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SACRED HEART CARE CENTER RETIREMENT PLAN 401k Plan overview

Plan NameSACRED HEART CARE CENTER RETIREMENT PLAN
Plan identification number 002

SACRED HEART CARE CENTER RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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

SACRED HEART CARE CENTER has sponsored the creation of one or more 401k plans.

Company Name:SACRED HEART CARE CENTER
Employer identification number (EIN):411390349
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SACRED HEART CARE CENTER RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-10-01
0022021-10-01
0022020-10-01
0022019-10-01
0022018-10-01
0022017-10-01
0022016-10-01REBECCA HALVERSON
0022015-10-01REBECCA HALVERSON
0022014-10-01REBECCA HALVERSON
0022013-10-01REBECCA HALVERSON
0022012-10-01REBECCA HALVERSON
0022011-10-01REBECCA HALVERSON
0022009-10-01REBECCA MATHEWS HALVERSON

Plan Statistics for SACRED HEART CARE CENTER RETIREMENT PLAN

401k plan membership statisitcs for SACRED HEART CARE CENTER RETIREMENT PLAN

Measure Date Value
2022: SACRED HEART CARE CENTER RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01197
Total number of active participants reported on line 7a of the Form 55002022-10-01161
Number of retired or separated participants receiving benefits2022-10-017
Number of other retired or separated participants entitled to future benefits2022-10-0135
Total of all active and inactive participants2022-10-01203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-10-011
Total participants2022-10-01204
Number of participants with account balances2022-10-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-10-012
2021: SACRED HEART CARE CENTER RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01194
Total number of active participants reported on line 7a of the Form 55002021-10-01160
Number of retired or separated participants receiving benefits2021-10-017
Number of other retired or separated participants entitled to future benefits2021-10-0130
Total of all active and inactive participants2021-10-01197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-010
Total participants2021-10-01197
Number of participants with account balances2021-10-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-014
2020: SACRED HEART CARE CENTER RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01197
Total number of active participants reported on line 7a of the Form 55002020-10-01164
Number of retired or separated participants receiving benefits2020-10-015
Number of other retired or separated participants entitled to future benefits2020-10-0125
Total of all active and inactive participants2020-10-01194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-01194
Number of participants with account balances2020-10-0199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-014
2019: SACRED HEART CARE CENTER RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01194
Total number of active participants reported on line 7a of the Form 55002019-10-01177
Number of retired or separated participants receiving benefits2019-10-015
Number of other retired or separated participants entitled to future benefits2019-10-0115
Total of all active and inactive participants2019-10-01197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-01197
Number of participants with account balances2019-10-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-013
2018: SACRED HEART CARE CENTER RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01181
Total number of active participants reported on line 7a of the Form 55002018-10-01173
Number of retired or separated participants receiving benefits2018-10-015
Number of other retired or separated participants entitled to future benefits2018-10-0116
Total of all active and inactive participants2018-10-01194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01194
Number of participants with account balances2018-10-0199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-013
2017: SACRED HEART CARE CENTER RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01174
Total number of active participants reported on line 7a of the Form 55002017-10-01163
Number of retired or separated participants receiving benefits2017-10-015
Number of other retired or separated participants entitled to future benefits2017-10-0113
Total of all active and inactive participants2017-10-01181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01181
Number of participants with account balances2017-10-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-012
2016: SACRED HEART CARE CENTER RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01191
Total number of active participants reported on line 7a of the Form 55002016-10-01154
Number of retired or separated participants receiving benefits2016-10-015
Number of other retired or separated participants entitled to future benefits2016-10-0115
Total of all active and inactive participants2016-10-01174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-01174
Number of participants with account balances2016-10-01101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-011
2015: SACRED HEART CARE CENTER RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01168
Total number of active participants reported on line 7a of the Form 55002015-10-01146
Number of retired or separated participants receiving benefits2015-10-014
Number of other retired or separated participants entitled to future benefits2015-10-0141
Total of all active and inactive participants2015-10-01191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01191
Number of participants with account balances2015-10-01124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-010
2014: SACRED HEART CARE CENTER RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01176
Total number of active participants reported on line 7a of the Form 55002014-10-01139
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-0129
Total of all active and inactive participants2014-10-01168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-01168
Number of participants with account balances2014-10-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-010
2013: SACRED HEART CARE CENTER RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01183
Total number of active participants reported on line 7a of the Form 55002013-10-01147
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-0129
Total of all active and inactive participants2013-10-01176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-01176
Number of participants with account balances2013-10-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-010
2012: SACRED HEART CARE CENTER RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01106
Total number of active participants reported on line 7a of the Form 55002012-10-0176
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-0136
Total of all active and inactive participants2012-10-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-01112
Number of participants with account balances2012-10-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-010
2011: SACRED HEART CARE CENTER RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01163
Total number of active participants reported on line 7a of the Form 55002011-10-0178
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-0136
Total of all active and inactive participants2011-10-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-01114
Number of participants with account balances2011-10-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-010
2009: SACRED HEART CARE CENTER RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01144
Total number of active participants reported on line 7a of the Form 55002009-10-01147
Number of retired or separated participants receiving benefits2009-10-0121
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01168
Number of participants with account balances2009-10-0197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on SACRED HEART CARE CENTER RETIREMENT PLAN

Measure Date Value
2023 : SACRED HEART CARE CENTER RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$0
Total income from all sources (including contributions)2023-09-30$550,359
Total loss/gain on sale of assets2023-09-30$0
Total of all expenses incurred2023-09-30$537,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-09-30$514,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-09-30$255,003
Value of total assets at end of year2023-09-30$2,609,274
Value of total assets at beginning of year2023-09-30$2,596,875
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-09-30$23,014
Total interest from all sources2023-09-30$8,512
Total dividends received (eg from common stock, registered investment company shares)2023-09-30$2,092
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-09-30$2,092
Was this plan covered by a fidelity bond2023-09-30Yes
Value of fidelity bond cover2023-09-30$500,000
If this is an individual account plan, was there a blackout period2023-09-30No
Were there any nonexempt tranactions with any party-in-interest2023-09-30No
Contributions received from participants2023-09-30$167,643
Participant contributions at end of year2023-09-30$19,722
Participant contributions at beginning of year2023-09-30$5,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Value of net income/loss2023-09-30$12,399
Value of net assets at end of year (total assets less liabilities)2023-09-30$2,609,274
Value of net assets at beginning of year (total assets less liabilities)2023-09-30$2,596,875
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-09-30No
Were any leases to which the plan was party in default or uncollectible2023-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-09-30$2,172,046
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-09-30$2,145,118
Interest earned on other investments2023-09-30$8,512
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-09-30$406,097
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-09-30$443,689
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-09-30$284,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-09-30No
Was there a failure to transmit to the plan any participant contributions2023-09-30Yes
Has the plan failed to provide any benefit when due under the plan2023-09-30No
Contributions received in cash from employer2023-09-30$87,360
Employer contributions (assets) at end of year2023-09-30$11,409
Employer contributions (assets) at beginning of year2023-09-30$2,953
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-09-30$514,946
Contract administrator fees2023-09-30$23,014
Did the plan have assets held for investment2023-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-09-30No
Opinion of an independent qualified public accountant for this plan2023-09-30Disclaimer
Accountancy firm name2023-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2023-09-30410746749
2022 : SACRED HEART CARE CENTER RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$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$0
Total income from all sources (including contributions)2022-09-30$-247,544
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$751,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$723,217
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$238,623
Value of total assets at end of year2022-09-30$2,596,875
Value of total assets at beginning of year2022-09-30$3,595,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$28,051
Total interest from all sources2022-09-30$-25,766
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$2,994
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$2,994
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$153,708
Participant contributions at end of year2022-09-30$5,115
Participant contributions at beginning of year2022-09-30$6,271
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-998,812
Value of net assets at end of year (total assets less liabilities)2022-09-30$2,596,875
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$3,595,687
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$2,145,118
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$3,015,294
Interest earned on other investments2022-09-30$-25,766
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$443,689
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$570,657
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-463,395
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$84,915
Employer contributions (assets) at end of year2022-09-30$2,953
Employer contributions (assets) at beginning of year2022-09-30$3,465
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$723,217
Contract administrator fees2022-09-30$28,051
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Disclaimer
Accountancy firm name2022-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-09-30410746749
2021 : SACRED HEART CARE CENTER RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$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$830,406
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$254,306
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$224,731
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$292,998
Value of total assets at end of year2021-09-30$3,595,687
Value of total assets at beginning of year2021-09-30$3,019,587
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$29,575
Total interest from all sources2021-09-30$99,430
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$208
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-09-30$208
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
If this is an individual account plan, was there a blackout period2021-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$190,546
Participant contributions at end of year2021-09-30$6,271
Participant contributions at beginning of year2021-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$576,100
Value of net assets at end of year (total assets less liabilities)2021-09-30$3,595,687
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$3,019,587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$3,015,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$2,531,308
Interest earned on other investments2021-09-30$99,430
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-09-30$570,657
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-09-30$488,279
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$437,770
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$102,452
Employer contributions (assets) at end of year2021-09-30$3,465
Employer contributions (assets) at beginning of year2021-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$224,731
Contract administrator fees2021-09-30$29,575
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Disclaimer
Accountancy firm name2021-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-09-30410746749
2020 : SACRED HEART CARE CENTER RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$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$519,466
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$790,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$760,115
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$264,080
Value of total assets at end of year2020-09-30$3,019,587
Value of total assets at beginning of year2020-09-30$3,290,459
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$30,223
Total interest from all sources2020-09-30$80
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$80,696
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$80,696
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$163,245
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$0
Other income not declared elsewhere2020-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$-270,872
Value of net assets at end of year (total assets less liabilities)2020-09-30$3,019,587
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$3,290,459
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$2,531,308
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$3,144,185
Interest earned on other investments2020-09-30$80
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-09-30$488,279
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-09-30$146,274
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$174,610
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$100,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$760,115
Contract administrator fees2020-09-30$30,223
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-09-30410746749
2019 : SACRED HEART CARE CENTER RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$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$388,493
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$163,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$128,508
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$239,583
Value of total assets at end of year2019-09-30$3,290,459
Value of total assets at beginning of year2019-09-30$3,065,849
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$35,375
Total interest from all sources2019-09-30$3,703
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$100,718
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$100,718
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$148,779
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$224,610
Value of net assets at end of year (total assets less liabilities)2019-09-30$3,290,459
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$3,065,849
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$3,144,185
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$2,820,183
Interest earned on other investments2019-09-30$3,703
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$146,274
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$245,666
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$44,489
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$90,804
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$128,508
Contract administrator fees2019-09-30$35,375
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-09-30No
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2019-09-30410746749
2018 : SACRED HEART CARE CENTER RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$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$403,232
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$236,259
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$203,744
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$217,326
Value of total assets at end of year2018-09-30$3,065,849
Value of total assets at beginning of year2018-09-30$2,898,876
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$32,515
Total interest from all sources2018-09-30$6,661
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$300,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$127,875
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$166,973
Value of net assets at end of year (total assets less liabilities)2018-09-30$3,065,849
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$2,898,876
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$2,820,183
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$2,513,828
Interest on participant loans2018-09-30$0
Interest earned on other investments2018-09-30$6,661
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$245,666
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$385,048
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$179,245
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$89,451
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$203,744
Contract administrator fees2018-09-30$32,515
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-09-30No
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30CLIFTON LARSON ALLEN LLP
Accountancy firm EIN2018-09-30410746749
2017 : SACRED HEART CARE CENTER RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
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$499,736
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$361,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$331,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$222,336
Value of total assets at end of year2017-09-30$2,898,876
Value of total assets at beginning of year2017-09-30$2,760,359
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$29,710
Total interest from all sources2017-09-30$10,350
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$68,986
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$68,986
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$300,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$130,801
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$138,517
Value of net assets at end of year (total assets less liabilities)2017-09-30$2,898,876
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$2,760,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$2,513,828
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$2,241,599
Interest earned on other investments2017-09-30$10,350
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$385,048
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$518,760
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$198,064
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30Yes
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$91,535
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$331,509
Contract administrator fees2017-09-30$29,710
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-09-30No
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30CLIFTON LARSON ALLEN LLP
Accountancy firm EIN2017-09-30410746749
2016 : SACRED HEART CARE CENTER RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
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$424,208
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$101,605
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$75,988
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$210,324
Value of total assets at end of year2016-09-30$2,760,359
Value of total assets at beginning of year2016-09-30$2,437,756
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$25,617
Total interest from all sources2016-09-30$13,661
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$91,151
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$91,151
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$300,000
If this is an individual account plan, was there a blackout period2016-09-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$125,209
Participant contributions at end of year2016-09-30$0
Participant contributions at beginning of year2016-09-30$3,285
Other income not declared elsewhere2016-09-30$799
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$322,603
Value of net assets at end of year (total assets less liabilities)2016-09-30$2,760,359
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$2,437,756
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$2,241,599
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$1,578,189
Interest earned on other investments2016-09-30$13,661
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$518,760
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$853,613
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$108,273
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$85,115
Employer contributions (assets) at end of year2016-09-30$0
Employer contributions (assets) at beginning of year2016-09-30$2,669
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$75,988
Contract administrator fees2016-09-30$25,617
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30Yes
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30CLIFTON LARSON ALLEN LLP
Accountancy firm EIN2016-09-30410746749
2015 : SACRED HEART CARE CENTER RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
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$169,178
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$96,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$96,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$150,038
Value of total assets at end of year2015-09-30$2,437,756
Value of total assets at beginning of year2015-09-30$2,364,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$0
Total interest from all sources2015-09-30$22,295
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$240,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$81,265
Participant contributions at end of year2015-09-30$3,285
Participant contributions at beginning of year2015-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$73,039
Value of net assets at end of year (total assets less liabilities)2015-09-30$2,437,756
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$2,364,717
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$1,578,189
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$1,574,187
Interest earned on other investments2015-09-30$22,295
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$853,613
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$790,530
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-3,155
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$68,773
Employer contributions (assets) at end of year2015-09-30$2,669
Employer contributions (assets) at beginning of year2015-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$96,139
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2015-09-30410746749
2014 : SACRED HEART CARE CENTER RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$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$362,189
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$78,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$78,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$181,011
Value of total assets at end of year2014-09-30$2,364,717
Value of total assets at beginning of year2014-09-30$2,081,445
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$0
Total interest from all sources2014-09-30$20,762
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$210,000
If this is an individual account plan, was there a blackout period2014-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$78,765
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$33,198
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$283,272
Value of net assets at end of year (total assets less liabilities)2014-09-30$2,364,717
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$2,081,445
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$1,574,187
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$1,327,087
Interest earned on other investments2014-09-30$20,762
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-09-30$790,530
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-09-30$754,358
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$160,416
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$69,048
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$78,917
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2014-09-30410746749
2013 : SACRED HEART CARE CENTER RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$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$374,851
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$51,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$51,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$145,957
Value of total assets at end of year2013-09-30$2,081,445
Value of total assets at beginning of year2013-09-30$1,757,852
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$0
Total interest from all sources2013-09-30$19,860
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$210,000
If this is an individual account plan, was there a blackout period2013-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$74,255
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$4,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$323,593
Value of net assets at end of year (total assets less liabilities)2013-09-30$2,081,445
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$1,757,852
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$1,327,087
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$1,042,091
Interest earned on other investments2013-09-30$19,860
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$754,358
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$715,761
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$209,034
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$67,630
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$51,258
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2013-09-30410746749
2012 : SACRED HEART CARE CENTER RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$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$387,763
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$52,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$52,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$155,575
Value of total assets at end of year2012-09-30$1,757,852
Value of total assets at beginning of year2012-09-30$1,422,372
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$0
Total interest from all sources2012-09-30$18,935
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$250,000
If this is an individual account plan, was there a blackout period2012-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$71,624
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$23,264
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$335,480
Value of net assets at end of year (total assets less liabilities)2012-09-30$1,757,852
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$1,422,372
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$1,042,091
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$875,111
Interest earned on other investments2012-09-30$18,935
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$715,761
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$547,261
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$213,253
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$60,687
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$52,283
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2012-09-30410746749
2011 : SACRED HEART CARE CENTER RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$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$156,514
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$204,630
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$204,630
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$151,897
Value of total assets at end of year2011-09-30$1,422,372
Value of total assets at beginning of year2011-09-30$1,470,488
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$0
Total interest from all sources2011-09-30$16,377
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$250,000
If this is an individual account plan, was there a blackout period2011-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$75,957
Participant contributions at beginning of year2011-09-30$2,985
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$17,882
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$-48,116
Value of net assets at end of year (total assets less liabilities)2011-09-30$1,422,372
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$1,470,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$875,111
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$893,282
Interest earned on other investments2011-09-30$16,377
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$547,261
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$572,297
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-11,760
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$58,058
Employer contributions (assets) at beginning of year2011-09-30$1,924
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$204,630
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-09-30No
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2011-09-30410746749

Form 5500 Responses for SACRED HEART CARE CENTER RETIREMENT PLAN

2022: SACRED HEART CARE CENTER RETIREMENT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)No
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: SACRED HEART CARE CENTER RETIREMENT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: SACRED HEART CARE CENTER RETIREMENT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: SACRED HEART CARE CENTER RETIREMENT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: SACRED HEART CARE CENTER RETIREMENT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: SACRED HEART CARE CENTER RETIREMENT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: SACRED HEART CARE CENTER RETIREMENT PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: SACRED HEART CARE CENTER RETIREMENT PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: SACRED HEART CARE CENTER RETIREMENT PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: SACRED HEART CARE CENTER RETIREMENT PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: SACRED HEART CARE CENTER RETIREMENT PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: SACRED HEART CARE CENTER RETIREMENT PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: SACRED HEART CARE CENTER RETIREMENT PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSCH-001
Policy instance 2
Insurance contract or identification numberSCH-001
Number of Individuals Covered21
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894163-007
Policy instance 1
Insurance contract or identification number894163-007
Number of Individuals Covered4
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $190
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $190
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSCH-001
Policy instance 2
Insurance contract or identification numberSCH-001
Number of Individuals Covered26
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894163-007
Policy instance 1
Insurance contract or identification number894163-007
Number of Individuals Covered2
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $270
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $270
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSCH-001
Policy instance 2
Insurance contract or identification numberSCH-001
Number of Individuals Covered26
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894163-007
Policy instance 1
Insurance contract or identification number894163-007
Number of Individuals Covered2
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $316
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $316
Insurance broker organization code?4
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number65985
Policy instance 2
Insurance contract or identification number65985
Number of Individuals Covered0
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894163-007
Policy instance 1
Insurance contract or identification number894163-007
Number of Individuals Covered1
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $231
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $231
Insurance broker organization code?4
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number65985
Policy instance 2
Insurance contract or identification number65985
Number of Individuals Covered29
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894163-007
Policy instance 1
Insurance contract or identification number894163-007
Number of Individuals Covered1
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $26
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26
Insurance broker organization code?4
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number65985
Policy instance 2
Insurance contract or identification number65985
Number of Individuals Covered30
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894163-007
Policy instance 1
Insurance contract or identification number894163-007
Number of Individuals Covered1
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $29
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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