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| Plan Name | CENTRO DE SALUD DE LARES RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | Centro De Salud De Lares Inc. Centro De Salud De Lares Inc. |
| Employer identification number (EIN): | 660426506 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2024-01-01 | AMILCAR RODRIGUEZ ROMAN | |||
| 001 | 2023-01-01 | ||||
| 001 | 2023-01-01 | AMILCAR RODRIGUEZ ROMAN |
| Measure | Date | Value |
|---|---|---|
| 2023: CENTRO DE SALUD DE LARES RETIREMENT PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 244 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 244 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2023-01-01 | 0 |
| Total participants | 2023-01-01 | 244 |
| Number of participants with account balances | 2023-01-01 | 65 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2023-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2024 : CENTRO DE SALUD DE LARES RETIREMENT PLAN 2024 401k financial data | ||
| Total income from all sources | 2024-01-01 | $202,878 |
| Expenses. Total of all expenses incurred | 2024-01-01 | $4,857 |
| Benefits paid (including direct rollovers) | 2024-01-01 | $308 |
| Total plan assets at end of year | 2024-01-01 | $270,761 |
| Total plan assets at beginning of year | 2024-01-01 | $72,740 |
| Value of fidelity bond covering the plan | 2024-01-01 | $1,000,000 |
| Total contributions received or receivable from participants | 2024-01-01 | $128,444 |
| Expenses. Other expenses not covered elsewhere | 2024-01-01 | $4,549 |
| Other income received | 2024-01-01 | $17,905 |
| Net income (gross income less expenses) | 2024-01-01 | $198,021 |
| Net plan assets at end of year (total assets less liabilities) | 2024-01-01 | $270,761 |
| Net plan assets at beginning of year (total assets less liabilities) | 2024-01-01 | $72,740 |
| Total contributions received or receivable from employer(s) | 2024-01-01 | $56,529 |
| 2023 : CENTRO DE SALUD DE LARES RETIREMENT PLAN 2023 401k financial data | ||
| Total income from all sources | 2023-12-31 | $73,427 |
| Expenses. Total of all expenses incurred | 2023-12-31 | $687 |
| Total plan assets at end of year | 2023-12-31 | $72,740 |
| Total plan assets at beginning of year | 2023-12-31 | $0 |
| Value of fidelity bond covering the plan | 2023-12-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2023-12-31 | $50,423 |
| Expenses. Other expenses not covered elsewhere | 2023-12-31 | $687 |
| Other income received | 2023-12-31 | $4,949 |
| Net income (gross income less expenses) | 2023-12-31 | $72,740 |
| Net plan assets at end of year (total assets less liabilities) | 2023-12-31 | $72,740 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2023-12-31 | $18,055 |
| 2023: CENTRO DE SALUD DE LARES RETIREMENT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Submission has been amended | No |
| 2023-01-01 | This submission is the final filing | No |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-01-01 | Plan is a collectively bargained plan | No |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – Trust | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement - Trust | Yes |
| GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 ) | |||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 518671-P1 | ||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||
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