401k Plan data: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN plan

HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN
Plan identification number	001

HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

NASCENTIA HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: NASCENTIA HEALTH, INC.

Employer identification number (EIN): 161483069

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 MARY KATE ROLF
001 2016-01-01 MARY KATE ROLF
001 2015-01-01 MARY KATE ROLF
001 2014-01-01 MARY KATE ROLF MARY KATE ROLF 2015-10-14

Plan Statistics for HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN

401k plan membership statisitcs for HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN

Measure Date Value
2022: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 652
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 455
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 216
Total of all active and inactive participants 2022-01-01 672
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 672
Number of participants with account balances 2022-01-01 556
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 2
2021: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 485
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 453
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 198
Total of all active and inactive participants 2021-01-01 652
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 652
Number of participants with account balances 2021-01-01 516
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 1
2020: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 526
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 342
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 143
Total of all active and inactive participants 2020-01-01 485
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 485
Number of participants with account balances 2020-01-01 469
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 11
2019: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 410
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 409
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 117
Total of all active and inactive participants 2019-01-01 526
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 526
Number of participants with account balances 2019-01-01 501
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 16
2018: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 372
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 347
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 63
Total of all active and inactive participants 2018-01-01 410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 410
Number of participants with account balances 2018-01-01 379
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 25
2017: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 325
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 47
Total of all active and inactive participants 2017-01-01 372
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 372
Number of participants with account balances 2017-01-01 338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 310
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 284
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 65
Total of all active and inactive participants 2016-01-01 349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 349
Number of participants with account balances 2016-01-01 316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 19
2015: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 272
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 242
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 53
Total of all active and inactive participants 2015-01-01 295
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 295
Number of participants with account balances 2015-01-01 263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 16
2014: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 252
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 221
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 35
Total of all active and inactive participants 2014-01-01 256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 256
Number of participants with account balances 2014-01-01 256
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 29

Measure	Date	Value
2022: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	652
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	455
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	216
Total of all active and inactive participants	2022-01-01	672
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	672
Number of participants with account balances	2022-01-01	556
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	2
2021: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	485
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	453
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	198
Total of all active and inactive participants	2021-01-01	652
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	652
Number of participants with account balances	2021-01-01	516
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	1
2020: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	526
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	342
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	143
Total of all active and inactive participants	2020-01-01	485
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	485
Number of participants with account balances	2020-01-01	469
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	11
2019: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	410
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	409
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	117
Total of all active and inactive participants	2019-01-01	526
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	526
Number of participants with account balances	2019-01-01	501
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	16
2018: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	372
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	347
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	63
Total of all active and inactive participants	2018-01-01	410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	410
Number of participants with account balances	2018-01-01	379
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	25
2017: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	325
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	47
Total of all active and inactive participants	2017-01-01	372
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	372
Number of participants with account balances	2017-01-01	338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	310
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	284
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	65
Total of all active and inactive participants	2016-01-01	349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	349
Number of participants with account balances	2016-01-01	316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	19
2015: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	272
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	242
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	53
Total of all active and inactive participants	2015-01-01	295
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	295
Number of participants with account balances	2015-01-01	263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	16
2014: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	252
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	221
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	35
Total of all active and inactive participants	2014-01-01	256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	256
Number of participants with account balances	2014-01-01	256
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	29

Financial Data on HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN

Measure	Date	Value
2022 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-870,739
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,462,745
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,440,835
Expenses. Certain deemed distributions of participant loans	2022-12-31	$6,505
Value of total corrective distributions	2022-12-31	$6,084
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$2,454,646
Value of total assets at end of year	2022-12-31	$15,362,325
Value of total assets at beginning of year	2022-12-31	$17,695,809
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$9,321
Total interest from all sources	2022-12-31	$13,440
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,535,367
Participant contributions at end of year	2022-12-31	$322,431
Participant contributions at beginning of year	2022-12-31	$219,359
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$34,581
Other income not declared elsewhere	2022-12-31	$529
Administrative expenses (other) incurred	2022-12-31	$9,321
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-2,333,484
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$15,362,325
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$17,695,809
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$14,702,756
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$17,256,045
Interest on participant loans	2022-12-31	$10,716
Interest earned on other investments	2022-12-31	$2,724
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$337,138
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$220,405
Net investment gain/loss from pooled separate accounts	2022-12-31	$-3,339,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$884,698
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,440,835
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FUSTCHARLES LLP
Accountancy firm EIN	2022-12-31	161226221
2021 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$4,482,930
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,465,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,448,162
Expenses. Certain deemed distributions of participant loans	2021-12-31	$11,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,320,677
Value of total assets at end of year	2021-12-31	$17,695,809
Value of total assets at beginning of year	2021-12-31	$14,678,649
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$6,278
Total interest from all sources	2021-12-31	$12,288
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,394,380
Participant contributions at end of year	2021-12-31	$219,359
Participant contributions at beginning of year	2021-12-31	$195,654
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$124,835
Other income not declared elsewhere	2021-12-31	$4,978
Administrative expenses (other) incurred	2021-12-31	$6,278
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$3,017,160
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$17,695,809
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$14,678,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$17,256,045
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$14,111,769
Interest on participant loans	2021-12-31	$8,137
Interest earned on other investments	2021-12-31	$4,151
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$220,405
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$371,226
Net investment gain/loss from pooled separate accounts	2021-12-31	$2,144,987
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$801,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,448,162
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2021-12-31	161226221
2020 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$4,459,400
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$966,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$946,390
Expenses. Certain deemed distributions of participant loans	2020-12-31	$11,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,340,370
Value of total assets at end of year	2020-12-31	$14,678,649
Value of total assets at beginning of year	2020-12-31	$11,185,285
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$8,620
Total interest from all sources	2020-12-31	$13,183
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,405,900
Participant contributions at end of year	2020-12-31	$195,654
Participant contributions at beginning of year	2020-12-31	$223,671
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$139,640
Other income not declared elsewhere	2020-12-31	$934
Administrative expenses (other) incurred	2020-12-31	$8,620
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$3,493,364
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$14,678,649
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$11,185,285
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$14,111,769
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$10,635,913
Interest on participant loans	2020-12-31	$9,499
Interest earned on other investments	2020-12-31	$3,684
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$371,226
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$325,701
Net investment gain/loss from pooled separate accounts	2020-12-31	$2,104,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$794,830
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$946,390
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2020-12-31	161226221
2019 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$4,019,472
Total income from all sources (including contributions)	2019-12-31	$4,019,472
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$708,469
Total of all expenses incurred	2019-12-31	$708,469
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$685,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$685,035
Expenses. Certain deemed distributions of participant loans	2019-12-31	$711
Expenses. Certain deemed distributions of participant loans	2019-12-31	$711
Value of total corrective distributions	2019-12-31	$7,717
Value of total corrective distributions	2019-12-31	$7,717
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,149,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,149,347
Value of total assets at end of year	2019-12-31	$11,185,285
Value of total assets at end of year	2019-12-31	$11,185,285
Value of total assets at beginning of year	2019-12-31	$7,874,282
Value of total assets at beginning of year	2019-12-31	$7,874,282
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$15,006
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$15,006
Total interest from all sources	2019-12-31	$11,588
Total interest from all sources	2019-12-31	$11,588
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,271,856
Contributions received from participants	2019-12-31	$1,271,856
Participant contributions at end of year	2019-12-31	$223,671
Participant contributions at end of year	2019-12-31	$223,671
Participant contributions at beginning of year	2019-12-31	$127,614
Participant contributions at beginning of year	2019-12-31	$127,614
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$122,511
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$122,511
Other income not declared elsewhere	2019-12-31	$526
Other income not declared elsewhere	2019-12-31	$526
Administrative expenses (other) incurred	2019-12-31	$15,006
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$3,311,003
Value of net income/loss	2019-12-31	$3,311,003
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$11,185,285
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$11,185,285
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,874,282
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,874,282
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$10,635,913
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$10,635,913
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$7,431,689
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$7,431,689
Interest on participant loans	2019-12-31	$8,010
Interest earned on other investments	2019-12-31	$3,578
Interest earned on other investments	2019-12-31	$3,578
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$325,701
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$325,701
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$314,979
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$314,979
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,858,011
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,858,011
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$754,980
Contributions received in cash from employer	2019-12-31	$754,980
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$685,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$685,035
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm name	2019-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2019-12-31	161226221
Accountancy firm EIN	2019-12-31	161226221
2018 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$1,418,781
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$286,786
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$258,838
Value of total corrective distributions	2018-12-31	$3,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,883,003
Value of total assets at end of year	2018-12-31	$7,874,282
Value of total assets at beginning of year	2018-12-31	$6,742,287
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$24,734
Total interest from all sources	2018-12-31	$32,772
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,080,743
Participant contributions at end of year	2018-12-31	$127,614
Participant contributions at beginning of year	2018-12-31	$49,759
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$210,749
Other income not declared elsewhere	2018-12-31	$2
Administrative expenses (other) incurred	2018-12-31	$24,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$1,131,995
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$7,874,282
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$6,742,287
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$7,431,689
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$6,319,566
Interest on participant loans	2018-12-31	$4,412
Interest earned on other investments	2018-12-31	$28,360
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$314,979
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$372,962
Net investment gain/loss from pooled separate accounts	2018-12-31	$-496,996
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$591,511
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$258,838
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2018-12-31	161226221
2017 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,369,786
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$398,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$356,402
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,331,768
Value of total assets at end of year	2017-12-31	$6,742,287
Value of total assets at beginning of year	2017-12-31	$4,770,933
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$42,030
Total interest from all sources	2017-12-31	$2,296
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$162,849
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$162,849
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$867,312
Participant contributions at end of year	2017-12-31	$49,759
Participant contributions at beginning of year	2017-12-31	$59,313
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$98,365
Other income not declared elsewhere	2017-12-31	$77
Administrative expenses (other) incurred	2017-12-31	$42,030
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,971,354
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$6,742,287
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,770,933
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$6,319,566
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,310,426
Interest on participant loans	2017-12-31	$2,296
Value of interest in common/collective trusts at end of year	2017-12-31	$0
Value of interest in common/collective trusts at beginning of year	2017-12-31	$275,014
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$372,962
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$866,223
Net investment gain/loss from pooled separate accounts	2017-12-31	$6,573
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$366,091
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$126,180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$356,402
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2017-12-31	161226221
2016 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$3,841
Expenses. Interest paid	2016-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,404,401
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$328,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$295,547
Value of total corrective distributions	2016-12-31	$3,715
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,191,285
Value of total assets at end of year	2016-12-31	$4,770,933
Value of total assets at beginning of year	2016-12-31	$3,698,734
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$29,099
Total interest from all sources	2016-12-31	$2,530
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$177,769
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$177,769
Administrative expenses professional fees incurred	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$724,256
Participant contributions at end of year	2016-12-31	$59,313
Participant contributions at beginning of year	2016-12-31	$59,935
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$24,223
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$35,419
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$3,841
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Income. Non cash contributions	2016-12-31	$0
Value of net income/loss	2016-12-31	$1,076,040
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,770,933
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,694,893
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$27,149
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$4,310,426
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,389,238
Interest on participant loans	2016-12-31	$2,530
Value of interest in common/collective trusts at end of year	2016-12-31	$275,014
Value of interest in common/collective trusts at beginning of year	2016-12-31	$113,285
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$29,166
Net investment gain or loss from common/collective trusts	2016-12-31	$3,651
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$431,610
Employer contributions (assets) at end of year	2016-12-31	$126,180
Employer contributions (assets) at beginning of year	2016-12-31	$112,053
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$295,547
Asset. Corporate debt instrument preferred debt at end of year	2016-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2016-12-31	$0
Contract administrator fees	2016-12-31	$1,950
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	FUST CHARLES CHAMBERS
Accountancy firm EIN	2016-12-31	161226221
2015 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$3,841
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Expenses. Interest paid	2015-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,311,328
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$910,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$872,509
Expenses. Certain deemed distributions of participant loans	2015-12-31	$13,834
Value of total corrective distributions	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,362,591
Value of total assets at end of year	2015-12-31	$3,698,734
Value of total assets at beginning of year	2015-12-31	$3,294,205
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$24,297
Total interest from all sources	2015-12-31	$2,688
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$390,776
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$390,776
Assets. Real estate other than employer real property at end of year	2015-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2015-12-31	$0
Administrative expenses professional fees incurred	2015-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$673,137
Participant contributions at end of year	2015-12-31	$59,935
Participant contributions at beginning of year	2015-12-31	$70,570
Participant contributions at end of year	2015-12-31	$24,223
Participant contributions at beginning of year	2015-12-31	$109
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$334,049
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Assets. Loans (other than to participants) at end of year	2015-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$3,841
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Income. Non cash contributions	2015-12-31	$0
Value of net income/loss	2015-12-31	$400,688
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,694,893
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,294,205
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Assets. partnership/joint venture interests at end of year	2015-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2015-12-31	$0
Investment advisory and management fees	2015-12-31	$22,537
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,389,238
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,032,016
Interest on participant loans	2015-12-31	$2,688
Value of interest in common/collective trusts at end of year	2015-12-31	$113,285
Value of interest in common/collective trusts at beginning of year	2015-12-31	$114,871
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Asset value of US Government securities at end of year	2015-12-31	$0
Asset value of US Government securities at beginning of year	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-446,665
Net investment gain or loss from common/collective trusts	2015-12-31	$1,938
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Assets. Invements in employer securities at end of year	2015-12-31	$0
Assets. Invements in employer securities at beginning of year	2015-12-31	$0
Assets. Value of employer real property at end of year	2015-12-31	$0
Assets. Value of employer real property at beginning of year	2015-12-31	$0
Contributions received in cash from employer	2015-12-31	$355,405
Employer contributions (assets) at end of year	2015-12-31	$112,053
Employer contributions (assets) at beginning of year	2015-12-31	$76,639
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$872,509
Asset. Corporate debt instrument preferred debt at end of year	2015-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$0
Contract administrator fees	2015-12-31	$1,760
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-12-31	$0
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FUST CHARLES CHAMBERS
Accountancy firm EIN	2015-12-31	161226221
2014 : HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$0
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$2,559,928
Total transfer of assets from this plan	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Expenses. Interest paid	2014-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,129,015
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$394,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$375,355
Expenses. Certain deemed distributions of participant loans	2014-12-31	$2,304
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,029,839
Value of total assets at end of year	2014-12-31	$3,294,205
Value of total assets at beginning of year	2014-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$17,079
Total income from rents	2014-12-31	$0
Total interest from all sources	2014-12-31	$2,935
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$325,890
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$325,890
Assets. Real estate other than employer real property at end of year	2014-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2014-12-31	$0
Administrative expenses professional fees incurred	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$571,816
Participant contributions at end of year	2014-12-31	$70,570
Participant contributions at beginning of year	2014-12-31	$0
Participant contributions at end of year	2014-12-31	$109
Participant contributions at beginning of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$147,515
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Assets. Loans (other than to participants) at end of year	2014-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$0
Administrative expenses (other) incurred	2014-12-31	$0
Total non interest bearing cash at end of year	2014-12-31	$0
Total non interest bearing cash at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$734,277
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,294,205
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Assets. partnership/joint venture interests at end of year	2014-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2014-12-31	$0
Investment advisory and management fees	2014-12-31	$17,079
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,032,016
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$0
Interest on participant loans	2014-12-31	$2,935
Income. Interest from loans (other than to participants)	2014-12-31	$0
Interest earned on other investments	2014-12-31	$0
Income. Interest from US Government securities	2014-12-31	$0
Income. Interest from corporate debt instruments	2014-12-31	$0
Value of interest in common/collective trusts at end of year	2014-12-31	$114,871
Value of interest in common/collective trusts at beginning of year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Asset value of US Government securities at end of year	2014-12-31	$0
Asset value of US Government securities at beginning of year	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-231,121
Net investment gain/loss from pooled separate accounts	2014-12-31	$0
Net investment gain or loss from common/collective trusts	2014-12-31	$1,472
Net gain/loss from 103.12 investment entities	2014-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Assets. Invements in employer securities at end of year	2014-12-31	$0
Assets. Invements in employer securities at beginning of year	2014-12-31	$0
Assets. Value of employer real property at end of year	2014-12-31	$0
Assets. Value of employer real property at beginning of year	2014-12-31	$0
Contributions received in cash from employer	2014-12-31	$310,508
Employer contributions (assets) at end of year	2014-12-31	$76,639
Employer contributions (assets) at beginning of year	2014-12-31	$0
Income. Dividends from preferred stock	2014-12-31	$0
Income. Dividends from common stock	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$375,355
Asset. Corporate debt instrument preferred debt at end of year	2014-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$0
Contract administrator fees	2014-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$0
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FUST CHARLES CHAMBERS
Accountancy firm EIN	2014-12-31	161226221

Form 5500 Responses for HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN

2022: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HOME CARE OF CENTRAL NEW YORK 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

YH5250

Policy instance

Insurance contract or identification number	YH5250
Number of Individuals Covered	672
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $38,833
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare 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 $38,833
Insurance broker organization code?	3

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

Policy contract number

YH5250

Policy instance

Insurance contract or identification number	YH5250
Number of Individuals Covered	652
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $39,797
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare 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 $39,797
Insurance broker organization code?	3

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

Policy contract number

YH5250

Policy instance

Insurance contract or identification number	YH5250
Number of Individuals Covered	485
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $29,263
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare 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 $29,263
Insurance broker organization code?	3

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

Policy contract number

YH5250

Policy instance

Insurance contract or identification number	YH5250
Number of Individuals Covered	526
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $23,340
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare 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 $23,340
Insurance broker organization code?	3

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

Policy contract number

YH5250

Policy instance

Insurance contract or identification number	YH5250
Number of Individuals Covered	410
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare 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

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

Policy contract number

YH5250

Policy instance

Insurance contract or identification number	YH5250
Number of Individuals Covered	372
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare 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

Potentially related plans

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Company Name:	NASCENTIA HEALTH, INC.
Employer identification number (EIN):	161483069
NAIC Classification:	621610
NAIC Description:	Home Health Care Services