401k Plan data: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN plan

CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 401k Plan overview

Plan Name	CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN
Plan identification number	001

CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 403(b)(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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

CENTRAL NEW HAMPSHIRE VNA & HOSPICE has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL NEW HAMPSHIRE VNA & HOSPICE

Employer identification number (EIN): 020324948

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01 DAVID EMBERLEY
001 2016-07-01 DAVID EMBERLEY
001 2015-07-01 DAVID EMBERLEY
001 2014-07-01 DAVID EMBERLEY
001 2013-07-01 DAVID EMBERLEY
001 2012-07-01 DAVID A. EMBERLEY
001 2011-07-01 DAVID A. EMBERLEY
001 2010-07-01 RICHARD S WOLFF 2011-11-10

Plan Statistics for CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN

401k plan membership statisitcs for CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN

Measure Date Value
2021: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 50
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 0
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 0
Number of participants with account balances 2021-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 106
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 0
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 49
Total of all active and inactive participants 2020-07-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 1
Total participants 2020-07-01 50
Number of participants with account balances 2020-07-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 117
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 90
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 16
Total of all active and inactive participants 2019-07-01 106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 106
Number of participants with account balances 2019-07-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 124
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 97
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 19
Total of all active and inactive participants 2018-07-01 116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 1
Total participants 2018-07-01 117
Number of participants with account balances 2018-07-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 110
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 107
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 16
Total of all active and inactive participants 2017-07-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 1
Total participants 2017-07-01 124
Number of participants with account balances 2017-07-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 119
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 92
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 17
Total of all active and inactive participants 2016-07-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 1
Total participants 2016-07-01 110
Number of participants with account balances 2016-07-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 139
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 105
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 12
Total of all active and inactive participants 2015-07-01 117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 2
Total participants 2015-07-01 119
Number of participants with account balances 2015-07-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 135
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 120
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 17
Total of all active and inactive participants 2014-07-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 2
Total participants 2014-07-01 139
Number of participants with account balances 2014-07-01 104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 148
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 103
Number of other retired or separated participants entitled to future benefits 2013-07-01 32
Total of all active and inactive participants 2013-07-01 135
Total participants 2013-07-01 135
Number of participants with account balances 2013-07-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 149
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 124
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 24
Total of all active and inactive participants 2012-07-01 148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 148
Number of participants with account balances 2012-07-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 153
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 127
Number of retired or separated participants receiving benefits 2011-07-01 22
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 149
Number of participants with account balances 2011-07-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0

Measure	Date	Value
2021: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	50
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	0
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	0
Number of participants with account balances	2021-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	106
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	0
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	49
Total of all active and inactive participants	2020-07-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	1
Total participants	2020-07-01	50
Number of participants with account balances	2020-07-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	117
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	90
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	16
Total of all active and inactive participants	2019-07-01	106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	106
Number of participants with account balances	2019-07-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	124
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	97
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	19
Total of all active and inactive participants	2018-07-01	116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	1
Total participants	2018-07-01	117
Number of participants with account balances	2018-07-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	110
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	107
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	16
Total of all active and inactive participants	2017-07-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	1
Total participants	2017-07-01	124
Number of participants with account balances	2017-07-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	119
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	92
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	17
Total of all active and inactive participants	2016-07-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	1
Total participants	2016-07-01	110
Number of participants with account balances	2016-07-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	139
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	105
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	12
Total of all active and inactive participants	2015-07-01	117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	2
Total participants	2015-07-01	119
Number of participants with account balances	2015-07-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	135
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	120
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	17
Total of all active and inactive participants	2014-07-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	2
Total participants	2014-07-01	139
Number of participants with account balances	2014-07-01	104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	148
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	103
Number of other retired or separated participants entitled to future benefits	2013-07-01	32
Total of all active and inactive participants	2013-07-01	135
Total participants	2013-07-01	135
Number of participants with account balances	2013-07-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	149
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	124
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	24
Total of all active and inactive participants	2012-07-01	148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	148
Number of participants with account balances	2012-07-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	153
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	127
Number of retired or separated participants receiving benefits	2011-07-01	22
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	149
Number of participants with account balances	2011-07-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0

Financial Data on CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN

Measure	Date	Value
2022 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2022 401k financial data
Total income from all sources	2022-06-30	$-24,791
Expenses. Total of all expenses incurred	2022-06-30	$968,648
Benefits paid (including direct rollovers)	2022-06-30	$968,648
Total plan assets at end of year	2022-06-30	$0
Total plan assets at beginning of year	2022-06-30	$993,439
Value of fidelity bond covering the plan	2022-06-30	$500,000
Other income received	2022-06-30	$-24,791
Net income (gross income less expenses)	2022-06-30	$-993,439
Net plan assets at end of year (total assets less liabilities)	2022-06-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2022-06-30	$993,439
Assets. Value of participant loans	2022-06-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2022-06-30	$0
2021 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$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	$1,614,859
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$5,326,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$5,292,720
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$313,159
Value of total assets at end of year	2021-06-30	$993,439
Value of total assets at beginning of year	2021-06-30	$4,704,768
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$33,468
Total interest from all sources	2021-06-30	$402
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$170,733
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$170,733
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$500,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$202,496
Participant contributions at end of year	2021-06-30	$184
Participant contributions at beginning of year	2021-06-30	$6,979
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$1,666
Administrative expenses (other) incurred	2021-06-30	$140
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$-3,711,329
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$993,439
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$4,704,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Investment advisory and management fees	2021-06-30	$28,383
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$981,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$4,461,260
Interest on participant loans	2021-06-30	$402
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$11,745
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$236,529
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$1,130,565
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$108,997
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$5,292,720
Contract administrator fees	2021-06-30	$4,945
Did the plan have assets held for investment	2021-06-30	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	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm EIN	2021-06-30	010523282
2020 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at 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 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	$578,303
Total income from all sources (including contributions)	2020-06-30	$578,303
Total loss/gain on sale of assets	2020-06-30	$0
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$432,081
Total of all expenses incurred	2020-06-30	$432,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$404,031
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$404,031
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$386,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$386,149
Value of total assets at end of year	2020-06-30	$4,704,768
Value of total assets at beginning of year	2020-06-30	$4,558,546
Value of total assets at beginning of year	2020-06-30	$4,558,546
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$28,050
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$28,050
Total interest from all sources	2020-06-30	$771
Total interest from all sources	2020-06-30	$771
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$124,110
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$124,110
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$124,110
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$124,110
Was this plan covered by a fidelity bond	2020-06-30	Yes
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$500,000
Value of fidelity bond cover	2020-06-30	$500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
If this is an individual account plan, was there a blackout period	2020-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$266,614
Contributions received from participants	2020-06-30	$266,614
Participant contributions at end of year	2020-06-30	$6,979
Participant contributions at end of year	2020-06-30	$6,979
Participant contributions at beginning of year	2020-06-30	$17,939
Participant contributions at beginning of year	2020-06-30	$17,939
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$5,448
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$5,448
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	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	2020-06-30	No
Value of net income/loss	2020-06-30	$146,222
Value of net income/loss	2020-06-30	$146,222
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$4,704,768
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$4,704,768
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$4,558,546
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$4,558,546
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Investment advisory and management fees	2020-06-30	$24,813
Investment advisory and management fees	2020-06-30	$24,813
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$4,461,260
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$4,461,260
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$4,267,460
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$4,267,460
Interest on participant loans	2020-06-30	$771
Interest on participant loans	2020-06-30	$771
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$236,529
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$236,529
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$273,147
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$273,147
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$67,273
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$67,273
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$114,087
Contributions received in cash from employer	2020-06-30	$114,087
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$404,031
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$404,031
Contract administrator fees	2020-06-30	$3,237
Contract administrator fees	2020-06-30	$3,237
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan have assets held for investment	2020-06-30	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	2020-06-30	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	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm name	2020-06-30	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm EIN	2020-06-30	010523282
Accountancy firm EIN	2020-06-30	010523282
2019 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2019 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
2018 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$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	$868,730
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$1,733,929
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$1,691,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$336,395
Value of total assets at end of year	2018-06-30	$4,733,439
Value of total assets at beginning of year	2018-06-30	$5,598,638
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$42,733
Total interest from all sources	2018-06-30	$936
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$165,882
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$165,882
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$500,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$232,382
Participant contributions at end of year	2018-06-30	$14,656
Participant contributions at beginning of year	2018-06-30	$22,009
Administrative expenses (other) incurred	2018-06-30	$175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$-865,199
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$4,733,439
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$5,598,638
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Investment advisory and management fees	2018-06-30	$41,108
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$4,254,095
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$5,018,778
Interest on participant loans	2018-06-30	$936
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$464,688
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$557,851
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$365,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$104,013
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$1,691,196
Contract administrator fees	2018-06-30	$1,450
Did the plan have assets held for investment	2018-06-30	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	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm EIN	2018-06-30	010523282
2017 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$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	$1,026,032
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$675,526
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$634,463
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$381,967
Value of total assets at end of year	2017-06-30	$5,598,638
Value of total assets at beginning of year	2017-06-30	$5,248,132
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$41,063
Total interest from all sources	2017-06-30	$1,275
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$130,820
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$130,820
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$500,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$244,802
Participant contributions at end of year	2017-06-30	$22,009
Participant contributions at beginning of year	2017-06-30	$47,844
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$24,395
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$350,506
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$5,598,638
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$5,248,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Investment advisory and management fees	2017-06-30	$39,471
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$5,018,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$4,562,099
Interest on participant loans	2017-06-30	$1,275
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$557,851
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$638,189
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$511,970
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$112,770
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$634,463
Contract administrator fees	2017-06-30	$1,592
Did the plan have assets held for investment	2017-06-30	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	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm EIN	2017-06-30	010523282
2016 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$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	$429,377
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$250,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$213,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$385,692
Value of total assets at end of year	2016-06-30	$5,248,132
Value of total assets at beginning of year	2016-06-30	$5,069,068
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$36,824
Total interest from all sources	2016-06-30	$2,596
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$170,198
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$170,198
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$259,263
Participant contributions at end of year	2016-06-30	$47,844
Participant contributions at beginning of year	2016-06-30	$73,284
Administrative expenses (other) incurred	2016-06-30	$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$179,064
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$5,248,132
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$5,069,068
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Investment advisory and management fees	2016-06-30	$36,131
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$4,562,099
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$4,401,966
Interest on participant loans	2016-06-30	$2,596
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$638,189
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$593,818
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-129,109
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$126,429
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$213,489
Contract administrator fees	2016-06-30	$593
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm EIN	2016-06-30	010523282
2015 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$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	$650,752
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$297,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$261,377
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$437,188
Value of total assets at end of year	2015-06-30	$5,069,068
Value of total assets at beginning of year	2015-06-30	$4,716,110
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$36,417
Total interest from all sources	2015-06-30	$4,522
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$158,136
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$158,136
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$284,953
Participant contributions at end of year	2015-06-30	$73,284
Participant contributions at beginning of year	2015-06-30	$63,645
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$7,058
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$352,958
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$5,069,068
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$4,716,110
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Investment advisory and management fees	2015-06-30	$12,992
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$4,401,966
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$3,912,463
Interest on participant loans	2015-06-30	$4,522
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$593,818
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$740,002
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$50,906
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$145,177
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$261,377
Contract administrator fees	2015-06-30	$23,425
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm EIN	2015-06-30	010523282
2014 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$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	$1,067,554
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$357,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$330,791
Expenses. Certain deemed distributions of participant loans	2014-06-30	$308
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$444,077
Value of total assets at end of year	2014-06-30	$4,716,110
Value of total assets at beginning of year	2014-06-30	$4,005,861
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$26,206
Total interest from all sources	2014-06-30	$1,825
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 year	2014-06-30	No
Administrative expenses professional fees incurred	2014-06-30	$26,206
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$500,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$299,732
Participant contributions at end of year	2014-06-30	$63,645
Participant contributions at beginning of year	2014-06-30	$13,683
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$710,249
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$4,716,110
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$4,005,861
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$4,652,465
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$3,362,500
Interest on participant loans	2014-06-30	$1,825
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$629,678
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$621,652
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$144,136
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$330,791
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	BRAD BORBIDGE P.A.
Accountancy firm EIN	2014-06-30	020400296
2013 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$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	$810,516
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$120,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$107,376
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$428,771
Value of total assets at end of year	2013-06-30	$4,005,861
Value of total assets at beginning of year	2013-06-30	$3,315,509
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$12,788
Total interest from all sources	2013-06-30	$229
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 year	2013-06-30	No
Administrative expenses professional fees incurred	2013-06-30	$12,788
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$500,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$281,849
Participant contributions at end of year	2013-06-30	$13,683
Participant contributions at beginning of year	2013-06-30	$7,800
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$0
Other income not declared elsewhere	2013-06-30	$12,804
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$690,352
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$4,005,861
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$3,315,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$3,362,500
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$2,924,710
Interest on participant loans	2013-06-30	$229
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$629,678
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$382,999
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$368,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$146,922
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$107,376
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	BRAD BORBIDGE P.A.
Accountancy firm EIN	2013-06-30	020400296
2012 : CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total transfer of assets to this plan	2012-06-30	$0
Total transfer of assets from this plan	2012-06-30	$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
Expenses. Interest paid	2012-06-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$479,484
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$462,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$448,070
Expenses. Certain deemed distributions of participant loans	2012-06-30	$0
Value of total corrective distributions	2012-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$473,543
Value of total assets at end of year	2012-06-30	$3,147,304
Value of total assets at beginning of year	2012-06-30	$3,130,396
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$14,506
Total interest from all sources	2012-06-30	$414
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 year	2012-06-30	No
Administrative expenses professional fees incurred	2012-06-30	$14,506
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$500,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$312,468
Participant contributions at end of year	2012-06-30	$7,800
Participant contributions at beginning of year	2012-06-30	$8,808
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$7,876
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-06-30	$0
Other income not declared elsewhere	2012-06-30	$10,860
Administrative expenses (other) incurred	2012-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Income. Non cash contributions	2012-06-30	$0
Value of net income/loss	2012-06-30	$16,908
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$3,147,304
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$3,130,396
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Investment advisory and management fees	2012-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$2,821,333
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$2,765,335
Interest on participant loans	2012-06-30	$414
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$318,171
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$356,253
Expenses. Payments to insurance carriers foe the provision of benefits	2012-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-5,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$153,199
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$448,070
Contract administrator fees	2012-06-30	$0
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	BRAD BORBIDGE P.A.
Accountancy firm EIN	2012-06-30	020400296

Form 5500 Responses for CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN

2021: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	Yes
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: CENTRAL NEW HAMPSHIRE VNA & HOSPICE 403(B) PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808825A

Policy instance

Insurance contract or identification number	808825A
Number of Individuals Covered	50
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808825A

Policy instance

Insurance contract or identification number	808825A
Number of Individuals Covered	96
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808825A

Policy instance

Insurance contract or identification number	808825A
Number of Individuals Covered	100
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

808825A

Policy instance

Insurance contract or identification number	808825A
Number of Individuals Covered	103
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )

Policy contract number

200182

Policy instance

Insurance contract or identification number	200182
Number of Individuals Covered	112
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $27,449
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	CENTRAL NEW HAMPSHIRE VNA & HOSPICE
Employer identification number (EIN):	020324948
NAIC Classification:	621610
NAIC Description:	Home Health Care Services