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SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 401k Plan overview

Plan NameSECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
Plan identification number 001

SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 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.

401k Sponsoring company profile

PARKVIEW HOME OF FREEPORT, ILLINOIS INC. has sponsored the creation of one or more 401k plans.

Company Name:PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
Employer identification number (EIN):362170134
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01DEBRA GITZ2018-05-30
0012016-01-01DEBRA GITZ2017-07-27
0012015-01-01DEBRA GITZ2016-08-16
0012014-01-01DEBRA GITZ2015-06-24
0012013-01-01DEBRA GITZ2014-05-21
0012012-01-01DEBRA GITZ2013-08-13
0012011-01-01DEBRA GITZ2012-06-18 DEBRA GITZ2012-06-18
0012010-01-01DEBRA GITZ2011-07-07 DEBRA GITZ2011-07-07

Plan Statistics for SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.

401k plan membership statisitcs for SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.

Measure Date Value
2022: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2022 401k membership
Total participants, beginning-of-year2022-01-01135
Total number of active participants reported on line 7a of the Form 55002022-01-01138
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01138
Number of participants with account balances2022-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2021 401k membership
Total participants, beginning-of-year2021-01-01145
Total number of active participants reported on line 7a of the Form 55002021-01-01135
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01135
Number of participants with account balances2021-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2020 401k membership
Total participants, beginning-of-year2020-01-01154
Total number of active participants reported on line 7a of the Form 55002020-01-01142
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01142
Number of participants with account balances2020-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2019 401k membership
Total participants, beginning-of-year2019-01-01152
Total number of active participants reported on line 7a of the Form 55002019-01-01154
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01154
Number of participants with account balances2019-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2018 401k membership
Total participants, beginning-of-year2018-01-01141
Total number of active participants reported on line 7a of the Form 55002018-01-01152
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01152
Total participants2018-01-01152
Number of participants with account balances2018-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010

Financial Data on SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.

Measure Date Value
2022 : SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-141,336
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$128,808
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$128,788
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$159,824
Value of total assets at end of year2022-12-31$1,440,163
Value of total assets at beginning of year2022-12-31$1,710,307
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$20
Total interest from all sources2022-12-31$5,540
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,110,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$78,515
Assets. Other investments not covered elsewhere at end of year2022-12-31$1,267,218
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$1,509,120
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$56,870
Other income not declared elsewhere2022-12-31$-306,700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-270,144
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,440,163
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,710,307
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Interest earned on other investments2022-12-31$5,540
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$172,945
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$201,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$24,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$128,788
Contract administrator fees2022-12-31$20
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31WIPFLI LLP
Accountancy firm EIN2022-12-31390758449
2021 : SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$343,147
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$116,187
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$114,988
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$149,551
Value of total assets at end of year2021-12-31$1,710,307
Value of total assets at beginning of year2021-12-31$1,483,347
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,199
Total interest from all sources2021-12-31$5,504
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,110,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$117,584
Assets. Other investments not covered elsewhere at end of year2021-12-31$1,509,120
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$1,306,527
Other income not declared elsewhere2021-12-31$188,092
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$226,960
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,710,307
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,483,347
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
Interest earned on other investments2021-12-31$5,504
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$201,187
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$176,820
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 contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$31,967
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$114,988
Contract administrator fees2021-12-31$1,199
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 name2021-12-31WIPFLI LLP
Accountancy firm EIN2021-12-31390758449
2020 : SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$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$344,665
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$218,909
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$218,889
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$159,208
Value of total assets at end of year2020-12-31$1,483,347
Value of total assets at beginning of year2020-12-31$1,357,591
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$20
Total interest from all sources2020-12-31$4,622
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 year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,110,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$125,953
Assets. Other investments not covered elsewhere at end of year2020-12-31$1,306,527
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$1,211,067
Other income not declared elsewhere2020-12-31$180,835
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$125,756
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,483,347
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,357,591
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Interest earned on other investments2020-12-31$4,622
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$176,820
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$146,524
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$33,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$218,889
Contract administrator fees2020-12-31$20
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31WIPFLI LLP
Accountancy firm EIN2020-12-31390758449
2019 : SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$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$345,435
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$84,471
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$83,260
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$124,731
Value of total assets at end of year2019-12-31$1,357,591
Value of total assets at beginning of year2019-12-31$1,096,627
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,211
Total interest from all sources2019-12-31$4,257
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 year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,110,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$96,703
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,211,067
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$943,893
Other income not declared elsewhere2019-12-31$216,447
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$260,964
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,357,591
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,096,627
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Interest earned on other investments2019-12-31$4,257
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$146,524
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$152,734
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$28,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$83,260
Contract administrator fees2019-12-31$1,211
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31WIPFLI LLP
Accountancy firm EIN2019-12-31390758449
2018 : SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$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$28,454
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$68,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$67,875
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$87,992
Value of total assets at end of year2018-12-31$1,096,627
Value of total assets at beginning of year2018-12-31$1,136,230
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$182
Total interest from all sources2018-12-31$4,560
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 year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,110,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$68,045
Assets. Other investments not covered elsewhere at end of year2018-12-31$943,893
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$984,287
Other income not declared elsewhere2018-12-31$-64,098
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-39,603
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,096,627
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,136,230
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Interest earned on other investments2018-12-31$4,560
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$152,734
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$151,943
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$19,947
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$67,875
Contract administrator fees2018-12-31$182
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WIPFLI LLP
Accountancy firm EIN2018-12-31390758449

Form 5500 Responses for SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.

2022: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1095415
Policy instance 1
Insurance contract or identification number1095415
Number of Individuals Covered44
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1095415
Policy instance 1
Insurance contract or identification number1095415
Number of Individuals Covered44
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1095415
Policy instance 1
Insurance contract or identification number1095415
Number of Individuals Covered46
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number1095415
Policy instance 1
Insurance contract or identification number1095415
Number of Individuals Covered45
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,544
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,544
Insurance broker organization code?3

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