401k Plan data: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN plan

SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN
Plan identification number	005

SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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 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.
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

SOUTH SHORE ELDER SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: SOUTH SHORE ELDER SERVICES, INC.

Employer identification number (EIN): 042596213

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
005 2021-07-01
005 2020-07-01
005 2019-07-01
005 2019-07-01
005 2019-07-01
005 2018-07-01
005 2017-07-01
005 2016-07-01 SANDRA LINDSEY
005 2015-07-01 SANDRA LINDSEY
005 2014-07-01 SANDRA LINDSEY
005 2013-07-01 SANDRA LINDSEY SANDRA LINDSEY 2015-04-02
005 2012-07-01 SANDRA LINDSEY
005 2011-07-01 SANDRA LINDSEY
005 2009-07-01 EDWARD J. FLYNN, JR.

Plan Statistics for SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN

Measure Date Value
2021: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 204
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 158
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 63
Total of all active and inactive participants 2021-07-01 221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 1
Total participants 2021-07-01 222
Number of participants with account balances 2021-07-01 195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 13
2020: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 217
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 157
Number of retired or separated participants receiving benefits 2020-07-01 2
Number of other retired or separated participants entitled to future benefits 2020-07-01 44
Total of all active and inactive participants 2020-07-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 1
Total participants 2020-07-01 204
Number of participants with account balances 2020-07-01 177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 4
2019: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 203
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 145
Number of retired or separated participants receiving benefits 2019-07-01 3
Number of other retired or separated participants entitled to future benefits 2019-07-01 69
Total of all active and inactive participants 2019-07-01 217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 217
Number of participants with account balances 2019-07-01 194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 8
2018: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 191
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 142
Number of retired or separated participants receiving benefits 2018-07-01 3
Number of other retired or separated participants entitled to future benefits 2018-07-01 58
Total of all active and inactive participants 2018-07-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 203
Number of participants with account balances 2018-07-01 179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 6
2017: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 177
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 153
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 48
Total of all active and inactive participants 2017-07-01 201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 201
Number of participants with account balances 2017-07-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 6
2016: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 165
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 135
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 44
Total of all active and inactive participants 2016-07-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 179
Number of participants with account balances 2016-07-01 150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 5
2015: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 153
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 127
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 36
Total of all active and inactive participants 2015-07-01 163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 163
Number of participants with account balances 2015-07-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 6
2014: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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 2014-07-01 122
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 29
Total of all active and inactive participants 2014-07-01 151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 151
Number of participants with account balances 2014-07-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 3
2013: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 125
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 109
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 24
Total of all active and inactive participants 2013-07-01 133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 133
Number of participants with account balances 2013-07-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 3
2012: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 127
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 111
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 16
Total of all active and inactive participants 2012-07-01 127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 127
Number of participants with account balances 2012-07-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 111
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 104
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 21
Total of all active and inactive participants 2011-07-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 125
Number of participants with account balances 2011-07-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 4
2009: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 120
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 96
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 15
Total of all active and inactive participants 2009-07-01 111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 111
Number of participants with account balances 2009-07-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 4

Measure	Date	Value
2021: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	204
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	158
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	63
Total of all active and inactive participants	2021-07-01	221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	1
Total participants	2021-07-01	222
Number of participants with account balances	2021-07-01	195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	13
2020: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	217
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	157
Number of retired or separated participants receiving benefits	2020-07-01	2
Number of other retired or separated participants entitled to future benefits	2020-07-01	44
Total of all active and inactive participants	2020-07-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	1
Total participants	2020-07-01	204
Number of participants with account balances	2020-07-01	177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	4
2019: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	203
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	145
Number of retired or separated participants receiving benefits	2019-07-01	3
Number of other retired or separated participants entitled to future benefits	2019-07-01	69
Total of all active and inactive participants	2019-07-01	217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	217
Number of participants with account balances	2019-07-01	194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	8
2018: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	191
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	142
Number of retired or separated participants receiving benefits	2018-07-01	3
Number of other retired or separated participants entitled to future benefits	2018-07-01	58
Total of all active and inactive participants	2018-07-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	203
Number of participants with account balances	2018-07-01	179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	6
2017: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	177
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	153
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	48
Total of all active and inactive participants	2017-07-01	201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	201
Number of participants with account balances	2017-07-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	6
2016: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	165
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	135
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	44
Total of all active and inactive participants	2016-07-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	179
Number of participants with account balances	2016-07-01	150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	5
2015: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	153
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	127
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	36
Total of all active and inactive participants	2015-07-01	163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	163
Number of participants with account balances	2015-07-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	6
2014: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	122
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	29
Total of all active and inactive participants	2014-07-01	151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	151
Number of participants with account balances	2014-07-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	3
2013: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	125
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	109
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	24
Total of all active and inactive participants	2013-07-01	133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	133
Number of participants with account balances	2013-07-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	3
2012: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	127
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	111
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	16
Total of all active and inactive participants	2012-07-01	127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	127
Number of participants with account balances	2012-07-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	111
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	104
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	21
Total of all active and inactive participants	2011-07-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	125
Number of participants with account balances	2011-07-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	4
2009: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	120
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	96
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	15
Total of all active and inactive participants	2009-07-01	111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	111
Number of participants with account balances	2009-07-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	4

Financial Data on SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN

Measure	Date	Value
2022 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$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	$-121,489
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$488,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$418,736
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$763,350
Value of total assets at end of year	2022-06-30	$5,610,719
Value of total assets at beginning of year	2022-06-30	$6,220,556
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$69,612
Total interest from all sources	2022-06-30	$5,727
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 year	2022-06-30	No
Administrative expenses professional fees incurred	2022-06-30	$69,612
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$500,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$378,034
Participant contributions at end of year	2022-06-30	$97,314
Participant contributions at beginning of year	2022-06-30	$108,155
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$18,250
Total non interest bearing cash at end of year	2022-06-30	$8,183
Total non interest bearing cash at beginning of year	2022-06-30	$11,667
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-609,837
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$5,610,719
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$6,220,556
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$5,062,417
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$5,676,664
Interest on participant loans	2022-06-30	$5,030
Interest earned on other investments	2022-06-30	$697
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$75,739
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$105,047
Net investment gain/loss from pooled separate accounts	2022-06-30	$-890,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$367,066
Employer contributions (assets) at end of year	2022-06-30	$367,066
Employer contributions (assets) at beginning of year	2022-06-30	$319,023
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$418,736
Did the plan have assets held for investment	2022-06-30	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	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2022-06-30	042734675
2021 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	$1,933,176
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$467,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$402,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$676,397
Value of total assets at end of year	2021-06-30	$6,220,556
Value of total assets at beginning of year	2021-06-30	$4,754,454
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$64,753
Total interest from all sources	2021-06-30	$6,139
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 year	2021-06-30	No
Administrative expenses professional fees incurred	2021-06-30	$64,753
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	$335,482
Participant contributions at end of year	2021-06-30	$108,155
Participant contributions at beginning of year	2021-06-30	$80,882
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$21,892
Total non interest bearing cash at end of year	2021-06-30	$11,667
Total non interest bearing cash at beginning of year	2021-06-30	$7,362
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	$1,466,102
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$6,220,556
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$4,754,454
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$5,676,664
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$4,226,241
Interest on participant loans	2021-06-30	$4,642
Interest earned on other investments	2021-06-30	$1,497
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$105,047
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$101,498
Net investment gain/loss from pooled separate accounts	2021-06-30	$1,250,640
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	$319,023
Employer contributions (assets) at end of year	2021-06-30	$319,023
Employer contributions (assets) at beginning of year	2021-06-30	$338,471
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$402,321
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	DANIEL DENNIS & COMPANY
Accountancy firm EIN	2021-06-30	042734675
2020 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2020 401k financial data
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 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	$889,517
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$366,800
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$317,980
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$728,534
Value of total assets at end of year	2020-06-30	$4,754,454
Value of total assets at beginning of year	2020-06-30	$4,231,737
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$48,820
Total interest from all sources	2020-06-30	$5,254
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 year	2020-06-30	No
Administrative expenses professional fees incurred	2020-06-30	$595
Was this plan covered by a fidelity bond	2020-06-30	Yes
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
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$296,753
Participant contributions at end of year	2020-06-30	$80,882
Participant contributions at beginning of year	2020-06-30	$56,926
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$93,310
Administrative expenses (other) incurred	2020-06-30	$48,225
Total non interest bearing cash at end of year	2020-06-30	$7,362
Total non interest bearing cash at beginning of year	2020-06-30	$1,238
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	$522,717
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$4,754,454
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$4,231,737
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 leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$4,226,241
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$3,775,744
Interest on participant loans	2020-06-30	$3,809
Interest earned on other investments	2020-06-30	$1,445
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$101,498
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$80,911
Net investment gain/loss from pooled separate accounts	2020-06-30	$155,729
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
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	$338,471
Employer contributions (assets) at end of year	2020-06-30	$338,471
Employer contributions (assets) at beginning of year	2020-06-30	$316,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$317,980
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
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
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	DANIEL DENNIS & COMPANY
Accountancy firm EIN	2020-06-30	042734675
2019 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$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	$825,856
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$346,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$302,913
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$603,778
Value of total assets at end of year	2019-06-30	$4,231,737
Value of total assets at beginning of year	2019-06-30	$3,752,727
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$43,933
Total interest from all sources	2019-06-30	$3,776
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 year	2019-06-30	No
Administrative expenses professional fees incurred	2019-06-30	$1,015
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$500,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$279,166
Participant contributions at end of year	2019-06-30	$56,926
Participant contributions at beginning of year	2019-06-30	$43,733
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$7,694
Administrative expenses (other) incurred	2019-06-30	$42,918
Total non interest bearing cash at end of year	2019-06-30	$1,238
Total non interest bearing cash at beginning of year	2019-06-30	$3,367
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$479,010
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$4,231,737
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$3,752,727
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$3,775,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$3,411,578
Interest on participant loans	2019-06-30	$2,907
Interest earned on other investments	2019-06-30	$869
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$80,911
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$60,848
Net investment gain/loss from pooled separate accounts	2019-06-30	$218,302
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$316,918
Employer contributions (assets) at end of year	2019-06-30	$316,918
Employer contributions (assets) at beginning of year	2019-06-30	$233,201
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$302,913
Did the plan have assets held for investment	2019-06-30	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	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	DANIEL DENNIS & COMPANY
Accountancy firm EIN	2019-06-30	042734675
2018 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	$710,521
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$217,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$191,542
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$490,891
Value of total assets at end of year	2018-06-30	$3,752,727
Value of total assets at beginning of year	2018-06-30	$3,259,627
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$25,879
Total interest from all sources	2018-06-30	$2,329
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 year	2018-06-30	No
Administrative expenses professional fees incurred	2018-06-30	$630
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	$247,084
Participant contributions at end of year	2018-06-30	$43,733
Participant contributions at beginning of year	2018-06-30	$29,147
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$10,606
Administrative expenses (other) incurred	2018-06-30	$25,249
Total non interest bearing cash at end of year	2018-06-30	$3,367
Total non interest bearing cash at beginning of year	2018-06-30	$977
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	$493,100
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$3,752,727
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$3,259,627
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$3,411,578
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$2,947,596
Interest on participant loans	2018-06-30	$1,979
Interest earned on other investments	2018-06-30	$350
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$60,848
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$41,907
Net investment gain/loss from pooled separate accounts	2018-06-30	$217,301
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	$233,201
Employer contributions (assets) at end of year	2018-06-30	$233,201
Employer contributions (assets) at beginning of year	2018-06-30	$240,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$191,542
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	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2018-06-30	042734675
2017 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	$820,623
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$322,368
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$298,510
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$494,130
Value of total assets at end of year	2017-06-30	$3,259,627
Value of total assets at beginning of year	2017-06-30	$2,761,372
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$23,858
Total interest from all sources	2017-06-30	$1,353
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 year	2017-06-30	No
Administrative expenses professional fees incurred	2017-06-30	$210
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	$254,130
Participant contributions at end of year	2017-06-30	$29,147
Participant contributions at beginning of year	2017-06-30	$27,552
Administrative expenses (other) incurred	2017-06-30	$23,648
Total non interest bearing cash at end of year	2017-06-30	$977
Total non interest bearing cash at beginning of year	2017-06-30	$466
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	$498,255
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$3,259,627
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$2,761,372
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$2,947,596
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$2,475,557
Interest on participant loans	2017-06-30	$1,202
Interest earned on other investments	2017-06-30	$151
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$41,907
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$17,797
Net investment gain/loss from pooled separate accounts	2017-06-30	$325,140
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	$240,000
Employer contributions (assets) at end of year	2017-06-30	$240,000
Employer contributions (assets) at beginning of year	2017-06-30	$240,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$298,510
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	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2017-06-30	042734675
2016 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	$493,732
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$227,693
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$206,407
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$505,734
Value of total assets at end of year	2016-06-30	$2,761,372
Value of total assets at beginning of year	2016-06-30	$2,495,333
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$21,286
Total interest from all sources	2016-06-30	$1,407
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 year	2016-06-30	No
Administrative expenses professional fees incurred	2016-06-30	$840
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$250,000
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	$238,927
Participant contributions at end of year	2016-06-30	$27,552
Participant contributions at beginning of year	2016-06-30	$30,522
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$26,807
Administrative expenses (other) incurred	2016-06-30	$20,446
Total non interest bearing cash at end of year	2016-06-30	$466
Total non interest bearing cash at beginning of year	2016-06-30	$466
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	$266,039
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$2,761,372
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$2,495,333
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$2,475,557
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$2,200,156
Interest on participant loans	2016-06-30	$1,268
Interest earned on other investments	2016-06-30	$139
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$17,797
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$14,188
Net investment gain/loss from pooled separate accounts	2016-06-30	$-13,409
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	$240,000
Employer contributions (assets) at end of year	2016-06-30	$240,000
Employer contributions (assets) at beginning of year	2016-06-30	$250,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$206,407
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	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2016-06-30	042734675
2015 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	$497,239
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$240,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$220,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$456,238
Value of total assets at end of year	2015-06-30	$2,495,333
Value of total assets at beginning of year	2015-06-30	$2,238,697
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$20,559
Total interest from all sources	2015-06-30	$1,577
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 year	2015-06-30	No
Administrative expenses professional fees incurred	2015-06-30	$913
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$250,000
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	$206,237
Participant contributions at end of year	2015-06-30	$30,522
Participant contributions at beginning of year	2015-06-30	$41,428
Total non interest bearing cash at end of year	2015-06-30	$466
Total non interest bearing cash at beginning of year	2015-06-30	$466
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	$256,636
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$2,495,333
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$2,238,697
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	$19,646
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$2,200,156
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$2,074,622
Interest on participant loans	2015-06-30	$1,444
Interest earned on other investments	2015-06-30	$133
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$14,188
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$9,142
Net investment gain/loss from pooled separate accounts	2015-06-30	$39,424
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	$250,001
Employer contributions (assets) at end of year	2015-06-30	$250,001
Employer contributions (assets) at beginning of year	2015-06-30	$113,039
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$220,044
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	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2015-06-30	042734675
2014 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	$573,229
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$320,193
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$297,925
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$297,929
Value of total assets at end of year	2014-06-30	$2,238,697
Value of total assets at beginning of year	2014-06-30	$1,985,661
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$22,268
Total interest from all sources	2014-06-30	$1,802
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	$3,914
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$250,000
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	$184,890
Participant contributions at end of year	2014-06-30	$41,428
Participant contributions at beginning of year	2014-06-30	$44,089
Administrative expenses (other) incurred	2014-06-30	$18,354
Total non interest bearing cash at end of year	2014-06-30	$466
Total non interest bearing cash at beginning of year	2014-06-30	$3,744
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	$253,036
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$2,238,697
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$1,985,661
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	$2,074,622
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$1,848,404
Interest on participant loans	2014-06-30	$1,678
Interest earned on other investments	2014-06-30	$124
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$9,142
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$5,424
Net investment gain/loss from pooled separate accounts	2014-06-30	$273,498
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	$113,039
Employer contributions (assets) at end of year	2014-06-30	$113,039
Employer contributions (assets) at beginning of year	2014-06-30	$84,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$297,925
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	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2014-06-30	042734675
2013 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	$450,614
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$555,717
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$537,767
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$262,313
Value of total assets at end of year	2013-06-30	$1,985,661
Value of total assets at beginning of year	2013-06-30	$2,090,764
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$17,950
Total interest from all sources	2013-06-30	$1,837
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	$525
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$250,000
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	$178,313
Participant contributions at end of year	2013-06-30	$44,089
Participant contributions at beginning of year	2013-06-30	$37,142
Administrative expenses (other) incurred	2013-06-30	$17,425
Total non interest bearing cash at end of year	2013-06-30	$3,744
Total non interest bearing cash at beginning of year	2013-06-30	$1,189
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	$-105,103
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$1,985,661
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$2,090,764
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	$1,848,404
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$2,048,467
Interest on participant loans	2013-06-30	$1,705
Interest earned on other investments	2013-06-30	$132
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$5,424
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$3,966
Net investment gain/loss from pooled separate accounts	2013-06-30	$186,464
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	$84,000
Employer contributions (assets) at end of year	2013-06-30	$84,000
Employer contributions (assets) at beginning of year	2013-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$537,767
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	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2013-06-30	042734675
2012 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	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
Total income from all sources (including contributions)	2012-06-30	$191,144
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$145,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$126,925
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$180,441
Value of total assets at end of year	2012-06-30	$2,090,764
Value of total assets at beginning of year	2012-06-30	$2,045,361
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$18,816
Total interest from all sources	2012-06-30	$1,515
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	$625
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$250,000
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	$177,181
Participant contributions at end of year	2012-06-30	$37,142
Participant contributions at beginning of year	2012-06-30	$29,343
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$3,260
Other income not declared elsewhere	2012-06-30	$5
Administrative expenses (other) incurred	2012-06-30	$18,191
Total non interest bearing cash at end of year	2012-06-30	$1,189
Total non interest bearing cash at beginning of year	2012-06-30	$5,087
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
Value of net income/loss	2012-06-30	$45,403
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$2,090,764
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$2,045,361
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$2,048,467
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$1,930,414
Interest on participant loans	2012-06-30	$1,388
Interest earned on other investments	2012-06-30	$127
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$3,966
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$3,646
Net investment gain/loss from pooled separate accounts	2012-06-30	$9,183
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
Employer contributions (assets) at end of year	2012-06-30	$0
Employer contributions (assets) at beginning of year	2012-06-30	$76,871
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$126,925
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	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2012-06-30	042734675
2011 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$499,640
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$72,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$55,340
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$250,527
Value of total assets at end of year	2011-06-30	$2,045,361
Value of total assets at beginning of year	2011-06-30	$1,618,202
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$17,141
Total interest from all sources	2011-06-30	$1,091
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$250,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$172,123
Participant contributions at end of year	2011-06-30	$29,343
Participant contributions at beginning of year	2011-06-30	$11,684
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$1,533
Administrative expenses (other) incurred	2011-06-30	$17,141
Total non interest bearing cash at end of year	2011-06-30	$5,087
Total non interest bearing cash at beginning of year	2011-06-30	$2,893
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$427,159
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$2,045,361
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$1,618,202
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$1,930,414
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$1,591,030
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$0
Interest on participant loans	2011-06-30	$810
Interest earned on other investments	2011-06-30	$281
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$3,646
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$12,595
Net investment gain/loss from pooled separate accounts	2011-06-30	$248,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$76,871
Employer contributions (assets) at end of year	2011-06-30	$76,871
Employer contributions (assets) at beginning of year	2011-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$55,340
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	DANIEL DENNIS & COMPANY LLP
Accountancy firm EIN	2011-06-30	042734675
2010 : SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN

2021: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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	No
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 – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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 – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING 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
2009: SOUTH SHORE ELDER SERVICES, INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	200
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $28,894
Total amount of fees paid to insurance company	USD $2,496
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $28,894
Insurance broker organization code?	3
Amount paid for insurance broker fees	2496
Additional information about fees paid to insurance broker	TPA COMPENSATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	183
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $25,364
Total amount of fees paid to insurance company	USD $1,415
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $25,364
Insurance broker organization code?	3
Amount paid for insurance broker fees	1415
Additional information about fees paid to insurance broker	TPA COMPENSATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	196
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $17,934
Total amount of fees paid to insurance company	USD $1,990
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $17,934
Insurance broker organization code?	3
Amount paid for insurance broker fees	1990
Additional information about fees paid to insurance broker	TPA COMPENSATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	180
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $17,532
Total amount of fees paid to insurance company	USD $1,766
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $17,532
Insurance broker organization code?	3
Amount paid for insurance broker fees	1766
Additional information about fees paid to insurance broker	TPA COMPENSATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	169
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $16,688
Total amount of fees paid to insurance company	USD $1,652
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	135
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $11,411
Total amount of fees paid to insurance company	USD $1,145
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $11,411
Insurance broker organization code?	3
Amount paid for insurance broker fees	1145
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	SENTINEL BENEFITS GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	121
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $11,038
Total amount of fees paid to insurance company	USD $1,110
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $11,038
Insurance broker organization code?	3
Amount paid for insurance broker fees	1110
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	SENTINEL BENEFITS GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	111
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $9,029
Total amount of fees paid to insurance company	USD $899
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $9,029
Insurance broker organization code?	3
Amount paid for insurance broker fees	899
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	SENTINEL BENEFITS GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	98
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $9,540
Total amount of fees paid to insurance company	USD $964
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $9,540
Insurance broker organization code?	3
Amount paid for insurance broker fees	964
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	SENTINEL BENEFITS GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	102
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $10,760
Total amount of fees paid to insurance company	USD $987
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25462

Policy instance

Insurance contract or identification number	25462
Number of Individuals Covered	99
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $9,028
Total amount of fees paid to insurance company	USD $920
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?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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

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Company Name:	SOUTH SHORE ELDER SERVICES, INC.
Employer identification number (EIN):	042596213
NAIC Classification:	624100
NAIC Description:	Individual and Family Services