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GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 401k Plan overview

Plan NameGREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN
Plan identification number 001

GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN Benefits

401k Plan TypeDefined 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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

GREAT LAKES RECOVERY CENTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:GREAT LAKES RECOVERY CENTERS, INC.
Employer identification number (EIN):382453316
NAIC Classification:621420
NAIC Description:Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-10-01GREG TOUTANT2023-07-10
0012021-02-01GREG TOUTANT2022-10-20
0012019-10-01
0012018-10-01
0012018-10-01
0012018-10-01
0012017-10-01
0012017-10-01
0012016-10-01GREGORY PERTTULA2018-03-26 GREGORY PERTTULA2018-03-26
0012015-10-01GREGORY PERTTULA2017-03-24 GREGORY PERTTULA2017-03-24
0012014-10-01GREGORY PERTTULA2016-04-22 GREGORY PERTTULA2016-04-22
0012013-10-01GREGORY PERTTULA2015-04-16
0012012-10-01GREGORY PERTTULA2014-07-08 GREGORY PERTTULA2014-07-08
0012011-10-01GREGORY PERTTULA2013-07-11 GREGORY PERTTULA2013-07-11
0012009-10-01GREGORY M. TOUTANT GREGORY M. TOUTANT2011-07-13

Plan Statistics for GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN

401k plan membership statisitcs for GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN

Measure Date Value
2021: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01116
Total number of active participants reported on line 7a of the Form 55002021-10-01116
Number of other retired or separated participants entitled to future benefits2021-10-0111
Total of all active and inactive participants2021-10-01127
Total participants2021-10-01127
Number of participants with account balances2021-10-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-010
Total participants, beginning-of-year2021-02-01117
Total number of active participants reported on line 7a of the Form 55002021-02-01111
Number of other retired or separated participants entitled to future benefits2021-02-011
Total of all active and inactive participants2021-02-01112
Total participants2021-02-01112
Number of participants with account balances2021-02-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-02-010
2019: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-011
Total number of active participants reported on line 7a of the Form 55002019-10-010
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-010
Number of participants with account balances2019-10-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-010
2018: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-0133
Total number of active participants reported on line 7a of the Form 55002018-10-011
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-011
Total of all active and inactive participants2018-10-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-012
Number of participants with account balances2018-10-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-010
2017: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01125
Total number of active participants reported on line 7a of the Form 55002017-10-01175
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-017
Total of all active and inactive participants2017-10-01182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01182
Number of participants with account balances2017-10-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-010
2009: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01101
Total number of active participants reported on line 7a of the Form 55002009-10-01104
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-014
Total of all active and inactive participants2009-10-01108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01108
Number of participants with account balances2009-10-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN

Measure Date Value
2022 : GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-09-30$52,993
Total of all expenses incurred2022-09-30$8,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$3,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$64,514
Value of total assets at end of year2022-09-30$67,500
Value of total assets at beginning of year2022-09-30$23,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$4,989
Total interest from all sources2022-09-30$23
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$61,187
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$44,397
Value of net assets at end of year (total assets less liabilities)2022-09-30$67,500
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$23,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$60,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$21,351
Interest earned on other investments2022-09-30$23
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$3,400
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$1,319
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-11,544
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$3,327
Employer contributions (assets) at end of year2022-09-30$3,760
Employer contributions (assets) at beginning of year2022-09-30$433
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$3,607
Contract administrator fees2022-09-30$4,989
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30VRAKAS S.C.
Accountancy firm EIN2022-09-30391453055
2021 : GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-09-30$24,689
Total of all expenses incurred2021-09-30$1,586
Value of total corrective distributions2021-09-30$188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$24,685
Value of total assets at end of year2021-09-30$23,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$1,398
Total interest from all sources2021-09-30$3
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Was this plan covered by a fidelity bond2021-09-30No
If this is an individual account plan, was there a blackout period2021-09-30No
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$24,252
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$23,103
Value of net assets at end of year (total assets less liabilities)2021-09-30$23,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$21,351
Interest earned on other investments2021-09-30$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-09-30$1,319
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$1
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30Yes
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$433
Employer contributions (assets) at end of year2021-09-30$433
Contract administrator fees2021-09-30$1,398
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30VRAKAS S.C.
Accountancy firm EIN2021-09-30391453055
2019 : GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$0
Total income from all sources (including contributions)2019-11-30$6
Total loss/gain on sale of assets2019-11-30$0
Total of all expenses incurred2019-11-30$276
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-11-30$276
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-11-30$0
Value of total assets at end of year2019-11-30$0
Value of total assets at beginning of year2019-11-30$270
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-11-30$0
Total interest from all sources2019-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2019-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-11-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-11-30$0
Was this plan covered by a fidelity bond2019-11-30Yes
Value of fidelity bond cover2019-11-30$49,139
If this is an individual account plan, was there a blackout period2019-11-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-11-30$0
Were there any nonexempt tranactions with any party-in-interest2019-11-30No
Contributions received from participants2019-11-30$0
Income. Received or receivable in cash from other sources (including rollovers)2019-11-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Value of net income/loss2019-11-30$-270
Value of net assets at end of year (total assets less liabilities)2019-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2019-11-30$270
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-11-30No
Were any leases to which the plan was party in default or uncollectible2019-11-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-11-30$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-11-30$270
Net investment gain/loss from pooled separate accounts2019-11-30$6
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-11-30No
Was there a failure to transmit to the plan any participant contributions2019-11-30No
Has the plan failed to provide any benefit when due under the plan2019-11-30No
Contributions received in cash from employer2019-11-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-11-30$276
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-11-30Yes
Did the plan have assets held for investment2019-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-11-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-11-30Yes
Opinion of an independent qualified public accountant for this plan2019-11-30Disclaimer
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$32,228
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$559,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$559,555
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$33,628
Value of total assets at end of year2019-09-30$270
Value of total assets at beginning of year2019-09-30$527,722
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$125
Total interest from all sources2019-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$49,139
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$33,628
Administrative expenses (other) incurred2019-09-30$125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$-527,452
Value of net assets at end of year (total assets less liabilities)2019-09-30$270
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$527,722
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$270
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$491,385
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$36,337
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$567
Net investment gain/loss from pooled separate accounts2019-09-30$-1,967
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$559,555
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30JONATHAN GRUBB CPA, PC
Accountancy firm EIN2019-09-30812756089
2018 : GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total income from all sources (including contributions)2018-09-30$77,289
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$139,943
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$138,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$46,138
Value of total assets at end of year2018-09-30$527,722
Value of total assets at beginning of year2018-09-30$590,376
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$950
Total interest from all sources2018-09-30$3,710
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$52,383
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$46,138
Administrative expenses (other) incurred2018-09-30$950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$-62,654
Value of net assets at end of year (total assets less liabilities)2018-09-30$527,722
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$590,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$491,385
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$422,968
Interest earned on other investments2018-09-30$3,710
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$36,337
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$167,408
Net investment gain/loss from pooled separate accounts2018-09-30$27,441
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$138,993
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30JONATHAN GRUBB CPA, PC
Accountancy firm EIN2018-09-30812756089
2011 : GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-09-30$19,241
Expenses. Total of all expenses incurred2011-09-30$26,975
Benefits paid (including direct rollovers)2011-09-30$26,975
Total plan assets at end of year2011-09-30$251,015
Total plan assets at beginning of year2011-09-30$258,749
Total contributions received or receivable from participants2011-09-30$26,789
Other income received2011-09-30$-7,548
Net income (gross income less expenses)2011-09-30$-7,734
Net plan assets at end of year (total assets less liabilities)2011-09-30$251,015
Net plan assets at beginning of year (total assets less liabilities)2011-09-30$258,749
Assets. Value of participant loans2011-09-30$15,367

Form 5500 Responses for GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN

2021: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2021-02-01Type of plan entitySingle employer plan
2021-02-01First time form 5500 has been submittedYes
2021-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – TrustYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement - TrustYes
2019: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingYes
2019-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedYes
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2009: GREAT LAKES RECOVERY CENTERS, INC. TSA RETIREMENT PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number
Policy instance 1
Number of Individuals Covered127
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Insurance broker organization code?5
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number
Policy instance 1
Number of Individuals Covered112
Insurance policy start date2021-02-01
Insurance policy end date2021-09-30
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees0
Insurance broker organization code?5
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number753079
Policy instance 1
Insurance contract or identification number753079
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number753079
Policy instance 1
Insurance contract or identification number753079
Number of Individuals Covered182
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
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

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