401k Plan data: KENTUCKY ORGAN DONOR AFFILIATES plan

KENTUCKY ORGAN DONOR AFFILIATES 401k Plan overview

Plan Name	KENTUCKY ORGAN DONOR AFFILIATES
Plan identification number	001

KENTUCKY ORGAN DONOR AFFILIATES Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

KENTUCKY ORGAN DONOR AFFILIATES has sponsored the creation of one or more 401k plans.

Company Name: KENTUCKY ORGAN DONOR AFFILIATES

Employer identification number (EIN): 611122515

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENTUCKY ORGAN DONOR AFFILIATES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 SARAH BALL SARAH BALL 2013-10-14
001 2011-01-01 SARAH BALL 2012-07-26
001 2010-01-01 SARAH BALL 2011-10-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	SARAH BALL		SARAH BALL	2013-10-14
001	2011-01-01	SARAH BALL	2012-07-26
001	2010-01-01	SARAH BALL	2011-10-06

Financial Data on KENTUCKY ORGAN DONOR AFFILIATES

Measure	Date	Value
2012 : KENTUCKY ORGAN DONOR AFFILIATES 2012 401k financial data
Total income from all sources	2012-12-31	$2,150
Expenses. Total of all expenses incurred	2012-12-31	$168,964
Benefits paid (including direct rollovers)	2012-12-31	$168,964
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$166,814
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$2,150
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-166,814
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$166,814
Total contributions received or receivable from employer(s)	2012-12-31	$0
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0

Form 5500 Responses for KENTUCKY ORGAN DONOR AFFILIATES

2012: KENTUCKY ORGAN DONOR AFFILIATES 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	KENTUCKY ORGAN DONOR AFFILIATES
Employer identification number (EIN):	611122515
NAIC Classification:	621900