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HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 401k Plan overview

Plan NameHOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN
Plan identification number 001

HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS 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 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock 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

HOSPICE OF SANTA CRUZ COUNTY has sponsored the creation of one or more 401k plans.

Company Name:HOSPICE OF SANTA CRUZ COUNTY
Employer identification number (EIN):942497618
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about HOSPICE OF SANTA CRUZ COUNTY

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0843070

More information about HOSPICE OF SANTA CRUZ COUNTY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01
0012017-07-01
0012016-07-01ADAM SHORE ADAM SHORE2018-04-16
0012015-07-01ADAM SHORE ADAM SHORE2017-04-17
0012014-07-01ADAM SHORE
0012013-07-01ADAM SHORE
0012012-07-01MICHELLE SMAGACZ
0012011-07-01NANCY HOUSEMAN
0012010-07-01NANCY HOUSEMAN2012-01-13

Plan Statistics for HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN

401k plan membership statisitcs for HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN

Measure Date Value
2021: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01248
Total number of active participants reported on line 7a of the Form 55002021-07-01139
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-01103
Total of all active and inactive participants2021-07-01242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-01242
Number of participants with account balances2021-07-01223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-016
2020: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01230
Total number of active participants reported on line 7a of the Form 55002020-07-01154
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0194
Total of all active and inactive participants2020-07-01248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-01248
Number of participants with account balances2020-07-01218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-0115
2019: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01220
Total number of active participants reported on line 7a of the Form 55002019-07-01152
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0178
Total of all active and inactive participants2019-07-01230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01230
Number of participants with account balances2019-07-01221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-0114
2018: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01220
Total number of active participants reported on line 7a of the Form 55002018-07-01162
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-0164
Total of all active and inactive participants2018-07-01226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-01226
Number of participants with account balances2018-07-01219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-0113
2017: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01148
Total number of active participants reported on line 7a of the Form 55002017-07-01169
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0151
Total of all active and inactive participants2017-07-01220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-01220
Number of participants with account balances2017-07-01213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-017
2016: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01143
Total number of active participants reported on line 7a of the Form 55002016-07-01109
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-0139
Total of all active and inactive participants2016-07-01148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-01148
Number of participants with account balances2016-07-01146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-012
2015: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01121
Total number of active participants reported on line 7a of the Form 55002015-07-01156
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-0142
Total of all active and inactive participants2015-07-01198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-012
Total participants2015-07-01200
Number of participants with account balances2015-07-01142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-019
2014: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01172
Total number of active participants reported on line 7a of the Form 55002014-07-01139
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-0138
Total of all active and inactive participants2014-07-01177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01177
Number of participants with account balances2014-07-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-018
2013: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01173
Total number of active participants reported on line 7a of the Form 55002013-07-01133
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-0133
Total of all active and inactive participants2013-07-01166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01166
Number of participants with account balances2013-07-01118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-018
2012: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01149
Total number of active participants reported on line 7a of the Form 55002012-07-01146
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-0126
Total of all active and inactive participants2012-07-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01172
Number of participants with account balances2012-07-01124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-012
2011: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01128
Total number of active participants reported on line 7a of the Form 55002011-07-01124
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0125
Total of all active and inactive participants2011-07-01149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01149
Number of participants with account balances2011-07-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-013

Financial Data on HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN

Measure Date Value
2022 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$0
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total transfer of assets to this plan2022-06-30$0
Total transfer of assets from this plan2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$-4,732
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$750,118
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$742,687
Expenses. Certain deemed distributions of participant loans2022-06-30$0
Value of total corrective distributions2022-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$1,536,074
Value of total assets at end of year2022-06-30$10,289,619
Value of total assets at beginning of year2022-06-30$11,044,469
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$7,431
Total interest from all sources2022-06-30$7,185
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$0
Assets. Real estate other than employer real property at end of year2022-06-30$0
Assets. Real estate other than employer real property at beginning of year2022-06-30$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-06-30$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-06-30$0
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$1,114,537
Participant contributions at end of year2022-06-30$0
Participant contributions at beginning of year2022-06-30$0
Participant contributions at end of year2022-06-30$0
Participant contributions at beginning of year2022-06-30$0
Assets. Other investments not covered elsewhere at end of year2022-06-30$0
Assets. Other investments not covered elsewhere at beginning of year2022-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$254,932
Assets. Loans (other than to participants) at end of year2022-06-30$0
Assets. Loans (other than to participants) at beginning of year2022-06-30$0
Other income not declared elsewhere2022-06-30$0
Administrative expenses (other) incurred2022-06-30$7,431
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Income. Non cash contributions2022-06-30$0
Value of net income/loss2022-06-30$-754,850
Value of net assets at end of year (total assets less liabilities)2022-06-30$10,289,619
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$11,044,469
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Assets. partnership/joint venture interests at end of year2022-06-30$0
Assets. partnership/joint venture interests at beginning of year2022-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$9,210,772
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$9,955,941
Value of interest in pooled separate accounts at end of year2022-06-30$0
Value of interest in pooled separate accounts at beginning of year2022-06-30$0
Interest on participant loans2022-06-30$0
Income. Interest from loans (other than to participants)2022-06-30$0
Interest earned on other investments2022-06-30$7,185
Income. Interest from US Government securities2022-06-30$0
Income. Interest from corporate debt instruments2022-06-30$0
Value of interest in master investment trust accounts at end of year2022-06-30$0
Value of interest in master investment trust accounts at beginning of year2022-06-30$0
Value of interest in common/collective trusts at end of year2022-06-30$0
Value of interest in common/collective trusts at beginning of year2022-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$0
Assets. Value of investments in 103.12 investment entities at end of year2022-06-30$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$1,078,847
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$1,088,528
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$0
Asset value of US Government securities at end of year2022-06-30$0
Asset value of US Government securities at beginning of year2022-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$0
Net investment gain/loss from pooled separate accounts2022-06-30$-1,547,991
Net investment gain or loss from common/collective trusts2022-06-30$0
Net gain/loss from 103.12 investment entities2022-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30Yes
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$166,605
Employer contributions (assets) at end of year2022-06-30$0
Employer contributions (assets) at beginning of year2022-06-30$0
Income. Dividends from preferred stock2022-06-30$0
Income. Dividends from common stock2022-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$742,687
Asset. Corporate debt instrument preferred debt at end of year2022-06-30$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-06-30$0
Asset. Corporate debt instrument debt (other) at end of year2022-06-30$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-06-30$0
Assets. Corporate common stocks other than exployer securities at end of year2022-06-30$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-06-30$0
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$0
Aggregate carrying amount (costs) on sale of assets2022-06-30$0
Opinion of an independent qualified public accountant for this plan2022-06-30Disclaimer
Accountancy firm name2022-06-30ATHERTON & ASSOCIATES, LLP
Accountancy firm EIN2022-06-30941239084
2021 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$3,427,279
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$366,327
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$363,702
Expenses. Certain deemed distributions of participant loans2021-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$1,144,055
Value of total assets at end of year2021-06-30$11,044,469
Value of total assets at beginning of year2021-06-30$7,983,517
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$2,625
Total interest from all sources2021-06-30$9,463
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$992,263
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$2,952
Other income not declared elsewhere2021-06-30$0
Administrative expenses (other) incurred2021-06-30$2,625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$3,060,952
Value of net assets at end of year (total assets less liabilities)2021-06-30$11,044,469
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$7,983,517
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$9,955,941
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$7,345,903
Interest on participant loans2021-06-30$0
Interest earned on other investments2021-06-30$9,463
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$1,088,528
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$637,614
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$0
Net investment gain/loss from pooled separate accounts2021-06-30$2,273,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30Yes
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$148,840
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$363,702
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30ARMANINO LLP
Accountancy firm EIN2021-06-30946214841
2020 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$1,449,668
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$446,721
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$443,989
Expenses. Certain deemed distributions of participant loans2020-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$1,229,434
Value of total assets at end of year2020-06-30$7,983,517
Value of total assets at beginning of year2020-06-30$6,980,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$2,732
Total interest from all sources2020-06-30$5,928
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$947,578
Participant contributions at end of year2020-06-30$44,444
Participant contributions at beginning of year2020-06-30$20,007
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$150,178
Other income not declared elsewhere2020-06-30$0
Administrative expenses (other) incurred2020-06-30$2,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$1,002,947
Value of net assets at end of year (total assets less liabilities)2020-06-30$7,983,517
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$6,980,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$7,345,903
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$6,596,282
Interest on participant loans2020-06-30$0
Interest earned on other investments2020-06-30$5,928
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$593,170
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$364,281
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$0
Net investment gain/loss from pooled separate accounts2020-06-30$214,306
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$131,678
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$443,989
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30ARMANINO LLP
Accountancy firm EIN2020-06-30946214841
2019 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$1,773,378
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$752,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$750,432
Expenses. Certain deemed distributions of participant loans2019-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$1,435,437
Value of total assets at end of year2019-06-30$6,980,569
Value of total assets at beginning of year2019-06-30$5,960,009
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$2,386
Total interest from all sources2019-06-30$1,897
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$978,684
Participant contributions at end of year2019-06-30$20,007
Participant contributions at beginning of year2019-06-30$15,011
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$329,967
Other income not declared elsewhere2019-06-30$0
Administrative expenses (other) incurred2019-06-30$2,386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$1,020,560
Value of net assets at end of year (total assets less liabilities)2019-06-30$6,980,569
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$5,960,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$6,596,282
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$5,881,051
Interest on participant loans2019-06-30$0
Interest earned on other investments2019-06-30$1,897
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$364,280
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$63,947
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$0
Net investment gain/loss from pooled separate accounts2019-06-30$336,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$126,786
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$750,432
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30ARMANINO, LLP
Accountancy firm EIN2019-06-30946214841
2018 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$1,925,046
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$270,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$268,257
Expenses. Certain deemed distributions of participant loans2018-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$1,471,795
Value of total assets at end of year2018-06-30$5,960,009
Value of total assets at beginning of year2018-06-30$4,305,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$1,833
Total interest from all sources2018-06-30$720
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$830,991
Participant contributions at end of year2018-06-30$15,011
Participant contributions at beginning of year2018-06-30$7,044
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$558,821
Other income not declared elsewhere2018-06-30$0
Administrative expenses (other) incurred2018-06-30$1,833
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$1,654,956
Value of net assets at end of year (total assets less liabilities)2018-06-30$5,960,009
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$4,305,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$5,881,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$4,239,112
Interest on participant loans2018-06-30$0
Interest earned on other investments2018-06-30$720
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$63,947
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$58,897
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$0
Net investment gain/loss from pooled separate accounts2018-06-30$452,531
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$81,983
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$268,257
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30ARMANINO, LLP
Accountancy firm EIN2018-06-30946214841
2017 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$1,588,977
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$148,223
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$146,873
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$1,176,310
Value of total assets at end of year2017-06-30$4,305,053
Value of total assets at beginning of year2017-06-30$2,864,299
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$1,350
Total interest from all sources2017-06-30$639
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$300,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$667,732
Participant contributions at end of year2017-06-30$7,044
Participant contributions at beginning of year2017-06-30$15,614
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$442,648
Other income not declared elsewhere2017-06-30$0
Administrative expenses (other) incurred2017-06-30$1,350
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$1,440,754
Value of net assets at end of year (total assets less liabilities)2017-06-30$4,305,053
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$2,864,299
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$4,239,112
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$2,798,546
Interest on participant loans2017-06-30$0
Interest earned on other investments2017-06-30$639
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-06-30$58,897
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-06-30$50,139
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$0
Net investment gain/loss from pooled separate accounts2017-06-30$412,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$65,930
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$146,873
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30ARMANINO, LLP
Accountancy firm EIN2017-06-30946214841
2016 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$704,047
Total loss/gain on sale of assets2016-06-30$23,966
Total of all expenses incurred2016-06-30$281,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$276,860
Expenses. Certain deemed distributions of participant loans2016-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$691,963
Value of total assets at end of year2016-06-30$2,864,299
Value of total assets at beginning of year2016-06-30$2,441,345
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$4,233
Total interest from all sources2016-06-30$3,193
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$300,000
If this is an individual account plan, was there a blackout period2016-06-30Yes
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$594,004
Participant contributions at end of year2016-06-30$15,614
Participant contributions at beginning of year2016-06-30$25,446
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$38,558
Administrative expenses (other) incurred2016-06-30$4,233
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$422,954
Value of net assets at end of year (total assets less liabilities)2016-06-30$2,864,299
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$2,441,345
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$2,798,546
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$2,414,859
Interest on participant loans2016-06-30$0
Interest earned on other investments2016-06-30$3,193
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$1,040
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$1,040
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-06-30$50,139
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$0
Net investment gain/loss from pooled separate accounts2016-06-30$-15,075
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$59,401
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$276,860
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30Yes
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$29,204
Aggregate carrying amount (costs) on sale of assets2016-06-30$5,238
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30ARMANINO LLP
Accountancy firm EIN2016-06-30946214841
2015 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$626,031
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$764,174
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$743,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$595,460
Value of total assets at end of year2015-06-30$2,441,345
Value of total assets at beginning of year2015-06-30$2,579,488
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$20,852
Total interest from all sources2015-06-30$561
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$300,000
If this is an individual account plan, was there a blackout period2015-06-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$519,555
Participant contributions at end of year2015-06-30$25,446
Participant contributions at beginning of year2015-06-30$23,038
Participant contributions at end of year2015-06-30$0
Participant contributions at beginning of year2015-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$27,567
Administrative expenses (other) incurred2015-06-30$2,130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-138,143
Value of net assets at end of year (total assets less liabilities)2015-06-30$2,441,345
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$2,579,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$13,195
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$2,414,859
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$2,556,360
Interest on participant loans2015-06-30$561
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$1,040
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$90
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$90
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$30,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$48,338
Employer contributions (assets) at end of year2015-06-30$0
Employer contributions (assets) at beginning of year2015-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$743,322
Contract administrator fees2015-06-30$5,527
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30Yes
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30ARMANINO LLP
Accountancy firm EIN2015-06-30946214841
2014 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$878,164
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$209,437
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$188,328
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$569,380
Value of total assets at end of year2014-06-30$2,579,488
Value of total assets at beginning of year2014-06-30$1,910,761
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$21,109
Total interest from all sources2014-06-30$1,094
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$100,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$502,597
Participant contributions at end of year2014-06-30$23,038
Participant contributions at beginning of year2014-06-30$29,633
Participant contributions at end of year2014-06-30$0
Participant contributions at beginning of year2014-06-30$19,052
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$16,523
Administrative expenses (other) incurred2014-06-30$1,955
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$668,727
Value of net assets at end of year (total assets less liabilities)2014-06-30$2,579,488
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,910,761
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$14,324
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$2,556,360
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$1,860,167
Interest on participant loans2014-06-30$1,094
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$90
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$4
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$4
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$307,690
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$50,260
Employer contributions (assets) at end of year2014-06-30$0
Employer contributions (assets) at beginning of year2014-06-30$1,905
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$188,328
Contract administrator fees2014-06-30$4,830
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30ARMANINO LLP
Accountancy firm EIN2014-06-30946214841
2013 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$697,653
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$665,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$648,284
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$551,531
Value of total assets at end of year2013-06-30$1,910,761
Value of total assets at beginning of year2013-06-30$1,878,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$17,178
Total interest from all sources2013-06-30$1,041
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$100,000
If this is an individual account plan, was there a blackout period2013-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$466,636
Participant contributions at end of year2013-06-30$29,633
Participant contributions at beginning of year2013-06-30$12,161
Participant contributions at end of year2013-06-30$19,052
Participant contributions at beginning of year2013-06-30$16,034
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$38,231
Administrative expenses (other) incurred2013-06-30$2,162
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$32,191
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,910,761
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,878,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$11,229
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$1,860,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$1,848,769
Interest on participant loans2013-06-30$1,041
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$4
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$3
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$3
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$145,081
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$46,664
Employer contributions (assets) at end of year2013-06-30$1,905
Employer contributions (assets) at beginning of year2013-06-30$1,603
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$648,284
Contract administrator fees2013-06-30$3,787
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30BERGER LEWIS ACCOUNTANCY CORP
Accountancy firm EIN2013-06-30942763139
2012 : HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total income from all sources (including contributions)2012-06-30$528,659
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$175,945
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$158,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$513,184
Value of total assets at end of year2012-06-30$1,878,570
Value of total assets at beginning of year2012-06-30$1,525,856
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$17,498
Total interest from all sources2012-06-30$319
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$100,000
If this is an individual account plan, was there a blackout period2012-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$430,425
Participant contributions at end of year2012-06-30$12,161
Participant contributions at beginning of year2012-06-30$0
Participant contributions at end of year2012-06-30$16,034
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$39,717
Administrative expenses (other) incurred2012-06-30$2,570
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$352,714
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,878,570
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$1,525,856
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$11,186
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$1,848,769
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$1,521,313
Income. Interest from loans (other than to participants)2012-06-30$317
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$3
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$1
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$1
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$15,156
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$43,042
Employer contributions (assets) at end of year2012-06-30$1,603
Employer contributions (assets) at beginning of year2012-06-30$4,542
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$158,447
Contract administrator fees2012-06-30$3,742
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30BERGER LEWIS ACCOUNTANCY CORP
Accountancy firm EIN2012-06-30942763139

Form 5500 Responses for HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN

2021: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement - TrustYes
2013: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement - TrustYes
2012: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement - TrustYes
2011: HOSPICE OF SANTA CRUZ COUNTY 403(B) SAVINGS PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059579B
Policy instance 1
Insurance contract or identification number059579B
Number of Individuals Covered225
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,427
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 Administration1
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?No
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 $0
Amount paid for insurance broker fees2427
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059579B
Policy instance 1
Insurance contract or identification number059579B
Number of Individuals Covered248
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,427
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 Administration1
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?No
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 $0
Amount paid for insurance broker fees2427
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059579B
Policy instance 1
Insurance contract or identification number059579B
Number of Individuals Covered230
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,541
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 Administration1
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?No
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 $0
Amount paid for insurance broker fees3541
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059579B
Policy instance 1
Insurance contract or identification number059579B
Number of Individuals Covered226
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,321
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 Administration1
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?No
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 $0
Amount paid for insurance broker fees3321
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059579B
Policy instance 1
Insurance contract or identification number059579B
Number of Individuals Covered220
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,200
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 Administration1
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?No
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059579B
Policy instance 1
Insurance contract or identification number059579B
Number of Individuals Covered143
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
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?No
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 Administration1
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?No
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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