401k Plan data: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST plan

LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST
Plan identification number	001

LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LEGACY HEALTH CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name: LEGACY HEALTH CARE, LLC

Employer identification number (EIN): 202031238

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about LEGACY HEALTH CARE, LLC

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 2004-03-17

Company Identification Number: 3027684

Legal Registered Office Address: 193 SOUTH UNION ROAD
Erie
WILLIAMSVILLE
United States of America (USA)
14221

More information about LEGACY HEALTH CARE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 DAVID G. ROSNER
001 2016-01-01 DAVID ROSNER DAVID ROSNER 2017-10-18
001 2016-01-01 DAVID ROSNER 2017-10-13
001 2015-01-01 DAVID ROSNER
001 2014-01-01 DAVID ROSNER
001 2013-01-01 DAVID ROSNER
001 2012-01-01 DAVID G ROSNER
001 2011-01-01 DAVID G. ROSNER DAVID G. ROSNER 2012-10-10
001 2009-01-01 DAVID ROSNER
001 2009-01-01 DAN DONALDSON
001 2009-01-01 DANIEL R DONALDSON

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01
001	2019-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	DAVID G. ROSNER
001	2016-01-01	DAVID ROSNER	DAVID ROSNER	2017-10-18
001	2016-01-01		DAVID ROSNER	2017-10-13
001	2015-01-01	DAVID ROSNER
001	2014-01-01	DAVID ROSNER
001	2013-01-01	DAVID ROSNER
001	2012-01-01	DAVID G ROSNER
001	2011-01-01	DAVID G. ROSNER	DAVID G. ROSNER	2012-10-10
001	2009-01-01	DAVID ROSNER
001	2009-01-01	DAN DONALDSON
001	2009-01-01	DANIEL R DONALDSON

Plan Statistics for LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST

Measure Date Value
2020: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 325
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 251
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 71
Total of all active and inactive participants 2020-01-01 322
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 322
Number of participants with account balances 2020-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 293
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 252
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 72
Total of all active and inactive participants 2019-01-01 324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 324
Number of participants with account balances 2019-01-01 81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 210
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 78
Total of all active and inactive participants 2018-01-01 288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 289
Number of participants with account balances 2018-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 259
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 152
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 82
Total of all active and inactive participants 2017-01-01 234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 234
Number of participants with account balances 2017-01-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 301
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 170
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 86
Total of all active and inactive participants 2016-01-01 256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 256
Number of participants with account balances 2016-01-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 483
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 199
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 94
Total of all active and inactive participants 2015-01-01 293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 293
Number of participants with account balances 2015-01-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 527
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 394
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 79
Total of all active and inactive participants 2014-01-01 473
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 473
Number of participants with account balances 2014-01-01 121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,228
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 429
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 80
Total of all active and inactive participants 2013-01-01 509
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 509
Number of participants with account balances 2013-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 920
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,149
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 68
Total of all active and inactive participants 2012-01-01 1,217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,217
Number of participants with account balances 2012-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 613
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 797
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 69
Total of all active and inactive participants 2011-01-01 866
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 866
Number of participants with account balances 2011-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 612
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 654
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 67
Total of all active and inactive participants 2009-01-01 721
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 721
Number of participants with account balances 2009-01-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2020: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	325
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	251
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	71
Total of all active and inactive participants	2020-01-01	322
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	322
Number of participants with account balances	2020-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	293
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	252
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	72
Total of all active and inactive participants	2019-01-01	324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	324
Number of participants with account balances	2019-01-01	81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	210
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	78
Total of all active and inactive participants	2018-01-01	288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	289
Number of participants with account balances	2018-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	259
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	152
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	82
Total of all active and inactive participants	2017-01-01	234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	234
Number of participants with account balances	2017-01-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	301
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	170
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	86
Total of all active and inactive participants	2016-01-01	256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	256
Number of participants with account balances	2016-01-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	483
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	199
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	94
Total of all active and inactive participants	2015-01-01	293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	293
Number of participants with account balances	2015-01-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	527
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	394
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	79
Total of all active and inactive participants	2014-01-01	473
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	473
Number of participants with account balances	2014-01-01	121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,228
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	429
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	80
Total of all active and inactive participants	2013-01-01	509
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	509
Number of participants with account balances	2013-01-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	920
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,149
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	68
Total of all active and inactive participants	2012-01-01	1,217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,217
Number of participants with account balances	2012-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	613
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	797
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	69
Total of all active and inactive participants	2011-01-01	866
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	866
Number of participants with account balances	2011-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	612
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	654
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	67
Total of all active and inactive participants	2009-01-01	721
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	721
Number of participants with account balances	2009-01-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2020 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 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	$66,413
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$114,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$109,037
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$8,379
Value of total assets at end of year	2020-12-31	$593,397
Value of total assets at beginning of year	2020-12-31	$641,771
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$5,750
Total interest from all sources	2020-12-31	$1,512
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	$150,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$8,379
Participant contributions at end of year	2020-12-31	$6,149
Participant contributions at beginning of year	2020-12-31	$6,343
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$1,429
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	$-48,374
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$593,397
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$641,771
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
Investment advisory and management fees	2020-12-31	$2,353
Value of interest in pooled separate accounts at end of year	2020-12-31	$515,496
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$493,213
Interest on participant loans	2020-12-31	$339
Income. Interest from loans (other than to participants)	2020-12-31	$0
Interest earned on other investments	2020-12-31	$1,173
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$71,752
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$140,786
Net investment gain/loss from pooled separate accounts	2020-12-31	$56,522
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$109,037
Contract administrator fees	2020-12-31	$3,397
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	EFP ROTENBERG COMPANY
Accountancy firm EIN	2020-12-31	474526160
2019 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 401k financial data
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 income from all sources (including contributions)	2019-12-31	$156,268
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$512,675
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$499,462
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$24,237
Value of total assets at end of year	2019-12-31	$641,771
Value of total assets at beginning of year	2019-12-31	$998,178
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$13,213
Total interest from all sources	2019-12-31	$1,888
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
Administrative expenses professional fees incurred	2019-12-31	$5,800
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$150,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$24,237
Participant contributions at end of year	2019-12-31	$6,343
Participant contributions at beginning of year	2019-12-31	$6,468
Participant contributions at end of year	2019-12-31	$1,429
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	$-356,407
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$641,771
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$998,178
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
Investment advisory and management fees	2019-12-31	$4,007
Value of interest in pooled separate accounts at end of year	2019-12-31	$493,213
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$797,660
Interest on participant loans	2019-12-31	$341
Interest earned on other investments	2019-12-31	$1,547
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$140,786
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$194,050
Net investment gain/loss from pooled separate accounts	2019-12-31	$130,143
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
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$499,462
Contract administrator fees	2019-12-31	$3,406
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	EFP ROTENBERG COMPANY
Accountancy firm EIN	2019-12-31	474526160
2018 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 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	$-28,364
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$135,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$126,235
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$26,245
Value of total assets at end of year	2018-12-31	$998,178
Value of total assets at beginning of year	2018-12-31	$1,161,975
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$9,198
Total interest from all sources	2018-12-31	$1,319
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	$150,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$26,245
Participant contributions at end of year	2018-12-31	$6,468
Participant contributions at beginning of year	2018-12-31	$1,661
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$1,344
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	$-163,797
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$998,178
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,161,975
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
Investment advisory and management fees	2018-12-31	$5,050
Value of interest in pooled separate accounts at end of year	2018-12-31	$797,660
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$978,735
Interest on participant loans	2018-12-31	$327
Interest earned on other investments	2018-12-31	$992
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$194,050
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$180,235
Net investment gain/loss from pooled separate accounts	2018-12-31	$-55,928
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$126,235
Contract administrator fees	2018-12-31	$4,148
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	EFP ROTENBERG COMPANY
Accountancy firm EIN	2018-12-31	474526160
2017 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 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	$197,566
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$112,039
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$102,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$38,072
Value of total assets at end of year	2017-12-31	$1,161,975
Value of total assets at beginning of year	2017-12-31	$1,076,448
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$9,896
Total interest from all sources	2017-12-31	$1,096
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$150,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$38,072
Participant contributions at end of year	2017-12-31	$1,661
Participant contributions at beginning of year	2017-12-31	$14,002
Participant contributions at end of year	2017-12-31	$1,344
Total non interest bearing cash at beginning of year	2017-12-31	$912
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	$85,527
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,161,975
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,076,448
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
Investment advisory and management fees	2017-12-31	$5,900
Value of interest in pooled separate accounts at end of year	2017-12-31	$978,735
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$862,680
Interest on participant loans	2017-12-31	$358
Income. Interest from loans (other than to participants)	2017-12-31	$0
Interest earned on other investments	2017-12-31	$738
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$180,235
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$198,854
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$0
Net investment gain/loss from pooled separate accounts	2017-12-31	$158,398
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$102,143
Contract administrator fees	2017-12-31	$3,996
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	EFP ROTENBERG COMPANY
Accountancy firm EIN	2017-12-31	474526160
2016 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets	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	$0
Total income from all sources (including contributions)	2016-12-31	$139,539
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$191,220
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$180,190
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$61,912
Value of total assets at end of year	2016-12-31	$1,076,448
Value of total assets at beginning of year	2016-12-31	$1,128,129
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$11,030
Total interest from all sources	2016-12-31	$1,389
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$150,000
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	$42,876
Participant contributions at end of year	2016-12-31	$14,002
Participant contributions at beginning of year	2016-12-31	$13,541
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$19,036
Total non interest bearing cash at end of year	2016-12-31	$912
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
Value of net income/loss	2016-12-31	$-51,681
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,076,448
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,128,129
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	$6,778
Value of interest in pooled separate accounts at end of year	2016-12-31	$862,680
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$899,345
Interest on participant loans	2016-12-31	$593
Interest earned on other investments	2016-12-31	$796
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$198,854
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$215,243
Net investment gain/loss from pooled separate accounts	2016-12-31	$76,238
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$180,190
Contract administrator fees	2016-12-31	$4,252
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	EFP ROTENBERG COMPANY
Accountancy firm EIN	2016-12-31	474526160
2015 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$20,176
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$141,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$129,145
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$67,572
Value of total assets at end of year	2015-12-31	$1,128,129
Value of total assets at beginning of year	2015-12-31	$1,249,208
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$12,110
Total interest from all sources	2015-12-31	$1,589
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$150,000
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	$67,572
Participant contributions at end of year	2015-12-31	$13,541
Participant contributions at beginning of year	2015-12-31	$22,513
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-121,079
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,128,129
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,249,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$7,386
Value of interest in pooled separate accounts at end of year	2015-12-31	$899,345
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$1,004,076
Interest on participant loans	2015-12-31	$704
Interest earned on other investments	2015-12-31	$885
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$215,243
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$222,619
Net investment gain/loss from pooled separate accounts	2015-12-31	$-48,985
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	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$129,145
Contract administrator fees	2015-12-31	$4,724
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	TOSKI & CO., CPA'S P.C.
Accountancy firm EIN	2015-12-31	161170608
2014 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$67,840
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$154,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$140,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$62,698
Value of total assets at end of year	2014-12-31	$1,249,208
Value of total assets at beginning of year	2014-12-31	$1,335,483
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$13,129
Total interest from all sources	2014-12-31	$2,190
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$150,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$62,698
Participant contributions at end of year	2014-12-31	$22,513
Participant contributions at beginning of year	2014-12-31	$19,176
Participant contributions at beginning of year	2014-12-31	$3,006
Total non interest bearing cash at beginning of year	2014-12-31	$1,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-86,275
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,249,208
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,335,483
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
Investment advisory and management fees	2014-12-31	$8,075
Value of interest in pooled separate accounts at end of year	2014-12-31	$1,004,076
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,049,140
Interest on participant loans	2014-12-31	$904
Interest earned on other investments	2014-12-31	$1,286
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$222,619
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$262,429
Net investment gain/loss from pooled separate accounts	2014-12-31	$2,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$140,986
Contract administrator fees	2014-12-31	$5,054
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	TOSKI & CO., CPA'S P.C.
Accountancy firm EIN	2014-12-31	161170608
2013 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$238,313
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$359,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$346,083
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$73,940
Value of total assets at end of year	2013-12-31	$1,335,483
Value of total assets at beginning of year	2013-12-31	$1,456,552
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$13,299
Total interest from all sources	2013-12-31	$703
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$150,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$73,940
Participant contributions at end of year	2013-12-31	$19,176
Participant contributions at beginning of year	2013-12-31	$14,211
Participant contributions at end of year	2013-12-31	$3,006
Participant contributions at beginning of year	2013-12-31	$1,597
Other income not declared elsewhere	2013-12-31	$4,754
Total non interest bearing cash at end of year	2013-12-31	$1,732
Total non interest bearing cash at beginning of year	2013-12-31	$93
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-121,069
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,335,483
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,456,552
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$7,767
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,049,140
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,024,336
Interest on participant loans	2013-12-31	$703
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$262,429
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$416,315
Net investment gain/loss from pooled separate accounts	2013-12-31	$158,916
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$346,083
Contract administrator fees	2013-12-31	$5,532
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	TOSKI, SCHAEFER & COMPANY, P.C.
Accountancy firm EIN	2013-12-31	161170608
2012 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$218,071
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$120,066
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$103,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$91,125
Value of total assets at end of year	2012-12-31	$1,456,552
Value of total assets at beginning of year	2012-12-31	$1,358,547
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$16,769
Total interest from all sources	2012-12-31	$797
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$3,181
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$150,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$91,125
Participant contributions at end of year	2012-12-31	$14,211
Participant contributions at beginning of year	2012-12-31	$23,669
Participant contributions at end of year	2012-12-31	$1,597
Participant contributions at beginning of year	2012-12-31	$3,460
Other income not declared elsewhere	2012-12-31	$7,273
Total non interest bearing cash at end of year	2012-12-31	$93
Total non interest bearing cash at beginning of year	2012-12-31	$105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$98,005
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,456,552
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,358,547
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$7,596
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,024,336
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$924,702
Interest on participant loans	2012-12-31	$797
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$416,315
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$406,611
Net investment gain/loss from pooled separate accounts	2012-12-31	$118,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$103,297
Contract administrator fees	2012-12-31	$5,992
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	TOSKI, SCHAEFER AND COMPANY, P.C.
Accountancy firm EIN	2012-12-31	161170608
2011 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$44,936
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$273,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$244,862
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$112,994
Value of total assets at end of year	2011-12-31	$1,358,547
Value of total assets at beginning of year	2011-12-31	$1,587,539
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$29,066
Total interest from all sources	2011-12-31	$873
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$13,450
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$150,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$112,994
Participant contributions at end of year	2011-12-31	$23,669
Participant contributions at beginning of year	2011-12-31	$19,705
Participant contributions at end of year	2011-12-31	$3,460
Participant contributions at beginning of year	2011-12-31	$2,919
Other income not declared elsewhere	2011-12-31	$7,830
Total non interest bearing cash at end of year	2011-12-31	$105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-228,992
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,358,547
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,587,539
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$8,154
Value of interest in pooled separate accounts at end of year	2011-12-31	$924,702
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,194,591
Interest on participant loans	2011-12-31	$873
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$406,611
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$370,324
Net investment gain/loss from pooled separate accounts	2011-12-31	$-76,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$244,862
Contract administrator fees	2011-12-31	$7,462
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	TOSKI, SCHAEFER & COMPANY, P.C.
Accountancy firm EIN	2011-12-31	161170608
2010 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$255,304
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$167,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$152,708
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$138,452
Value of total assets at end of year	2010-12-31	$1,587,539
Value of total assets at beginning of year	2010-12-31	$1,500,053
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$15,110
Total interest from all sources	2010-12-31	$1,154
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$150,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$138,452
Participant contributions at end of year	2010-12-31	$19,705
Participant contributions at beginning of year	2010-12-31	$21,894
Participant contributions at end of year	2010-12-31	$2,919
Other income not declared elsewhere	2010-12-31	$7,712
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$87,486
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,587,539
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,500,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$8,861
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,194,591
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,150,754
Interest on participant loans	2010-12-31	$1,154
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$370,324
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$327,405
Net investment gain/loss from pooled separate accounts	2010-12-31	$107,986
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$152,708
Contract administrator fees	2010-12-31	$6,249
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	TOSKI, SCHAEFER AND COMPANY, P.C.
Accountancy firm EIN	2010-12-31	161170608
2009 : LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST

2020: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 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: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 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: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 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: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 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: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LEGACY HEALTH CARE, LLC 401(K) PROFIT SHARING PLAN & TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )

Policy contract number

14040

Policy instance

Insurance contract or identification number	14040
Number of Individuals Covered	77
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,473
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?	Yes
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 $501
Insurance broker organization code?	3

COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )

Policy contract number

14040

Policy instance

Insurance contract or identification number	14040
Number of Individuals Covered	81
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,230
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?	Yes
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 $758
Insurance broker organization code?	3

COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )

Policy contract number

14040

Policy instance

Insurance contract or identification number	14040
Number of Individuals Covered	97
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $2,828
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?	Yes
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 $1,060
Insurance broker organization code?	3

COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )

Policy contract number

14040

Policy instance

Insurance contract or identification number	14040
Number of Individuals Covered	103
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $2,794
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?	Yes
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 $950
Insurance broker organization code?	3
Insurance broker name	JAMES BANIGAN

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Company Name:	LEGACY HEALTH CARE, LLC
Employer identification number (EIN):	202031238
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	2004-03-17
Company Identification Number:	3027684
Legal Registered Office Address:	193 SOUTH UNION ROAD Erie WILLIAMSVILLE United States of America (USA) 14221