401k Plan data: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN plan

TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 401k Plan overview

Plan Name	TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN
Plan identification number	509

TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

TOMAH MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: TOMAH MEMORIAL HOSPITAL

Employer identification number (EIN): 390799566

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
509 2023-01-01
509 2020-01-01
509 2019-01-01

Plan Statistics for TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN

401k plan membership statisitcs for TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN

Measure Date Value
2023: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 102
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 102
2020: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 97
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 97
2019: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 98
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 98

Measure	Date	Value
2023: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	102
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	102
2020: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	97
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	97
2019: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	98
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	98

Form 5500 Responses for TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN

2023: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: TOMAH MEMORIAL HOSPITAL FLEXIBLE COMPENSATION PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	TOMAH MEMORIAL HOSPITAL
Employer identification number (EIN):	390799566
NAIC Classification:	622000
NAIC Description:	Hospitals