| Plan Name | SHERMAN GROUP RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JSSG HEALTHCARE, LLC DBA FIDDLERS GREEN MANOR |
| Employer identification number (EIN): | 463768522 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about JSSG HEALTHCARE, LLC DBA FIDDLERS GREEN MANOR
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 2011-09-01 |
| Company Identification Number: | 4137724 |
| Legal Registered Office Address: |
255 WARNER AVENUE ATTN: SAM SHERMAN ROSLYN HEIGHTS United States of America (USA) 11577 |
More information about JSSG HEALTHCARE, LLC DBA FIDDLERS GREEN MANOR
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2019-01-01 | ||||
| 001 | 2018-01-01 | BENNETT GAGLIANO | 2019-10-08 | BENNETT GAGLIANO | 2019-10-08 |
| 001 | 2018-01-01 | BENNETT GAGLIANO | 2019-10-29 | BENNETT GAGLIANO | 2019-10-29 |
| Measure | Date | Value |
|---|---|---|
| 2019 : SHERMAN GROUP RETIREMENT PLAN 2019 401k financial data | ||
| Total transfer of assets to this plan | 2019-12-31 | $14,615 |
| Total transfer of assets to this plan | 2019-12-31 | $14,615 |
| Total transfer of assets from this plan | 2019-12-31 | $593,247 |
| Total transfer of assets from this plan | 2019-12-31 | $593,247 |
| Total income from all sources (including contributions) | 2019-12-31 | $491,060 |
| Total income from all sources (including contributions) | 2019-12-31 | $491,060 |
| Total of all expenses incurred | 2019-12-31 | $60,588 |
| Total of all expenses incurred | 2019-12-31 | $60,588 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $36,850 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $36,850 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $339,847 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $339,847 |
| Value of total assets at end of year | 2019-12-31 | $648,377 |
| Value of total assets at end of year | 2019-12-31 | $648,377 |
| Value of total assets at beginning of year | 2019-12-31 | $796,537 |
| Value of total assets at beginning of year | 2019-12-31 | $796,537 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $23,738 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $23,738 |
| Total interest from all sources | 2019-12-31 | $138 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
| Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| 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 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $290,044 |
| Contributions received from participants | 2019-12-31 | $290,044 |
| Participant contributions at end of year | 2019-12-31 | $1,718 |
| Participant contributions at end of year | 2019-12-31 | $1,718 |
| Participant contributions at beginning of year | 2019-12-31 | $13,342 |
| Participant contributions at end of year | 2019-12-31 | $8,306 |
| Participant contributions at end of year | 2019-12-31 | $8,306 |
| Participant contributions at beginning of year | 2019-12-31 | $943 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2019-12-31 | $43,807 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2019-12-31 | $43,807 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $430,472 |
| Value of net income/loss | 2019-12-31 | $430,472 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $648,377 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $648,377 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $796,537 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $796,537 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $638,353 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $638,353 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $781,982 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $781,982 |
| Interest on participant loans | 2019-12-31 | $138 |
| Interest on participant loans | 2019-12-31 | $138 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $151,075 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $151,075 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $5,996 |
| Contributions received in cash from employer | 2019-12-31 | $5,996 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $270 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $36,850 |
| Contract administrator fees | 2019-12-31 | $23,738 |
| Contract administrator fees | 2019-12-31 | $23,738 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Disclaimer |
| Accountancy firm name | 2019-12-31 | EFPR GROUP, CPAS, PLLC |
| Accountancy firm name | 2019-12-31 | EFPR GROUP, CPAS, PLLC |
| Accountancy firm EIN | 2019-12-31 | 474526160 |
| Accountancy firm EIN | 2019-12-31 | 474526160 |
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) | |
| Policy contract number | 743-80208 |
| Policy instance | 1 |