Back to top
FORM 5500 DATA

Boston Scientific Corporation 401k Retirement Savings Plan for Puerto Rico Affiliates

Overview

Plan Information

  • Plan Year01/01/2018 — 12/31/2018
  • Date of Plan09/18/1995
  • Net Assets as of 12/31/2018 $53,667,361
  • Plan Number1
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding Arrangement Trust
  • Plan Benefit Arrangement Trust

Participant Information as of 12/31/2018

  • Active (Eligible) Participants756
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits159
  • Subtotal915
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits1
  • Total916
  • Total number of participants as of 01/01/2018836
  • Number of participants with account balances904
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • AddressNo 12 Road 698 Suite 131
  • CityDorado
  • StatePR
  • Zip00646
  • Telephone(787) 796-8277
  • EIN66-0568625
  • Industry Code339110
  • Named AdministratorMilagros Gonzalez
  • Named Plan SponsorMilagros Gonzalez

Plan Administrator Information

  • Administrator NameGuidant Benefits Committee
  • AddressNo 12 Road 698 Suite 131
  • CityDorado
  • StatePR
  • Zip00646
  • Telephone(787) 796-8277
  • Administrator EIN66-0568625

Audit Information

  • Audit StatusAudited
  • AuditorErnst & Young LLP
  • Auditor EIN66-0286745
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G 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.
2S Automatic Enrollment Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3C Plan not intended to be qualified A plan not intended to be qualified under Code sections 401, 403, or 408.
3F Leased Employees Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
3J Puerto Rico Plan U.S.-based plan that covers residents of Puerto Rico and is qualified under both Code section 401 and section 8565 of the Puerto Rico Code.

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $10,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $4,180,584
Contributions $4,830,510
Cash Contributions $4,830,510
Cash from Employers $1,831,844
Cash from Participants $2,508,183
Others (including rollovers) $490,483
Noncash Contributions $0
Total Earnings on Investments $-649,926
Total Interest $73,042
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $73,042
Interest from Other Investments $0
Total Dividends $1,216,866
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $87,675
Aggregate Proceeds $584,982
Aggregate Carrying Amount $497,307
Total Unrealized Appreciation (depreciation) of assets $1,866,324
Real Estate $0
Other $1,866,324
Net investment gain (loss) from common/collective trusts $-1,937,376
Net investment gain (loss) from pooled separate accounts $0
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $-1,956,457
Other Income $0
Expenses $9,215,882
Total Benefit Payments $9,164,540
Directly to participants or beneficiaries, including direct rollovers $9,164,540
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $1,009
Interest expense $0
Total Administrative Expenses $50,333
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $50,333
Net Income $-5,035,298
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2018 12/31/2017 Change YOY
Total Assets $53,667,361 $58,702,659 -8.58%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $152,166 $139,657 8.96%
Employer Contributions $66,650 $61,797 7.85%
Participant Contributions $85,516 $77,860 9.83%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $1,537,419 $1,816,851 -15.38%
Value of interest in common/collective trusts $30,854,902 $15,371,525 100.73%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $14,846,863 $36,467,754 -59.29%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $0 $0 0.0%
Employer-related Investments $6,276,011 $4,906,872 27.90%
Employer Securities $6,276,011 $4,906,872 27.90%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $53,667,361 $58,702,659 -8.58%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • The Vanguard Group, Inc.

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
The Vanguard Group, Inc. Recordkeeping and information management (computing, tabulating, data processing, etc.), Custodial (securities), Investment advisory (participants), Participant loan processing, Investment management fees paid indirectly by plan NONE $52,318 $0 $52,318
Total $52,318 $0 $52,318

Indirect Compensation

There are no service providers with indirect compensation listed for this plan.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Vftc Inst 500 Index Trust Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $11,831,305
Vftc Retirement Savings Trust III Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $4,192,918
Vftc Inst Tot Bond Market Index Tr Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $2,794,771
Vftc Target Ret 2040 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $2,515,169
Vftc Target Ret 2035 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $2,298,776
Vftc Target Ret 2045 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $1,848,699
Vftc Inst Ext Markets Index Trust Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $1,399,371
Vftc Target Ret 2025 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $871,069
Vftc Target Ret 2030 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $826,987
Vftc Target Ret 2020 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $766,223
Vftc Target Ret 2050 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $639,809
Vftc Target Ret Income Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $355,531
Vftc Target Ret 2055 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $328,937
Vftc Target Ret 2015 Trust I Vangaurd Fiduciary Trust Company DFE: Common/Collective Trust $120,572
Vftc Target Ret 2060 Trust I Vanguard Fiduciary Trust Company DFE: Common/Collective Trust $64,765
Total $30,854,902

Insurance Information

Insurance Information

There are no insurance carriers listed for this plan.