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THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan NameTHE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN
Plan identification number 001

THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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).
  • Offset plan - Plan benefits are subject to offset for retirement benefits provided in another plan or arrangement of the employer.
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

VILLAGECARE has sponsored the creation of one or more 401k plans.

Company Name:VILLAGECARE
Employer identification number (EIN):133854754
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01LEON SEARS
0012016-01-01STEVE ZHOU
0012015-01-01RACHEL AMALFITANO
0012014-01-01RACHEL AMALFITANO
0012013-01-01RACHEL AMALFITANO
0012012-01-01RACHEL AMALFITANO
0012011-01-01EMMA DEVITO

Plan Statistics for THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN

Measure Date Value
2022: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,126
Total number of active participants reported on line 7a of the Form 55002022-01-01800
Number of retired or separated participants receiving benefits2022-01-018
Number of other retired or separated participants entitled to future benefits2022-01-01474
Total of all active and inactive participants2022-01-011,282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011,282
Number of participants with account balances2022-01-011,126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,492
Total number of active participants reported on line 7a of the Form 55002021-01-01691
Number of retired or separated participants receiving benefits2021-01-017
Number of other retired or separated participants entitled to future benefits2021-01-01428
Total of all active and inactive participants2021-01-011,126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,126
Number of participants with account balances2021-01-011,070
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,561
Total number of active participants reported on line 7a of the Form 55002020-01-01693
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01798
Total of all active and inactive participants2020-01-011,491
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-011,492
Number of participants with account balances2020-01-011,417
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,767
Total number of active participants reported on line 7a of the Form 55002019-01-01746
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01810
Total of all active and inactive participants2019-01-011,556
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-011,557
Number of participants with account balances2019-01-011,467
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,657
Total number of active participants reported on line 7a of the Form 55002018-01-01639
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01976
Total of all active and inactive participants2018-01-011,615
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-019
Total participants2018-01-011,624
Number of participants with account balances2018-01-011,623
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,685
Total number of active participants reported on line 7a of the Form 55002017-01-01791
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01857
Total of all active and inactive participants2017-01-011,648
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-019
Total participants2017-01-011,657
Number of participants with account balances2017-01-011,575
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,617
Total number of active participants reported on line 7a of the Form 55002016-01-011,121
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01548
Total of all active and inactive participants2016-01-011,669
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-019
Total participants2016-01-011,678
Number of participants with account balances2016-01-011,502
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,100
Total number of active participants reported on line 7a of the Form 55002015-01-01973
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01553
Total of all active and inactive participants2015-01-011,526
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-019
Total participants2015-01-011,535
Number of participants with account balances2015-01-011,426
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,027
Total number of active participants reported on line 7a of the Form 55002014-01-01751
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01349
Total of all active and inactive participants2014-01-011,100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,100
Number of participants with account balances2014-01-01877
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01924
Total number of active participants reported on line 7a of the Form 55002013-01-01880
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01147
Total of all active and inactive participants2013-01-011,027
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,027
Number of participants with account balances2013-01-01572
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,192
Total number of active participants reported on line 7a of the Form 55002012-01-01825
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0199
Total of all active and inactive participants2012-01-01924
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01924
Number of participants with account balances2012-01-01528
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,172
Total number of active participants reported on line 7a of the Form 55002011-01-011,145
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0147
Total of all active and inactive participants2011-01-011,192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,192
Number of participants with account balances2011-01-01252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN

Measure Date Value
2022 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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$0
Total income from all sources (including contributions)2022-12-31$-5,240,742
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$4,328,768
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$4,221,170
Value of total corrective distributions2022-12-31$19,702
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$6,066,387
Value of total assets at end of year2022-12-31$62,097,798
Value of total assets at beginning of year2022-12-31$71,667,308
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$87,896
Total interest from all sources2022-12-31$108,405
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,411,893
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,411,893
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$3,363,157
Participant contributions at end of year2022-12-31$534,947
Participant contributions at beginning of year2022-12-31$443,831
Assets. Other investments not covered elsewhere at end of year2022-12-31$9,271
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$9,329
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$171,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-9,569,510
Value of net assets at end of year (total assets less liabilities)2022-12-31$62,097,798
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$71,667,308
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$53,171
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$50,488,792
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$52,372,949
Value of interest in pooled separate accounts at end of year2022-12-31$1,811,892
Value of interest in pooled separate accounts at beginning of year2022-12-31$10,712,032
Interest on participant loans2022-12-31$20,115
Interest earned on other investments2022-12-31$88,290
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$9,252,896
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$8,129,167
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-12,425,590
Net investment gain/loss from pooled separate accounts2022-12-31$-401,837
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$2,531,400
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$4,221,170
Contract administrator fees2022-12-31$34,725
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 plan2022-12-31Disclaimer
Accountancy firm name2022-12-31FORVIS LLP
Accountancy firm EIN2022-12-31440160260
2021 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$14,406,683
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$6,632,670
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$6,510,140
Expenses. Certain deemed distributions of participant loans2021-12-31$34,521
Value of total corrective distributions2021-12-31$224
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,644,382
Value of total assets at end of year2021-12-31$71,667,308
Value of total assets at beginning of year2021-12-31$63,893,295
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$87,785
Total interest from all sources2021-12-31$100,047
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$5,373,021
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$5,373,021
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
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$2,956,270
Participant contributions at end of year2021-12-31$443,831
Participant contributions at beginning of year2021-12-31$411,662
Assets. Other investments not covered elsewhere at end of year2021-12-31$9,329
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$3,910
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$212,915
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$343
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$7,774,013
Value of net assets at end of year (total assets less liabilities)2021-12-31$71,667,308
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$63,893,295
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$71,502
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$52,372,949
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$48,019,476
Value of interest in pooled separate accounts at end of year2021-12-31$10,712,032
Value of interest in pooled separate accounts at beginning of year2021-12-31$6,136,624
Interest on participant loans2021-12-31$17,305
Interest earned on other investments2021-12-31$82,742
Value of interest in common/collective trusts at end of year2021-12-31$0
Value of interest in common/collective trusts at beginning of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$38,185
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$38,185
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$8,129,167
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$9,276,436
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$2,272,305
Net investment gain/loss from pooled separate accounts2021-12-31$1,016,928
Net investment gain or loss from common/collective trusts2021-12-31$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
Assets. Invements in employer securities at end of year2021-12-31$0
Assets. Invements in employer securities at beginning of year2021-12-31$0
Contributions received in cash from employer2021-12-31$2,475,197
Employer contributions (assets) at beginning of year2021-12-31$7,002
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$6,510,140
Contract administrator fees2021-12-31$15,940
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
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31FORVIS LLP
Accountancy firm EIN2021-12-31440160260
2020 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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$13,814,721
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$4,892,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,698,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,665,027
Value of total assets at end of year2020-12-31$63,893,295
Value of total assets at beginning of year2020-12-31$54,970,878
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$193,954
Total interest from all sources2020-12-31$114,731
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,219,041
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,219,041
Administrative expenses professional fees incurred2020-12-31$138,954
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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$2,617,240
Participant contributions at end of year2020-12-31$411,662
Participant contributions at beginning of year2020-12-31$399,832
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Assets. Other investments not covered elsewhere at end of year2020-12-31$3,910
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$11,783
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$682,656
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$547
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$8,922,417
Value of net assets at end of year (total assets less liabilities)2020-12-31$63,893,295
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$54,970,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$55,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$48,019,475
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$39,787,715
Value of interest in pooled separate accounts at end of year2020-12-31$6,136,624
Value of interest in pooled separate accounts at beginning of year2020-12-31$6,422,733
Interest on participant loans2020-12-31$17,207
Interest earned on other investments2020-12-31$97,524
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$38,185
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$8,490
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$8,490
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$9,276,437
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$8,318,072
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$6,415,218
Net investment gain/loss from pooled separate accounts2020-12-31$400,157
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Assets. Invements in employer securities at end of year2020-12-31$0
Assets. Invements in employer securities at beginning of year2020-12-31$0
Contributions received in cash from employer2020-12-31$2,365,131
Employer contributions (assets) at end of year2020-12-31$7,002
Employer contributions (assets) at beginning of year2020-12-31$22,253
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,698,350
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 name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260
2019 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$14,230,645
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,626,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,407,883
Value of total corrective distributions2019-12-31$255
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,608,302
Value of total assets at end of year2019-12-31$54,970,878
Value of total assets at beginning of year2019-12-31$44,367,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$218,852
Total interest from all sources2019-12-31$168,569
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$987,610
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$987,610
Administrative expenses professional fees incurred2019-12-31$163,852
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
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
Contributions received from participants2019-12-31$2,611,643
Participant contributions at end of year2019-12-31$399,832
Participant contributions at beginning of year2019-12-31$457,378
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$86,039
Assets. Other investments not covered elsewhere at end of year2019-12-31$11,783
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$34,691
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$816,624
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Other income not declared elsewhere2019-12-31$9,495
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$10,603,655
Value of net assets at end of year (total assets less liabilities)2019-12-31$54,970,878
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$44,367,223
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 leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$55,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$39,787,715
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$36,777,838
Value of interest in pooled separate accounts at end of year2019-12-31$6,422,733
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,893,971
Interest on participant loans2019-12-31$19,427
Interest earned on other investments2019-12-31$149,142
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,490
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$22,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$22,353
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$8,318,072
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$4,966,891
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$6,764,159
Net investment gain/loss from pooled separate accounts2019-12-31$692,510
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 contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Assets. Invements in employer securities at end of year2019-12-31$0
Assets. Invements in employer securities at beginning of year2019-12-31$0
Contributions received in cash from employer2019-12-31$2,180,035
Employer contributions (assets) at end of year2019-12-31$22,253
Employer contributions (assets) at beginning of year2019-12-31$128,062
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,407,883
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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
2018 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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$2,835,786
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$6,025,534
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,778,881
Expenses. Certain deemed distributions of participant loans2018-12-31$66,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,747,957
Value of total assets at end of year2018-12-31$44,367,223
Value of total assets at beginning of year2018-12-31$47,556,971
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$179,879
Total interest from all sources2018-12-31$79,042
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$927,080
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$927,080
Administrative expenses professional fees incurred2018-12-31$124,879
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
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$2,386,019
Participant contributions at end of year2018-12-31$457,378
Participant contributions at beginning of year2018-12-31$348,975
Participant contributions at end of year2018-12-31$86,039
Participant contributions at beginning of year2018-12-31$166,679
Assets. Other investments not covered elsewhere at end of year2018-12-31$34,691
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$117,840
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$217,658
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$490
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,189,748
Value of net assets at end of year (total assets less liabilities)2018-12-31$44,367,223
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$47,556,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$55,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$36,777,838
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$38,797,953
Value of interest in pooled separate accounts at end of year2018-12-31$1,893,971
Value of interest in pooled separate accounts at beginning of year2018-12-31$2,066,440
Interest on participant loans2018-12-31$13,090
Interest earned on other investments2018-12-31$64,481
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$22,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,797
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$1,471
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$4,966,891
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$5,197,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,896,078
Net investment gain/loss from pooled separate accounts2018-12-31$-22,215
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 contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Assets. Invements in employer securities at end of year2018-12-31$0
Assets. Invements in employer securities at beginning of year2018-12-31$0
Contributions received in cash from employer2018-12-31$2,144,280
Employer contributions (assets) at end of year2018-12-31$128,062
Employer contributions (assets) at beginning of year2018-12-31$859,535
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,778,881
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 name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260
2017 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$11,058,773
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$3,738,713
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$3,503,561
Expenses. Certain deemed distributions of participant loans2017-12-31$78,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$5,114,343
Value of total assets at end of year2017-12-31$47,556,971
Value of total assets at beginning of year2017-12-31$40,236,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$156,842
Total interest from all sources2017-12-31$176,948
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$769,869
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$769,869
Administrative expenses professional fees incurred2017-12-31$101,842
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
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$2,231,847
Participant contributions at end of year2017-12-31$348,975
Participant contributions at beginning of year2017-12-31$349,981
Participant contributions at end of year2017-12-31$166,679
Participant contributions at beginning of year2017-12-31$149,216
Assets. Other investments not covered elsewhere at end of year2017-12-31$117,840
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$54,506
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$323,500
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$490
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$513
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$7,320,060
Value of net assets at end of year (total assets less liabilities)2017-12-31$47,556,971
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$40,236,911
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$55,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$38,797,953
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$28,254,811
Value of interest in pooled separate accounts at end of year2017-12-31$2,066,440
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,948,395
Interest on participant loans2017-12-31$8,760
Interest earned on other investments2017-12-31$166,484
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,797
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$2,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$2,026
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,704
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$5,197,262
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$9,365,489
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$4,601,079
Net investment gain/loss from pooled separate accounts2017-12-31$396,534
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 contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$0
Assets. Invements in employer securities at beginning of year2017-12-31$0
Contributions received in cash from employer2017-12-31$2,558,996
Employer contributions (assets) at end of year2017-12-31$859,535
Employer contributions (assets) at beginning of year2017-12-31$111,974
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,503,561
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31LOEB AND TROPER, LLP
Accountancy firm EIN2017-12-31131517563
2016 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$6,683,323
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$4,598,892
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,298,784
Expenses. Certain deemed distributions of participant loans2016-12-31$156,574
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,307,953
Value of total assets at end of year2016-12-31$40,236,911
Value of total assets at beginning of year2016-12-31$38,152,480
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$143,534
Total interest from all sources2016-12-31$210,723
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$553,696
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$553,696
Administrative expenses professional fees incurred2016-12-31$143,534
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,065,103
Participant contributions at end of year2016-12-31$349,981
Participant contributions at beginning of year2016-12-31$485,515
Participant contributions at end of year2016-12-31$149,216
Participant contributions at beginning of year2016-12-31$32,065
Assets. Other investments not covered elsewhere at end of year2016-12-31$54,506
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$57,915
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$735,580
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$513
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$769
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,084,431
Value of net assets at end of year (total assets less liabilities)2016-12-31$40,236,911
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$38,152,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$28,254,811
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$25,810,093
Value of interest in pooled separate accounts at end of year2016-12-31$1,948,395
Value of interest in pooled separate accounts at beginning of year2016-12-31$5,627,014
Interest on participant loans2016-12-31$9,936
Interest earned on other investments2016-12-31$199,182
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$2,026
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,645
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,645
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,605
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$9,365,489
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$6,106,690
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,415,136
Net investment gain/loss from pooled separate accounts2016-12-31$195,815
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Assets. Invements in employer securities at end of year2016-12-31$0
Assets. Invements in employer securities at beginning of year2016-12-31$0
Contributions received in cash from employer2016-12-31$1,507,270
Employer contributions (assets) at end of year2016-12-31$111,974
Employer contributions (assets) at beginning of year2016-12-31$30,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,298,784
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31LOEB AND TROPER, LLP
Accountancy firm EIN2016-12-31131517563
2015 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$3,521,894
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$5,337,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$4,954,092
Expenses. Certain deemed distributions of participant loans2015-12-31$274,286
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,242,284
Value of total assets at end of year2015-12-31$38,152,480
Value of total assets at beginning of year2015-12-31$39,967,901
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$108,937
Total interest from all sources2015-12-31$277,950
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$720,144
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$720,144
Administrative expenses professional fees incurred2015-12-31$108,937
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,576,589
Participant contributions at end of year2015-12-31$485,515
Participant contributions at beginning of year2015-12-31$452,266
Participant contributions at end of year2015-12-31$32,065
Participant contributions at beginning of year2015-12-31$52,915
Assets. Other investments not covered elsewhere at end of year2015-12-31$57,915
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$57,912
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$368,603
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$769
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$847
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,815,421
Value of net assets at end of year (total assets less liabilities)2015-12-31$38,152,480
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$39,967,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$25,810,093
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$26,917,854
Value of interest in pooled separate accounts at end of year2015-12-31$5,627,014
Value of interest in pooled separate accounts at beginning of year2015-12-31$5,901,067
Interest on participant loans2015-12-31$80,707
Interest earned on other investments2015-12-31$197,243
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,645
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$6,106,690
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$6,548,391
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-778,613
Net investment gain/loss from pooled separate accounts2015-12-31$60,129
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$0
Assets. Invements in employer securities at beginning of year2015-12-31$0
Contributions received in cash from employer2015-12-31$1,297,092
Employer contributions (assets) at end of year2015-12-31$30,774
Employer contributions (assets) at beginning of year2015-12-31$36,649
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$4,954,092
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31LOEB AND TROPER, LLP
Accountancy firm EIN2015-12-31131517563
2014 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$5,599,355
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$3,831,379
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,646,802
Expenses. Certain deemed distributions of participant loans2014-12-31$76,818
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,288,310
Value of total assets at end of year2014-12-31$39,967,901
Value of total assets at beginning of year2014-12-31$38,199,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$107,759
Total interest from all sources2014-12-31$245,655
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$598,390
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,635,027
Participant contributions at end of year2014-12-31$452,266
Participant contributions at beginning of year2014-12-31$555,523
Participant contributions at end of year2014-12-31$52,915
Participant contributions at beginning of year2014-12-31$21,387
Assets. Other investments not covered elsewhere at end of year2014-12-31$57,912
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$52,698
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$388,982
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$37,548
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$847
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Administrative expenses (other) incurred2014-12-31$107,759
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,767,976
Value of net assets at end of year (total assets less liabilities)2014-12-31$39,967,901
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$38,199,925
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$26,917,854
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$21,171,153
Value of interest in pooled separate accounts at end of year2014-12-31$5,901,067
Value of interest in pooled separate accounts at beginning of year2014-12-31$7,126,024
Interest on participant loans2014-12-31$16,212
Interest earned on other investments2014-12-31$5,089
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$224,354
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$6,548,391
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$9,255,939
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,278,928
Net investment gain/loss from pooled separate accounts2014-12-31$188,072
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,264,301
Employer contributions (assets) at end of year2014-12-31$36,649
Employer contributions (assets) at beginning of year2014-12-31$17,201
Income. Dividends from common stock2014-12-31$598,390
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,609,254
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31LOEB AND TROPER, LLP
Accountancy firm EIN2014-12-31131517563
2013 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$7,413,463
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$3,681,511
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$3,502,999
Expenses. Certain deemed distributions of participant loans2013-12-31$91,494
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,433,651
Value of total assets at end of year2013-12-31$38,199,925
Value of total assets at beginning of year2013-12-31$34,467,973
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$87,018
Total interest from all sources2013-12-31$310,050
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$335,241
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$335,241
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,388,188
Participant contributions at end of year2013-12-31$555,523
Participant contributions at beginning of year2013-12-31$607,357
Participant contributions at end of year2013-12-31$21,387
Participant contributions at beginning of year2013-12-31$17,687
Assets. Other investments not covered elsewhere at end of year2013-12-31$52,698
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$49,037
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$103,432
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Administrative expenses (other) incurred2013-12-31$87,018
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$26
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,731,952
Value of net assets at end of year (total assets less liabilities)2013-12-31$38,199,925
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$34,467,973
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$21,171,153
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$20,324,565
Value of interest in pooled separate accounts at end of year2013-12-31$7,126,024
Value of interest in pooled separate accounts at beginning of year2013-12-31$6,386,194
Interest on participant loans2013-12-31$12,975
Interest earned on other investments2013-12-31$3,586
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$13,999
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$13,999
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$293,489
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$9,255,939
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$7,050,147
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$3,788,794
Net investment gain/loss from pooled separate accounts2013-12-31$545,727
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$942,031
Employer contributions (assets) at end of year2013-12-31$17,201
Employer contributions (assets) at beginning of year2013-12-31$18,961
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,502,999
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31LOEB AND TROPER, LLP
Accountancy firm EIN2013-12-31131517563
2012 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$7,453
Total income from all sources (including contributions)2012-12-31$8,394,753
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$5,510,175
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$5,350,220
Expenses. Certain deemed distributions of participant loans2012-12-31$75,806
Value of total corrective distributions2012-12-31$11,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$5,527,355
Value of total assets at end of year2012-12-31$34,467,973
Value of total assets at beginning of year2012-12-31$31,590,848
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$72,849
Total interest from all sources2012-12-31$253,817
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$198,628
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$198,628
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$3,572,261
Participant contributions at end of year2012-12-31$607,357
Participant contributions at beginning of year2012-12-31$578,337
Participant contributions at end of year2012-12-31$17,687
Participant contributions at beginning of year2012-12-31$11,030
Assets. Other investments not covered elsewhere at end of year2012-12-31$49,037
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$45,753
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$925,780
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$7,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$7,453
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$7,453
Total non interest bearing cash at end of year2012-12-31$26
Total non interest bearing cash at beginning of year2012-12-31$26
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,884,578
Value of net assets at end of year (total assets less liabilities)2012-12-31$34,467,973
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$31,583,395
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$20,324,565
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$17,653,621
Value of interest in pooled separate accounts at end of year2012-12-31$6,386,194
Value of interest in pooled separate accounts at beginning of year2012-12-31$5,241,239
Interest on participant loans2012-12-31$10,860
Interest earned on other investments2012-12-31$58,974
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$13,999
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$15,244
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$15,244
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$183,983
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$7,050,147
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$8,010,452
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$2,005,410
Net investment gain/loss from pooled separate accounts2012-12-31$409,543
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,029,314
Employer contributions (assets) at end of year2012-12-31$18,961
Employer contributions (assets) at beginning of year2012-12-31$27,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$5,343,201
Contract administrator fees2012-12-31$72,849
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31LOEB AND TROPER, LLP
Accountancy firm EIN2012-12-31131517563
2011 : THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,453
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$15,073
Total income from all sources (including contributions)2011-12-31$3,558,611
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,178,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,984,308
Expenses. Certain deemed distributions of participant loans2011-12-31$148,164
Value of total corrective distributions2011-12-31$736
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$3,241,809
Value of total assets at end of year2011-12-31$31,590,848
Value of total assets at beginning of year2011-12-31$32,218,297
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$45,232
Total interest from all sources2011-12-31$252,401
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$168,940
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$168,940
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,760,930
Participant contributions at end of year2011-12-31$578,337
Participant contributions at beginning of year2011-12-31$636,818
Participant contributions at end of year2011-12-31$11,030
Assets. Other investments not covered elsewhere at end of year2011-12-31$45,753
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$33,591
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$42,210
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$50,400
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$7,453
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$10,441
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$7,453
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$15,073
Other income not declared elsewhere2011-12-31$98,356
Administrative expenses (other) incurred2011-12-31$2,224
Total non interest bearing cash at end of year2011-12-31$26
Total non interest bearing cash at beginning of year2011-12-31$26
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-619,829
Value of net assets at end of year (total assets less liabilities)2011-12-31$31,583,395
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$32,203,224
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$17,653,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$14,949,262
Value of interest in pooled separate accounts at end of year2011-12-31$5,241,239
Value of interest in pooled separate accounts at beginning of year2011-12-31$6,013,099
Interest on participant loans2011-12-31$11,812
Interest earned on other investments2011-12-31$240,586
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$15,244
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$23,463
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$23,463
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$8,010,452
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$10,551,597
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-176,278
Net investment gain/loss from pooled separate accounts2011-12-31$-26,617
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,438,669
Employer contributions (assets) at end of year2011-12-31$27,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,933,908
Contract administrator fees2011-12-31$43,008
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31LOEB AND TROPER, LLP
Accountancy firm EIN2011-12-31131517563

Form 5500 Responses for THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN

2022: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
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: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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 funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY 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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THE VILLAGE CARE OF NEW YORK TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007135
Policy instance 6
Insurance contract or identification number007135
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL755E239
Policy instance 5
Insurance contract or identification numberL755E239
Number of Individuals Covered311
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347131
Policy instance 4
Insurance contract or identification number347131
Number of Individuals Covered25
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347132
Policy instance 3
Insurance contract or identification number347132
Number of Individuals Covered30
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347130
Policy instance 2
Insurance contract or identification number347130
Number of Individuals Covered24
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number765695
Policy instance 1
Insurance contract or identification number765695
Number of Individuals Covered88
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 63384
Policy instance 1
Insurance contract or identification numberMR 63384
Number of Individuals Covered1126
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347130
Policy instance 2
Insurance contract or identification number347130
Number of Individuals Covered26
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347131
Policy instance 3
Insurance contract or identification number347131
Number of Individuals Covered26
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347132
Policy instance 4
Insurance contract or identification number347132
Number of Individuals Covered31
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007135
Policy instance 5
Insurance contract or identification number007135
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL755E239
Policy instance 6
Insurance contract or identification numberL755E239
Number of Individuals Covered311
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,679
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,679
Amount paid for insurance broker fees0
Insurance broker organization code?3
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347130
Policy instance 5
Insurance contract or identification number347130
Number of Individuals Covered27
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347131
Policy instance 4
Insurance contract or identification number347131
Number of Individuals Covered29
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347132
Policy instance 3
Insurance contract or identification number347132
Number of Individuals Covered35
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL755E239
Policy instance 2
Insurance contract or identification numberL755E239
Number of Individuals Covered327
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,208
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,208
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007135
Policy instance 1
Insurance contract or identification number007135
Number of Individuals Covered102
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007135
Policy instance 1
Insurance contract or identification number007135
Number of Individuals Covered95
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL755E239
Policy instance 2
Insurance contract or identification numberL755E239
Number of Individuals Covered359
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $12,144
Total amount of fees paid to insurance companyUSD $5,126
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,144
Amount paid for insurance broker fees5126
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347132
Policy instance 3
Insurance contract or identification number347132
Number of Individuals Covered36
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347131
Policy instance 4
Insurance contract or identification number347131
Number of Individuals Covered29
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347130
Policy instance 5
Insurance contract or identification number347130
Number of Individuals Covered27
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007135
Policy instance 1
Insurance contract or identification number007135
Number of Individuals Covered110
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL755E239
Policy instance 2
Insurance contract or identification numberL755E239
Number of Individuals Covered379
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,437
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,437
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347132
Policy instance 3
Insurance contract or identification number347132
Number of Individuals Covered38
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347131
Policy instance 4
Insurance contract or identification number347131
Number of Individuals Covered29
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347130
Policy instance 5
Insurance contract or identification number347130
Number of Individuals Covered27
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL755E239
Policy instance 2
Insurance contract or identification numberL755E239
Number of Individuals Covered414
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,891
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,891
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameHEALTHCARE COMMUNITY SECURITIES
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347132
Policy instance 3
Insurance contract or identification number347132
Number of Individuals Covered39
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347131
Policy instance 4
Insurance contract or identification number347131
Number of Individuals Covered30
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number347130
Policy instance 5
Insurance contract or identification number347130
Number of Individuals Covered27
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007135
Policy instance 1
Insurance contract or identification number007135
Number of Individuals Covered121
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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