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INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 401k Plan overview

Plan NameINDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN
Plan identification number 001

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

INDIAN HEALTH CENTER OF SANTA CLARA COUNTY has sponsored the creation of one or more 401k plans.

Company Name:INDIAN HEALTH CENTER OF SANTA CLARA COUNTY
Employer identification number (EIN):942476242
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01SONYA TETNOWSKI
0012023-01-01
0012023-01-01SONYA TETNOWSKI
0012022-01-01
0012022-01-01SONYA TETNOWSKI
0012021-01-01
0012021-01-01SONYA TETNOWSKI
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01JEFF CHERNISS
0012016-01-01JEFF CHERNISS2017-10-09
0012015-01-01SONYA TETNOWSKI2016-07-11
0012014-01-01BARBARA MIAO2015-10-10
0012013-01-01ELIZABETH HUNT2014-10-14
0012012-01-01ELIZABETH HUNT2013-10-11
0012011-01-01ELIZABETH HUNT2012-06-08
0012010-01-01ELIZABETH HUNT2011-05-20

Financial Data on INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN

Measure Date Value
2023 : INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$3,861,853
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$994,024
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$959,101
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,910,458
Value of total assets at end of year2023-12-31$14,086,064
Value of total assets at beginning of year2023-12-31$11,218,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$34,923
Total interest from all sources2023-12-31$35,511
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$1,000,000
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$1,330,207
Participant contributions at end of year2023-12-31$155,251
Participant contributions at beginning of year2023-12-31$116,828
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$21,685
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$2,867,829
Value of net assets at end of year (total assets less liabilities)2023-12-31$14,086,064
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$11,218,235
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$11,333,574
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$8,920,370
Interest on participant loans2023-12-31$5,418
Interest earned on other investments2023-12-31$30,093
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$2,597,239
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$2,181,037
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$1,915,884
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$558,566
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$959,101
Contract administrator fees2023-12-31$34,923
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 name2023-12-31ARMANINO LLP
Accountancy firm EIN2023-12-31946214841
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$3,861,853
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$994,024
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$959,101
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$1,910,458
Value of total assets at end of year2023-01-01$14,086,064
Value of total assets at beginning of year2023-01-01$11,218,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$34,923
Total interest from all sources2023-01-01$35,511
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$1,000,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$1,330,207
Participant contributions at end of year2023-01-01$155,251
Participant contributions at beginning of year2023-01-01$116,828
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$21,685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$2,867,829
Value of net assets at end of year (total assets less liabilities)2023-01-01$14,086,064
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$11,218,235
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$11,333,574
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$8,920,370
Interest on participant loans2023-01-01$5,418
Interest earned on other investments2023-01-01$30,093
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$2,597,239
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$2,181,037
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$1,915,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$558,566
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$959,101
Contract administrator fees2023-01-01$34,923
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01ARMANINO LLP
Accountancy firm EIN2023-01-01946214841
2022 : INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-86,971
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$624,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$592,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,793,263
Value of total assets at end of year2022-12-31$11,218,235
Value of total assets at beginning of year2022-12-31$11,929,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$32,295
Total interest from all sources2022-12-31$25,525
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
Administrative expenses professional fees incurred2022-12-31$3,432
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,260,461
Participant contributions at end of year2022-12-31$116,828
Participant contributions at beginning of year2022-12-31$81,945
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$5,535
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-711,454
Value of net assets at end of year (total assets less liabilities)2022-12-31$11,218,235
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$11,929,689
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$8,920,370
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$10,043,606
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Interest on participant loans2022-12-31$4,892
Interest earned on other investments2022-12-31$20,633
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,181,037
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$1,804,138
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,905,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$527,267
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$592,188
Contract administrator fees2022-12-31$28,863
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 name2022-12-31ARMANINO LLP
Accountancy firm EIN2022-12-31946214841
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$-86,971
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$624,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$592,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,793,263
Value of total assets at end of year2022-01-01$11,218,235
Value of total assets at beginning of year2022-01-01$11,929,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$32,295
Total interest from all sources2022-01-01$25,525
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Administrative expenses professional fees incurred2022-01-01$3,432
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$1,000,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$1,260,461
Participant contributions at end of year2022-01-01$116,828
Participant contributions at beginning of year2022-01-01$81,945
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$5,535
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Income. Non cash contributions2022-01-01$0
Value of net income/loss2022-01-01$-711,454
Value of net assets at end of year (total assets less liabilities)2022-01-01$11,218,235
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$11,929,689
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$8,920,370
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$10,043,606
Value of interest in pooled separate accounts at end of year2022-01-01$0
Value of interest in pooled separate accounts at beginning of year2022-01-01$0
Interest on participant loans2022-01-01$4,892
Interest earned on other investments2022-01-01$20,633
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$2,181,037
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$1,804,138
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-1,905,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$527,267
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$592,188
Contract administrator fees2022-01-01$28,863
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01ARMANINO LLP
Accountancy firm EIN2022-01-01946214841
2021 : INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$0
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$0
Total transfer of assets from this plan2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Expenses. Interest paid2021-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022021-12-31$0
Total income from all sources (including contributions)2021-12-31$3,106,823
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,301,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,288,710
Expenses. Certain deemed distributions of participant loans2021-12-31$0
Value of total corrective distributions2021-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,715,444
Value of total assets at end of year2021-12-31$11,929,689
Value of total assets at beginning of year2021-12-31$10,124,268
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$12,692
Total income from rents2021-12-31$0
Total interest from all sources2021-12-31$-677
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
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$12,692
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,229,579
Participant contributions at end of year2021-12-31$81,945
Participant contributions at beginning of year2021-12-31$77,264
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$7,239
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$0
Other income not declared elsewhere2021-12-31$0
Administrative expenses (other) incurred2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$1,805,421
Value of net assets at end of year (total assets less liabilities)2021-12-31$11,929,689
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,124,268
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$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$10,043,606
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$0
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest in pooled separate accounts at beginning of year2021-12-31$8,467,155
Interest on participant loans2021-12-31$4,012
Income. Interest from loans (other than to participants)2021-12-31$0
Interest earned on other investments2021-12-31$-4,689
Income. Interest from US Government securities2021-12-31$0
Income. Interest from corporate debt instruments2021-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$1,804,138
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$1,579,849
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$35,294
Net investment gain/loss from pooled separate accounts2021-12-31$1,356,762
Net investment gain or loss from common/collective trusts2021-12-31$0
Net gain/loss from 103.12 investment entities2021-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$478,626
Income. Dividends from preferred stock2021-12-31$0
Income. Dividends from common stock2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,288,710
Contract administrator fees2021-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$0
Aggregate carrying amount (costs) on sale of assets2021-12-31$0
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ARMANINO LLP
Accountancy firm EIN2021-12-31946214841
2020 : INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,752,329
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$558,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$551,832
Value of total corrective distributions2020-12-31$272
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,519,730
Value of total assets at end of year2020-12-31$10,124,268
Value of total assets at beginning of year2020-12-31$7,929,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$5,946
Total interest from all sources2020-12-31$20,896
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
Administrative expenses professional fees incurred2020-12-31$5,946
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
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$1,078,259
Participant contributions at end of year2020-12-31$77,264
Participant contributions at beginning of year2020-12-31$99,093
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$10,022
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$2,194,279
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,124,268
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,929,989
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
Value of interest in pooled separate accounts at end of year2020-12-31$8,467,155
Value of interest in pooled separate accounts at beginning of year2020-12-31$6,579,609
Interest on participant loans2020-12-31$5,137
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$15,759
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$1,579,849
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$1,251,287
Net investment gain/loss from pooled separate accounts2020-12-31$1,211,703
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$431,449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$551,832
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 name2020-12-31ARMANINO LLP
Accountancy firm EIN2020-12-31946214841
2019 : INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$0
Unrealized appreciation/depreciation of real estate assets2019-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$0
Total transfer of assets to this plan2019-12-31$0
Total transfer of assets from this plan2019-12-31$0
Total transfer of assets from this plan2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Expenses. Interest paid2019-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$0
Expenses. Interest paid2019-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,707,318
Total income from all sources (including contributions)2019-12-31$2,707,318
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$260,897
Total of all expenses incurred2019-12-31$260,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$255,648
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$255,648
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Value of total corrective distributions2019-12-31$549
Value of total corrective distributions2019-12-31$549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,584,358
Value of total assets at end of year2019-12-31$7,929,989
Value of total assets at end of year2019-12-31$7,929,989
Value of total assets at beginning of year2019-12-31$5,483,568
Value of total assets at beginning of year2019-12-31$5,483,568
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$4,700
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$4,700
Total income from rents2019-12-31$0
Total income from rents2019-12-31$0
Total interest from all sources2019-12-31$18,207
Total interest from all sources2019-12-31$18,207
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
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$0
Administrative expenses professional fees incurred2019-12-31$4,700
Administrative expenses professional fees incurred2019-12-31$4,700
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$500,000
Value of fidelity bond cover2019-12-31$500,000
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$928,791
Contributions received from participants2019-12-31$928,791
Participant contributions at end of year2019-12-31$99,093
Participant contributions at end of year2019-12-31$99,093
Participant contributions at beginning of year2019-12-31$52,194
Participant contributions at beginning of year2019-12-31$52,194
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$273,791
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$273,791
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
Other income not declared elsewhere2019-12-31$0
Other income not declared elsewhere2019-12-31$0
Administrative expenses (other) incurred2019-12-31$0
Administrative expenses (other) incurred2019-12-31$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
Income. Non cash contributions2019-12-31$0
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$2,446,421
Value of net income/loss2019-12-31$2,446,421
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,929,989
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,929,989
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,483,568
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,483,568
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$0
Investment advisory and management fees2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$6,579,609
Value of interest in pooled separate accounts at end of year2019-12-31$6,579,609
Value of interest in pooled separate accounts at beginning of year2019-12-31$4,247,463
Value of interest in pooled separate accounts at beginning of year2019-12-31$4,247,463
Interest on participant loans2019-12-31$4,241
Interest on participant loans2019-12-31$4,241
Income. Interest from loans (other than to participants)2019-12-31$0
Income. Interest from loans (other than to participants)2019-12-31$0
Interest earned on other investments2019-12-31$0
Interest earned on other investments2019-12-31$0
Income. Interest from US Government securities2019-12-31$0
Income. Interest from US Government securities2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$13,966
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$13,966
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,251,287
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,251,287
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,183,911
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,183,911
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$0
Net investment gain/loss from pooled separate accounts2019-12-31$1,104,753
Net investment gain/loss from pooled separate accounts2019-12-31$1,104,753
Net investment gain or loss from common/collective trusts2019-12-31$0
Net investment gain or loss from common/collective trusts2019-12-31$0
Net gain/loss from 103.12 investment entities2019-12-31$0
Net gain/loss from 103.12 investment entities2019-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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$381,776
Contributions received in cash from employer2019-12-31$381,776
Income. Dividends from preferred stock2019-12-31$0
Income. Dividends from common stock2019-12-31$0
Income. Dividends from common stock2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$255,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$255,648
Contract administrator fees2019-12-31$0
Contract administrator fees2019-12-31$0
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
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
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 name2019-12-31ARMANINO LLP
Accountancy firm name2019-12-31ARMANINO LLP
Accountancy firm EIN2019-12-31946214841
Accountancy firm EIN2019-12-31946214841
2018 : INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,002,060
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$667,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$652,208
Expenses. Certain deemed distributions of participant loans2018-12-31$2,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,312,290
Value of total assets at end of year2018-12-31$5,483,568
Value of total assets at beginning of year2018-12-31$5,149,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$13,063
Total interest from all sources2018-12-31$15,598
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
Administrative expenses professional fees incurred2018-12-31$13,063
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$848,111
Participant contributions at end of year2018-12-31$52,194
Participant contributions at beginning of year2018-12-31$45,219
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$77,182
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
Income. Non cash contributions2018-12-31$0
Value of net income/loss2018-12-31$334,178
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,483,568
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,149,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$4,247,463
Value of interest in pooled separate accounts at beginning of year2018-12-31$3,697,623
Interest on participant loans2018-12-31$2,594
Interest earned on other investments2018-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$13,004
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,183,911
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,406,548
Net investment gain/loss from pooled separate accounts2018-12-31$-325,828
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$386,997
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$652,208
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 name2018-12-31ARMANINO LLP
Accountancy firm EIN2018-12-31946214841
2017 : INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$0
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$0
Total transfer of assets from this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Expenses. Interest paid2017-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,451,512
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$123,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$122,006
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Value of total corrective distributions2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$952,855
Value of total assets at end of year2017-12-31$5,149,390
Value of total assets at beginning of year2017-12-31$3,821,609
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,725
Total income from rents2017-12-31$0
Total interest from all sources2017-12-31$17,256
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
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$1,725
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$683,854
Participant contributions at end of year2017-12-31$45,219
Participant contributions at beginning of year2017-12-31$53,486
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$10,091
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$0
Other income not declared elsewhere2017-12-31$0
Administrative expenses (other) incurred2017-12-31$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
Income. Non cash contributions2017-12-31$0
Value of net income/loss2017-12-31$1,327,781
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,149,390
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,821,609
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$0
Value of interest in pooled separate accounts at end of year2017-12-31$3,697,623
Value of interest in pooled separate accounts at beginning of year2017-12-31$2,506,602
Interest on participant loans2017-12-31$1,865
Income. Interest from loans (other than to participants)2017-12-31$0
Interest earned on other investments2017-12-31$15,391
Income. Interest from US Government securities2017-12-31$0
Income. Interest from corporate debt instruments2017-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,406,548
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,261,521
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$481,401
Net investment gain or loss from common/collective trusts2017-12-31$0
Net gain/loss from 103.12 investment entities2017-12-31$0
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$258,910
Income. Dividends from preferred stock2017-12-31$0
Income. Dividends from common stock2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$122,006
Contract administrator fees2017-12-31$0
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
Aggregate proceeds on sale of assets2017-12-31$0
Aggregate carrying amount (costs) on sale of assets2017-12-31$0
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 name2017-12-31ARMANINO LLP
Accountancy firm EIN2017-12-31946214841

Form 5500 Responses for INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN

2023: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 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 funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG50528
Policy instance 1
Insurance contract or identification numberG50528
Number of Individuals Covered272
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG50528
Policy instance 1
Insurance contract or identification numberG50528
Number of Individuals Covered332
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number877998
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG50528
Policy instance 2
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number877998
Policy instance 1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number877998
Policy instance 1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number877998
Policy instance 1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number877998
Policy instance 1

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