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KLAMATH HEALTH PARTNERSHIP INC PNTSA 401k Plan overview

Plan NameKLAMATH HEALTH PARTNERSHIP INC PNTSA
Plan identification number 001

KLAMATH HEALTH PARTNERSHIP INC PNTSA 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

KLAMATH HEALTH PARTNERSHIP, INC. has sponsored the creation of one or more 401k plans.

Company Name:KLAMATH HEALTH PARTNERSHIP, INC.
Employer identification number (EIN):931230223
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Additional information about KLAMATH HEALTH PARTNERSHIP, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 1997-09-26
Company Identification Number: 59659988
Legal Registered Office Address: 2074 S 6TH ST

KLAMATH FALLS
United States of America (USA)
97601

More information about KLAMATH HEALTH PARTNERSHIP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KLAMATH HEALTH PARTNERSHIP INC PNTSA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01ERICH KOCH2024-10-15
0012022-01-01SIGNE PORTER2023-06-12
0012021-01-01SIGNE PORTER2022-05-10
0012020-01-01SIGNE PORTER2021-09-24
0012019-01-01SIGNE PORTER2020-10-01
0012018-01-01SIGNE PORTER2019-09-25
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01SIGNE PORTER
0012013-01-01SIGNE PORTER
0012012-01-01SIGNE PORTER
0012011-01-01SIGNE PORTER
0012010-01-01SIGNE PORTER
0012009-01-01SIGNE PORTER
0012004-01-01SIGNE PORTER
0012002-01-01SIGNE PORTER
0012001-01-01SIGNE PORTER
0011999-04-01SIGNE PORTER

Plan Statistics for KLAMATH HEALTH PARTNERSHIP INC PNTSA

401k plan membership statisitcs for KLAMATH HEALTH PARTNERSHIP INC PNTSA

Measure Date Value
2023: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2023 401k membership
Total participants, beginning-of-year2023-01-01207
Total number of active participants reported on line 7a of the Form 55002023-01-01163
Number of retired or separated participants receiving benefits2023-01-0120
Number of other retired or separated participants entitled to future benefits2023-01-0149
Total of all active and inactive participants2023-01-01232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01232
Number of participants with account balances2023-01-01135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2022 401k membership
Total participants, beginning-of-year2022-01-01192
Total number of active participants reported on line 7a of the Form 55002022-01-01147
Number of retired or separated participants receiving benefits2022-01-0118
Number of other retired or separated participants entitled to future benefits2022-01-0142
Total of all active and inactive participants2022-01-01207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01207
Number of participants with account balances2022-01-01122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2021 401k membership
Total participants, beginning-of-year2021-01-01189
Total number of active participants reported on line 7a of the Form 55002021-01-01132
Number of retired or separated participants receiving benefits2021-01-0116
Number of other retired or separated participants entitled to future benefits2021-01-0144
Total of all active and inactive participants2021-01-01192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01192
Number of participants with account balances2021-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2020 401k membership
Total participants, beginning-of-year2020-01-01182
Total number of active participants reported on line 7a of the Form 55002020-01-01130
Number of retired or separated participants receiving benefits2020-01-0117
Number of other retired or separated participants entitled to future benefits2020-01-0142
Total of all active and inactive participants2020-01-01189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01189
Number of participants with account balances2020-01-01122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2019 401k membership
Total participants, beginning-of-year2019-01-01172
Total number of active participants reported on line 7a of the Form 55002019-01-01130
Number of retired or separated participants receiving benefits2019-01-0114
Number of other retired or separated participants entitled to future benefits2019-01-0138
Total of all active and inactive participants2019-01-01182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01182
Number of participants with account balances2019-01-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2018 401k membership
Total participants, beginning-of-year2018-01-01156
Total number of active participants reported on line 7a of the Form 55002018-01-01129
Number of retired or separated participants receiving benefits2018-01-019
Number of other retired or separated participants entitled to future benefits2018-01-0134
Total of all active and inactive participants2018-01-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01172
Number of participants with account balances2018-01-0199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2017 401k membership
Total participants, beginning-of-year2017-01-01125
Total number of active participants reported on line 7a of the Form 55002017-01-01116
Number of retired or separated participants receiving benefits2017-01-018
Number of other retired or separated participants entitled to future benefits2017-01-0132
Total of all active and inactive participants2017-01-01156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01156
Number of participants with account balances2017-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2016 401k membership
Total participants, beginning-of-year2016-01-01135
Total number of active participants reported on line 7a of the Form 55002016-01-01116
Number of retired or separated participants receiving benefits2016-01-019
Total of all active and inactive participants2016-01-01125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01125
Number of participants with account balances2016-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2015 401k membership
Total participants, beginning-of-year2015-01-01112
Total number of active participants reported on line 7a of the Form 55002015-01-01101
Number of retired or separated participants receiving benefits2015-01-015
Number of other retired or separated participants entitled to future benefits2015-01-0129
Total of all active and inactive participants2015-01-01135
Total participants2015-01-01135
Number of participants with account balances2015-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2014 401k membership
Total participants, beginning-of-year2014-01-01112
Total number of active participants reported on line 7a of the Form 55002014-01-0185
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-0124
Total of all active and inactive participants2014-01-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01112
Number of participants with account balances2014-01-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2013 401k membership
Total participants, beginning-of-year2013-01-01108
Total number of active participants reported on line 7a of the Form 55002013-01-0187
Number of retired or separated participants receiving benefits2013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-0122
Total of all active and inactive participants2013-01-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01112
Number of participants with account balances2013-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2012 401k membership
Total participants, beginning-of-year2012-01-01105
Total number of active participants reported on line 7a of the Form 55002012-01-0185
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0123
Total of all active and inactive participants2012-01-01108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01108
Number of participants with account balances2012-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2011 401k membership
Total participants, beginning-of-year2011-01-01133
Total number of active participants reported on line 7a of the Form 55002011-01-0181
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0124
Total of all active and inactive participants2011-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01105
Number of participants with account balances2011-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2010 401k membership
Total participants, beginning-of-year2010-01-01135
Total number of active participants reported on line 7a of the Form 55002010-01-0183
Number of retired or separated participants receiving benefits2010-01-013
Number of other retired or separated participants entitled to future benefits2010-01-0147
Total of all active and inactive participants2010-01-01133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01133
Number of participants with account balances2010-01-0194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2009 401k membership
Total participants, beginning-of-year2009-01-01126
Total number of active participants reported on line 7a of the Form 55002009-01-0183
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0152
Total of all active and inactive participants2009-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01135
Number of participants with account balances2009-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010
2004: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2004 401k membership
Total of all active and inactive participants2004-01-010
Total participants2004-01-010
2002: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2002 401k membership
Total participants, beginning-of-year2002-01-010
Total of all active and inactive participants2002-01-010
Total participants2002-01-010
2001: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2001 401k membership
Total of all active and inactive participants2001-01-010
Total participants2001-01-010
1999: KLAMATH HEALTH PARTNERSHIP INC PNTSA 1999 401k membership
Total of all active and inactive participants1999-04-010
Total participants1999-04-010

Financial Data on KLAMATH HEALTH PARTNERSHIP INC PNTSA

Measure Date Value
2023 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$101
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$97
Total income from all sources (including contributions)2023-12-31$1,083,283
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$91,064
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$89,054
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$479,904
Value of total assets at end of year2023-12-31$4,091,935
Value of total assets at beginning of year2023-12-31$3,099,712
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$2,010
Total interest from all sources2023-12-31$37
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$603,342
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$603,342
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$367,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$328,641
Participant contributions at end of year2023-12-31$34,698
Participant contributions at beginning of year2023-12-31$16,413
Participant contributions at end of year2023-12-31$28,711
Participant contributions at beginning of year2023-12-31$11,952
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$46
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$992,219
Value of net assets at end of year (total assets less liabilities)2023-12-31$4,091,834
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$3,099,615
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$3,672,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$2,732,522
Interest on participant loans2023-12-31$37
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$347,844
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$332,323
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$151,217
Employer contributions (assets) at end of year2023-12-31$8,061
Employer contributions (assets) at beginning of year2023-12-31$6,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$89,054
Contract administrator fees2023-12-31$2,010
Liabilities. Value of benefit claims payable at end of year2023-12-31$101
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$97
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31JONES & ROTH, P.C.
Accountancy firm EIN2023-12-31930819646
2022 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$97
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$97
Total income from all sources (including contributions)2022-12-31$-220,269
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$345,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$344,434
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$456,525
Value of total assets at end of year2022-12-31$3,099,712
Value of total assets at beginning of year2022-12-31$3,665,949
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,534
Total interest from all sources2022-12-31$8,498
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$367,000
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$302,790
Participant contributions at end of year2022-12-31$16,413
Participant contributions at beginning of year2022-12-31$180
Participant contributions at end of year2022-12-31$11,952
Participant contributions at beginning of year2022-12-31$9,938
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-566,237
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,099,615
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,665,852
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
Investment advisory and management fees2022-12-31$1,534
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$2,732,522
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,406,997
Interest on participant loans2022-12-31$49
Interest earned on other investments2022-12-31$8,449
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$332,323
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$243,365
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-685,292
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 contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$153,735
Employer contributions (assets) at end of year2022-12-31$6,502
Employer contributions (assets) at beginning of year2022-12-31$5,469
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$344,434
Liabilities. Value of benefit claims payable at end of year2022-12-31$97
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$97
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31JONES & ROTH, P.C.
Accountancy firm EIN2022-12-31930819646
2021 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$97
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$17,240
Total income from all sources (including contributions)2021-12-31$938,788
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$149,308
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$148,052
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$489,840
Value of total assets at end of year2021-12-31$3,665,949
Value of total assets at beginning of year2021-12-31$2,893,612
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,256
Total interest from all sources2021-12-31$6,644
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$367,000
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$337,000
Participant contributions at end of year2021-12-31$180
Participant contributions at beginning of year2021-12-31$543
Participant contributions at end of year2021-12-31$9,938
Participant contributions at beginning of year2021-12-31$11,660
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$18,409
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$1,821
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$789,480
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,665,852
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,876,372
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
Investment advisory and management fees2021-12-31$1,256
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,406,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,663,383
Interest on participant loans2021-12-31$17
Interest earned on other investments2021-12-31$6,627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$243,365
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$213,331
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$442,304
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
Contributions received in cash from employer2021-12-31$134,431
Employer contributions (assets) at end of year2021-12-31$5,469
Employer contributions (assets) at beginning of year2021-12-31$4,695
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$148,052
Liabilities. Value of benefit claims payable at end of year2021-12-31$97
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$15,419
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31JONES & ROTH, P.C.
Accountancy firm EIN2021-12-31930819646
2020 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$17,240
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1
Total income from all sources (including contributions)2020-12-31$878,582
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$187,913
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$171,869
Value of total corrective distributions2020-12-31$15,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$480,815
Value of total assets at end of year2020-12-31$2,893,612
Value of total assets at beginning of year2020-12-31$2,185,704
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$723
Total interest from all sources2020-12-31$5,678
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$290,000
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$296,262
Participant contributions at end of year2020-12-31$543
Participant contributions at beginning of year2020-12-31$891
Participant contributions at end of year2020-12-31$11,660
Participant contributions at beginning of year2020-12-31$7,960
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$59,991
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,821
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$1
Other income not declared elsewhere2020-12-31$168
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$690,669
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,876,372
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,185,703
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$723
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,663,383
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,011,147
Interest on participant loans2020-12-31$250
Interest earned on other investments2020-12-31$5,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$213,331
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$163,046
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$391,921
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 contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$124,562
Employer contributions (assets) at end of year2020-12-31$4,695
Employer contributions (assets) at beginning of year2020-12-31$2,660
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$171,869
Liabilities. Value of benefit claims payable at end of year2020-12-31$15,419
Liabilities. Value of benefit claims payable 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
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31JONES & ROTH, P.C.
Accountancy firm EIN2020-12-31930819646
2019 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$702,004
Total income from all sources (including contributions)2019-12-31$702,004
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$215,896
Total of all expenses incurred2019-12-31$215,896
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$215,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$215,104
Value of total corrective distributions2019-12-31$182
Value of total corrective distributions2019-12-31$182
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$332,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$332,505
Value of total assets at end of year2019-12-31$2,185,704
Value of total assets at end of year2019-12-31$2,185,704
Value of total assets at beginning of year2019-12-31$1,699,595
Value of total assets at beginning of year2019-12-31$1,699,595
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$610
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$610
Total interest from all sources2019-12-31$5,836
Total interest from all sources2019-12-31$5,836
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$219,000
Value of fidelity bond cover2019-12-31$219,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$261,932
Contributions received from participants2019-12-31$261,932
Participant contributions at end of year2019-12-31$891
Participant contributions at end of year2019-12-31$891
Participant contributions at beginning of year2019-12-31$1,223
Participant contributions at beginning of year2019-12-31$1,223
Participant contributions at end of year2019-12-31$7,960
Participant contributions at end of year2019-12-31$7,960
Participant contributions at beginning of year2019-12-31$306
Participant contributions at beginning of year2019-12-31$306
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,064
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,064
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$1
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) 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
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$486,108
Value of net income/loss2019-12-31$486,108
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,185,703
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,185,703
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,699,595
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$610
Investment advisory and management fees2019-12-31$610
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,011,147
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,011,147
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,467,353
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,467,353
Interest on participant loans2019-12-31$20
Interest on participant loans2019-12-31$20
Interest earned on other investments2019-12-31$5,816
Interest earned on other investments2019-12-31$5,816
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$163,046
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$163,046
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$230,408
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$230,408
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$363,663
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$363,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$69,509
Contributions received in cash from employer2019-12-31$69,509
Employer contributions (assets) at end of year2019-12-31$2,660
Employer contributions (assets) at end of year2019-12-31$2,660
Employer contributions (assets) at beginning of year2019-12-31$305
Employer contributions (assets) at beginning of year2019-12-31$305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$215,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$215,104
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31JONES & ROTH, P.C.
Accountancy firm name2019-12-31JONES & ROTH, P.C.
Accountancy firm EIN2019-12-31930819646
Accountancy firm EIN2019-12-31930819646
2018 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$6,270
Total income from all sources (including contributions)2018-12-31$181,463
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$370,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$366,042
Expenses. Certain deemed distributions of participant loans2018-12-31$3,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$298,489
Value of total assets at end of year2018-12-31$1,699,595
Value of total assets at beginning of year2018-12-31$1,894,572
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$736
Total interest from all sources2018-12-31$6,220
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$188,831
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$231,468
Participant contributions at end of year2018-12-31$1,223
Participant contributions at beginning of year2018-12-31$7,966
Participant contributions at end of year2018-12-31$306
Participant contributions at beginning of year2018-12-31$8,179
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$6,270
Administrative expenses (other) incurred2018-12-31$160
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-188,707
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,699,595
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,888,302
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$576
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,467,353
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,641,279
Interest on participant loans2018-12-31$388
Interest earned on other investments2018-12-31$5,832
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$230,408
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$234,693
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-123,246
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$67,021
Employer contributions (assets) at end of year2018-12-31$305
Employer contributions (assets) at beginning of year2018-12-31$2,455
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$366,042
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 name2018-12-31JONES & ROTH, P.C.
Accountancy firm EIN2018-12-31930819646
2017 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$6,270
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$528,077
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$100,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$93,956
Value of total corrective distributions2017-12-31$6,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$295,750
Value of total assets at end of year2017-12-31$1,894,572
Value of total assets at beginning of year2017-12-31$1,460,940
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$489
Total interest from all sources2017-12-31$6,154
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$146,094
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$234,619
Participant contributions at end of year2017-12-31$7,966
Participant contributions at beginning of year2017-12-31$7,387
Participant contributions at end of year2017-12-31$8,179
Participant contributions at beginning of year2017-12-31$7,901
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$6,270
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$427,362
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,888,302
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,460,940
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$489
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,641,279
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,201,499
Interest on participant loans2017-12-31$186
Interest earned on other investments2017-12-31$5,968
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$234,693
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$235,655
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$226,173
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$61,131
Employer contributions (assets) at end of year2017-12-31$2,455
Employer contributions (assets) at beginning of year2017-12-31$8,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$93,956
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 name2017-12-31JONES & ROTH, P.C.
Accountancy firm EIN2017-12-31930819646
2016 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$329,914
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$126,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$123,118
Expenses. Certain deemed distributions of participant loans2016-12-31$3,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$229,591
Value of total assets at end of year2016-12-31$1,460,940
Value of total assets at beginning of year2016-12-31$1,257,852
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$508
Total interest from all sources2016-12-31$4,194
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$130,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$167,003
Participant contributions at end of year2016-12-31$7,387
Participant contributions at beginning of year2016-12-31$12,942
Participant contributions at end of year2016-12-31$7,901
Participant contributions at beginning of year2016-12-31$6,070
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$4,582
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$203,088
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,460,940
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,257,852
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$1,201,499
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,103,227
Interest on participant loans2016-12-31$121
Interest earned on other investments2016-12-31$4,073
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$235,655
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$131,091
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$96,129
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$58,006
Employer contributions (assets) at end of year2016-12-31$8,498
Employer contributions (assets) at beginning of year2016-12-31$4,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$123,118
Contract administrator fees2016-12-31$508
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 name2016-12-31JONES & ROTH, P.C.
Accountancy firm EIN2016-12-31930819646
2015 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$241,681
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$277,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$251,047
Expenses. Certain deemed distributions of participant loans2015-12-31$24,788
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$270,572
Value of total assets at end of year2015-12-31$1,257,852
Value of total assets at beginning of year2015-12-31$1,293,287
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,281
Total interest from all sources2015-12-31$4,964
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$130,000
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$143,851
Participant contributions at end of year2015-12-31$12,942
Participant contributions at beginning of year2015-12-31$35,694
Participant contributions at end of year2015-12-31$6,070
Participant contributions at beginning of year2015-12-31$4,768
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$76,183
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-35,435
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,257,852
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,293,287
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
Investment advisory and management fees2015-12-31$1,281
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,103,227
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,128,860
Interest on participant loans2015-12-31$95
Interest earned on other investments2015-12-31$4,869
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$131,091
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$121,717
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-33,855
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$50,538
Employer contributions (assets) at end of year2015-12-31$4,522
Employer contributions (assets) at beginning of year2015-12-31$2,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$251,047
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 name2015-12-31JONES & ROTH, P.C.
Accountancy firm EIN2015-12-31930819646
2014 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$243,343
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$243,411
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$240,478
Expenses. Certain deemed distributions of participant loans2014-12-31$522
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$182,687
Value of total assets at end of year2014-12-31$1,293,287
Value of total assets at beginning of year2014-12-31$1,293,355
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,411
Total interest from all sources2014-12-31$4,625
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$90,000
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$135,279
Participant contributions at end of year2014-12-31$35,694
Participant contributions at beginning of year2014-12-31$994
Participant contributions at end of year2014-12-31$4,768
Participant contributions at beginning of year2014-12-31$4,854
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-68
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,293,287
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,293,355
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
Investment advisory and management fees2014-12-31$2,411
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,128,860
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,163,962
Interest on participant loans2014-12-31$32
Interest earned on other investments2014-12-31$4,593
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$121,717
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$120,708
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$56,031
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 contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$47,408
Employer contributions (assets) at end of year2014-12-31$2,248
Employer contributions (assets) at beginning of year2014-12-31$2,837
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$240,478
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 name2014-12-31JONES & ROTH, P.C.
Accountancy firm EIN2014-12-31930819646
2013 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$382,440
Total loss/gain on sale of assets2013-12-31$809
Total of all expenses incurred2013-12-31$104,119
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$75,970
Expenses. Certain deemed distributions of participant loans2013-12-31$26,294
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$163,690
Value of total assets at end of year2013-12-31$1,293,355
Value of total assets at beginning of year2013-12-31$1,015,034
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,855
Total interest from all sources2013-12-31$4,438
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$90,000
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$41,196
Participant contributions at end of year2013-12-31$994
Participant contributions at beginning of year2013-12-31$28,079
Participant contributions at end of year2013-12-31$4,854
Participant contributions at beginning of year2013-12-31$3,791
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$278,321
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,293,355
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,015,034
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
Investment advisory and management fees2013-12-31$1,855
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,163,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$881,490
Interest on participant loans2013-12-31$27
Interest earned on other investments2013-12-31$4,411
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$120,708
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$97,135
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$213,503
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$122,494
Employer contributions (assets) at end of year2013-12-31$2,837
Employer contributions (assets) at beginning of year2013-12-31$4,539
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$75,970
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
Aggregate proceeds on sale of assets2013-12-31$88,461
Aggregate carrying amount (costs) on sale of assets2013-12-31$87,652
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 name2013-12-31JONES & ROTH, P.C.
Accountancy firm EIN2013-12-31930819646
2012 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$247,076
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$89,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$86,848
Expenses. Certain deemed distributions of participant loans2012-12-31$766
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$131,322
Value of total assets at end of year2012-12-31$1,015,034
Value of total assets at beginning of year2012-12-31$856,994
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,422
Total interest from all sources2012-12-31$3,731
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$90,000
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-interest2012-12-31No
Contributions received from participants2012-12-31$95,957
Participant contributions at end of year2012-12-31$28,079
Participant contributions at beginning of year2012-12-31$6,870
Participant contributions at end of year2012-12-31$3,791
Participant contributions at beginning of year2012-12-31$4,140
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$158,040
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,015,034
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$856,994
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
Investment advisory and management fees2012-12-31$1,422
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$881,490
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$0
Value of interest in pooled separate accounts at end of year2012-12-31$0
Value of interest in pooled separate accounts at beginning of year2012-12-31$749,711
Interest on participant loans2012-12-31$178
Interest earned on other investments2012-12-31$3,553
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$97,135
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$93,980
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$112,023
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 contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$35,365
Employer contributions (assets) at end of year2012-12-31$4,539
Employer contributions (assets) at beginning of year2012-12-31$2,293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$86,848
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 name2012-12-31JONES & ROTH, P.C.
Accountancy firm EIN2012-12-31930819646
2011 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$149,496
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$304,930
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$303,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$170,492
Value of total assets at end of year2011-12-31$856,994
Value of total assets at beginning of year2011-12-31$1,012,428
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,264
Total interest from all sources2011-12-31$4,081
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$90,000
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$126,706
Participant contributions at end of year2011-12-31$6,870
Participant contributions at beginning of year2011-12-31$7,052
Participant contributions at end of year2011-12-31$4,140
Participant contributions at beginning of year2011-12-31$4,003
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-155,434
Value of net assets at end of year (total assets less liabilities)2011-12-31$856,994
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,012,428
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$1,264
Value of interest in pooled separate accounts at end of year2011-12-31$749,711
Value of interest in pooled separate accounts at beginning of year2011-12-31$850,186
Interest on participant loans2011-12-31$499
Interest earned on other investments2011-12-31$3,582
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$93,980
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$151,187
Net investment gain/loss from pooled separate accounts2011-12-31$-25,077
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$43,786
Employer contributions (assets) at end of year2011-12-31$2,293
Employer contributions (assets) at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$303,666
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 name2011-12-31JONES & ROTH, P.C.
Accountancy firm EIN2011-12-31930819646
2010 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$252,108
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$115,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$115,263
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$132,417
Value of total assets at end of year2010-12-31$1,012,428
Value of total assets at beginning of year2010-12-31$875,583
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$5,326
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$90,000
If this is an individual account plan, was there a blackout period2010-12-31No
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$129,388
Participant contributions at end of year2010-12-31$7,052
Participant contributions at beginning of year2010-12-31$6,080
Participant contributions at end of year2010-12-31$4,003
Participant contributions at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$136,845
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,012,428
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$875,583
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 pooled separate accounts at end of year2010-12-31$850,186
Value of interest in pooled separate accounts at beginning of year2010-12-31$742,390
Interest on participant loans2010-12-31$12
Interest earned on other investments2010-12-31$5,314
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$151,187
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$127,113
Net investment gain/loss from pooled separate accounts2010-12-31$114,365
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$3,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$115,263
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 name2010-12-31JONES & ROTH, P.C.
Accountancy firm EIN2010-12-31930819646
2009 : KLAMATH HEALTH PARTNERSHIP INC PNTSA 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for KLAMATH HEALTH PARTNERSHIP INC PNTSA

2023: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: KLAMATH HEALTH PARTNERSHIP INC PNTSA 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 planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: KLAMATH HEALTH PARTNERSHIP INC PNTSA 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 planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes
2004: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Submission has been amendedNo
2004-01-01This submission is the final filingNo
2004-01-01This return/report is a short plan year return/report (less than 12 months)No
2004-01-01Plan is a collectively bargained planNo
2002: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2002 form 5500 responses
2002-01-01Type of plan entitySingle employer plan
2002-01-01Submission has been amendedNo
2002-01-01This submission is the final filingNo
2002-01-01This return/report is a short plan year return/report (less than 12 months)No
2002-01-01Plan is a collectively bargained planNo
2001: KLAMATH HEALTH PARTNERSHIP INC PNTSA 2001 form 5500 responses
2001-01-01Type of plan entitySingle employer plan
2001-01-01Submission has been amendedNo
2001-01-01This submission is the final filingNo
2001-01-01This return/report is a short plan year return/report (less than 12 months)No
2001-01-01Plan is a collectively bargained planNo
1999: KLAMATH HEALTH PARTNERSHIP INC PNTSA 1999 form 5500 responses
1999-04-01Type of plan entitySingle employer plan
1999-04-01First time form 5500 has been submittedYes
1999-04-01Submission has been amendedNo
1999-04-01This submission is the final filingNo
1999-04-01This return/report is a short plan year return/report (less than 12 months)Yes
1999-04-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered131
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $9,566
Total amount of fees paid to insurance companyUSD $0
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 Administration1
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?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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered123
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $6,285
Total amount of fees paid to insurance companyUSD $0
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $5,284
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered122
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,967
Total amount of fees paid to insurance companyUSD $0
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $5,209
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered125
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $12,557
Total amount of fees paid to insurance companyUSD $0
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $11,534
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered112
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $10,270
Total amount of fees paid to insurance companyUSD $0
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $5,187
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered101
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $7,320
Total amount of fees paid to insurance companyUSD $0
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $5,590
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered95
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,874
Total amount of fees paid to insurance companyUSD $0
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $6,704
Insurance broker organization code?3
Insurance broker nameRAYBURN, DAVID
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered74
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,110
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $5,213
Insurance broker organization code?3
Insurance broker nameJORGENSEN, JENNIFER L.
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered62
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,496
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $1,493
Insurance broker organization code?3
Insurance broker nameWELLS, WENDY
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered57
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,335
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $2,296
Insurance broker organization code?3
Insurance broker nameJORGENSEN, JENNIFER L.
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered52
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,069
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $763
Insurance broker organization code?3
Insurance broker nameJORGENSEN, JENNIFER L.
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered58
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,386
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 Administration1
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?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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number59324
Policy instance 1
Insurance contract or identification number59324
Number of Individuals Covered94
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,187
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 Administration1
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?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
Commission paid to Insurance BrokerUSD $20
Insurance broker organization code?3
Insurance broker nameHART, MICHAEL S.

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