| Plan Name | PREMIER HEALTHCARE, INC. 403(B) PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | PREMIER HEALTHCARE, INC. |
| Employer identification number (EIN): | 133916271 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
Additional information about PREMIER HEALTHCARE, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1996-08-27 |
| Company Identification Number: | 2060570 |
| Legal Registered Office Address: |
220 EAST 42ND STREET 8TH FL New York NEW YORK United States of America (USA) 10017 |
More information about PREMIER HEALTHCARE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2016-01-01 | ||||
| 002 | 2015-01-01 | ||||
| 002 | 2014-01-01 | SANJAY DUTT | |||
| 002 | 2013-01-01 | SANJAY DUTT | 2014-10-14 | SANJAY DUTT | 2014-10-14 |
| 002 | 2012-01-01 | KAREN WEGMANN | 2013-10-07 | KAREN WEGMANN | 2013-10-07 |
| 002 | 2011-01-01 | KAREN WEGMANN | 2012-10-15 | KAREN WEGMANN | 2012-10-15 |
| 002 | 2010-01-01 | KAREN WEGMANN | 2011-10-14 | KAREN WEGMANN | 2011-10-14 |
| Measure | Date | Value |
|---|---|---|
| 2015 : PREMIER HEALTHCARE, INC. 403(B) PLAN 2015 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $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 | $165,474 |
| Total loss/gain on sale of assets | 2015-12-31 | $0 |
| Total of all expenses incurred | 2015-12-31 | $177,794 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $177,138 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $206,247 |
| Value of total assets at end of year | 2015-12-31 | $2,674,953 |
| Value of total assets at beginning of year | 2015-12-31 | $2,687,273 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $656 |
| Total interest from all sources | 2015-12-31 | $270 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | Yes |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $205,690 |
| Participant contributions at end of year | 2015-12-31 | $31,794 |
| Participant contributions at beginning of year | 2015-12-31 | $32,088 |
| Participant contributions at end of year | 2015-12-31 | $0 |
| Participant contributions at beginning of year | 2015-12-31 | $13,345 |
| Assets. Other investments not covered elsewhere at end of year | 2015-12-31 | $1,830,560 |
| Assets. Other investments not covered elsewhere at beginning of year | 2015-12-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2015-12-31 | $557 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-12,320 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $2,674,953 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $2,687,273 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $656 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $1,540,800 |
| Value of interest in pooled separate accounts at end of year | 2015-12-31 | $812,599 |
| Value of interest in pooled separate accounts at beginning of year | 2015-12-31 | $773,235 |
| Interest on participant loans | 2015-12-31 | $270 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2015-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2015-12-31 | $327,805 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $-32,201 |
| Net investment gain/loss from pooled separate accounts | 2015-12-31 | $-8,842 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $177,138 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-12-31 | Yes |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Disclaimer |
| Accountancy firm name | 2015-12-31 | LILLING & COMPANY, LLP |
| Accountancy firm EIN | 2015-12-31 | 133447681 |
| 2014 : PREMIER HEALTHCARE, INC. 403(B) PLAN 2014 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $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 | $473,044 |
| Total loss/gain on sale of assets | 2014-12-31 | $0 |
| Total of all expenses incurred | 2014-12-31 | $793,159 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $792,504 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $372,638 |
| Value of total assets at end of year | 2014-12-31 | $2,687,273 |
| Value of total assets at beginning of year | 2014-12-31 | $3,007,388 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $655 |
| Total interest from all sources | 2014-12-31 | $4,574 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $344,876 |
| Participant contributions at end of year | 2014-12-31 | $32,088 |
| Participant contributions at beginning of year | 2014-12-31 | $36,544 |
| Participant contributions at end of year | 2014-12-31 | $13,345 |
| Participant contributions at beginning of year | 2014-12-31 | $10,649 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2014-12-31 | $27,762 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $-320,115 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $2,687,273 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $3,007,388 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $1,540,800 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $0 |
| Value of interest in pooled separate accounts at end of year | 2014-12-31 | $773,235 |
| Value of interest in pooled separate accounts at beginning of year | 2014-12-31 | $2,899,926 |
| Interest on participant loans | 2014-12-31 | $751 |
| Interest earned on other investments | 2014-12-31 | $3,823 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2014-12-31 | $327,805 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2014-12-31 | $60,269 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-12-31 | $45,595 |
| Net investment gain/loss from pooled separate accounts | 2014-12-31 | $50,237 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $792,504 |
| Contract administrator fees | 2014-12-31 | $655 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Disclaimer |
| Accountancy firm name | 2014-12-31 | LILLING & COMPANY, LLP |
| Accountancy firm EIN | 2014-12-31 | 133447681 |
| 2015: PREMIER HEALTHCARE, INC. 403(B) PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: PREMIER HEALTHCARE, INC. 403(B) PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) | |
| Policy contract number | GAP-D2-BL8X |
| Policy instance | 1 |
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) | |
| Policy contract number | 057477-F |
| Policy instance | 2 |
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) | |
| Policy contract number | GAP-D2-BL8X |
| Policy instance | 1 |
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) | |
| Policy contract number | 057477-F |
| Policy instance | 2 |