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GOOD SAMARITAN 401(K) PLAN 401k Plan overview

Plan NameGOOD SAMARITAN 401(K) PLAN
Plan identification number 005

GOOD SAMARITAN 401(K) 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MULTICARE HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:MULTICARE HEALTH SYSTEM
Employer identification number (EIN):911352172
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about MULTICARE HEALTH SYSTEM

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1986-07-29
Company Identification Number: 601100682
Legal Registered Office Address: 711 CAPITOL WAY S SUITE 204

OLYMPIA
United States of America (USA)
985011267

More information about MULTICARE HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOD SAMARITAN 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0052022-01-01
0052021-01-01
0052020-01-01
0052019-01-01
0052018-01-01
0052017-01-01STEVEN BASCOM
0052017-01-01STEVEN BASCOM
0052016-01-01STEVEN BASCON
0052016-01-01STEVEN BASCOM
0052016-01-01
0052015-01-01STEVEN BASCOM
0052014-01-01BILL GREENHECK
0052013-01-01BILL GREENHECK
0052012-01-01BILL GREENHECK
0052011-01-01BILL GREENHECK
0052010-01-01BILL GREENHECK

Plan Statistics for GOOD SAMARITAN 401(K) PLAN

401k plan membership statisitcs for GOOD SAMARITAN 401(K) PLAN

Measure Date Value
2022: GOOD SAMARITAN 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-016,194
Total number of active participants reported on line 7a of the Form 55002022-01-015,173
Number of retired or separated participants receiving benefits2022-01-0172
Number of other retired or separated participants entitled to future benefits2022-01-011,727
Total of all active and inactive participants2022-01-016,972
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0124
Total participants2022-01-016,996
Number of participants with account balances2022-01-016,712
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01178
2021: GOOD SAMARITAN 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-015,978
Total number of active participants reported on line 7a of the Form 55002021-01-015,001
Number of retired or separated participants receiving benefits2021-01-0153
Number of other retired or separated participants entitled to future benefits2021-01-011,118
Total of all active and inactive participants2021-01-016,172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0122
Total participants2021-01-016,194
Number of participants with account balances2021-01-015,892
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-01160
2020: GOOD SAMARITAN 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-015,671
Total number of active participants reported on line 7a of the Form 55002020-01-014,521
Number of retired or separated participants receiving benefits2020-01-0157
Number of other retired or separated participants entitled to future benefits2020-01-011,379
Total of all active and inactive participants2020-01-015,957
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0121
Total participants2020-01-015,978
Number of participants with account balances2020-01-015,791
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-01151
2019: GOOD SAMARITAN 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014,754
Total number of active participants reported on line 7a of the Form 55002019-01-014,698
Number of retired or separated participants receiving benefits2019-01-01129
Number of other retired or separated participants entitled to future benefits2019-01-01822
Total of all active and inactive participants2019-01-015,649
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0122
Total participants2019-01-015,671
Number of participants with account balances2019-01-015,412
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0183
2018: GOOD SAMARITAN 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014,556
Total number of active participants reported on line 7a of the Form 55002018-01-013,830
Number of retired or separated participants receiving benefits2018-01-0120
Number of other retired or separated participants entitled to future benefits2018-01-01889
Total of all active and inactive participants2018-01-014,739
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0115
Total participants2018-01-014,754
Number of participants with account balances2018-01-014,754
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-01233
2017: GOOD SAMARITAN 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,079
Total number of active participants reported on line 7a of the Form 55002017-01-014,202
Number of retired or separated participants receiving benefits2017-01-0116
Number of other retired or separated participants entitled to future benefits2017-01-01331
Total of all active and inactive participants2017-01-014,549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-017
Total participants2017-01-014,556
Number of participants with account balances2017-01-014,556
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: GOOD SAMARITAN 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,142
Number of retired or separated participants receiving benefits2016-01-0113
Number of other retired or separated participants entitled to future benefits2016-01-01205
Total of all active and inactive participants2016-01-01218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-018
Total participants2016-01-01226
Number of participants with account balances2016-01-011,079
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
Total number of active participants reported on line 7a of the Form 55002016-01-01853
2015: GOOD SAMARITAN 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,226
Total number of active participants reported on line 7a of the Form 55002015-01-01914
Number of retired or separated participants receiving benefits2015-01-0110
Number of other retired or separated participants entitled to future benefits2015-01-01207
Total of all active and inactive participants2015-01-011,131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-016
Total participants2015-01-011,137
Number of participants with account balances2015-01-011,142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: GOOD SAMARITAN 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,310
Total number of active participants reported on line 7a of the Form 55002014-01-011,002
Number of retired or separated participants receiving benefits2014-01-0110
Number of other retired or separated participants entitled to future benefits2014-01-01209
Total of all active and inactive participants2014-01-011,221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-015
Total participants2014-01-011,226
Number of participants with account balances2014-01-011,207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: GOOD SAMARITAN 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,386
Total number of active participants reported on line 7a of the Form 55002013-01-011,115
Number of retired or separated participants receiving benefits2013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-01188
Total of all active and inactive participants2013-01-011,306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-014
Total participants2013-01-011,310
Number of participants with account balances2013-01-011,271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: GOOD SAMARITAN 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,390
Total number of active participants reported on line 7a of the Form 55002012-01-011,185
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-01194
Total of all active and inactive participants2012-01-011,382
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-014
Total participants2012-01-011,386
Number of participants with account balances2012-01-011,322
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: GOOD SAMARITAN 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,609
Total number of active participants reported on line 7a of the Form 55002011-01-011,167
Number of retired or separated participants receiving benefits2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-01216
Total of all active and inactive participants2011-01-011,385
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-015
Total participants2011-01-011,390
Number of participants with account balances2011-01-011,390
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: GOOD SAMARITAN 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,608
Total number of active participants reported on line 7a of the Form 55002010-01-011,365
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-01240
Total of all active and inactive participants2010-01-011,605
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-014
Total participants2010-01-011,609
Number of participants with account balances2010-01-011,579
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010

Financial Data on GOOD SAMARITAN 401(K) PLAN

Measure Date Value
2022 : GOOD SAMARITAN 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$0
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$0
Total transfer of assets from this plan2022-12-31$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
Expenses. Interest paid2022-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$0
Total income from all sources (including contributions)2022-12-31$-12,540,075
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$24,608,997
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$24,042,614
Expenses. Certain deemed distributions of participant loans2022-12-31$119,540
Value of total corrective distributions2022-12-31$1,360
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$39,972,002
Value of total assets at end of year2022-12-31$289,111,688
Value of total assets at beginning of year2022-12-31$326,260,760
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$445,483
Total income from rents2022-12-31$0
Total interest from all sources2022-12-31$394,156
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$3,623,740
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$3,623,740
Assets. Real estate other than employer real property at end of year2022-12-31$0
Assets. Real estate other than employer real property at beginning of year2022-12-31$0
Administrative expenses professional fees incurred2022-12-31$600
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
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$26,985,805
Participant contributions at end of year2022-12-31$2,898,506
Participant contributions at beginning of year2022-12-31$2,757,403
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Assets. Other investments not covered elsewhere at end of year2022-12-31$3,969,437
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$4,180,277
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$4,147,339
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Assets. Loans (other than to participants) at end of year2022-12-31$0
Assets. Loans (other than to participants) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Other income not declared elsewhere2022-12-31$-1,046,162
Administrative expenses (other) incurred2022-12-31$430,544
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-37,149,072
Value of net assets at end of year (total assets less liabilities)2022-12-31$289,111,688
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$326,260,760
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
Assets. partnership/joint venture interests at end of year2022-12-31$0
Assets. partnership/joint venture interests at beginning of year2022-12-31$0
Investment advisory and management fees2022-12-31$14,339
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$123,331,138
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$150,913,603
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Interest on participant loans2022-12-31$130,360
Income. Interest from loans (other than to participants)2022-12-31$0
Interest earned on other investments2022-12-31$263,796
Income. Interest from US Government securities2022-12-31$0
Income. Interest from corporate debt instruments2022-12-31$0
Value of interest in master investment trust accounts at end of year2022-12-31$0
Value of interest in master investment trust accounts at beginning of year2022-12-31$0
Value of interest in common/collective trusts at end of year2022-12-31$135,762,638
Value of interest in common/collective trusts at beginning of year2022-12-31$147,094,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$14,311,111
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$13,843,208
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$0
Asset value of US Government securities at end of year2022-12-31$0
Asset value of US Government securities at beginning of year2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-30,392,329
Net investment gain/loss from pooled separate accounts2022-12-31$0
Net investment gain or loss from common/collective trusts2022-12-31$-25,091,482
Net gain/loss from 103.12 investment entities2022-12-31$0
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
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$8,838,858
Employer contributions (assets) at end of year2022-12-31$8,838,858
Employer contributions (assets) at beginning of year2022-12-31$7,472,148
Income. Dividends from preferred stock2022-12-31$0
Income. Dividends from common stock2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$24,042,614
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$0
Contract administrator fees2022-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$0
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$0
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
Aggregate proceeds on sale of assets2022-12-31$0
Aggregate carrying amount (costs) on sale of assets2022-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MOSS ADAMS
Accountancy firm EIN2022-12-31910189318
2021 : GOOD SAMARITAN 401(K) PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$0
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$0
Total transfer of assets from this plan2021-12-31$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
Expenses. Interest paid2021-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022021-12-31$0
Total income from all sources (including contributions)2021-12-31$82,849,994
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$24,477,661
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$23,997,239
Expenses. Certain deemed distributions of participant loans2021-12-31$84,911
Value of total corrective distributions2021-12-31$8,865
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$44,714,606
Value of total assets at end of year2021-12-31$326,260,760
Value of total assets at beginning of year2021-12-31$267,888,427
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$386,646
Total income from rents2021-12-31$0
Total interest from all sources2021-12-31$393,992
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$8,785,955
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$8,785,955
Assets. Real estate other than employer real property at end of year2021-12-31$0
Assets. Real estate other than employer real property at beginning of year2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
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$24,679,753
Participant contributions at end of year2021-12-31$2,757,403
Participant contributions at beginning of year2021-12-31$2,609,840
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Assets. Other investments not covered elsewhere at end of year2021-12-31$4,180,277
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$4,039,428
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$12,562,705
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Assets. Loans (other than to participants) at end of year2021-12-31$0
Assets. Loans (other than to participants) at beginning of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$0
Other income not declared elsewhere2021-12-31$411,016
Administrative expenses (other) incurred2021-12-31$96,613
Liabilities. Value of operating payables at end of year2021-12-31$0
Liabilities. Value of operating payables at beginning of year2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$58,372,333
Value of net assets at end of year (total assets less liabilities)2021-12-31$326,260,760
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$267,888,427
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
Assets. partnership/joint venture interests at end of year2021-12-31$0
Assets. partnership/joint venture interests at beginning of year2021-12-31$0
Investment advisory and management fees2021-12-31$290,033
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$150,913,603
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$122,896,653
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest in pooled separate accounts at beginning of year2021-12-31$0
Interest on participant loans2021-12-31$128,560
Income. Interest from loans (other than to participants)2021-12-31$0
Interest earned on other investments2021-12-31$265,432
Income. Interest from US Government securities2021-12-31$0
Income. Interest from corporate debt instruments2021-12-31$0
Value of interest in master investment trust accounts at end of year2021-12-31$0
Value of interest in master investment trust accounts at beginning of year2021-12-31$0
Value of interest in common/collective trusts at end of year2021-12-31$147,094,121
Value of interest in common/collective trusts at beginning of year2021-12-31$116,874,199
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2021-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$13,843,208
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$14,907,123
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Asset value of US Government securities at end of year2021-12-31$0
Asset value of US Government securities at beginning of year2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$12,765,172
Net investment gain/loss from pooled separate accounts2021-12-31$0
Net investment gain or loss from common/collective trusts2021-12-31$15,779,253
Net gain/loss from 103.12 investment entities2021-12-31$0
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
Assets. Invements in employer securities at end of year2021-12-31$0
Assets. Invements in employer securities at beginning of year2021-12-31$0
Assets. Value of employer real property at end of year2021-12-31$0
Assets. Value of employer real property at beginning of year2021-12-31$0
Contributions received in cash from employer2021-12-31$7,472,148
Employer contributions (assets) at end of year2021-12-31$7,472,148
Employer contributions (assets) at beginning of year2021-12-31$6,561,184
Income. Dividends from preferred stock2021-12-31$0
Income. Dividends from common stock2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$23,997,239
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$0
Contract administrator fees2021-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$0
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$0
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
Aggregate proceeds on sale of assets2021-12-31$0
Aggregate carrying amount (costs) on sale of assets2021-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2021-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2021-12-31$0
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KPMG LLP
Accountancy firm EIN2021-12-31135565207
2020 : GOOD SAMARITAN 401(K) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$0
Total transfer of assets from this plan2020-12-31$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
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$66,616,911
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$16,994,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$16,499,466
Expenses. Certain deemed distributions of participant loans2020-12-31$110,506
Value of total corrective distributions2020-12-31$35,072
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$32,155,344
Value of total assets at end of year2020-12-31$267,888,427
Value of total assets at beginning of year2020-12-31$218,266,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$349,838
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$432,133
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$3,040,532
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$3,040,532
Assets. Real estate other than employer real property at end of year2020-12-31$0
Assets. Real estate other than employer real property at beginning of year2020-12-31$0
Administrative expenses professional fees incurred2020-12-31$300
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$19,842,244
Participant contributions at end of year2020-12-31$2,609,840
Participant contributions at beginning of year2020-12-31$2,474,788
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$1,171
Assets. Other investments not covered elsewhere at end of year2020-12-31$4,039,428
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$2,388,005
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$5,751,916
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Assets. Loans (other than to participants) at end of year2020-12-31$0
Assets. Loans (other than to participants) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$380,119
Administrative expenses (other) incurred2020-12-31$298,485
Liabilities. Value of operating payables at end of year2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash 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
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$49,622,029
Value of net assets at end of year (total assets less liabilities)2020-12-31$267,888,427
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$218,266,398
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
Assets. partnership/joint venture interests at end of year2020-12-31$0
Assets. partnership/joint venture interests at beginning of year2020-12-31$0
Investment advisory and management fees2020-12-31$51,053
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$122,896,653
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$103,647,309
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest in pooled separate accounts at beginning of year2020-12-31$0
Interest on participant loans2020-12-31$134,753
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$297,380
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Value of interest in master investment trust accounts at end of year2020-12-31$0
Value of interest in master investment trust accounts at beginning of year2020-12-31$0
Value of interest in common/collective trusts at end of year2020-12-31$116,874,199
Value of interest in common/collective trusts at beginning of year2020-12-31$88,474,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$14,907,123
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$14,926,952
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Asset value of US Government securities at end of year2020-12-31$0
Asset value of US Government securities at beginning of year2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$14,530,665
Net investment gain/loss from pooled separate accounts2020-12-31$0
Net investment gain or loss from common/collective trusts2020-12-31$16,078,118
Net gain/loss from 103.12 investment entities2020-12-31$0
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
Assets. Invements in employer securities at end of year2020-12-31$0
Assets. Invements in employer securities at beginning of year2020-12-31$0
Assets. Value of employer real property at end of year2020-12-31$0
Assets. Value of employer real property at beginning of year2020-12-31$0
Contributions received in cash from employer2020-12-31$6,561,184
Employer contributions (assets) at end of year2020-12-31$6,561,184
Employer contributions (assets) at beginning of year2020-12-31$6,353,923
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$16,499,466
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$0
Contract administrator fees2020-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$0
Liabilities. Value of benefit claims payable at end of year2020-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$0
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
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31KPMG LLP
Accountancy firm EIN2020-12-31135565207
2019 : GOOD SAMARITAN 401(K) PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$0
Unrealized appreciation/depreciation of other (non real estate) 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 beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Expenses. Interest paid2019-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$0
Total income from all sources (including contributions)2019-12-31$67,995,939
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$15,753,185
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$15,462,162
Expenses. Certain deemed distributions of participant loans2019-12-31$54,792
Value of total corrective distributions2019-12-31$4,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$32,703,687
Value of total assets at end of year2019-12-31$218,266,398
Value of total assets at beginning of year2019-12-31$166,023,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$231,349
Total income from rents2019-12-31$0
Total interest from all sources2019-12-31$326,559
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$4,311,517
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$4,311,517
Assets. Real estate other than employer real property at end of year2019-12-31$0
Assets. Real estate other than employer real property at beginning of year2019-12-31$0
Administrative expenses professional fees incurred2019-12-31$300
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
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
Contributions received from participants2019-12-31$18,884,049
Participant contributions at end of year2019-12-31$2,474,788
Participant contributions at beginning of year2019-12-31$2,303,106
Participant contributions at end of year2019-12-31$1,171
Participant contributions at beginning of year2019-12-31$0
Assets. Other investments not covered elsewhere at end of year2019-12-31$2,388,005
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$2,265,200
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$7,465,715
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$700
Assets. Loans (other than to participants) at end of year2019-12-31$0
Assets. Loans (other than to participants) at beginning of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Other income not declared elsewhere2019-12-31$366,392
Administrative expenses (other) incurred2019-12-31$48,961
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning 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
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$52,242,754
Value of net assets at end of year (total assets less liabilities)2019-12-31$218,266,398
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$166,023,644
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 leases to which the plan was party in default or uncollectible2019-12-31No
Assets. partnership/joint venture interests at end of year2019-12-31$0
Assets. partnership/joint venture interests at beginning of year2019-12-31$0
Investment advisory and management fees2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$103,647,309
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$141,219,513
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at beginning of year2019-12-31$14,474,538
Interest on participant loans2019-12-31$119,560
Income. Interest from loans (other than to participants)2019-12-31$0
Interest earned on other investments2019-12-31$206,999
Income. Interest from US Government securities2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Value of interest in master investment trust accounts at end of year2019-12-31$0
Value of interest in master investment trust accounts at beginning of year2019-12-31$0
Value of interest in common/collective trusts at end of year2019-12-31$88,474,250
Value of interest in common/collective trusts at beginning of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$14,926,952
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$39,414
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Asset value of US Government securities at end of year2019-12-31$0
Asset value of US Government securities at beginning of year2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$23,592,573
Net investment gain/loss from pooled separate accounts2019-12-31$87,115
Net investment gain or loss from common/collective trusts2019-12-31$6,608,096
Net gain/loss from 103.12 investment entities2019-12-31$0
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Assets. Invements in employer securities at end of year2019-12-31$0
Assets. Invements in employer securities at beginning of year2019-12-31$0
Assets. Value of employer real property at end of year2019-12-31$0
Assets. Value of employer real property at beginning of year2019-12-31$0
Contributions received in cash from employer2019-12-31$6,353,923
Employer contributions (assets) at end of year2019-12-31$6,353,923
Employer contributions (assets) at beginning of year2019-12-31$5,721,173
Income. Dividends from preferred stock2019-12-31$0
Income. Dividends from common stock2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,462,162
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$0
Contract administrator fees2019-12-31$182,088
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$0
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$0
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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
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
Accountancy firm name2019-12-31KPMG, LLP
Accountancy firm EIN2019-12-31135565207
2018 : GOOD SAMARITAN 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$32,285,956
Total of all expenses incurred2018-12-31$7,468,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$7,286,254
Expenses. Certain deemed distributions of participant loans2018-12-31$250
Value of total corrective distributions2018-12-31$23,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$42,089,769
Value of total assets at end of year2018-12-31$166,023,644
Value of total assets at beginning of year2018-12-31$141,206,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$158,623
Total interest from all sources2018-12-31$103,589
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$3,214,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$3,214,991
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
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$16,530,812
Participant contributions at end of year2018-12-31$2,303,106
Participant contributions at beginning of year2018-12-31$1,922,511
Assets. Other investments not covered elsewhere at end of year2018-12-31$2,265,200
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$1,477,262
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$19,837,784
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$700
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$196
Other income not declared elsewhere2018-12-31$-200,965
Administrative expenses (other) incurred2018-12-31$158,623
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$24,817,571
Value of net assets at end of year (total assets less liabilities)2018-12-31$166,023,644
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$141,206,073
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$141,219,513
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$122,162,736
Value of interest in pooled separate accounts at end of year2018-12-31$14,474,538
Value of interest in pooled separate accounts at beginning of year2018-12-31$13,447,177
Interest on participant loans2018-12-31$103,371
Interest earned on other investments2018-12-31$218
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$39,414
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$175
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-13,110,093
Net investment gain/loss from pooled separate accounts2018-12-31$188,665
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$5,721,173
Employer contributions (assets) at end of year2018-12-31$5,721,173
Employer contributions (assets) at beginning of year2018-12-31$2,196,016
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$7,286,254
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
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 name2018-12-31KPMG, LLP
Accountancy firm EIN2018-12-31135565207
2017 : GOOD SAMARITAN 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$53,169,817
Total of all expenses incurred2017-12-31$8,425,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$8,358,287
Expenses. Certain deemed distributions of participant loans2017-12-31$1,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$38,434,447
Value of total assets at end of year2017-12-31$141,206,073
Value of total assets at beginning of year2017-12-31$96,461,584
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$65,518
Total interest from all sources2017-12-31$42,514
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$2,036,859
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$2,036,859
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
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$6,189,014
Participant contributions at end of year2017-12-31$1,922,511
Participant contributions at beginning of year2017-12-31$664,782
Assets. Other investments not covered elsewhere at end of year2017-12-31$1,477,262
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$444,775
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$30,049,417
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$196
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$528
Other income not declared elsewhere2017-12-31$89,384
Administrative expenses (other) incurred2017-12-31$65,518
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$44,744,489
Value of net assets at end of year (total assets less liabilities)2017-12-31$141,206,073
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$96,461,584
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$122,162,736
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$81,004,515
Value of interest in pooled separate accounts at end of year2017-12-31$13,447,177
Value of interest in pooled separate accounts at beginning of year2017-12-31$14,346,811
Interest on participant loans2017-12-31$42,512
Interest earned on other investments2017-12-31$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$175
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$173
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$12,405,419
Net investment gain/loss from pooled separate accounts2017-12-31$161,194
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$2,196,016
Employer contributions (assets) at end of year2017-12-31$2,196,016
Employer contributions (assets) at beginning of year2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$8,358,287
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
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 name2017-12-31KPMG, LLP
Accountancy firm EIN2017-12-31135565207
2016 : GOOD SAMARITAN 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$6,101,695
Total of all expenses incurred2016-12-31$5,881,894
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,826,533
Expenses. Certain deemed distributions of participant loans2016-12-31$67
Value of total assets at end of year2016-12-31$96,461,584
Value of total assets at beginning of year2016-12-31$96,241,783
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$55,294
Total interest from all sources2016-12-31$29,260
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,465,662
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$1,465,662
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
Participant contributions at end of year2016-12-31$664,782
Participant contributions at beginning of year2016-12-31$683,631
Assets. Other investments not covered elsewhere at end of year2016-12-31$444,775
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$459,078
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$528
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$192
Other income not declared elsewhere2016-12-31$-6,078
Administrative expenses (other) incurred2016-12-31$55,294
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$219,801
Value of net assets at end of year (total assets less liabilities)2016-12-31$96,461,584
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$96,241,783
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$81,004,515
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$81,017,575
Value of interest in pooled separate accounts at end of year2016-12-31$14,346,811
Value of interest in pooled separate accounts at beginning of year2016-12-31$14,080,986
Interest on participant loans2016-12-31$29,257
Interest earned on other investments2016-12-31$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$173
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$321
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$4,452,727
Net investment gain/loss from pooled separate accounts2016-12-31$160,124
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,826,533
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
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 name2016-12-31KPMG LLP
Accountancy firm EIN2016-12-31135565207
2015 : GOOD SAMARITAN 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$9,196,948
Total of all expenses incurred2015-12-31$8,358,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$8,292,365
Expenses. Certain deemed distributions of participant loans2015-12-31$8,052
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$11,326,293
Value of total assets at end of year2015-12-31$96,241,783
Value of total assets at beginning of year2015-12-31$95,403,754
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$58,502
Total interest from all sources2015-12-31$30,320
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,895,908
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,895,908
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$5,255,833
Participant contributions at end of year2015-12-31$683,631
Participant contributions at beginning of year2015-12-31$711,203
Assets. Other investments not covered elsewhere at end of year2015-12-31$459,078
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$392,703
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$89,010
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$192
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$647
Other income not declared elsewhere2015-12-31$-430
Administrative expenses (other) incurred2015-12-31$58,502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$838,029
Value of net assets at end of year (total assets less liabilities)2015-12-31$96,241,783
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$95,403,754
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$81,017,575
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$81,294,661
Value of interest in pooled separate accounts at end of year2015-12-31$14,080,986
Value of interest in pooled separate accounts at beginning of year2015-12-31$13,004,538
Interest on participant loans2015-12-31$30,315
Interest earned on other investments2015-12-31$5
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$321
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-4,207,420
Net investment gain/loss from pooled separate accounts2015-12-31$152,277
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$5,981,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$8,292,365
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31KPMG LLP
Accountancy firm EIN2015-12-31135565207
2014 : GOOD SAMARITAN 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$16,774,921
Total of all expenses incurred2014-12-31$5,568,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,487,843
Expenses. Certain deemed distributions of participant loans2014-12-31$24,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$11,677,695
Value of total assets at end of year2014-12-31$95,403,754
Value of total assets at beginning of year2014-12-31$84,197,573
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$56,330
Total interest from all sources2014-12-31$26,229
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$2,128,847
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$2,128,847
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$5,250,456
Participant contributions at end of year2014-12-31$711,203
Participant contributions at beginning of year2014-12-31$536,968
Assets. Other investments not covered elsewhere at end of year2014-12-31$392,703
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$351,994
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$187,299
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$647
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$352
Other income not declared elsewhere2014-12-31$18,476
Administrative expenses (other) incurred2014-12-31$56,330
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$11,206,181
Value of net assets at end of year (total assets less liabilities)2014-12-31$95,403,754
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$84,197,573
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$81,294,661
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$70,980,318
Value of interest in pooled separate accounts at end of year2014-12-31$13,004,538
Value of interest in pooled separate accounts at beginning of year2014-12-31$12,324,642
Interest on participant loans2014-12-31$26,225
Interest earned on other investments2014-12-31$4
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$2
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$3,299
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$2,779,356
Net investment gain/loss from pooled separate accounts2014-12-31$144,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$6,239,940
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$5,487,843
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31KPMG LLP
Accountancy firm EIN2014-12-31135565207
2013 : GOOD SAMARITAN 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$23,801,623
Total of all expenses incurred2013-12-31$3,045,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,999,947
Expenses. Certain deemed distributions of participant loans2013-12-31$2,862
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$11,332,969
Value of total assets at end of year2013-12-31$84,197,573
Value of total assets at beginning of year2013-12-31$63,440,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$42,195
Total interest from all sources2013-12-31$22,310
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$1,677,336
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$1,677,336
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$5,131,286
Participant contributions at end of year2013-12-31$536,968
Participant contributions at beginning of year2013-12-31$540,962
Assets. Other investments not covered elsewhere at end of year2013-12-31$351,994
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$289,963
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$352
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$471
Other income not declared elsewhere2013-12-31$13,353
Administrative expenses (other) incurred2013-12-31$42,195
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$20,756,619
Value of net assets at end of year (total assets less liabilities)2013-12-31$84,197,573
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$63,440,954
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$70,980,318
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$51,516,135
Value of interest in pooled separate accounts at end of year2013-12-31$12,324,642
Value of interest in pooled separate accounts at beginning of year2013-12-31$11,088,529
Interest on participant loans2013-12-31$22,300
Interest earned on other investments2013-12-31$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$3,299
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$4,894
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$10,605,259
Net investment gain/loss from pooled separate accounts2013-12-31$150,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$6,201,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,999,947
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31KPMG LLP
Accountancy firm EIN2013-12-31135565207
2012 : GOOD SAMARITAN 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$17,882,290
Total of all expenses incurred2012-12-31$3,487,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,452,201
Expenses. Certain deemed distributions of participant loans2012-12-31$995
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$11,457,648
Value of total assets at end of year2012-12-31$63,440,954
Value of total assets at beginning of year2012-12-31$49,045,979
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$34,119
Total interest from all sources2012-12-31$16,774
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,359,828
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,359,828
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31Yes
Amount of non-exempt transactions with any party-in-interest2012-12-31$5,564
Contributions received from participants2012-12-31$5,063,904
Participant contributions at end of year2012-12-31$540,962
Participant contributions at beginning of year2012-12-31$279,121
Assets. Other investments not covered elsewhere at end of year2012-12-31$289,963
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$287,008
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$128,280
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$471
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$283
Other income not declared elsewhere2012-12-31$15,228
Administrative expenses (other) incurred2012-12-31$34,119
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$14,394,975
Value of net assets at end of year (total assets less liabilities)2012-12-31$63,440,954
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$49,045,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$51,516,135
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$38,756,162
Value of interest in pooled separate accounts at end of year2012-12-31$11,088,529
Value of interest in pooled separate accounts at beginning of year2012-12-31$9,709,207
Interest on participant loans2012-12-31$16,768
Interest earned on other investments2012-12-31$6
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$4,894
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$14,198
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$4,876,460
Net investment gain/loss from pooled separate accounts2012-12-31$156,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$6,265,464
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,452,201
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31KPMG LLP
Accountancy firm EIN2012-12-31135565207
2011 : GOOD SAMARITAN 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$11,221,913
Total of all expenses incurred2011-12-31$2,985,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,893,378
Expenses. Certain deemed distributions of participant loans2011-12-31$55,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$12,065,660
Value of total assets at end of year2011-12-31$49,045,979
Value of total assets at beginning of year2011-12-31$40,809,414
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$36,700
Total interest from all sources2011-12-31$9,696
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$666,588
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$666,588
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$5,334,570
Participant contributions at end of year2011-12-31$279,121
Participant contributions at beginning of year2011-12-31$191,984
Assets. Other investments not covered elsewhere at end of year2011-12-31$287,008
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$297,829
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$92,025
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$283
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$820
Other income not declared elsewhere2011-12-31$-26,581
Administrative expenses (other) incurred2011-12-31$31,148
Total non interest bearing cash at end of year2011-12-31$0
Total non interest bearing cash at beginning of year2011-12-31$1,777
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$8,236,565
Value of net assets at end of year (total assets less liabilities)2011-12-31$49,045,979
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$40,809,414
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$5,552
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$38,756,162
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$32,162,018
Value of interest in pooled separate accounts at end of year2011-12-31$9,709,207
Value of interest in pooled separate accounts at beginning of year2011-12-31$8,154,986
Interest on participant loans2011-12-31$9,696
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$14,198
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,682,569
Net investment gain/loss from pooled separate accounts2011-12-31$189,119
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$6,639,065
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,893,378
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31KPMG, LLP
Accountancy firm EIN2011-12-31135565207
2010 : GOOD SAMARITAN 401(K) PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$16,834,415
Total of all expenses incurred2010-12-31$2,268,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,201,625
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$12,894,899
Value of total assets at end of year2010-12-31$40,809,414
Value of total assets at beginning of year2010-12-31$26,243,269
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$66,645
Total interest from all sources2010-12-31$367,696
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$626,560
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$626,560
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$5,762,631
Participant contributions at end of year2010-12-31$191,984
Participant contributions at beginning of year2010-12-31$99,085
Assets. Other investments not covered elsewhere at end of year2010-12-31$297,829
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$190,456
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$820
Other income not declared elsewhere2010-12-31$3,755
Administrative expenses (other) incurred2010-12-31$66,645
Total non interest bearing cash at end of year2010-12-31$1,777
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$14,566,145
Value of net assets at end of year (total assets less liabilities)2010-12-31$40,809,414
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$26,243,269
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$32,162,018
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$20,210,029
Value of interest in pooled separate accounts at end of year2010-12-31$8,154,986
Interest on participant loans2010-12-31$4,017
Interest earned on other investments2010-12-31$363,679
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$5,743,699
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$2,871,186
Net investment gain/loss from pooled separate accounts2010-12-31$70,319
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$7,132,268
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,201,625
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31Yes
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
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 name2010-12-31KPMG, LLP
Accountancy firm EIN2010-12-31135565207

Form 5500 Responses for GOOD SAMARITAN 401(K) PLAN

2022: GOOD SAMARITAN 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
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 planYes
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: GOOD SAMARITAN 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
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 planYes
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: GOOD SAMARITAN 401(K) 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 planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GOOD SAMARITAN 401(K) 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 planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GOOD SAMARITAN 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GOOD SAMARITAN 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GOOD SAMARITAN 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GOOD SAMARITAN 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GOOD SAMARITAN 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GOOD SAMARITAN 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GOOD SAMARITAN 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GOOD SAMARITAN 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: GOOD SAMARITAN 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number140002-02
Policy instance 1
Insurance contract or identification number140002-02
Number of Individuals Covered854
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number140002-02
Policy instance 1
Insurance contract or identification number140002-02
Number of Individuals Covered774
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number140002-02
Policy instance 1
Insurance contract or identification number140002-02
Number of Individuals Covered796
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number140002-02
Policy instance 1
Insurance contract or identification number140002-02
Number of Individuals Covered793
Insurance policy start date2019-04-26
Insurance policy end date2019-12-31
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT080414
Policy instance 2
Insurance contract or identification numberTT080414
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-04-30
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?Yes
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT080414
Policy instance 1
Insurance contract or identification numberTT080414
Number of Individuals Covered4754
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT080414
Policy instance 1
Insurance contract or identification numberTT080414
Number of Individuals Covered4556
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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