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ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 401k Plan overview

Plan NameST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN
Plan identification number 001

ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ST JOSEPHS REHABILITATION CENTER has sponsored the creation of one or more 401k plans.

Company Name:ST JOSEPHS REHABILITATION CENTER
Employer identification number (EIN):141536222
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-10-01
0012021-10-01
0012020-10-01
0012019-10-01
0012018-10-01
0012017-10-01
0012016-10-01KATIE KIRKPATRICK
0012015-10-01KATIE KIRKPATRICK
0012014-10-01KATIE KIRKPATRICK
0012013-10-01KATIE KIRKPATRICK
0012012-10-01ROBERT ROSS
0012011-10-01ROBERT ROSS
0012010-10-01ROBERT ROSS
0012009-10-01ROBERT ROSS
0012008-10-01

Plan Statistics for ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN

401k plan membership statisitcs for ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN

Measure Date Value
2022: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01393
Total number of active participants reported on line 7a of the Form 55002022-10-01144
Number of retired or separated participants receiving benefits2022-10-0111
Number of other retired or separated participants entitled to future benefits2022-10-01218
Total of all active and inactive participants2022-10-01373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-10-010
Total participants2022-10-01373
Number of participants with account balances2022-10-01349
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-10-014
2021: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01364
Total number of active participants reported on line 7a of the Form 55002021-10-01204
Number of retired or separated participants receiving benefits2021-10-014
Number of other retired or separated participants entitled to future benefits2021-10-01166
Total of all active and inactive participants2021-10-01374
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-010
Total participants2021-10-01374
Number of participants with account balances2021-10-01333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-019
2020: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01355
Total number of active participants reported on line 7a of the Form 55002020-10-01168
Number of retired or separated participants receiving benefits2020-10-015
Number of other retired or separated participants entitled to future benefits2020-10-01166
Total of all active and inactive participants2020-10-01339
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-01339
Number of participants with account balances2020-10-01324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-0121
2019: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01279
Total number of active participants reported on line 7a of the Form 55002019-10-01177
Number of retired or separated participants receiving benefits2019-10-0116
Number of other retired or separated participants entitled to future benefits2019-10-01147
Total of all active and inactive participants2019-10-01340
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-01340
Number of participants with account balances2019-10-01297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-0117
2018: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01243
Total number of active participants reported on line 7a of the Form 55002018-10-01161
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-01102
Total of all active and inactive participants2018-10-01263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01263
Number of participants with account balances2018-10-01195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-018
2017: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01238
Total number of active participants reported on line 7a of the Form 55002017-10-01137
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-0180
Total of all active and inactive participants2017-10-01217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01217
Number of participants with account balances2017-10-01175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-012
2016: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01222
Total number of active participants reported on line 7a of the Form 55002016-10-01146
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-0186
Total of all active and inactive participants2016-10-01232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-01232
Number of participants with account balances2016-10-01176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-016
2015: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01206
Total number of active participants reported on line 7a of the Form 55002015-10-01136
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-0180
Total of all active and inactive participants2015-10-01216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01216
Number of participants with account balances2015-10-01154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-014
2014: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01173
Total number of active participants reported on line 7a of the Form 55002014-10-01106
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-0194
Total of all active and inactive participants2014-10-01200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-011
Total participants2014-10-01201
Number of participants with account balances2014-10-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-0113
2013: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01136
Total number of active participants reported on line 7a of the Form 55002013-10-0190
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-0164
Total of all active and inactive participants2013-10-01154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-01154
Number of participants with account balances2013-10-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-013
2012: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01148
Total number of active participants reported on line 7a of the Form 55002012-10-0182
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-0149
Total of all active and inactive participants2012-10-01131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-01131
Number of participants with account balances2012-10-0198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-011
2011: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01144
Total number of active participants reported on line 7a of the Form 55002011-10-0185
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-0154
Total of all active and inactive participants2011-10-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-01139
Number of participants with account balances2011-10-01111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-013
2010: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01135
Total number of active participants reported on line 7a of the Form 55002010-10-0179
Number of retired or separated participants receiving benefits2010-10-010
Number of other retired or separated participants entitled to future benefits2010-10-0160
Total of all active and inactive participants2010-10-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-10-010
Total participants2010-10-01139
Number of participants with account balances2010-10-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-10-012
2009: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01123
Total number of active participants reported on line 7a of the Form 55002009-10-0188
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-0141
Total of all active and inactive participants2009-10-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01129
Number of participants with account balances2009-10-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-017

Financial Data on ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN

Measure Date Value
2023 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$0
Total income from all sources (including contributions)2023-09-30$880,349
Total loss/gain on sale of assets2023-09-30$0
Total of all expenses incurred2023-09-30$556,447
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-09-30$545,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-09-30$412,713
Value of total assets at end of year2023-09-30$4,200,453
Value of total assets at beginning of year2023-09-30$3,876,551
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-09-30$10,756
Total interest from all sources2023-09-30$8,242
Total dividends received (eg from common stock, registered investment company shares)2023-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-09-30No
Was this plan covered by a fidelity bond2023-09-30Yes
Value of fidelity bond cover2023-09-30$500,000
If this is an individual account plan, was there a blackout period2023-09-30No
Were there any nonexempt tranactions with any party-in-interest2023-09-30No
Contributions received from participants2023-09-30$336,128
Participant contributions at end of year2023-09-30$161,105
Participant contributions at beginning of year2023-09-30$141,328
Other income not declared elsewhere2023-09-30$18,178
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Value of net income/loss2023-09-30$323,902
Value of net assets at end of year (total assets less liabilities)2023-09-30$4,200,453
Value of net assets at beginning of year (total assets less liabilities)2023-09-30$3,876,551
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-09-30No
Were any leases to which the plan was party in default or uncollectible2023-09-30No
Value of interest in pooled separate accounts at end of year2023-09-30$3,478,975
Value of interest in pooled separate accounts at beginning of year2023-09-30$3,065,065
Interest on participant loans2023-09-30$8,242
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-09-30$560,373
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-09-30$670,158
Net investment gain/loss from pooled separate accounts2023-09-30$441,216
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-09-30No
Was there a failure to transmit to the plan any participant contributions2023-09-30No
Has the plan failed to provide any benefit when due under the plan2023-09-30No
Contributions received in cash from employer2023-09-30$76,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-09-30$545,691
Contract administrator fees2023-09-30$10,756
Did the plan have assets held for investment2023-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-09-30No
Opinion of an independent qualified public accountant for this plan2023-09-30Unqualified
Accountancy firm name2023-09-30BONADIO & CO., LLP
Accountancy firm EIN2023-09-30161131146
2022 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total income from all sources (including contributions)2022-09-30$-138,256
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$445,274
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$436,681
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$553,181
Value of total assets at end of year2022-09-30$3,876,551
Value of total assets at beginning of year2022-09-30$4,460,081
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$8,593
Total interest from all sources2022-09-30$2,820
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$553,181
Participant contributions at end of year2022-09-30$141,328
Participant contributions at beginning of year2022-09-30$39,056
Other income not declared elsewhere2022-09-30$19,544
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-583,530
Value of net assets at end of year (total assets less liabilities)2022-09-30$3,876,551
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$4,460,081
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in pooled separate accounts at end of year2022-09-30$3,065,065
Value of interest in pooled separate accounts at beginning of year2022-09-30$3,776,152
Interest on participant loans2022-09-30$2,820
Income. Interest from US Government securities2022-09-30$0
Income. Interest from corporate debt instruments2022-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$670,158
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$644,873
Net investment gain/loss from pooled separate accounts2022-09-30$-713,801
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30Yes
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$436,681
Contract administrator fees2022-09-30$8,593
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30BONADIO & CO., LLP
Accountancy firm EIN2022-09-30161131146
2020 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total income from all sources (including contributions)2020-09-30$812,569
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$102,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$97,369
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$459,538
Value of total assets at end of year2020-09-30$3,780,786
Value of total assets at beginning of year2020-09-30$3,070,965
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$5,379
Total interest from all sources2020-09-30$9,891
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$235,194
Participant contributions at end of year2020-09-30$69,812
Participant contributions at beginning of year2020-09-30$56,056
Other income not declared elsewhere2020-09-30$25,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$709,821
Value of net assets at end of year (total assets less liabilities)2020-09-30$3,780,786
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$3,070,965
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest in pooled separate accounts at end of year2020-09-30$2,829,114
Value of interest in pooled separate accounts at beginning of year2020-09-30$2,187,777
Interest on participant loans2020-09-30$9,891
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-09-30$881,860
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-09-30$827,132
Net investment gain/loss from pooled separate accounts2020-09-30$317,915
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30Yes
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$224,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$97,369
Contract administrator fees2020-09-30$5,379
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30BONADIO & CO., LLP
Accountancy firm EIN2020-09-30161131146
2019 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$356,812
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$141,743
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$133,376
Value of total corrective distributions2019-09-30$1,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$274,406
Value of total assets at end of year2019-09-30$3,070,965
Value of total assets at beginning of year2019-09-30$2,855,896
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$6,382
Total interest from all sources2019-09-30$3,277
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$182,273
Participant contributions at end of year2019-09-30$56,056
Participant contributions at beginning of year2019-09-30$63,151
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$12,156
Other income not declared elsewhere2019-09-30$23,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$215,069
Value of net assets at end of year (total assets less liabilities)2019-09-30$3,070,965
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$2,855,896
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in pooled separate accounts at end of year2019-09-30$2,187,777
Value of interest in pooled separate accounts at beginning of year2019-09-30$1,915,952
Interest on participant loans2019-09-30$3,277
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$827,132
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$876,793
Net investment gain/loss from pooled separate accounts2019-09-30$55,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30Yes
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$79,977
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$133,376
Contract administrator fees2019-09-30$6,382
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30BONADIO & CO., LLP
Accountancy firm EIN2019-09-30161131146
2018 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total income from all sources (including contributions)2018-09-30$397,239
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$130,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$128,046
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$175,476
Value of total assets at end of year2018-09-30$2,855,896
Value of total assets at beginning of year2018-09-30$2,588,923
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$2,220
Total interest from all sources2018-09-30$4,188
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$175,476
Participant contributions at end of year2018-09-30$63,151
Participant contributions at beginning of year2018-09-30$90,270
Other income not declared elsewhere2018-09-30$25,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$266,973
Value of net assets at end of year (total assets less liabilities)2018-09-30$2,855,896
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$2,588,923
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in pooled separate accounts at end of year2018-09-30$1,915,952
Value of interest in pooled separate accounts at beginning of year2018-09-30$1,667,562
Interest on participant loans2018-09-30$4,188
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$876,793
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$831,091
Net investment gain/loss from pooled separate accounts2018-09-30$192,179
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30Yes
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$128,046
Contract administrator fees2018-09-30$2,220
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30BONADIO & CO., LLP
Accountancy firm EIN2018-09-30161131146
2017 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total income from all sources (including contributions)2017-09-30$1,048,267
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$178,989
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$176,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$866,904
Value of total assets at end of year2017-09-30$2,588,923
Value of total assets at beginning of year2017-09-30$1,719,645
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$2,050
Total interest from all sources2017-09-30$2,230
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$145,756
Participant contributions at end of year2017-09-30$90,270
Participant contributions at beginning of year2017-09-30$79,163
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$721,103
Other income not declared elsewhere2017-09-30$14,905
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$869,278
Value of net assets at end of year (total assets less liabilities)2017-09-30$2,588,923
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$1,719,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest in pooled separate accounts at end of year2017-09-30$1,667,562
Value of interest in pooled separate accounts at beginning of year2017-09-30$1,362,850
Interest on participant loans2017-09-30$2,230
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$831,091
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$277,632
Net investment gain/loss from pooled separate accounts2017-09-30$164,228
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30Yes
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$45
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$176,939
Contract administrator fees2017-09-30$2,050
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30BONADIO & CO., LLP
Accountancy firm EIN2017-09-30161131146
2016 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$288,211
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$94,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$92,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$183,148
Value of total assets at end of year2016-09-30$1,719,645
Value of total assets at beginning of year2016-09-30$1,526,372
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$2,789
Total interest from all sources2016-09-30$911
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$116,794
Participant contributions at end of year2016-09-30$79,163
Participant contributions at beginning of year2016-09-30$13,563
Other income not declared elsewhere2016-09-30$7,145
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$193,273
Value of net assets at end of year (total assets less liabilities)2016-09-30$1,719,645
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$1,526,372
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in pooled separate accounts at end of year2016-09-30$1,362,850
Value of interest in pooled separate accounts at beginning of year2016-09-30$1,328,420
Interest on participant loans2016-09-30$911
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$277,632
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$184,389
Net investment gain/loss from pooled separate accounts2016-09-30$97,007
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30Yes
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$66,354
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$92,149
Contract administrator fees2016-09-30$2,789
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30BONADIO & CO., LLP
Accountancy firm EIN2016-09-30161131146
2015 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$147,198
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$95,583
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$94,303
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$168,949
Value of total assets at end of year2015-09-30$1,526,372
Value of total assets at beginning of year2015-09-30$1,474,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$1,280
Total interest from all sources2015-09-30$899
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$107,229
Participant contributions at end of year2015-09-30$13,563
Participant contributions at beginning of year2015-09-30$22,464
Other income not declared elsewhere2015-09-30$5,355
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$51,615
Value of net assets at end of year (total assets less liabilities)2015-09-30$1,526,372
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$1,474,757
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in pooled separate accounts at end of year2015-09-30$1,328,420
Value of interest in pooled separate accounts at beginning of year2015-09-30$1,278,143
Interest on participant loans2015-09-30$899
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$184,389
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$174,150
Net investment gain/loss from pooled separate accounts2015-09-30$-28,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$61,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$94,303
Contract administrator fees2015-09-30$1,280
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30BONADIO & CO., LLP
Accountancy firm EIN2015-09-30161131146
2014 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$304,658
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$158,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$155,511
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$194,551
Value of total assets at end of year2014-09-30$1,474,757
Value of total assets at beginning of year2014-09-30$1,328,930
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$3,320
Total interest from all sources2014-09-30$1,066
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$64,540
Participant contributions at end of year2014-09-30$22,464
Participant contributions at beginning of year2014-09-30$26,789
Other income not declared elsewhere2014-09-30$5,232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$145,827
Value of net assets at end of year (total assets less liabilities)2014-09-30$1,474,757
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$1,328,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in pooled separate accounts at end of year2014-09-30$1,278,144
Value of interest in pooled separate accounts at beginning of year2014-09-30$1,124,772
Interest on participant loans2014-09-30$1,066
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-09-30$174,149
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-09-30$177,369
Net investment gain/loss from pooled separate accounts2014-09-30$103,809
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$130,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$155,511
Contract administrator fees2014-09-30$3,320
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30BONADIO & CO., LLP
Accountancy firm EIN2014-09-30161131146
2013 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$209,707
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$400,557
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$393,437
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$66,596
Value of total assets at end of year2013-09-30$1,328,930
Value of total assets at beginning of year2013-09-30$1,519,780
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$7,120
Total interest from all sources2013-09-30$2,170
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
If this is an individual account plan, was there a blackout period2013-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$66,236
Participant contributions at end of year2013-09-30$26,789
Participant contributions at beginning of year2013-09-30$52,910
Other income not declared elsewhere2013-09-30$5,714
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$-190,850
Value of net assets at end of year (total assets less liabilities)2013-09-30$1,328,930
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$1,519,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in pooled separate accounts at end of year2013-09-30$1,124,772
Value of interest in pooled separate accounts at beginning of year2013-09-30$1,295,563
Interest on participant loans2013-09-30$2,170
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$177,369
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$171,307
Net investment gain/loss from pooled separate accounts2013-09-30$135,227
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$393,437
Contract administrator fees2013-09-30$7,120
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30BONADIO & CO., LLP
Accountancy firm EIN2013-09-30161131146
2012 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total income from all sources (including contributions)2012-09-30$326,562
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$220,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$217,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$156,476
Value of total assets at end of year2012-09-30$1,519,780
Value of total assets at beginning of year2012-09-30$1,414,142
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$3,215
Total interest from all sources2012-09-30$3,791
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
If this is an individual account plan, was there a blackout period2012-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$83,000
Participant contributions at end of year2012-09-30$52,910
Participant contributions at beginning of year2012-09-30$102,551
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$10,521
Other income not declared elsewhere2012-09-30$5,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$105,638
Value of net assets at end of year (total assets less liabilities)2012-09-30$1,519,780
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$1,414,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in pooled separate accounts at end of year2012-09-30$1,295,563
Value of interest in pooled separate accounts at beginning of year2012-09-30$1,159,324
Interest on participant loans2012-09-30$3,791
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$171,307
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$152,267
Net investment gain/loss from pooled separate accounts2012-09-30$161,020
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$62,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$217,709
Contract administrator fees2012-09-30$3,215
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30BONADIO & CO., LLP
Accountancy firm EIN2012-09-30161131146
2011 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$80,863
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$170,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$168,657
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$82,914
Value of total assets at end of year2011-09-30$1,414,142
Value of total assets at beginning of year2011-09-30$1,503,576
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$1,640
Total interest from all sources2011-09-30$4,948
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
If this is an individual account plan, was there a blackout period2011-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$82,914
Participant contributions at end of year2011-09-30$102,551
Participant contributions at beginning of year2011-09-30$113,016
Other income not declared elsewhere2011-09-30$4,339
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$-89,434
Value of net assets at end of year (total assets less liabilities)2011-09-30$1,414,142
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$1,503,576
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in pooled separate accounts at end of year2011-09-30$1,159,324
Value of interest in pooled separate accounts at beginning of year2011-09-30$1,249,050
Interest on participant loans2011-09-30$4,948
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$152,267
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$141,510
Net investment gain/loss from pooled separate accounts2011-09-30$-11,338
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$168,657
Contract administrator fees2011-09-30$1,640
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30BONADIO & CO., LLP
Accountancy firm EIN2011-09-30161131146
2010 : ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN

2022: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)No
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – TrustYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement - TrustYes
2021: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2010: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement - TrustYes
2009: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes
2008: ST JOSEPHS REHABILITATION CENTER RETIREMENT PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number644321
Policy instance 1
Insurance contract or identification number644321
Number of Individuals Covered144
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $14,286
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 $14,286
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?5
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number644321
Policy instance 1
Insurance contract or identification number644321
Number of Individuals Covered204
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $30,424
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 $30,424
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?5
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number644321
Policy instance 1
Insurance contract or identification number644321
Number of Individuals Covered177
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $22,236
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
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number644321
Policy instance 1
Insurance contract or identification number644321
Number of Individuals Covered161
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $19,475
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 $19,475
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?5
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract numberE64 4321
Policy instance 1
Insurance contract or identification numberE64 4321
Number of Individuals Covered217
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $8,033
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
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number604870
Policy instance 1
Insurance contract or identification number604870
Number of Individuals Covered130
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $10,721
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $7,505
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameMARK L CRAWFORD
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number604870
Policy instance 1
Insurance contract or identification number604870
Number of Individuals Covered102
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $9,839
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $6,887
Insurance broker organization code?3
Insurance broker nameMARK L. CRAWFORD
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number604870
Policy instance 1
Insurance contract or identification number604870
Number of Individuals Covered111
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $9,992
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $6,994
Insurance broker organization code?3
Insurance broker nameMARK CRAWFORD
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number604870
Policy instance 1
Insurance contract or identification number604870
Number of Individuals Covered129
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $10,044
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number604870
Policy instance 1
Insurance contract or identification number604870
Number of Individuals Covered122
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $9,920
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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

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