EIN	2020-09-30	111986323
2019 : GOOD SAMARITAN RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-09-30	$0
Total income from all sources (including contributions)	2019-09-30	$808,652
Total loss/gain on sale of assets	2019-09-30	$0
Total of all expenses incurred	2019-09-30	$418,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-09-30	$414,067
Value of total corrective distributions	2019-09-30	$546
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-09-30	$644,608
Value of total assets at end of year	2019-09-30	$6,064,336
Value of total assets at beginning of year	2019-09-30	$5,674,279
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-09-30	$3,982
Total interest from all sources	2019-09-30	$2,193
Total dividends received (eg from common stock, registered investment company shares)	2019-09-30	$218,884
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-09-30	$218,884
Was this plan covered by a fidelity bond	2019-09-30	Yes
Value of fidelity bond cover	2019-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2019-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-09-30	No
Contributions received from participants	2019-09-30	$194,513
Income. Received or receivable in cash from other sources (including rollovers)	2019-09-30	$62,282
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-09-30	No
Value of net income/loss	2019-09-30	$390,057
Value of net assets at end of year (total assets less liabilities)	2019-09-30	$6,064,336
Value of net assets at beginning of year (total assets less liabilities)	2019-09-30	$5,674,279
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-09-30	No
Were any leases to which the plan was party in default or uncollectible	2019-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-09-30	$5,943,931
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-09-30	$5,547,506
Interest earned on other investments	2019-09-30	$2,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-09-30	$4,393
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-09-30	$4,393
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-09-30	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-09-30	$120,405
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-09-30	$122,380
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-09-30	$-57,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-09-30	No
Was there a failure to transmit to the plan any participant contributions	2019-09-30	No
Has the plan failed to provide any benefit when due under the plan	2019-09-30	No
Contributions received in cash from employer	2019-09-30	$387,813
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-09-30	$414,067
Contract administrator fees	2019-09-30	$3,982
Did the plan have assets held for investment	2019-09-30	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	2019-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-09-30	Disclaimer
Accountancy firm name	2019-09-30	BKD, LLP
Accountancy firm EIN	2019-09-30	440160260
2018 : GOOD SAMARITAN RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-30	$0
Total income from all sources (including contributions)	2018-09-30	$869,940
Total loss/gain on sale of assets	2018-09-30	$0
Total of all expenses incurred	2018-09-30	$482,851
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-09-30	$479,304
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-09-30	$452,494
Value of total assets at end of year	2018-09-30	$5,674,279
Value of total assets at beginning of year	2018-09-30	$5,287,190
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-09-30	$3,547
Total interest from all sources	2018-09-30	$2,028
Total dividends received (eg from common stock, registered investment company shares)	2018-09-30	$132,856
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-09-30	$132,856
Was this plan covered by a fidelity bond	2018-09-30	Yes
Value of fidelity bond cover	2018-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2018-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-09-30	No
Contributions received from participants	2018-09-30	$173,220
Income. Received or receivable in cash from other sources (including rollovers)	2018-09-30	$160
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-09-30	No
Value of net income/loss	2018-09-30	$387,089
Value of net assets at end of year (total assets less liabilities)	2018-09-30	$5,674,279
Value of net assets at beginning of year (total assets less liabilities)	2018-09-30	$5,287,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-09-30	No
Were any leases to which the plan was party in default or uncollectible	2018-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-09-30	$5,547,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-09-30	$5,145,423
Interest earned on other investments	2018-09-30	$2,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-09-30	$4,393
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-09-30	$6
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-09-30	$122,380
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-09-30	$141,767
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-09-30	$282,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-09-30	No
Was there a failure to transmit to the plan any participant contributions	2018-09-30	No
Has the plan failed to provide any benefit when due under the plan	2018-09-30	No
Contributions received in cash from employer	2018-09-30	$279,114
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-09-30	$479,304
Contract administrator fees	2018-09-30	$3,547
Did the plan have assets held for investment	2018-09-30	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	2018-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-09-30	Disclaimer
Accountancy firm name	2018-09-30	BKD, LLP
Accountancy firm EIN	2018-09-30	440160260
2017 : GOOD SAMARITAN RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-09-30	$2,030
Total unrealized appreciation/depreciation of assets	2017-09-30	$2,030
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total income from all sources (including contributions)	2017-09-30	$1,059,295
Total loss/gain on sale of assets	2017-09-30	$12,152
Total of all expenses incurred	2017-09-30	$564,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$562,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$423,715
Value of total assets at end of year	2017-09-30	$5,287,190
Value of total assets at beginning of year	2017-09-30	$4,792,016
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$1,506
Total interest from all sources	2017-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$153,952
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-09-30	$153,952
Assets. Real estate other than employer real property at end of year	2017-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2017-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2017-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-09-30	$0
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Contributions received from participants	2017-09-30	$150,609
Participant contributions at end of year	2017-09-30	$0
Participant contributions at beginning of year	2017-09-30	$0
Participant contributions at end of year	2017-09-30	$0
Participant contributions at beginning of year	2017-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2017-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-09-30	$6,060
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-09-30	$0
Assets. Loans (other than to participants) at end of year	2017-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2017-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-09-30	$0
Liabilities. Value of operating payables at end of year	2017-09-30	$0
Liabilities. Value of operating payables at beginning of year	2017-09-30	$0
Total non interest bearing cash at end of year	2017-09-30	$0
Total non interest bearing cash at beginning of year	2017-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$495,174
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$5,287,190
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$4,792,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Assets. partnership/joint venture interests at end of year	2017-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2017-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-09-30	$5,145,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-09-30	$4,642,338
Value of interest in master investment trust accounts at end of year	2017-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2017-09-30	$0
Value of interest in common/collective trusts at end of year	2017-09-30	$0
Value of interest in common/collective trusts at beginning of year	2017-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-09-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2017-09-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2017-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$141,767
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-09-30	$149,678
Asset value of US Government securities at end of year	2017-09-30	$0
Asset value of US Government securities at beginning of year	2017-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-30	$467,446
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	No
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Assets. Invements in employer securities at end of year	2017-09-30	$0
Assets. Invements in employer securities at beginning of year	2017-09-30	$0
Assets. Value of employer real property at end of year	2017-09-30	$0
Assets. Value of employer real property at beginning of year	2017-09-30	$0
Contributions received in cash from employer	2017-09-30	$267,046
Employer contributions (assets) at end of year	2017-09-30	$0
Employer contributions (assets) at beginning of year	2017-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$562,615
Asset. Corporate debt instrument preferred debt at end of year	2017-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2017-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2017-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2017-09-30	$0
Contract administrator fees	2017-09-30	$1,506
Assets. Corporate common stocks other than exployer securities at end of year	2017-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2017-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2017-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-09-30	$0
Did the plan have assets held for investment	2017-09-30	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	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Aggregate proceeds on sale of assets	2017-09-30	$723,047
Aggregate carrying amount (costs) on sale of assets	2017-09-30	$710,895
Liabilities. Value of acquisition indebtedness at end of year	2017-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	BKD, LLP
Accountancy firm EIN	2017-09-30	440160260
2016 : GOOD SAMARITAN RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-09-30	$2,017
Total unrealized appreciation/depreciation of assets	2016-09-30	$2,017
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total income from all sources (including contributions)	2016-09-30	$817,805
Total loss/gain on sale of assets	2016-09-30	$-11,397
Total of all expenses incurred	2016-09-30	$381,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$380,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$363,864
Value of total assets at end of year	2016-09-30	$4,792,016
Value of total assets at beginning of year	2016-09-30	$4,355,709
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$1,377
Total interest from all sources	2016-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$213,804
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-09-30	$213,804
Assets. Real estate other than employer real property at end of year	2016-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2016-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2016-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-09-30	$0
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$122,702
Participant contributions at end of year	2016-09-30	$0
Participant contributions at beginning of year	2016-09-30	$0
Participant contributions at end of year	2016-09-30	$0
Participant contributions at beginning of year	2016-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2016-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-09-30	$0
Assets. Loans (other than to participants) at end of year	2016-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2016-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-09-30	$0
Liabilities. Value of operating payables at end of year	2016-09-30	$0
Liabilities. Value of operating payables at beginning of year	2016-09-30	$0
Total non interest bearing cash at end of year	2016-09-30	$0
Total non interest bearing cash at beginning of year	2016-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$436,307
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$4,792,016
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$4,355,709
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Assets. partnership/joint venture interests at end of year	2016-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2016-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-09-30	$4,642,338
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-09-30	$4,200,069
Value of interest in master investment trust accounts at end of year	2016-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2016-09-30	$0
Value of interest in common/collective trusts at end of year	2016-09-30	$0
Value of interest in common/collective trusts at beginning of year	2016-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-09-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2016-09-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2016-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$149,678
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-09-30	$155,640
Asset value of US Government securities at end of year	2016-09-30	$0
Asset value of US Government securities at beginning of year	2016-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-09-30	$249,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Assets. Invements in employer securities at end of year	2016-09-30	$0
Assets. Invements in employer securities at beginning of year	2016-09-30	$0
Assets. Value of employer real property at end of year	2016-09-30	$0
Assets. Value of employer real property at beginning of year	2016-09-30	$0
Contributions received in cash from employer	2016-09-30	$241,162
Employer contributions (assets) at end of year	2016-09-30	$0
Employer contributions (assets) at beginning of year	2016-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$380,121
Asset. Corporate debt instrument preferred debt at end of year	2016-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2016-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2016-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2016-09-30	$0
Contract administrator fees	2016-09-30	$1,377
Assets. Corporate common stocks other than exployer securities at end of year	2016-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2016-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2016-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-09-30	$0
Did the plan have assets held for investment	2016-09-30	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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Aggregate proceeds on sale of assets	2016-09-30	$488,352
Aggregate carrying amount (costs) on sale of assets	2016-09-30	$499,749
Liabilities. Value of acquisition indebtedness at end of year	2016-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	No
Opinion of an independent qualified public accountant for this plan	2016-09-30	Unqualified
Accountancy firm name	2016-09-30	DENNIS G. KOCH CPA
Accountancy firm EIN	2016-09-30	208896204
2015 : GOOD SAMARITAN RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-09-30	$1,384
Total unrealized appreciation/depreciation of assets	2015-09-30	$1,384
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$68,688
Total loss/gain on sale of assets	2015-09-30	$6,682
Total of all expenses incurred	2015-09-30	$644,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$644,234
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$155,092
Value of total assets at end of year	2015-09-30	$4,355,709
Value of total assets at beginning of year	2015-09-30	$4,931,619
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$364
Total interest from all sources	2015-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$166,538
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-09-30	$166,538
Assets. Real estate other than employer real property at end of year	2015-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2015-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-09-30	$0
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Contributions received from participants	2015-09-30	$115,888
Participant contributions at end of year	2015-09-30	$0
Participant contributions at beginning of year	2015-09-30	$0
Participant contributions at end of year	2015-09-30	$0
Participant contributions at beginning of year	2015-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2015-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-09-30	$13,930
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-09-30	$0
Assets. Loans (other than to participants) at end of year	2015-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2015-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-09-30	$0
Liabilities. Value of operating payables at end of year	2015-09-30	$0
Liabilities. Value of operating payables at beginning of year	2015-09-30	$0
Total non interest bearing cash at end of year	2015-09-30	$0
Total non interest bearing cash at beginning of year	2015-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-575,910
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$4,355,709
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$4,931,619
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Assets. partnership/joint venture interests at end of year	2015-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2015-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-09-30	$4,200,069
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-30	$4,712,345
Value of interest in master investment trust accounts at end of year	2015-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2015-09-30	$0
Value of interest in common/collective trusts at end of year	2015-09-30	$0
Value of interest in common/collective trusts at beginning of year	2015-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-09-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2015-09-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2015-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-30	$155,640
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-30	$0
Asset value of US Government securities at end of year	2015-09-30	$0
Asset value of US Government securities at beginning of year	2015-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-30	$-261,008
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Assets. Invements in employer securities at end of year	2015-09-30	$0
Assets. Invements in employer securities at beginning of year	2015-09-30	$0
Assets. Value of employer real property at end of year	2015-09-30	$0
Assets. Value of employer real property at beginning of year	2015-09-30	$0
Contributions received in cash from employer	2015-09-30	$25,274
Employer contributions (assets) at end of year	2015-09-30	$0
Employer contributions (assets) at beginning of year	2015-09-30	$219,274
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$644,234
Asset. Corporate debt instrument preferred debt at end of year	2015-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-09-30	$0
Contract administrator fees	2015-09-30	$364
Assets. Corporate common stocks other than exployer securities at end of year	2015-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2015-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-09-30	$0
Did the plan have assets held for investment	2015-09-30	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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Aggregate proceeds on sale of assets	2015-09-30	$843,045
Aggregate carrying amount (costs) on sale of assets	2015-09-30	$836,363
Liabilities. Value of acquisition indebtedness at end of year	2015-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	No
Opinion of an independent qualified public accountant for this plan	2015-09-30	Unqualified
Accountancy firm name	2015-09-30	DENNIS G. KOCH CPA
Accountancy firm EIN	2015-09-30	208896204
2014 : GOOD SAMARITAN RETIREMENT 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	$834,347
Total loss/gain on sale of assets	2014-09-30	$10,559
Total of all expenses incurred	2014-09-30	$194,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$194,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$363,975
Value of total assets at end of year	2014-09-30	$4,931,619
Value of total assets at beginning of year	2014-09-30	$4,291,887
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$0
Total interest from all sources	2014-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$91,579
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-09-30	$91,579
Assets. Real estate other than employer real property at end of year	2014-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2014-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-09-30	$0
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$1,000,000
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
Contributions received from participants	2014-09-30	$113,560
Participant contributions at end of year	2014-09-30	$0
Participant contributions at beginning of year	2014-09-30	$0
Participant contributions at end of year	2014-09-30	$0
Participant contributions at beginning of year	2014-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2014-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-09-30	$6,035
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-09-30	$0
Assets. Loans (other than to participants) at end of year	2014-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2014-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-09-30	$0
Liabilities. Value of operating payables at end of year	2014-09-30	$0
Liabilities. Value of operating payables at beginning of year	2014-09-30	$0
Total non interest bearing cash at end of year	2014-09-30	$0
Total non interest bearing cash at beginning of year	2014-09-30	$0
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	$639,732
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$4,931,619
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$4,291,887
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
Assets. partnership/joint venture interests at end of year	2014-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2014-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-09-30	$4,712,345
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-09-30	$4,066,313
Value of interest in master investment trust accounts at end of year	2014-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2014-09-30	$0
Value of interest in common/collective trusts at end of year	2014-09-30	$0
Value of interest in common/collective trusts at beginning of year	2014-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-09-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2014-09-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-09-30	$0
Asset value of US Government securities at end of year	2014-09-30	$0
Asset value of US Government securities at beginning of year	2014-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-09-30	$368,234
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
Assets. Invements in employer securities at end of year	2014-09-30	$0
Assets. Invements in employer securities at beginning of year	2014-09-30	$0
Assets. Value of employer real property at end of year	2014-09-30	$0
Assets. Value of employer real property at beginning of year	2014-09-30	$0
Contributions received in cash from employer	2014-09-30	$244,380
Employer contributions (assets) at end of year	2014-09-30	$219,274
Employer contributions (assets) at beginning of year	2014-09-30	$225,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$194,615
Asset. Corporate debt instrument preferred debt at end of year	2014-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-09-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2014-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2014-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-09-30	$0
Did the plan have assets held for investment	2014-09-30	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	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	No
Aggregate proceeds on sale of assets	2014-09-30	$236,878
Aggregate carrying amount (costs) on sale of assets	2014-09-30	$226,319
Liabilities. Value of acquisition indebtedness at end of year	2014-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	No
Opinion of an independent qualified public accountant for this plan	2014-09-30	Unqualified
Accountancy firm name	2014-09-30	DENNIS G. KOCH CPA
Accountancy firm EIN	2014-09-30	208896204
2013 : GOOD SAMARITAN RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$941,097
Total loss/gain on sale of assets	2013-09-30	$12,278
Total of all expenses incurred	2013-09-30	$555,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$555,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$373,479
Value of total assets at end of year	2013-09-30	$4,291,887
Value of total assets at beginning of year	2013-09-30	$3,906,527
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$0
Total interest from all sources	2013-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$87,017
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-09-30	$87,017
Assets. Real estate other than employer real property at end of year	2013-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2013-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-09-30	$0
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$118,988
Participant contributions at end of year	2013-09-30	$0
Participant contributions at beginning of year	2013-09-30	$0
Participant contributions at end of year	2013-09-30	$0
Participant contributions at beginning of year	2013-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2013-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-09-30	$5,272
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-09-30	$0
Assets. Loans (other than to participants) at end of year	2013-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2013-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-09-30	$0
Liabilities. Value of operating payables at end of year	2013-09-30	$0
Liabilities. Value of operating payables at beginning of year	2013-09-30	$0
Total non interest bearing cash at end of year	2013-09-30	$0
Total non interest bearing cash at beginning of year	2013-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$385,360
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$4,291,887
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$3,906,527
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Assets. partnership/joint venture interests at end of year	2013-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2013-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-09-30	$4,066,313
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-09-30	$3,668,919
Value of interest in master investment trust accounts at end of year	2013-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2013-09-30	$0
Value of interest in common/collective trusts at end of year	2013-09-30	$0
Value of interest in common/collective trusts at beginning of year	2013-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-09-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2013-09-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-09-30	$0
Asset value of US Government securities at end of year	2013-09-30	$0
Asset value of US Government securities at beginning of year	2013-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-09-30	$468,323
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Assets. Invements in employer securities at end of year	2013-09-30	$0
Assets. Invements in employer securities at beginning of year	2013-09-30	$0
Assets. Value of employer real property at end of year	2013-09-30	$0
Assets. Value of employer real property at beginning of year	2013-09-30	$0
Contributions received in cash from employer	2013-09-30	$249,219
Employer contributions (assets) at end of year	2013-09-30	$225,574
Employer contributions (assets) at beginning of year	2013-09-30	$237,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$555,737
Asset. Corporate debt instrument preferred debt at end of year	2013-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2013-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2013-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-09-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2013-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2013-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2013-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-09-30	$0
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Aggregate proceeds on sale of assets	2013-09-30	$634,253
Aggregate carrying amount (costs) on sale of assets	2013-09-30	$621,975
Liabilities. Value of acquisition indebtedness at end of year	2013-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	No
Opinion of an independent qualified public accountant for this plan	2013-09-30	Unqualified
Accountancy firm name	2013-09-30	DENNIS G. KOCH CPA
Accountancy firm EIN	2013-09-30	208896204
2012 : GOOD SAMARITAN RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total income from all sources (including contributions)	2012-09-30	$970,912
Total loss/gain on sale of assets	2012-09-30	$24,832
Total of all expenses incurred	2012-09-30	$286,355
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$286,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$390,346
Value of total assets at end of year	2012-09-30	$3,906,527
Value of total assets at beginning of year	2012-09-30	$3,221,970
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$0
Total interest from all sources	2012-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$71,166
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-09-30	$71,166
Assets. Real estate other than employer real property at end of year	2012-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2012-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2012-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2012-09-30	$0
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$131,934
Participant contributions at end of year	2012-09-30	$0
Participant contributions at beginning of year	2012-09-30	$0
Participant contributions at end of year	2012-09-30	$0
Participant contributions at beginning of year	2012-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2012-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2012-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-09-30	$6,170
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-09-30	$0
Assets. Loans (other than to participants) at end of year	2012-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2012-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-09-30	$0
Liabilities. Value of operating payables at end of year	2012-09-30	$0
Liabilities. Value of operating payables at beginning of year	2012-09-30	$0
Total non interest bearing cash at end of year	2012-09-30	$0
Total non interest bearing cash at beginning of year	2012-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$684,557
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$3,906,527
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$3,221,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Assets. partnership/joint venture interests at end of year	2012-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2012-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-09-30	$3,668,919
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-09-30	$2,982,705
Value of interest in master investment trust accounts at end of year	2012-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2012-09-30	$0
Value of interest in common/collective trusts at end of year	2012-09-30	$0
Value of interest in common/collective trusts at beginning of year	2012-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-09-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2012-09-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-09-30	$0
Asset value of US Government securities at end of year	2012-09-30	$0
Asset value of US Government securities at beginning of year	2012-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-09-30	$484,568
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Assets. Invements in employer securities at end of year	2012-09-30	$0
Assets. Invements in employer securities at beginning of year	2012-09-30	$0
Assets. Value of employer real property at end of year	2012-09-30	$0
Assets. Value of employer real property at beginning of year	2012-09-30	$0
Contributions received in cash from employer	2012-09-30	$252,242
Employer contributions (assets) at end of year	2012-09-30	$237,608
Employer contributions (assets) at beginning of year	2012-09-30	$239,265
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$286,355
Asset. Corporate debt instrument preferred debt at end of year	2012-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2012-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2012-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2012-09-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2012-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2012-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2012-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-09-30	$0
Did the plan have assets held for investment	2012-09-30	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	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Aggregate proceeds on sale of assets	2012-09-30	$322,547
Aggregate carrying amount (costs) on sale of assets	2012-09-30	$297,715
Liabilities. Value of acquisition indebtedness at end of year	2012-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	No
Opinion of an independent qualified public accountant for this plan	2012-09-30	Unqualified
Accountancy firm name	2012-09-30	DENNIS G. KOCH CPA
Accountancy firm EIN	2012-09-30	208896204
2011 : GOOD SAMARITAN RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total income from all sources (including contributions)	2011-09-30	$332,437
Total loss/gain on sale of assets	2011-09-30	$1,169
Total of all expenses incurred	2011-09-30	$95,383
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$94,958
Value of total corrective distributions	2011-09-30	$425
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$416,518
Value of total assets at end of year	2011-09-30	$3,221,970
Value of total assets at beginning of year	2011-09-30	$2,984,916
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$0
Total interest from all sources	2011-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$67,553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-09-30	$67,553
Assets. Real estate other than employer real property at end of year	2011-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2011-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-09-30	$0
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Contributions received from participants	2011-09-30	$141,321
Participant contributions at end of year	2011-09-30	$0
Participant contributions at beginning of year	2011-09-30	$0
Participant contributions at end of year	2011-09-30	$0
Participant contributions at beginning of year	2011-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2011-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-09-30	$11,508
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-09-30	$0
Assets. Loans (other than to participants) at end of year	2011-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2011-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-09-30	$0
Liabilities. Value of operating payables at end of year	2011-09-30	$0
Liabilities. Value of operating payables at beginning of year	2011-09-30	$0
Total non interest bearing cash at end of year	2011-09-30	$0
Total non interest bearing cash at beginning of year	2011-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$237,054
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$3,221,970
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$2,984,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Assets. partnership/joint venture interests at end of year	2011-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2011-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-09-30	$2,982,705
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-09-30	$2,757,652
Value of interest in master investment trust accounts at end of year	2011-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2011-09-30	$0
Value of interest in common/collective trusts at end of year	2011-09-30	$0
Value of interest in common/collective trusts at beginning of year	2011-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-09-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-09-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-09-30	$0
Asset value of US Government securities at end of year	2011-09-30	$0
Asset value of US Government securities at beginning of year	2011-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-09-30	$-152,803
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Assets. Invements in employer securities at end of year	2011-09-30	$0
Assets. Invements in employer securities at beginning of year	2011-09-30	$0
Assets. Value of employer real property at end of year	2011-09-30	$0
Assets. Value of employer real property at beginning of year	2011-09-30	$0
Contributions received in cash from employer	2011-09-30	$263,689
Employer contributions (assets) at end of year	2011-09-30	$239,265
Employer contributions (assets) at beginning of year	2011-09-30	$227,264
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$94,958
Asset. Corporate debt instrument preferred debt at end of year	2011-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-09-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2011-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2011-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-09-30	$0
Did the plan have assets held for investment	2011-09-30	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	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Aggregate proceeds on sale of assets	2011-09-30	$174,634
Aggregate carrying amount (costs) on sale of assets	2011-09-30	$173,465
Liabilities. Value of acquisition indebtedness at end of year	2011-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	No
Opinion of an independent qualified public accountant for this plan	2011-09-30	Unqualified
Accountancy firm name	2011-09-30	DENNIS G. KOCH
Accountancy firm EIN	2011-09-30	208896204
2010 : GOOD SAMARITAN RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-09-30	$0

Form 5500 Responses for GOOD SAMARITAN RETIREMENT PLAN

2021: GOOD SAMARITAN RETIREMENT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – Trust	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement - Trust	Yes
2020: GOOD SAMARITAN RETIREMENT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – Trust	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement - Trust	Yes
2019: GOOD SAMARITAN RETIREMENT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan funding arrangement – Trust	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement - Trust	Yes
2018: GOOD SAMARITAN RETIREMENT PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan funding arrangement – Trust	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement - Trust	Yes
2017: GOOD SAMARITAN RETIREMENT PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: GOOD SAMARITAN RETIREMENT PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: GOOD SAMARITAN RETIREMENT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: GOOD SAMARITAN RETIREMENT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: GOOD SAMARITAN RETIREMENT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: GOOD SAMARITAN RETIREMENT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: GOOD SAMARITAN RETIREMENT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: GOOD SAMARITAN RETIREMENT PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: GOOD SAMARITAN RETIREMENT PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

012-1102-1

Policy instance

Insurance contract or identification number	012-1102-1
Number of Individuals Covered	252
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
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?	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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

012-1102-1

Policy instance

Insurance contract or identification number	012-1102-1
Number of Individuals Covered	273
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
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?	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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

CUNA MUTUAL (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

012-1102-1

Policy instance

Insurance contract or identification number	012-1102-1
Number of Individuals Covered	256
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $152
Total amount of fees paid to insurance company	USD $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 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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $152
Insurance broker organization code?	3

CUNA MUTUAL (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

012-1102-1

Policy instance

Insurance contract or identification number	012-1102-1
Number of Individuals Covered	258
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $612
Total amount of fees paid to insurance company	USD $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 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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $612
Insurance broker organization code?	3

CUNA MUTUAL (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

012-1102-1

Policy instance

Insurance contract or identification number	012-1102-1
Number of Individuals Covered	314
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $673
Total amount of fees paid to insurance company	USD $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 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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CUNA MUTUAL (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

012-1102-1

Policy instance

Insurance contract or identification number	012-1102-1
Number of Individuals Covered	6
Insurance policy start date	2015-10-01
Insurance policy end date	2016-09-30
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	1
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?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CUNA MUTUAL (National Association of Insurance Commissioners NAIC id number: 62626 )

Policy contract number

012-1102-1

Policy instance

Insurance contract or identification number	012-1102-1
Number of Individuals Covered	6
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
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	1
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?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	THE GOOD SAMARITAN HOME OF QUINCY
Employer identification number (EIN):	370724112
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C3028409