401k Plan data: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. plan

TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 401k Plan overview

Plan Name	TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC.
Plan identification number	002

TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

SUICIDE PREVENTION CRISIS SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name: SUICIDE PREVENTION CRISIS SERVICE, INC.

Employer identification number (EIN): 160956222

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Additional information about SUICIDE PREVENTION CRISIS SERVICE, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1998-12-23

Company Identification Number: 2328102

Legal Registered Office Address: 100 RIVER ROCK DRIVE SUITE 300
Erie
BUFFALO
United States of America (USA)
14217

More information about SUICIDE PREVENTION CRISIS SERVICE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-07-01
002 2020-07-01
002 2019-07-01
002 2018-07-01
002 2017-07-01 BARBARA GASIEWICZ 2018-09-05 BARBARA GASIEWICZ 2018-09-05
002 2017-07-01
002 2016-07-01 JESSICA PIRRO 2019-09-27 JESSICA PIRRO 2019-09-27
002 2016-01-01 JESSICA PIRRO 2019-09-27 JESSICA PIRRO 2019-09-27
002 2015-01-01 BARBARA GASIEWICZ 2016-07-19 BARBARA GASIEWICZ 2016-07-19
002 2014-01-01 BARBARA GASIEWICZ 2015-05-27 BARBARA GASIEWICZ 2015-05-27
002 2013-01-01 BARBARA GASIEWICZ 2014-06-12 BARBARA GASIEWICZ 2014-06-12
002 2012-01-01 BARBARA GASIEWICZ 2013-07-12 BARBARA GASIEWICZ 2013-07-12
002 2011-01-01 JESSICA RASP 2012-05-23 JESSICA RASP 2012-05-23
002 2010-01-01 DEANNE MONTGOMERY 2011-09-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-07-01
002	2020-07-01
002	2019-07-01
002	2018-07-01
002	2017-07-01	BARBARA GASIEWICZ	2018-09-05	BARBARA GASIEWICZ	2018-09-05
002	2017-07-01
002	2016-07-01	JESSICA PIRRO	2019-09-27	JESSICA PIRRO	2019-09-27
002	2016-01-01	JESSICA PIRRO	2019-09-27	JESSICA PIRRO	2019-09-27
002	2015-01-01	BARBARA GASIEWICZ	2016-07-19	BARBARA GASIEWICZ	2016-07-19
002	2014-01-01	BARBARA GASIEWICZ	2015-05-27	BARBARA GASIEWICZ	2015-05-27
002	2013-01-01	BARBARA GASIEWICZ	2014-06-12	BARBARA GASIEWICZ	2014-06-12
002	2012-01-01	BARBARA GASIEWICZ	2013-07-12	BARBARA GASIEWICZ	2013-07-12
002	2011-01-01	JESSICA RASP	2012-05-23	JESSICA RASP	2012-05-23
002	2010-01-01	DEANNE MONTGOMERY	2011-09-26

Plan Statistics for TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC.

401k plan membership statisitcs for TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC.

Measure Date Value
2021: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2021 401k membership
Total participants, beginning-of-year 2021-07-01 110
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 75
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 33
Total of all active and inactive participants 2021-07-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 108
Number of participants with account balances 2021-07-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 2
2020: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2020 401k membership
Total participants, beginning-of-year 2020-07-01 163
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 113
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 45
Total of all active and inactive participants 2020-07-01 158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 1
Total participants 2020-07-01 159
Number of participants with account balances 2020-07-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 1
2019: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2019 401k membership
Total participants, beginning-of-year 2019-07-01 164
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 143
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 20
Total of all active and inactive participants 2019-07-01 163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 163
Number of participants with account balances 2019-07-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 2
2018: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2018 401k membership
Total participants, beginning-of-year 2018-07-01 164
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 72
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 34
Total of all active and inactive participants 2018-07-01 106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 106
Number of participants with account balances 2018-07-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 6
2017: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2017 401k membership
Total participants, beginning-of-year 2017-07-01 97
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 141
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 23
Total of all active and inactive participants 2017-07-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 164
Number of participants with account balances 2017-07-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0

Measure	Date	Value
2021: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2021 401k membership
Total participants, beginning-of-year	2021-07-01	110
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	75
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	33
Total of all active and inactive participants	2021-07-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	108
Number of participants with account balances	2021-07-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	2
2020: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2020 401k membership
Total participants, beginning-of-year	2020-07-01	163
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	113
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	45
Total of all active and inactive participants	2020-07-01	158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	1
Total participants	2020-07-01	159
Number of participants with account balances	2020-07-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	1
2019: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2019 401k membership
Total participants, beginning-of-year	2019-07-01	164
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	143
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	20
Total of all active and inactive participants	2019-07-01	163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	163
Number of participants with account balances	2019-07-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	2
2018: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2018 401k membership
Total participants, beginning-of-year	2018-07-01	164
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	72
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	34
Total of all active and inactive participants	2018-07-01	106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	106
Number of participants with account balances	2018-07-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	6
2017: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2017 401k membership
Total participants, beginning-of-year	2017-07-01	97
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	141
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	23
Total of all active and inactive participants	2017-07-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	164
Number of participants with account balances	2017-07-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0

Financial Data on TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC.

Measure	Date	Value
2022 : TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-105,201
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$114,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$113,403
Expenses. Certain deemed distributions of participant loans	2022-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$208,727
Value of total assets at end of year	2022-06-30	$1,933,874
Value of total assets at beginning of year	2022-06-30	$2,153,423
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$945
Total interest from all sources	2022-06-30	$1,107
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$500,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$67,891
Participant contributions at end of year	2022-06-30	$50,413
Participant contributions at beginning of year	2022-06-30	$24,201
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$23,191
Other income not declared elsewhere	2022-06-30	$0
Administrative expenses (other) incurred	2022-06-30	$945
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-219,549
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$1,933,874
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$2,153,423
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$1,774,308
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$2,060,303
Interest on participant loans	2022-06-30	$0
Interest earned on other investments	2022-06-30	$1,107
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$109,153
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$68,919
Expenses. Payments to insurance carriers foe the provision of benefits	2022-06-30	$0
Net investment gain/loss from pooled separate accounts	2022-06-30	$-315,035
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$117,645
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$113,403
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	EFPR GROUP
Accountancy firm EIN	2022-06-30	474526160
2021 : TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$771,826
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$139,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$139,065
Expenses. Certain deemed distributions of participant loans	2021-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$237,496
Value of total assets at end of year	2021-06-30	$2,153,423
Value of total assets at beginning of year	2021-06-30	$1,521,565
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$903
Total interest from all sources	2021-06-30	$1,211
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$350,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$60,830
Participant contributions at end of year	2021-06-30	$24,201
Participant contributions at beginning of year	2021-06-30	$13,429
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$43,422
Other income not declared elsewhere	2021-06-30	$0
Administrative expenses (other) incurred	2021-06-30	$903
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$631,858
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$2,153,423
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$1,521,565
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$2,060,303
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$1,438,384
Interest on participant loans	2021-06-30	$0
Interest earned on other investments	2021-06-30	$1,211
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$68,919
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$69,752
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$0
Net investment gain/loss from pooled separate accounts	2021-06-30	$533,119
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$133,244
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$139,065
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	EFPR GROUP
Accountancy firm EIN	2021-06-30	474526160
2020 : TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$248,263
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$91,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$90,136
Expenses. Certain deemed distributions of participant loans	2020-06-30	$911
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$203,633
Value of total assets at end of year	2020-06-30	$1,520,654
Value of total assets at beginning of year	2020-06-30	$1,364,009
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$571
Total interest from all sources	2020-06-30	$1,387
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$300,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$67,601
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$36,704
Other income not declared elsewhere	2020-06-30	$0
Administrative expenses (other) incurred	2020-06-30	$571
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$156,645
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$1,520,654
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$1,364,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$1,438,384
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$1,292,951
Interest on participant loans	2020-06-30	$0
Interest earned on other investments	2020-06-30	$1,387
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$82,270
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$71,058
Expenses. Payments to insurance carriers foe the provision of benefits	2020-06-30	$0
Net investment gain/loss from pooled separate accounts	2020-06-30	$43,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$99,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$90,136
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	EFPR GROUP
Accountancy firm EIN	2020-06-30	474526160
2019 : TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$233,308
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$87,071
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$86,420
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$174,992
Value of total assets at end of year	2019-06-30	$1,364,009
Value of total assets at beginning of year	2019-06-30	$1,217,772
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$651
Total interest from all sources	2019-06-30	$1,407
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$350,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$70,447
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$19,905
Other income not declared elsewhere	2019-06-30	$0
Administrative expenses (other) incurred	2019-06-30	$651
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$146,237
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$1,364,009
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$1,217,772
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$1,292,951
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$1,130,684
Interest on participant loans	2019-06-30	$0
Interest earned on other investments	2019-06-30	$1,407
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$71,058
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$87,088
Expenses. Payments to insurance carriers foe the provision of benefits	2019-06-30	$0
Net investment gain/loss from pooled separate accounts	2019-06-30	$56,909
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$84,640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$86,420
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	EFPR GROUP
Accountancy firm EIN	2019-06-30	474526160
2018 : TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$274,612
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$86,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$85,788
Expenses. Certain deemed distributions of participant loans	2018-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$171,222
Value of total assets at end of year	2018-06-30	$1,217,772
Value of total assets at beginning of year	2018-06-30	$1,029,499
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$551
Total interest from all sources	2018-06-30	$1,384
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$350,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$63,222
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$0
Other income not declared elsewhere	2018-06-30	$0
Administrative expenses (other) incurred	2018-06-30	$551
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$188,273
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$1,217,772
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$1,029,499
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$1,130,684
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$941,740
Interest on participant loans	2018-06-30	$0
Interest earned on other investments	2018-06-30	$1,384
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$87,088
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$87,759
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$0
Net investment gain/loss from pooled separate accounts	2018-06-30	$102,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$108,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$85,788
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	EFPR GROUP
Accountancy firm EIN	2018-06-30	474526160

Form 5500 Responses for TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC.

2021: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: TAX DEFERRED ANNUITY PLAN OF SUICIDE PREVENTION & CRISIS SERVICE,INC. 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	Yes
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

050041K

Policy instance

Insurance contract or identification number	050041K
Number of Individuals Covered	108
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $162
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	162
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

050041K

Policy instance

Insurance contract or identification number	050041K
Number of Individuals Covered	110
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $162
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	162
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

050041K

Policy instance

Insurance contract or identification number	050041K
Number of Individuals Covered	85
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $832
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	832
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

050041K

Policy instance

Insurance contract or identification number	050041K
Number of Individuals Covered	106
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

050041K

Policy instance

Insurance contract or identification number	050041K
Number of Individuals Covered	115
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,267
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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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Company Name:	SUICIDE PREVENTION CRISIS SERVICE, INC.
Employer identification number (EIN):	160956222
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1998-12-23
Company Identification Number:	2328102
Legal Registered Office Address:	100 RIVER ROCK DRIVE SUITE 300 Erie BUFFALO United States of America (USA) 14217