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SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN 401k Plan overview

Plan NameSEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN
Plan identification number 001

SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • 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

SEMINOLE HOSPITAL DISTRICT OF GAINES CO., TEXAS has sponsored the creation of one or more 401k plans.

Company Name:SEMINOLE HOSPITAL DISTRICT OF GAINES CO., TEXAS
Employer identification number (EIN):751362671
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012010-01-01JERRY L BROCKETT JERRY L BROCKETT2012-02-07
0012009-01-01JERRY L. BROCKETT JERRY L. BROCKETT2011-07-14
0012009-01-01JERRY L BROCKETT JERRY L BROCKETT2011-07-14
0012009-01-01BETSY BRISCO BETSY BRISCO2010-10-14

Plan Statistics for SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN

401k plan membership statisitcs for SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN

Measure Date Value
2010: SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01286
Total number of active participants reported on line 7a of the Form 55002010-01-01251
Number of retired or separated participants receiving benefits2010-01-014
Number of other retired or separated participants entitled to future benefits2010-01-0127
Total of all active and inactive participants2010-01-01282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01209
Total number of active participants reported on line 7a of the Form 55002009-01-01192
Number of retired or separated participants receiving benefits2009-01-014
Number of other retired or separated participants entitled to future benefits2009-01-0124
Total of all active and inactive participants2009-01-01220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN

Measure Date Value
2010 : SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$79,737
Total unrealized appreciation/depreciation of assets2010-12-31$79,737
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$583,819
Total loss/gain on sale of assets2010-12-31$4,093
Total of all expenses incurred2010-12-31$283,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$269,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$400,000
Value of total assets at end of year2010-12-31$3,656,794
Value of total assets at beginning of year2010-12-31$3,356,164
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$13,320
Total interest from all sources2010-12-31$99,989
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$26,390
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$26,317
Total non interest bearing cash at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$300,630
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,656,794
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,356,164
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Income. Interest from US Government securities2010-12-31$99,989
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$341,869
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$464,966
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$464,966
Asset value of US Government securities at end of year2010-12-31$2,888,535
Asset value of US Government securities at beginning of year2010-12-31$2,755,435
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$400,000
Employer contributions (assets) at end of year2010-12-31$400,000
Employer contributions (assets) at beginning of year2010-12-31$109,446
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$269,869
Contract administrator fees2010-12-31$13,320
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$1,405,028
Aggregate carrying amount (costs) on sale of assets2010-12-31$1,400,935
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31DAVIS, RAY & CO., PC.
Accountancy firm EIN2010-12-31752057245

Form 5500 Responses for SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN

2010: SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SEMINOLE HOSPITAL DISTRICT DEFINED BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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