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403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN 401k Plan overview

Plan Name403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN
Plan identification number 001

403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • 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

HOSPICARE AND PALLIATIVE CARE SERVI CES OF TOMPKINS COUNTY, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOSPICARE AND PALLIATIVE CARE SERVI CES OF TOMPKINS COUNTY, INC.
Employer identification number (EIN):222473715
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01STEPHANIE FITTERER2023-10-13
0012021-01-01
0012020-01-01JOSEPH SAMMONS2021-10-11
0012019-01-01CHRISTIAN PERKINS2020-10-15
0012018-01-01KIMBERLY DEROSA2019-10-10
0012017-01-01DALE JOHNSON2018-06-18 DALE JOHNSON2018-06-18
0012016-01-01CHRISTIAN PERKINS2017-05-04 CHRISTIAN PERKINS2017-05-04
0012015-01-01CHRISTIAN PERKINS2016-07-28 CHRISTIAN PERKINS2016-07-28
0012014-01-01FANG XU2015-05-12 FANG XU2015-05-12
0012013-01-01FANG XU2014-06-13 FANG XU2014-06-13
0012012-01-01FANG XU2013-04-23 FANG XU2013-04-23
0012011-01-01FANG XU2012-09-28 FANG XU2012-09-28
0012010-01-01ED WALLACE2011-07-29 ED WALLACE2011-07-29

Plan Statistics for 403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN

401k plan membership statisitcs for 403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN

Measure Date Value
2021: 403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN 2021 401k membership
Total participants, beginning-of-year2021-01-0187
Total number of active participants reported on line 7a of the Form 55002021-01-0153
Number of other retired or separated participants entitled to future benefits2021-01-0149
Total of all active and inactive participants2021-01-01102
Total participants2021-01-01102
Number of participants with account balances2021-01-0199

Financial Data on 403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN

Measure Date Value
2021 : 403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$950,222
Total of all expenses incurred2021-12-31$14,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$14,212
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$463,723
Value of total assets at end of year2021-12-31$4,044,728
Value of total assets at beginning of year2021-12-31$3,109,405
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$687
Total interest from all sources2021-12-31$4,082
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$300,000
If this is an individual account plan, was there a blackout period2021-12-31No
Funding deficiency by the employer to the plan for this plan year2021-12-31$0
Minimum employer required contribution for this plan year2021-12-31$0
Amount contributed by the employer to the plan for this plan year2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$133,810
Participant contributions at end of year2021-12-31$16,734
Participant contributions at beginning of year2021-12-31$3,759
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$219,607
Administrative expenses (other) incurred2021-12-31$687
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$935,323
Value of net assets at end of year (total assets less liabilities)2021-12-31$4,044,728
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$3,109,405
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,611,593
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,698,171
Value of interest in pooled separate accounts at end of year2021-12-31$0
Interest on participant loans2021-12-31$4,082
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$416,401
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$407,475
Net investment gain/loss from pooled separate accounts2021-12-31$482,417
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$110,306
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$14,212
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31STOKES, VISCA, HUCKO & BARONE, CPAS
Accountancy firm EIN2021-12-31474215313

Form 5500 Responses for 403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN

2021: 403(B) THRIFT PLAN OF HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKIN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008660E
Policy instance 1
Insurance contract or identification number008660E
Number of Individuals Covered102
Total amount of fees paid to insurance companyUSD $217
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees217
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM.
Insurance broker organization code?3

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