401k Plan data: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN plan

BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN
Plan identification number	002

BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

BAY COVE HUMAN SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: BAY COVE HUMAN SERVICES, INC.

Employer identification number (EIN): 042518575

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2019-07-01 KERRY OLLEN 2020-09-14 KERRY OLLEN 2020-09-14
002 2018-07-01
002 2017-07-01 KERRY OLLEN KERRY OLLEN 2019-02-05
002 2016-07-01 KERRY OLLEN KERRY OLLEN 2018-01-29
002 2015-07-01 KERRY HORGOS KERRY HORGOS 2017-03-18
002 2014-07-01 KERRY HORGOS KERRY HORGOS 2016-01-12
002 2013-07-01 KERRY HORGOS KERRY HORGOS 2015-04-13
002 2012-07-01 KERRY HORGOS KERRY HORGOS 2014-11-10
002 2011-07-01 KERRY HORGOS KERRY HORGOS 2014-11-10
002 2010-07-01 KERRY HORGOS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2019-07-01	KERRY OLLEN	2020-09-14	KERRY OLLEN	2020-09-14
002	2018-07-01
002	2017-07-01	KERRY OLLEN		KERRY OLLEN	2019-02-05
002	2016-07-01	KERRY OLLEN		KERRY OLLEN	2018-01-29
002	2015-07-01	KERRY HORGOS		KERRY HORGOS	2017-03-18
002	2014-07-01	KERRY HORGOS		KERRY HORGOS	2016-01-12
002	2013-07-01	KERRY HORGOS		KERRY HORGOS	2015-04-13
002	2012-07-01	KERRY HORGOS		KERRY HORGOS	2014-11-10
002	2011-07-01	KERRY HORGOS		KERRY HORGOS	2014-11-10
002	2010-07-01	KERRY HORGOS

Plan Statistics for BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN

401k plan membership statisitcs for BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN

Measure Date Value
2018: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 125
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 49
Total of all active and inactive participants 2018-07-01 49
Total participants 2018-07-01 49
Number of participants with account balances 2018-07-01 49
2017: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 133
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 125
Total of all active and inactive participants 2017-07-01 125
Total participants 2017-07-01 125
Number of participants with account balances 2017-07-01 72
2016: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 133
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 133
Total of all active and inactive participants 2016-07-01 133
Total participants 2016-07-01 133
Number of participants with account balances 2016-07-01 133
2015: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 133
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 133
Total of all active and inactive participants 2015-07-01 133
Total participants 2015-07-01 133
Number of participants with account balances 2015-07-01 133
2014: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 137
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 133
Total of all active and inactive participants 2014-07-01 133
Total participants 2014-07-01 133
Number of participants with account balances 2014-07-01 133
2013: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 132
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 137
Total of all active and inactive participants 2013-07-01 137
Total participants 2013-07-01 137
Number of participants with account balances 2013-07-01 137
2012: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 138
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 132
Total of all active and inactive participants 2012-07-01 132
Total participants 2012-07-01 132
Number of participants with account balances 2012-07-01 92
2011: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 138
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 138
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 138
Number of participants with account balances 2011-07-01 98
2010: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 107
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 138
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 138
Number of participants with account balances 2010-07-01 103

Measure	Date	Value
2018: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	125
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	49
Total of all active and inactive participants	2018-07-01	49
Total participants	2018-07-01	49
Number of participants with account balances	2018-07-01	49
2017: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	133
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	125
Total of all active and inactive participants	2017-07-01	125
Total participants	2017-07-01	125
Number of participants with account balances	2017-07-01	72
2016: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	133
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	133
Total of all active and inactive participants	2016-07-01	133
Total participants	2016-07-01	133
Number of participants with account balances	2016-07-01	133
2015: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	133
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	133
Total of all active and inactive participants	2015-07-01	133
Total participants	2015-07-01	133
Number of participants with account balances	2015-07-01	133
2014: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	137
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	133
Total of all active and inactive participants	2014-07-01	133
Total participants	2014-07-01	133
Number of participants with account balances	2014-07-01	133
2013: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	132
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	137
Total of all active and inactive participants	2013-07-01	137
Total participants	2013-07-01	137
Number of participants with account balances	2013-07-01	137
2012: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	138
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	132
Total of all active and inactive participants	2012-07-01	132
Total participants	2012-07-01	132
Number of participants with account balances	2012-07-01	92
2011: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	138
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	138
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	138
Number of participants with account balances	2011-07-01	98
2010: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	107
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	138
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	138
Number of participants with account balances	2010-07-01	103

Financial Data on BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN

Measure	Date	Value
2019 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2019-06-30	$5,493
Total unrealized appreciation/depreciation of assets	2019-06-30	$5,493
Total transfer of assets from this plan	2019-06-30	$167,256
Total income from all sources (including contributions)	2019-06-30	$72,132
Total of all expenses incurred	2019-06-30	$502,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$502,658
Value of total assets at end of year	2019-06-30	$905,622
Value of total assets at beginning of year	2019-06-30	$1,503,404
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-06-30	$0
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-06-30	$167,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$-430,526
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$905,622
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$1,503,404
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in pooled separate accounts at end of year	2019-06-30	$639,131
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$892,549
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$266,491
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$443,599
Net investment gain/loss from pooled separate accounts	2019-06-30	$66,639
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$502,658
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-06-30	No
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	KEVIN P MARTIN & ASSOCIATES, P.C.
Accountancy firm EIN	2019-06-30	043097400
2018 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-06-30	$6,565
Total unrealized appreciation/depreciation of assets	2018-06-30	$6,565
Total income from all sources (including contributions)	2018-06-30	$99,612
Total of all expenses incurred	2018-06-30	$251,207
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$251,207
Value of total assets at end of year	2018-06-30	$1,503,404
Value of total assets at beginning of year	2018-06-30	$1,654,999
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-06-30	$167,256
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-06-30	$167,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$-151,595
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$1,503,404
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$1,654,999
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in pooled separate accounts at end of year	2018-06-30	$892,549
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$959,421
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$443,599
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$528,322
Net investment gain/loss from pooled separate accounts	2018-06-30	$93,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$251,207
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-06-30	No
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	KEVIN P. MARTIN & ASSOCIATES, P.C.
Accountancy firm EIN	2018-06-30	043097400
2017 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-06-30	$15,244
Total unrealized appreciation/depreciation of assets	2017-06-30	$15,244
Total income from all sources (including contributions)	2017-06-30	$142,712
Total of all expenses incurred	2017-06-30	$35,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$35,251
Value of total assets at end of year	2017-06-30	$1,654,999
Value of total assets at beginning of year	2017-06-30	$1,547,538
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-06-30	$167,256
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-06-30	$167,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$107,461
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$1,654,999
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$1,547,538
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in pooled separate accounts at end of year	2017-06-30	$959,421
Value of interest in pooled separate accounts at beginning of year	2017-06-30	$845,941
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$528,322
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$534,341
Net investment gain/loss from pooled separate accounts	2017-06-30	$127,468
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$35,251
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-06-30	No
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	KEVIN P. MARTIN & ASSOCIATES, P.C.
Accountancy firm EIN	2017-06-30	043097400
2016 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-06-30	$15,756
Total unrealized appreciation/depreciation of assets	2016-06-30	$15,756
Total income from all sources (including contributions)	2016-06-30	$2,564
Total of all expenses incurred	2016-06-30	$12,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$12,538
Value of total assets at end of year	2016-06-30	$1,547,538
Value of total assets at beginning of year	2016-06-30	$1,557,512
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-06-30	$167,256
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-06-30	$167,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-9,974
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$1,547,538
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$1,557,512
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in pooled separate accounts at end of year	2016-06-30	$845,941
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$871,705
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$534,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$518,551
Net investment gain/loss from pooled separate accounts	2016-06-30	$-13,192
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$12,538
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-06-30	No
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	KEVIN P. MARTIN & ASSOCIATES, P.C.
Accountancy firm EIN	2016-06-30	043097400
2015 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-06-30	$15,631
Total unrealized appreciation/depreciation of assets	2015-06-30	$15,631
Total income from all sources (including contributions)	2015-06-30	$45,159
Total of all expenses incurred	2015-06-30	$48,464
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$48,464
Value of total assets at end of year	2015-06-30	$1,557,512
Value of total assets at beginning of year	2015-06-30	$1,560,817
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-06-30	$167,256
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-06-30	$167,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$-3,305
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$1,557,512
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$1,560,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in pooled separate accounts at end of year	2015-06-30	$871,705
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$865,682
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$518,551
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$527,879
Net investment gain/loss from pooled separate accounts	2015-06-30	$29,528
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$48,464
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-06-30	No
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	KEVIN P. MARTIN AND ASSOCIATES, P.C
Accountancy firm EIN	2015-06-30	043097400
2014 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-06-30	$15,728
Total unrealized appreciation/depreciation of assets	2014-06-30	$15,728
Total income from all sources (including contributions)	2014-06-30	$156,180
Total of all expenses incurred	2014-06-30	$30,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$30,501
Value of total assets at end of year	2014-06-30	$1,560,817
Value of total assets at beginning of year	2014-06-30	$1,435,138
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-06-30	$167,256
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-06-30	$167,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$125,679
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$1,560,817
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$1,435,138
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in pooled separate accounts at end of year	2014-06-30	$865,682
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$737,109
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$527,879
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$530,773
Net investment gain/loss from pooled separate accounts	2014-06-30	$140,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$30,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-06-30	No
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	KEVIN P. MARTIN AND ASSOCIATES, P.C
Accountancy firm EIN	2014-06-30	043097400
2013 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-06-30	$15,758
Total unrealized appreciation/depreciation of assets	2013-06-30	$15,758
Total income from all sources (including contributions)	2013-06-30	$113,194
Total of all expenses incurred	2013-06-30	$42,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$42,839
Value of total assets at end of year	2013-06-30	$1,435,138
Value of total assets at beginning of year	2013-06-30	$1,364,783
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-06-30	$167,256
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-06-30	$167,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$70,355
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$1,435,138
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$1,364,783
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in pooled separate accounts at end of year	2013-06-30	$737,109
Value of interest in pooled separate accounts at beginning of year	2013-06-30	$678,568
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$530,773
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$518,959
Net investment gain/loss from pooled separate accounts	2013-06-30	$97,436
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$42,839
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-06-30	No
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	KEVIN P. MARTIN AND ASSOCIATES, P.C
Accountancy firm EIN	2013-06-30	043097400
2012 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-06-30	$15,421
Total unrealized appreciation/depreciation of assets	2012-06-30	$15,421
Total income from all sources (including contributions)	2012-06-30	$1,962,570
Total of all expenses incurred	2012-06-30	$714,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$701,470
Expenses. Certain deemed distributions of participant loans	2012-06-30	$13,096
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$2,012,661
Value of total assets at end of year	2012-06-30	$10,694,789
Value of total assets at beginning of year	2012-06-30	$9,446,866
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$81
Total interest from all sources	2012-06-30	$3,351
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$1,096,957
Participant contributions at end of year	2012-06-30	$97,131
Participant contributions at beginning of year	2012-06-30	$54,386
Participant contributions at end of year	2012-06-30	$0
Participant contributions at beginning of year	2012-06-30	$20,589
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$31,514
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-06-30	$167,256
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-06-30	$167,256
Administrative expenses (other) incurred	2012-06-30	$81
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$1,247,923
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$10,694,789
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$9,446,866
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in pooled separate accounts at end of year	2012-06-30	$7,182,967
Value of interest in pooled separate accounts at beginning of year	2012-06-30	$6,891,278
Interest on participant loans	2012-06-30	$3,351
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$3,098,392
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$2,358,102
Net investment gain/loss from pooled separate accounts	2012-06-30	$-53,442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$884,190
Employer contributions (assets) at end of year	2012-06-30	$316,299
Employer contributions (assets) at beginning of year	2012-06-30	$122,511
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$701,470
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-06-30	No
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	ERCOLINI & COMPANY LLP
Accountancy firm EIN	2012-06-30	042549813
2011 : BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-06-30	$14,925
Total unrealized appreciation/depreciation of assets	2011-06-30	$14,925
Total transfer of assets to this plan	2011-06-30	$5,893,114
Total income from all sources (including contributions)	2011-06-30	$3,028,727
Total of all expenses incurred	2011-06-30	$588,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$572,582
Expenses. Certain deemed distributions of participant loans	2011-06-30	$15,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$1,601,264
Value of total assets at end of year	2011-06-30	$9,446,866
Value of total assets at beginning of year	2011-06-30	$1,113,703
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$120
Total interest from all sources	2011-06-30	$2,198
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$955,654
Participant contributions at end of year	2011-06-30	$54,386
Participant contributions at end of year	2011-06-30	$20,589
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$159,502
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-06-30	$167,256
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-06-30	$167,256
Administrative expenses (other) incurred	2011-06-30	$120
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$2,440,049
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$9,446,866
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$1,113,703
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in pooled separate accounts at end of year	2011-06-30	$6,891,278
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$619,215
Interest on participant loans	2011-06-30	$2,198
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$2,358,102
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$494,012
Net investment gain/loss from pooled separate accounts	2011-06-30	$1,425,265
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$486,108
Employer contributions (assets) at end of year	2011-06-30	$122,511
Employer contributions (assets) at beginning of year	2011-06-30	$476
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$572,582
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-06-30	No
Did the plan have assets held for investment	2011-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	ERCOLINI & COMPANY LLP
Accountancy firm EIN	2011-06-30	042549813

Form 5500 Responses for BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN

2018: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	Yes
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	Yes
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: BAY COVE HUMAN SERVICES, INC. RETIREMENT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	Yes
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664159

Policy instance

Insurance contract or identification number	664159
Number of Individuals Covered	49
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $1,883
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1883
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664159

Policy instance

Insurance contract or identification number	664159
Number of Individuals Covered	72
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $2,165
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 number

VF6900

Policy instance

Insurance contract or identification number	VF6900
Number of Individuals Covered	86
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $1,342
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1342
Insurance broker organization code?	3
Insurance broker name	BARRY PERKINS

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6900

Policy instance

Insurance contract or identification number	VF6900
Number of Individuals Covered	89
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $1,375
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1375
Insurance broker organization code?	3
Insurance broker name	BARRY PERKINS

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6900

Policy instance

Insurance contract or identification number	VF6900
Number of Individuals Covered	92
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $1,324
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1324
Insurance broker organization code?	3
Insurance broker name	BARRY PERKINS

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6900

Policy instance

Insurance contract or identification number	VF6900
Number of Individuals Covered	98
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $1,256
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1256
Insurance broker organization code?	3
Insurance broker name	BARRY PERKINS

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6900

Policy instance

Insurance contract or identification number	VF6900
Number of Individuals Covered	103
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $1,202
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 number

VF6900

Policy instance

Insurance contract or identification number	VF6900
Number of Individuals Covered	109
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $1,887
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

BAY COVE CONSOLIDATED CAROLINAS, INC. 401K PROFIT SHARING PLAN [EIN = 872309445]

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Company Name:	BAY COVE HUMAN SERVICES, INC.
Employer identification number (EIN):	042518575
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities