CHARLES CITY FAMILY HEALTH CENTER PC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN
401k plan membership statisitcs for CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN
| Measure | Date | Value |
|---|
| 2018: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-12-01 | 6 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-12-01 | 0 |
| Total of all active and inactive participants | 2018-12-01 | 0 |
| Total participants | 2018-12-01 | 0 |
| Number of participants with account balances | 2018-12-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-12-01 | 0 |
| 2017: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-12-01 | 6 |
| Total of all active and inactive participants | 2017-12-01 | 6 |
| Total participants | 2017-12-01 | 6 |
| Number of participants with account balances | 2017-12-01 | 6 |
| 2016: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-12-01 | 29 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 24 |
| Number of other retired or separated participants entitled to future benefits | 2016-12-01 | 3 |
| Total of all active and inactive participants | 2016-12-01 | 27 |
| Total participants | 2016-12-01 | 27 |
| Number of participants with account balances | 2016-12-01 | 27 |
| Number of employers contributing to the scheme | 2016-12-01 | 1 |
| 2015: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-12-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-01 | 26 |
| Number of other retired or separated participants entitled to future benefits | 2015-12-01 | 3 |
| Total of all active and inactive participants | 2015-12-01 | 29 |
| Total participants | 2015-12-01 | 29 |
| Number of participants with account balances | 2015-12-01 | 29 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-12-01 | 0 |
| Number of employers contributing to the scheme | 2015-12-01 | 1 |
| 2014: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-12-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-01 | 22 |
| Number of other retired or separated participants entitled to future benefits | 2014-12-01 | 5 |
| Total of all active and inactive participants | 2014-12-01 | 27 |
| Total participants | 2014-12-01 | 27 |
| 2013: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-12-01 | 26 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-01 | 24 |
| Number of retired or separated participants receiving benefits | 2013-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-12-01 | 3 |
| Total of all active and inactive participants | 2013-12-01 | 27 |
| Total participants | 2013-12-01 | 27 |
| Number of participants with account balances | 2013-12-01 | 27 |
| 2012: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-12-01 | 28 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-01 | 22 |
| Number of other retired or separated participants entitled to future benefits | 2012-12-01 | 4 |
| Total of all active and inactive participants | 2012-12-01 | 26 |
| Total participants | 2012-12-01 | 26 |
| Number of participants with account balances | 2012-12-01 | 26 |
| 2011: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-12-01 | 29 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-12-01 | 22 |
| Number of retired or separated participants receiving benefits | 2011-12-01 | 6 |
| Total of all active and inactive participants | 2011-12-01 | 28 |
| Total participants | 2011-12-01 | 28 |
| Number of participants with account balances | 2011-12-01 | 28 |
| 2009: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-12-01 | 31 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-12-01 | 25 |
| Number of retired or separated participants receiving benefits | 2009-12-01 | 6 |
| Total of all active and inactive participants | 2009-12-01 | 31 |
| Total participants | 2009-12-01 | 31 |
| Measure | Date | Value |
|---|
| 2019 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-11-30 | $54,691 |
| Expenses. Total of all expenses incurred | 2019-11-30 | $662,737 |
| Benefits paid (including direct rollovers) | 2019-11-30 | $662,737 |
| Total plan assets at end of year | 2019-11-30 | $0 |
| Total plan assets at beginning of year | 2019-11-30 | $608,046 |
| Value of fidelity bond covering the plan | 2019-11-30 | $100,000 |
| Other income received | 2019-11-30 | $54,691 |
| Net income (gross income less expenses) | 2019-11-30 | $-608,046 |
| Net plan assets at end of year (total assets less liabilities) | 2019-11-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-11-30 | $608,046 |
| Assets. Value of assets in partnership/joint-venture interests | 2019-11-30 | $0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2019-11-30 | $0 |
| 2018 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2018 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-11-30 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2018-11-30 | $0 |
| Minimum employer required contribution for this plan year | 2018-11-30 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2018-11-30 | $0 |
| 2017 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-11-30 | $1,085,555 |
| Expenses. Total of all expenses incurred | 2017-11-30 | $274,733 |
| Benefits paid (including direct rollovers) | 2017-11-30 | $264,083 |
| Total plan assets at end of year | 2017-11-30 | $7,767,993 |
| Total plan assets at beginning of year | 2017-11-30 | $6,957,171 |
| Value of fidelity bond covering the plan | 2017-11-30 | $100,000 |
| Expenses. Other expenses not covered elsewhere | 2017-11-30 | $10,650 |
| Other income received | 2017-11-30 | $912,260 |
| Net income (gross income less expenses) | 2017-11-30 | $810,822 |
| Net plan assets at end of year (total assets less liabilities) | 2017-11-30 | $7,767,993 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-11-30 | $6,957,171 |
| Assets. Value of participant loans | 2017-11-30 | $27,931 |
| Assets. Value of assets in partnership/joint-venture interests | 2017-11-30 | $360,728 |
| Assets. Value of real-estate (other than employer real property) | 2017-11-30 | $196,785 |
| Total contributions received or receivable from employer(s) | 2017-11-30 | $173,295 |
| 2016 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2016 401k financial data |
|---|
| Transfers to/from the plan | 2016-11-30 | $0 |
| Total income from all sources | 2016-11-30 | $415,174 |
| Expenses. Total of all expenses incurred | 2016-11-30 | $11,557 |
| Benefits paid (including direct rollovers) | 2016-11-30 | $938 |
| Total plan assets at end of year | 2016-11-30 | $6,957,171 |
| Total plan assets at beginning of year | 2016-11-30 | $6,553,554 |
| Value of fidelity bond covering the plan | 2016-11-30 | $100,000 |
| Expenses. Other expenses not covered elsewhere | 2016-11-30 | $10,619 |
| Other income received | 2016-11-30 | $244,064 |
| Net income (gross income less expenses) | 2016-11-30 | $403,617 |
| Net plan assets at end of year (total assets less liabilities) | 2016-11-30 | $6,957,171 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-11-30 | $6,553,554 |
| Assets. Value of participant loans | 2016-11-30 | $34,378 |
| Assets. Value of assets in partnership/joint-venture interests | 2016-11-30 | $362,998 |
| Assets. Value of real-estate (other than employer real property) | 2016-11-30 | $213,195 |
| Total contributions received or receivable from employer(s) | 2016-11-30 | $171,110 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-11-30 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2016-11-30 | $0 |
| Minimum employer required contribution for this plan year | 2016-11-30 | $171,110 |
| Amount contributed by the employer to the plan for this plan year | 2016-11-30 | $171,110 |
| 2015 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-11-30 | $161,034 |
| Expenses. Total of all expenses incurred | 2015-11-30 | $20,136 |
| Benefits paid (including direct rollovers) | 2015-11-30 | $9,606 |
| Total plan assets at end of year | 2015-11-30 | $6,553,554 |
| Total plan assets at beginning of year | 2015-11-30 | $6,412,656 |
| Value of fidelity bond covering the plan | 2015-11-30 | $100,000 |
| Contributions received from other sources (not participants or employers) | 2015-11-30 | $-13,611 |
| Net income (gross income less expenses) | 2015-11-30 | $140,898 |
| Net plan assets at end of year (total assets less liabilities) | 2015-11-30 | $6,553,554 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-11-30 | $6,412,656 |
| Assets. Value of participant loans | 2015-11-30 | $48,260 |
| Assets. Value of assets in partnership/joint-venture interests | 2015-11-30 | $363,004 |
| Assets. Value of real-estate (other than employer real property) | 2015-11-30 | $213,194 |
| Total contributions received or receivable from employer(s) | 2015-11-30 | $174,645 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-11-30 | $10,530 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-11-30 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2015-11-30 | $0 |
| Minimum employer required contribution for this plan year | 2015-11-30 | $174,645 |
| Amount contributed by the employer to the plan for this plan year | 2015-11-30 | $174,645 |
| 2014 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-11-30 | $602,962 |
| Expenses. Total of all expenses incurred | 2014-11-30 | $23,079 |
| Benefits paid (including direct rollovers) | 2014-11-30 | $12,858 |
| Total plan assets at end of year | 2014-11-30 | $6,412,656 |
| Total plan assets at beginning of year | 2014-11-30 | $5,832,773 |
| Value of fidelity bond covering the plan | 2014-11-30 | $10,000 |
| Contributions received from other sources (not participants or employers) | 2014-11-30 | $431,234 |
| Net income (gross income less expenses) | 2014-11-30 | $579,883 |
| Net plan assets at end of year (total assets less liabilities) | 2014-11-30 | $6,412,656 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-11-30 | $5,832,773 |
| Assets. Value of participant loans | 2014-11-30 | $65,957 |
| Assets. Value of assets in partnership/joint-venture interests | 2014-11-30 | $350,000 |
| Assets. Value of real-estate (other than employer real property) | 2014-11-30 | $196,785 |
| Total contributions received or receivable from employer(s) | 2014-11-30 | $171,728 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-11-30 | $10,221 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-11-30 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2014-11-30 | $0 |
| Minimum employer required contribution for this plan year | 2014-11-30 | $171,728 |
| Amount contributed by the employer to the plan for this plan year | 2014-11-30 | $171,728 |
| 2013 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-11-30 | $838,828 |
| Expenses. Total of all expenses incurred | 2013-11-30 | $29,984 |
| Benefits paid (including direct rollovers) | 2013-11-30 | $20,179 |
| Total plan assets at end of year | 2013-11-30 | $5,832,773 |
| Total plan assets at beginning of year | 2013-11-30 | $5,023,929 |
| Value of fidelity bond covering the plan | 2013-11-30 | $10,000 |
| Other income received | 2013-11-30 | $667,627 |
| Net income (gross income less expenses) | 2013-11-30 | $808,844 |
| Net plan assets at end of year (total assets less liabilities) | 2013-11-30 | $5,832,773 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-11-30 | $5,023,929 |
| Assets. Value of participant loans | 2013-11-30 | $65,353 |
| Assets. Value of assets in partnership/joint-venture interests | 2013-11-30 | $350,000 |
| Assets. Value of real-estate (other than employer real property) | 2013-11-30 | $196,785 |
| Total contributions received or receivable from employer(s) | 2013-11-30 | $171,201 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-11-30 | $9,805 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-11-30 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2013-11-30 | $0 |
| Minimum employer required contribution for this plan year | 2013-11-30 | $171,201 |
| Amount contributed by the employer to the plan for this plan year | 2013-11-30 | $171,201 |
| 2012 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2012 401k financial data |
|---|
| Transfers to/from the plan | 2012-11-30 | $0 |
| Total income from all sources | 2012-11-30 | $487,480 |
| Expenses. Total of all expenses incurred | 2012-11-30 | $31,936 |
| Benefits paid (including direct rollovers) | 2012-11-30 | $22,355 |
| Total plan assets at end of year | 2012-11-30 | $5,023,929 |
| Total plan assets at beginning of year | 2012-11-30 | $4,568,385 |
| Value of fidelity bond covering the plan | 2012-11-30 | $10,000 |
| Noncash contributions received | 2012-11-30 | $318,431 |
| Net income (gross income less expenses) | 2012-11-30 | $455,544 |
| Net plan assets at end of year (total assets less liabilities) | 2012-11-30 | $5,023,929 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-11-30 | $4,568,385 |
| Assets. Value of participant loans | 2012-11-30 | $61,442 |
| Assets. Value of assets in partnership/joint-venture interests | 2012-11-30 | $350,000 |
| Assets. Value of real-estate (other than employer real property) | 2012-11-30 | $141,209 |
| Total contributions received or receivable from employer(s) | 2012-11-30 | $169,049 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-11-30 | $9,581 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-11-30 | $0 |
| Funding deficiency by the employer to the plan for this plan year | 2012-11-30 | $0 |
| Minimum employer required contribution for this plan year | 2012-11-30 | $169,049 |
| Amount contributed by the employer to the plan for this plan year | 2012-11-30 | $169,049 |
| 2011 : CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-11-30 | $224,561 |
| Expenses. Total of all expenses incurred | 2011-11-30 | $92,258 |
| Benefits paid (including direct rollovers) | 2011-11-30 | $82,637 |
| Total plan assets at end of year | 2011-11-30 | $4,568,385 |
| Total plan assets at beginning of year | 2011-11-30 | $4,436,082 |
| Value of fidelity bond covering the plan | 2011-11-30 | $10,000 |
| Expenses. Other expenses not covered elsewhere | 2011-11-30 | $9,621 |
| Other income received | 2011-11-30 | $59,878 |
| Net income (gross income less expenses) | 2011-11-30 | $132,303 |
| Net plan assets at end of year (total assets less liabilities) | 2011-11-30 | $4,568,385 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-11-30 | $4,436,082 |
| Assets. Value of participant loans | 2011-11-30 | $46,261 |
| Assets. Value of assets in partnership/joint-venture interests | 2011-11-30 | $350,000 |
| Assets. Value of real-estate (other than employer real property) | 2011-11-30 | $124,800 |
| Total contributions received or receivable from employer(s) | 2011-11-30 | $164,683 |
| 2018: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2018 form 5500 responses |
|---|
| 2018-12-01 | Type of plan entity | Single employer plan |
| 2018-12-01 | Submission has been amended | No |
| 2018-12-01 | This submission is the final filing | Yes |
| 2018-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-12-01 | Plan is a collectively bargained plan | No |
| 2018-12-01 | Plan funding arrangement – Insurance | Yes |
| 2018-12-01 | Plan funding arrangement – Trust | Yes |
| 2018-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-12-01 | Plan benefit arrangement - Trust | Yes |
| 2017: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2017 form 5500 responses |
|---|
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | Submission has been amended | No |
| 2017-12-01 | This submission is the final filing | No |
| 2017-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-12-01 | Plan is a collectively bargained plan | No |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan funding arrangement – Trust | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement - Trust | Yes |
| 2016: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2016 form 5500 responses |
|---|
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | Submission has been amended | No |
| 2016-12-01 | This submission is the final filing | No |
| 2016-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-12-01 | Plan is a collectively bargained plan | No |
| 2016-12-01 | Plan funding arrangement – Insurance | Yes |
| 2016-12-01 | Plan funding arrangement – Trust | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-12-01 | Plan benefit arrangement - Trust | Yes |
| 2015: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2015 form 5500 responses |
|---|
| 2015-12-01 | Type of plan entity | Single employer plan |
| 2015-12-01 | Submission has been amended | No |
| 2015-12-01 | This submission is the final filing | No |
| 2015-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-12-01 | Plan is a collectively bargained plan | No |
| 2015-12-01 | Plan funding arrangement – Insurance | Yes |
| 2015-12-01 | Plan funding arrangement – Trust | Yes |
| 2015-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-12-01 | Plan benefit arrangement - Trust | Yes |
| 2014: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2014 form 5500 responses |
|---|
| 2014-12-01 | Type of plan entity | Single employer plan |
| 2014-12-01 | Submission has been amended | No |
| 2014-12-01 | This submission is the final filing | No |
| 2014-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-12-01 | Plan is a collectively bargained plan | No |
| 2014-12-01 | Plan funding arrangement – Insurance | Yes |
| 2014-12-01 | Plan funding arrangement – Trust | Yes |
| 2014-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-12-01 | Plan benefit arrangement - Trust | Yes |
| 2013: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2013 form 5500 responses |
|---|
| 2013-12-01 | Type of plan entity | Single employer plan |
| 2013-12-01 | Submission has been amended | No |
| 2013-12-01 | This submission is the final filing | No |
| 2013-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-12-01 | Plan is a collectively bargained plan | No |
| 2013-12-01 | Plan funding arrangement – Insurance | Yes |
| 2013-12-01 | Plan funding arrangement – Trust | Yes |
| 2013-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-12-01 | Plan benefit arrangement - Trust | Yes |
| 2012: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2012 form 5500 responses |
|---|
| 2012-12-01 | Type of plan entity | Single employer plan |
| 2012-12-01 | Submission has been amended | No |
| 2012-12-01 | This submission is the final filing | No |
| 2012-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-12-01 | Plan is a collectively bargained plan | No |
| 2012-12-01 | Plan funding arrangement – Insurance | Yes |
| 2012-12-01 | Plan funding arrangement – Trust | Yes |
| 2012-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-12-01 | Plan benefit arrangement - Trust | Yes |
| 2011: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2011 form 5500 responses |
|---|
| 2011-12-01 | Type of plan entity | Single employer plan |
| 2011-12-01 | Submission has been amended | Yes |
| 2011-12-01 | This submission is the final filing | No |
| 2011-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-12-01 | Plan is a collectively bargained plan | No |
| 2011-12-01 | Plan funding arrangement – Insurance | Yes |
| 2011-12-01 | Plan funding arrangement – Trust | Yes |
| 2011-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-12-01 | Plan benefit arrangement - Trust | Yes |
| 2009: CHARLES CITY FAMILY HEALTH CENTER PC PENSION PLAN 2009 form 5500 responses |
|---|
| 2009-12-01 | Type of plan entity | Single employer plan |
| 2009-12-01 | Submission has been amended | No |
| 2009-12-01 | This submission is the final filing | No |
| 2009-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-12-01 | Plan is a collectively bargained plan | No |
| 2009-12-01 | Plan funding arrangement – Insurance | Yes |
| 2009-12-01 | Plan funding arrangement – Trust | Yes |
| 2009-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-12-01 | Plan benefit arrangement - Trust | Yes |
