Home>401K Directory>Spokane Methodist Homes Inc Employee Retirement Savings Plan>Form 5500

Spokane United Methodist Homes, Inc.

Plan Rating

Overview Financials Service Providers Investments Insurance Information

FORM 5500 DATA

Spokane Methodist Homes, Inc. Employee Retirement Savings Plan

Plan Rating

Overview Financials Service Providers Investments Insurance Information

Overview

Plan Information

Plan Year06/01/2011 — 05/31/2012
Date of Plan06/01/1987
Net Assets as of 05/31/2012 $3,860,718
Plan Number2
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 05/31/2012

Active (Eligible) Participants338
Retired or separated participants receiving benefits3
Other retired or separated participants entitled to future benefits89
Subtotal430
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Total430
Total number of participants as of 06/01/2011417
Number of participants with account balances225
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

Plan Administrator Information

Administrator NameSpokane United Methodist Homes
Address2903 East 25th Avenue
CitySpokane
StateWA
Zip99223
Telephone(509) 536-6650
Administrator EIN91-0715658

Audit Information

Audit StatusAudited
AuditorAnasiasi & Moore
Auditor EIN20-8149084
Audit Opinion Disclaimer
Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code	Benefit	Description
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.
2K	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 contributions 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.
2L	Code section 403(b)(1) arrangement	A 403(b) plan, also known as a tax-sheltered annuity (TSA) plan, is a retirement plan for certain employees of public schools, employees of certain tax-exempt organizations, and certain ministers.

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	$400,000
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

$250,094

Contributions

$426,122

Cash Contributions

$426,122

	Cash from Employers	$50,342
	Cash from Participants	$367,335
	Others (including rollovers)	$8,445

Noncash Contributions

Total Earnings on Investments

$-176,028

Total Interest

$2,497

	Interest-Bearing Cash	$0
	U.S. Government Securities	$0
	Corporate Debt Instruments	$0
	Loans (other than to participants)	$0
	Participant Loans	$2,497
	Interest from Other Investments	$0

Total Dividends

	Preferred Stock	$0
	Common Stock	$0

Rents

Net gain (loss) on sale of assets

	Aggregate Proceeds	$0
	Aggregate Carrying Amount	$0

Total Unrealized Appreciation (depreciation) of assets

	Real Estate	$0
	Other	$0

Net investment gain (loss) from common/collective trusts

Net investment gain (loss) from pooled separate accounts

Net investment gain (loss) from master trust investment accounts

Net investment gain (loss) from 103-12 investment entities

Net investment gain (loss) from registered investment companies

$-178,525

Other Income

Expenses

$158,769

Total Benefit Payments

$137,241

	Directly to participants or beneficiaries, including direct rollovers	$137,241
	To insurance carriers for the provision of benefits	$0
	Other Benefit Payment Fees	$0

Corrective Distributions

$1,654

Certain deemed distributions of participant loans

$14,681

Interest expense

Total Administrative Expenses

$5,193

	Professional Fees	$5,193
	Contract Administrator Fees	$0
	Investment Advisory and management fees	$0
	Other Administrative Fees	$0

Net Income

$91,325

	Transfers of Assets to this Plan	$0
	Transfers of Assets from this Plan	$0

Asset and Liability Statement

05/31/2012

05/31/2011

Change YOY

Total Assets

$3,860,718

$3,769,393

2.42%

Total noninterest-bearing cash

$24

0.0%

Receivables

$16,716

0.0%

Employer Contributions	$2,027	$0	0.0%
Participant Contributions	$13,914	$0	0.0%
Other Contributions	$775	$0	0.0%

General Investments

0.0%

Interest-bearing cash

0.0%

U.S. Government Securities

0.0%

Corporate Debt Instruments

0.0%

	Preferred		$0	$0	0.0%
	All Other		$0	$0	0.0%

Corporate Stocks

0.0%

	Preferred		$0	$0	0.0%
	Common		$0	$0	0.0%

Partnership/joint venture interests

0.0%

Real estate (other than employer real property)

0.0%

Loans (other than to participants)

0.0%

Participants Loans

$56,275

$61,119

-7.93%

Value of interest in common/collective trusts

0.0%

Value of interest in pooled separate accounts

0.0%

Value of interest in master trust investment accounts

0.0%

Value of interest in 103-12 investment entities

0.0%

Value of interest in registered investment companies

$3,787,703

$3,708,274

2.14%

Value of funds held in insurance co. general account

0.0%

Other Investments

0.0%

Employer-related Investments

0.0%

	Employer Securities		$0	$0	0.0%
	Employer Real Property		$0	$0	0.0%

Buildings and other property used in plan operation

0.0%

Total Liabilities

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

$3,860,718

$3,769,393

2.42%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

There is no information on eligible indirect compensation for this plan.

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
Expertplan, Inc.	Recordkeeping fees	Recordkeeper	$5,193	$0	$5,193
Total			$5,193	$0	$5,193

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

No investments information available for this plan.

Insurance Information

There are no insurance carriers listed for this plan.

Spokane United Methodist Homes, Inc.

Spokane Methodist Homes, Inc. Employee Retirement Savings Plan

Form 5500 Year:

Overview

Plan Information

Participant Information as of 05/31/2012

Expenses

Sponsor Information

Plan Administrator Information

Audit Information

Benefits Provided Under the Plan

Questions and Answers

Financials

Income and Expense Statement

Asset and Liability Statement

Service Providers

Persons Receiving Only Eligible Indirect Compensation

Other Service Providers Receiving Direct or Indirect Compensation

Indirect Compensation

Service Providers Who Fail or Refuse to Provide Information

Termination Information on Accountants and Enrolled Actuaries

Investments

Investments

Insurance Information

Insurance Information