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KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 401k Plan overview

Plan NameKATY TRAIL COMMUNITY HEALTH 403(B) PLAN
Plan identification number 001

KATY TRAIL COMMUNITY HEALTH 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

REGIONAL HEALTH CARE CLINIC, INC. has sponsored the creation of one or more 401k plans.

Company Name:REGIONAL HEALTH CARE CLINIC, INC.
Employer identification number (EIN):431879853
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KATY TRAIL COMMUNITY HEALTH 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01MICHELLE HENDRICKS
0012023-01-01
0012023-01-01MICHELLE HENDRICKS
0012022-01-01
0012022-01-01STEPHEN BEVANS
0012021-01-01
0012021-01-01STEPHEN BEVANS
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01STEPHEN BEVANS STEPHEN BEVANS2018-10-12
0012016-01-01STEPHEN BEVANS STEPHEN BEVANS2017-10-16
0012015-01-01STEPHEN BEVANS2016-07-26 STEPHEN BEVANS2016-07-26
0012014-01-01STEPHEN BEVANS2015-07-23 STEPHEN BEVANS2015-07-23
0012013-01-01REBECCA MANKIN2014-07-28 REBECCA MANKIN2014-07-28

Financial Data on KATY TRAIL COMMUNITY HEALTH 403(B) PLAN

Measure Date Value
2023 : KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$862,891
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$882,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$864,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$535,144
Value of total assets at end of year2023-12-31$2,390,960
Value of total assets at beginning of year2023-12-31$2,410,735
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$17,762
Total interest from all sources2023-12-31$9,094
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$29,012
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$29,012
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$300,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$413,108
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$24,226
Other income not declared elsewhere2023-12-31$13,288
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-19,775
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,390,960
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$2,410,735
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$1,871,241
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$1,867,579
Interest earned on other investments2023-12-31$9,094
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$519,719
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$536,128
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$276,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$97,810
Employer contributions (assets) at beginning of year2023-12-31$7,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$864,904
Contract administrator fees2023-12-31$17,762
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31HOOD AND ASSOCIATES CPAS, P.C.
Accountancy firm EIN2023-12-31731432162
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$862,891
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$882,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$864,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$535,144
Value of total assets at end of year2023-01-01$2,390,960
Value of total assets at beginning of year2023-01-01$2,410,735
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$17,762
Total interest from all sources2023-01-01$9,094
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$29,012
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$29,012
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$300,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$413,108
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$24,226
Other income not declared elsewhere2023-01-01$13,288
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$-19,775
Value of net assets at end of year (total assets less liabilities)2023-01-01$2,390,960
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$2,410,735
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$1,871,241
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$1,867,579
Interest earned on other investments2023-01-01$9,094
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$519,719
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$536,128
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$276,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$97,810
Employer contributions (assets) at beginning of year2023-01-01$7,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$864,904
Contract administrator fees2023-01-01$17,762
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01HOOD AND ASSOCIATES CPAS, P.C.
Accountancy firm EIN2023-01-01731432162
2022 : KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$130,281
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$385,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$367,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$567,347
Value of total assets at end of year2022-12-31$2,410,735
Value of total assets at beginning of year2022-12-31$2,666,337
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$18,391
Total interest from all sources2022-12-31$8,139
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$20,503
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$20,503
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$300,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$360,877
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$46,330
Other income not declared elsewhere2022-12-31$12,837
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-255,602
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,410,735
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,666,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,867,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,127,338
Interest earned on other investments2022-12-31$8,139
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$536,128
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$538,999
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-478,545
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$160,140
Employer contributions (assets) at end of year2022-12-31$7,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$367,492
Contract administrator fees2022-12-31$18,391
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31HOOD AND ASSOCIATES CPAS PC
Accountancy firm EIN2022-12-31731432162
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$130,281
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$385,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$367,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$567,347
Value of total assets at end of year2022-01-01$2,410,735
Value of total assets at beginning of year2022-01-01$2,666,337
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$18,391
Total interest from all sources2022-01-01$8,139
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$20,503
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$20,503
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$300,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$360,877
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$46,330
Other income not declared elsewhere2022-01-01$12,837
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-255,602
Value of net assets at end of year (total assets less liabilities)2022-01-01$2,410,735
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$2,666,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$1,867,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$2,127,338
Interest earned on other investments2022-01-01$8,139
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$536,128
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$538,999
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-478,545
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$160,140
Employer contributions (assets) at end of year2022-01-01$7,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$367,492
Contract administrator fees2022-01-01$18,391
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01HOOD AND ASSOCIATES CPAS PC
Accountancy firm EIN2022-01-01731432162
2021 : KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$860,462
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$658,169
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$636,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$455,912
Value of total assets at end of year2021-12-31$2,666,337
Value of total assets at beginning of year2021-12-31$2,464,044
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$21,411
Total interest from all sources2021-12-31$599
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$17,255
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$17,255
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$300,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$369,877
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$86,035
Other income not declared elsewhere2021-12-31$-12,564
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$202,293
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,666,337
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,464,044
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$2,127,338
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,378,237
Interest earned on other investments2021-12-31$599
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$538,999
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$399,260
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Employer contributions (assets) at beginning of year2021-12-31$85,807
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$636,758
Contract administrator fees2021-12-31$21,411
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31HOOD AND ASSOCIATES CPAS, P.C.
Accountancy firm EIN2021-12-31731432162
2020 : KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$825,621
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$509,369
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$494,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$451,679
Value of total assets at end of year2020-12-31$2,464,044
Value of total assets at beginning of year2020-12-31$2,147,792
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$14,690
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$84,640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$84,640
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$300,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$489
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$360,167
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$5,705
Liabilities. Value of operating payables at end of year2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$316,252
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,464,044
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,147,792
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$14,690
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,378,237
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,071,834
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$289,302
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$85,807
Employer contributions (assets) at end of year2020-12-31$85,807
Employer contributions (assets) at beginning of year2020-12-31$75,958
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$494,679
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31COCHRAN HEAD VICK & CO PC
Accountancy firm EIN2020-12-31900880401
2019 : KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$756,075
Total income from all sources (including contributions)2019-12-31$756,075
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$200,616
Total of all expenses incurred2019-12-31$200,616
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$192,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$192,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$398,745
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$398,745
Value of total assets at end of year2019-12-31$2,147,792
Value of total assets at end of year2019-12-31$2,147,792
Value of total assets at beginning of year2019-12-31$1,592,333
Value of total assets at beginning of year2019-12-31$1,592,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,093
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,093
Total interest from all sources2019-12-31$0
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$92,175
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$92,175
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$92,175
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$92,175
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$300,000
Value of fidelity bond cover2019-12-31$300,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$320,727
Contributions received from participants2019-12-31$320,727
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$2,060
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$2,060
Administrative expenses (other) incurred2019-12-31$0
Administrative expenses (other) incurred2019-12-31$0
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at end of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$555,459
Value of net income/loss2019-12-31$555,459
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,147,792
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,147,792
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,592,333
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,592,333
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$8,093
Investment advisory and management fees2019-12-31$8,093
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,071,834
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,071,834
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,525,615
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,525,615
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$265,155
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$265,155
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$75,958
Contributions received in cash from employer2019-12-31$75,958
Employer contributions (assets) at end of year2019-12-31$75,958
Employer contributions (assets) at end of year2019-12-31$75,958
Employer contributions (assets) at beginning of year2019-12-31$66,718
Employer contributions (assets) at beginning of year2019-12-31$66,718
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$192,523
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$192,523
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31COCHRAN HEAD VICK & CO PC
Accountancy firm name2019-12-31COCHRAN HEAD VICK & CO PC
Accountancy firm EIN2019-12-31900880401
Accountancy firm EIN2019-12-31900880401
2018 : KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$284,899
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$80,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$80,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$381,050
Value of total assets at end of year2018-12-31$1,592,333
Value of total assets at beginning of year2018-12-31$1,388,373
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$405
Total interest from all sources2018-12-31$70,058
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$300,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$309,551
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$4,781
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$203,960
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,592,333
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,388,373
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$405
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,525,615
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,328,143
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$70,058
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-166,209
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$66,718
Employer contributions (assets) at end of year2018-12-31$66,718
Employer contributions (assets) at beginning of year2018-12-31$60,230
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$80,534
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31COCHRAN HEAD VICK & CO PC
Accountancy firm EIN2018-12-31900880401
2017 : KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$527,084
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$87,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$87,481
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$337,325
Value of total assets at end of year2017-12-31$1,388,373
Value of total assets at beginning of year2017-12-31$949,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$465
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$36,350
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$36,350
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$300,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$277,913
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,025
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$439,138
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,388,373
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$949,235
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$465
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,328,143
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$902,230
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$153,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$58,387
Employer contributions (assets) at end of year2017-12-31$60,230
Employer contributions (assets) at beginning of year2017-12-31$47,005
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$87,481
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31COCHRAN HEAD VICK & CO PC
Accountancy firm EIN2017-12-31900880401
2016 : KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$341,886
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$50,866
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$50,541
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$285,638
Value of total assets at end of year2016-12-31$949,235
Value of total assets at beginning of year2016-12-31$658,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$325
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$27,201
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$27,201
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$223,326
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$15,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$291,020
Value of net assets at end of year (total assets less liabilities)2016-12-31$949,235
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$658,215
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$325
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$902,230
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$618,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$29,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$47,005
Employer contributions (assets) at end of year2016-12-31$47,005
Employer contributions (assets) at beginning of year2016-12-31$39,740
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$50,541
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31COCHRAN HEAD VICK & CO., P.C.
Accountancy firm EIN2016-12-31900880401

Form 5500 Responses for KATY TRAIL COMMUNITY HEALTH 403(B) PLAN

2023: KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: KATY TRAIL COMMUNITY HEALTH 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number467968
Policy instance 1
Insurance contract or identification number467968
Number of Individuals Covered216
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,928
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number467968
Policy instance 1
Insurance contract or identification number467968
Number of Individuals Covered176
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,536
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number467968
Policy instance 1

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