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EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 401k Plan overview

Plan NameEVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN
Plan identification number 001

EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

EVERGREEN CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:EVERGREEN CENTER, INC.
Employer identification number (EIN):042753469
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01ROBERT F. LITTLETON, JR.2023-03-29
0012020-07-01ROBERT F. LITTLETON, JR.2022-04-13
0012019-07-01
0012018-07-01
0012017-07-01
0012016-07-01ROBERT F. LITTLETON, JR.
0012015-07-01ROBERT F. LITTLETON, JR.
0012014-07-01ROBERT F. LITTLETON, JR.
0012013-07-01ROBERT F. LITTLETON, JR.
0012012-07-01ROBERT F. LITTLETON, JR.
0012011-07-01ROBERT F. LITTLETON, JR.
0012009-07-01ROBERT F. LITTLETON JR ROBERT F. LITTLETON JR2011-04-13
0012009-07-01ROBERT F. LITTLETON JR ROBERT F. LITTLETON JR2011-04-12

Plan Statistics for EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN

401k plan membership statisitcs for EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN

Measure Date Value
2021: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01520
Total number of active participants reported on line 7a of the Form 55002021-07-01226
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-01287
Total of all active and inactive participants2021-07-01513
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-011
Total participants2021-07-01514
Number of participants with account balances2021-07-01466
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-014
2020: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01482
Total number of active participants reported on line 7a of the Form 55002020-07-01273
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-01247
Total of all active and inactive participants2020-07-01520
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-01520
Number of participants with account balances2020-07-01458
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-010
2019: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01464
Total number of active participants reported on line 7a of the Form 55002019-07-01232
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-01250
Total of all active and inactive participants2019-07-01482
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01482
Number of participants with account balances2019-07-01424
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-018
2018: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01466
Total number of active participants reported on line 7a of the Form 55002018-07-01227
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-01237
Total of all active and inactive participants2018-07-01464
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-01464
Number of participants with account balances2018-07-01412
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-016
2017: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01422
Total number of active participants reported on line 7a of the Form 55002017-07-01225
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-01214
Total of all active and inactive participants2017-07-01439
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-011
Total participants2017-07-01440
Number of participants with account balances2017-07-01392
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-014
2016: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01452
Total number of active participants reported on line 7a of the Form 55002016-07-01213
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-01209
Total of all active and inactive participants2016-07-01422
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-01422
Number of participants with account balances2016-07-01371
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-019
2015: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01489
Total number of active participants reported on line 7a of the Form 55002015-07-01204
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-01248
Total of all active and inactive participants2015-07-01452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-01452
Number of participants with account balances2015-07-01389
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-0113
2014: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01459
Total number of active participants reported on line 7a of the Form 55002014-07-01238
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-01221
Total of all active and inactive participants2014-07-01459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-012
Total participants2014-07-01461
Number of participants with account balances2014-07-01369
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-018
2013: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01407
Total number of active participants reported on line 7a of the Form 55002013-07-01201
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-01216
Total of all active and inactive participants2013-07-01417
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-011
Total participants2013-07-01418
Number of participants with account balances2013-07-01370
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-013
2012: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01426
Total number of active participants reported on line 7a of the Form 55002012-07-01207
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-01199
Total of all active and inactive participants2012-07-01406
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-011
Total participants2012-07-01407
Number of participants with account balances2012-07-01363
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-016
2011: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01415
Total number of active participants reported on line 7a of the Form 55002011-07-01232
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-01172
Total of all active and inactive participants2011-07-01404
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01404
Number of participants with account balances2011-07-01354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-016
2009: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01370
Total number of active participants reported on line 7a of the Form 55002009-07-01236
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-01139
Total of all active and inactive participants2009-07-01375
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01375
Number of participants with account balances2009-07-01317
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-013

Financial Data on EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN

Measure Date Value
2022 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$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$0
Total income from all sources (including contributions)2022-06-30$-70,121
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$483,785
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$470,578
Expenses. Certain deemed distributions of participant loans2022-06-30$12,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$738,449
Value of total assets at end of year2022-06-30$8,787,202
Value of total assets at beginning of year2022-06-30$9,341,108
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$252
Total interest from all sources2022-06-30$57,844
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$0
Participant contributions at end of year2022-06-30$64,150
Participant contributions at beginning of year2022-06-30$34,908
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Income. Non cash contributions2022-06-30$0
Value of net income/loss2022-06-30$-553,906
Value of net assets at end of year (total assets less liabilities)2022-06-30$8,787,202
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$9,341,108
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$6,171,564
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$6,839,567
Value of interest in pooled separate accounts at end of year2022-06-30$262,472
Value of interest in pooled separate accounts at beginning of year2022-06-30$206,767
Interest on participant loans2022-06-30$1,661
Interest earned on other investments2022-06-30$56,183
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$1,533,476
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$1,563,832
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$14,535
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-915,589
Net investment gain/loss from pooled separate accounts2022-06-30$49,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$738,449
Employer contributions (assets) at end of year2022-06-30$755,540
Employer contributions (assets) at beginning of year2022-06-30$696,034
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$456,043
Contract administrator fees2022-06-30$252
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2022-06-30043108635
2021 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$1,886,564
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$396,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$396,918
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$664,391
Value of total assets at end of year2021-06-30$9,341,108
Value of total assets at beginning of year2021-06-30$7,851,462
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$0
Total interest from all sources2021-06-30$52,002
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Participant contributions at end of year2021-06-30$34,908
Participant contributions at beginning of year2021-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$1,489,646
Value of net assets at end of year (total assets less liabilities)2021-06-30$9,341,108
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$7,851,462
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$6,839,567
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$5,457,475
Value of interest in pooled separate accounts at end of year2021-06-30$206,767
Value of interest in pooled separate accounts at beginning of year2021-06-30$147,982
Interest on participant loans2021-06-30$264
Interest earned on other investments2021-06-30$51,738
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$1,563,832
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$1,555,358
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$1,158,451
Net investment gain/loss from pooled separate accounts2021-06-30$11,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$664,391
Employer contributions (assets) at end of year2021-06-30$696,034
Employer contributions (assets) at beginning of year2021-06-30$690,647
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$396,918
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2021-06-30043108635
2020 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$965,239
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$400,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$400,087
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$739,104
Value of total assets at end of year2020-06-30$7,851,462
Value of total assets at beginning of year2020-06-30$7,286,310
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$0
Total interest from all sources2020-06-30$58,580
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$44,905
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$565,152
Value of net assets at end of year (total assets less liabilities)2020-06-30$7,851,462
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$7,286,310
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$5,457,475
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$5,034,554
Value of interest in pooled separate accounts at end of year2020-06-30$147,982
Value of interest in pooled separate accounts at beginning of year2020-06-30$146,203
Interest earned on other investments2020-06-30$58,580
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$1,555,358
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$1,520,515
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$165,993
Net investment gain/loss from pooled separate accounts2020-06-30$1,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$694,199
Employer contributions (assets) at end of year2020-06-30$690,647
Employer contributions (assets) at beginning of year2020-06-30$585,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$400,087
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2020-06-30043108635
2019 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$894,576
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$673,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$671,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$577,041
Value of total assets at end of year2019-06-30$7,286,310
Value of total assets at beginning of year2019-06-30$7,065,613
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$2,031
Total interest from all sources2019-06-30$82,459
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$220,697
Value of net assets at end of year (total assets less liabilities)2019-06-30$7,286,310
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$7,065,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$5,034,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$4,884,770
Value of interest in pooled separate accounts at end of year2019-06-30$146,203
Value of interest in pooled separate accounts at beginning of year2019-06-30$146,084
Interest earned on other investments2019-06-30$82,459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$1,520,515
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$1,430,034
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$227,851
Net investment gain/loss from pooled separate accounts2019-06-30$7,225
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$577,041
Employer contributions (assets) at end of year2019-06-30$585,038
Employer contributions (assets) at beginning of year2019-06-30$604,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$671,848
Contract administrator fees2019-06-30$2,031
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2019-06-30043108635
2018 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$898,152
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$1,051,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$1,051,524
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$537,070
Value of total assets at end of year2018-06-30$7,065,613
Value of total assets at beginning of year2018-06-30$7,218,985
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$0
Total interest from all sources2018-06-30$53,890
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$4,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-153,372
Value of net assets at end of year (total assets less liabilities)2018-06-30$7,065,613
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$7,218,985
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$4,884,770
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$5,320,566
Value of interest in pooled separate accounts at end of year2018-06-30$146,084
Value of interest in pooled separate accounts at beginning of year2018-06-30$137,325
Interest earned on other investments2018-06-30$53,890
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$1,430,034
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$1,443,077
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$50,108
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$300,342
Net investment gain/loss from pooled separate accounts2018-06-30$6,850
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$533,070
Employer contributions (assets) at end of year2018-06-30$604,725
Employer contributions (assets) at beginning of year2018-06-30$318,017
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$1,001,416
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2018-06-30043108635
2017 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$814,445
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$386,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$386,798
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$313,379
Value of total assets at end of year2017-06-30$7,218,985
Value of total assets at beginning of year2017-06-30$6,791,338
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$0
Total interest from all sources2017-06-30$55,964
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$8,720
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$427,647
Value of net assets at end of year (total assets less liabilities)2017-06-30$7,218,985
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$6,791,338
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$5,320,566
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$4,819,172
Value of interest in pooled separate accounts at end of year2017-06-30$137,325
Value of interest in pooled separate accounts at beginning of year2017-06-30$123,345
Interest earned on other investments2017-06-30$55,964
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-06-30$1,443,077
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-06-30$1,341,387
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$10,904
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$439,962
Net investment gain/loss from pooled separate accounts2017-06-30$5,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$304,659
Employer contributions (assets) at end of year2017-06-30$318,017
Employer contributions (assets) at beginning of year2017-06-30$507,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$375,894
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2017-06-30043108635
2016 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$490,459
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$332,319
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$331,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$493,688
Value of total assets at end of year2016-06-30$6,791,338
Value of total assets at beginning of year2016-06-30$6,633,198
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$372
Total interest from all sources2016-06-30$51,637
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$1,552
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$158,140
Value of net assets at end of year (total assets less liabilities)2016-06-30$6,791,338
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$6,633,198
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$4,819,172
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$4,740,275
Value of interest in pooled separate accounts at end of year2016-06-30$123,345
Value of interest in pooled separate accounts at beginning of year2016-06-30$133,067
Interest earned on other investments2016-06-30$51,637
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-06-30$1,341,387
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$1,289,068
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$5,944
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-63,308
Net investment gain/loss from pooled separate accounts2016-06-30$8,442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$492,136
Employer contributions (assets) at end of year2016-06-30$507,434
Employer contributions (assets) at beginning of year2016-06-30$470,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$326,003
Contract administrator fees2016-06-30$372
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2016-06-30043108635
2015 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$655,537
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$613,200
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$612,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$459,088
Value of total assets at end of year2015-06-30$6,633,198
Value of total assets at beginning of year2015-06-30$6,590,861
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$1,032
Total interest from all sources2015-06-30$50,933
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$42,337
Value of net assets at end of year (total assets less liabilities)2015-06-30$6,633,198
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$6,590,861
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$4,740,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$4,727,770
Value of interest in pooled separate accounts at end of year2015-06-30$133,067
Value of interest in pooled separate accounts at beginning of year2015-06-30$89,631
Interest earned on other investments2015-06-30$50,933
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$1,289,068
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$1,336,996
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$22,100
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$133,406
Net investment gain/loss from pooled separate accounts2015-06-30$12,110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$459,088
Employer contributions (assets) at end of year2015-06-30$470,788
Employer contributions (assets) at beginning of year2015-06-30$436,464
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$590,068
Contract administrator fees2015-06-30$1,032
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2015-06-30043108635
2014 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$1,021,332
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$514,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$513,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$426,572
Value of total assets at end of year2014-06-30$6,590,861
Value of total assets at beginning of year2014-06-30$6,084,221
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$1,143
Total interest from all sources2014-06-30$53,125
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$506,640
Value of net assets at end of year (total assets less liabilities)2014-06-30$6,590,861
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$6,084,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$4,727,770
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$4,203,109
Value of interest in pooled separate accounts at end of year2014-06-30$89,631
Value of interest in pooled separate accounts at beginning of year2014-06-30$61,223
Interest earned on other investments2014-06-30$53,125
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$1,336,996
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$1,366,480
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$43,355
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$533,172
Net investment gain/loss from pooled separate accounts2014-06-30$8,463
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$426,572
Employer contributions (assets) at end of year2014-06-30$436,464
Employer contributions (assets) at beginning of year2014-06-30$453,409
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$470,194
Contract administrator fees2014-06-30$1,143
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2014-06-30043108635
2013 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$818,138
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$388,650
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$388,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$434,813
Value of total assets at end of year2013-06-30$6,084,221
Value of total assets at beginning of year2013-06-30$5,654,733
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$182
Total interest from all sources2013-06-30$50,747
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$429,488
Value of net assets at end of year (total assets less liabilities)2013-06-30$6,084,221
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$5,654,733
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$4,203,109
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$3,831,598
Value of interest in pooled separate accounts at end of year2013-06-30$61,223
Value of interest in pooled separate accounts at beginning of year2013-06-30$60,971
Interest earned on other investments2013-06-30$50,747
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$1,366,480
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$1,266,783
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$6,822
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$327,458
Net investment gain/loss from pooled separate accounts2013-06-30$5,120
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$434,813
Employer contributions (assets) at end of year2013-06-30$453,409
Employer contributions (assets) at beginning of year2013-06-30$495,381
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$381,646
Contract administrator fees2013-06-30$182
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2013-06-30043108635
2012 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total income from all sources (including contributions)2012-06-30$553,565
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$399,345
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$399,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$492,943
Value of total assets at end of year2012-06-30$5,654,733
Value of total assets at beginning of year2012-06-30$5,500,513
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$0
Total interest from all sources2012-06-30$50,486
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$802
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Income. Non cash contributions2012-06-30$0
Value of net income/loss2012-06-30$154,220
Value of net assets at end of year (total assets less liabilities)2012-06-30$5,654,733
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$5,500,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$3,831,598
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$3,620,360
Value of interest in pooled separate accounts at end of year2012-06-30$60,971
Value of interest in pooled separate accounts at beginning of year2012-06-30$66,844
Interest earned on other investments2012-06-30$50,486
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$1,266,783
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$1,308,062
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$46,397
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$3,726
Net investment gain/loss from pooled separate accounts2012-06-30$6,410
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$492,141
Employer contributions (assets) at end of year2012-06-30$495,381
Employer contributions (assets) at beginning of year2012-06-30$505,247
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$352,948
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2012-06-30043108635
2011 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$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$971,096
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$270,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$270,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$488,042
Value of total assets at end of year2011-06-30$5,500,513
Value of total assets at beginning of year2011-06-30$4,800,024
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$0
Total interest from all sources2011-06-30$51,221
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 year2011-06-30No
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$13,428
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Income. Non cash contributions2011-06-30$0
Value of net income/loss2011-06-30$700,489
Value of net assets at end of year (total assets less liabilities)2011-06-30$5,500,513
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$4,800,024
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$3,620,360
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$2,960,336
Value of interest in pooled separate accounts at end of year2011-06-30$66,844
Value of interest in pooled separate accounts at beginning of year2011-06-30$38,601
Interest earned on other investments2011-06-30$51,221
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$1,308,062
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$1,309,955
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$86,633
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$421,772
Net investment gain/loss from pooled separate accounts2011-06-30$10,061
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$474,614
Employer contributions (assets) at end of year2011-06-30$505,247
Employer contributions (assets) at beginning of year2011-06-30$491,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$183,974
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30LEONARD MULHERIN & GREENE P.C.
Accountancy firm EIN2011-06-30043108635
2010 : EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN

2021: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: EVERGREEN CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedYes
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number346550
Policy instance 2
Insurance contract or identification number346550
Number of Individuals Covered456
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number828716
Policy instance 1
Insurance contract or identification number828716
Number of Individuals Covered21
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number346550
Policy instance 2
Insurance contract or identification number346550
Number of Individuals Covered449
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number828716
Policy instance 1
Insurance contract or identification number828716
Number of Individuals Covered21
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number346550
Policy instance 2
Insurance contract or identification number346550
Number of Individuals Covered414
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number828716
Policy instance 1
Insurance contract or identification number828716
Number of Individuals Covered21
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number346550
Policy instance 2
Insurance contract or identification number346550
Number of Individuals Covered404
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number828716
Policy instance 1
Insurance contract or identification number828716
Number of Individuals Covered21
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number346550
Policy instance 2
Insurance contract or identification number346550
Number of Individuals Covered388
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number828716
Policy instance 1
Insurance contract or identification number828716
Number of Individuals Covered22
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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