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NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 401k Plan overview

Plan NameNATCHAUG HOSPITAL, INC. RETIREMENT PLAN
Plan identification number 005

NATCHAUG HOSPITAL, INC. 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).
  • Money purchase (other than target benefit)
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NATCHAUG HOSPITAL, INC has sponsored the creation of one or more 401k plans.

Company Name:NATCHAUG HOSPITAL, INC
Employer identification number (EIN):060966963
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATCHAUG HOSPITAL, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0052016-01-01
0052015-01-01MARK LAPIERRE
0052015-01-01
0052014-01-01
0052014-01-01
0052013-10-01MARK LAPIERRE
0052012-10-01MARK LAPIERRE
0052011-10-01MARK LAPIERRE
0052010-10-01MARK LAPIERRE
0052009-10-01MARK LAPIERRE
0052009-10-01PAUL MALONEY PAUL MALONEY2011-07-14
0052009-10-01PAUL MALONEY PAUL MALONEY2011-07-14
0052009-10-01PAUL MALONEY PAUL MALONEY2011-07-14
0052008-10-01MARK LAPIERRE
0052008-10-01

Plan Statistics for NATCHAUG HOSPITAL, INC. RETIREMENT PLAN

401k plan membership statisitcs for NATCHAUG HOSPITAL, INC. RETIREMENT PLAN

Measure Date Value
2016: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01449
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-018
2015: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01433
Total number of active participants reported on line 7a of the Form 55002015-01-01361
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0188
Total of all active and inactive participants2015-01-01449
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01449
Number of participants with account balances2015-01-01449
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-013
2014: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01668
Total number of active participants reported on line 7a of the Form 55002014-01-01351
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0182
Total of all active and inactive participants2014-01-01433
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01433
Number of participants with account balances2014-01-01433
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0111
2013: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01607
Total number of active participants reported on line 7a of the Form 55002013-10-01293
Number of other retired or separated participants entitled to future benefits2013-10-01361
Total of all active and inactive participants2013-10-01654
Total participants2013-10-01654
Number of participants with account balances2013-10-01599
2012: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01622
Total number of active participants reported on line 7a of the Form 55002012-10-01293
Number of other retired or separated participants entitled to future benefits2012-10-01368
Total of all active and inactive participants2012-10-01661
Total participants2012-10-01661
Number of participants with account balances2012-10-01607
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-0130
2011: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01580
Total number of active participants reported on line 7a of the Form 55002011-10-01293
Number of other retired or separated participants entitled to future benefits2011-10-01322
Total of all active and inactive participants2011-10-01615
Total participants2011-10-01615
Number of participants with account balances2011-10-01574
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-0126
2010: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01558
Total number of active participants reported on line 7a of the Form 55002010-10-01296
Number of other retired or separated participants entitled to future benefits2010-10-01278
Total of all active and inactive participants2010-10-01574
Total participants2010-10-01574
Number of participants with account balances2010-10-01541
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-10-0121
2009: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01436
Total number of active participants reported on line 7a of the Form 55002009-10-01291
Number of other retired or separated participants entitled to future benefits2009-10-01262
Total of all active and inactive participants2009-10-01553
Total participants2009-10-01553
Number of participants with account balances2009-10-01515
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
2008: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2008 401k membership
Total participants, beginning-of-year2008-10-01359
Total number of active participants reported on line 7a of the Form 55002008-10-01286
Number of retired or separated participants receiving benefits2008-10-014
Number of other retired or separated participants entitled to future benefits2008-10-01137
Total of all active and inactive participants2008-10-01427
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-10-011
Total participants2008-10-01428
Number of participants with account balances2008-10-01417
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-10-012

Financial Data on NATCHAUG HOSPITAL, INC. RETIREMENT PLAN

Measure Date Value
2016 : NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2016 401k financial data
Total transfer of assets from this plan2016-12-05$10,576,857
Total income from all sources (including contributions)2016-12-05$195,916
Total of all expenses incurred2016-12-05$1,055,467
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-05$1,033,067
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-05$-460,344
Value of total assets at end of year2016-12-05$0
Value of total assets at beginning of year2016-12-05$11,436,408
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-05$22,400
Total interest from all sources2016-12-05$36,544
Total dividends received (eg from common stock, registered investment company shares)2016-12-05$74,922
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-05Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-12-05$0
Total dividends received from registered investment company shares (eg mutual funds)2016-12-05$74,922
Was this plan covered by a fidelity bond2016-12-05Yes
Value of fidelity bond cover2016-12-05$5,000,000
If this is an individual account plan, was there a blackout period2016-12-05No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers2016-12-050
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-05$0
Minimum employer required contribution for this plan year2016-12-05$0
Amount contributed by the employer to the plan for this plan year2016-12-05$0
Were there any nonexempt tranactions with any party-in-interest2016-12-05No
Income. Received or receivable in cash from other sources (including rollovers)2016-12-05$182,456
Other income not declared elsewhere2016-12-05$-2,307
Administrative expenses (other) incurred2016-12-05$22,400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-05No
Value of net income/loss2016-12-05$-859,551
Value of net assets at end of year (total assets less liabilities)2016-12-05$0
Value of net assets at beginning of year (total assets less liabilities)2016-12-05$11,436,408
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-05No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-05No
Were any leases to which the plan was party in default or uncollectible2016-12-05No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-05$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-05$7,455,376
Interest earned on other investments2016-12-05$36,544
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-05$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-05$2,898,344
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-05$547,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-05No
Was there a failure to transmit to the plan any participant contributions2016-12-05No
Has the plan failed to provide any benefit when due under the plan2016-12-05No
Contributions received in cash from employer2016-12-05$-642,800
Employer contributions (assets) at end of year2016-12-05$0
Employer contributions (assets) at beginning of year2016-12-05$1,082,688
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-05$1,033,067
Did the plan have assets held for investment2016-12-05No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-05No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-05Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-05Yes
Opinion of an independent qualified public accountant for this plan2016-12-05Disclaimer
Accountancy firm name2016-12-05FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN2016-12-05061648707
2015 : NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$892,050
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$753,013
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$724,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,112,404
Value of total assets at end of year2015-12-31$11,436,408
Value of total assets at beginning of year2015-12-31$11,297,371
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$28,192
Total interest from all sources2015-12-31$38,580
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$123,618
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$123,618
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$320,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$2,255,975
Administrative expenses (other) incurred2015-12-31$28,192
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$139,037
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,436,408
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,297,371
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$7,455,376
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$7,387,268
Interest earned on other investments2015-12-31$38,580
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$2,898,344
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$489,108
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-382,552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,112,404
Employer contributions (assets) at end of year2015-12-31$1,082,688
Employer contributions (assets) at beginning of year2015-12-31$1,165,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$724,821
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN2015-12-31061648707
2014 : NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,650,615
Total of all expenses incurred2014-12-31$1,042,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,016,646
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,161,435
Value of total assets at end of year2014-12-31$11,297,371
Value of total assets at beginning of year2014-12-31$10,689,495
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$26,093
Total interest from all sources2014-12-31$47,645
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Assets. Other investments not covered elsewhere at end of year2014-12-31$2,255,975
Other income not declared elsewhere2014-12-31$148,357
Administrative expenses (other) incurred2014-12-31$26,093
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$607,876
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,297,371
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,689,495
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$7,387,268
Value of interest in pooled separate accounts at beginning of year2014-12-31$7,898,074
Interest earned on other investments2014-12-31$47,645
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$489,108
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,532,061
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$293,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,161,435
Employer contributions (assets) at end of year2014-12-31$1,165,020
Employer contributions (assets) at beginning of year2014-12-31$1,259,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,016,646
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CROWE HORWATH LLP
Accountancy firm EIN2014-12-31350921680
2013 : NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$730,860
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$207,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$207,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$250,788
Value of total assets at end of year2013-12-31$10,685,909
Value of total assets at beginning of year2013-12-31$10,162,109
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$13,578
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$320,000
If this is an individual account plan, was there a blackout period2013-12-31No
Funding deficiency by the employer to the plan for this plan year2013-12-31$100,706
Minimum employer required contribution for this plan year2013-12-31$100,706
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$2,070
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$523,800
Value of net assets at end of year (total assets less liabilities)2013-12-31$10,685,909
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$10,162,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$7,898,074
Value of interest in pooled separate accounts at beginning of year2013-12-31$7,593,065
Interest on participant loans2013-12-31$13,578
Interest earned on other investments2013-12-31$13,578
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,532,061
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,561,988
Net investment gain/loss from pooled separate accounts2013-12-31$466,494
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$248,718
Employer contributions (assets) at end of year2013-12-31$1,255,774
Employer contributions (assets) at beginning of year2013-12-31$1,007,056
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$207,060
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountancy firm name2013-12-31SASLOW, LUFKIN & BUGGY, LLP
Accountancy firm EIN2013-12-31061533253
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$1,983,020
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$373,358
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$373,358
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$1,008,430
Value of total assets at end of year2013-09-30$10,162,109
Value of total assets at beginning of year2013-09-30$8,552,447
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$0
Total interest from all sources2013-09-30$51,354
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$320,000
If this is an individual account plan, was there a blackout period2013-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Funding deficiency by the employer to the plan for this plan year2013-09-30$0
Minimum employer required contribution for this plan year2013-09-30$1,007,060
Amount contributed by the employer to the plan for this plan year2013-09-30$1,007,060
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$1,370
Other income not declared elsewhere2013-09-30$8,386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$1,609,662
Value of net assets at end of year (total assets less liabilities)2013-09-30$10,162,109
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$8,552,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in pooled separate accounts at end of year2013-09-30$7,593,065
Value of interest in pooled separate accounts at beginning of year2013-09-30$6,166,344
Interest earned on other investments2013-09-30$51,354
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$1,561,988
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$1,419,761
Net investment gain/loss from pooled separate accounts2013-09-30$923,236
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$1,007,060
Employer contributions (assets) at end of year2013-09-30$1,007,056
Employer contributions (assets) at beginning of year2013-09-30$966,342
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$373,358
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30J H COHN
Accountancy firm EIN2013-09-30221478099
2012 : NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total income from all sources (including contributions)2012-09-30$1,955,624
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$175,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$175,252
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$966,342
Value of total assets at end of year2012-09-30$8,552,447
Value of total assets at beginning of year2012-09-30$6,715,892
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$0
Total interest from all sources2012-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$320,000
If this is an individual account plan, was there a blackout period2012-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Funding deficiency by the employer to the plan for this plan year2012-09-30$0
Minimum employer required contribution for this plan year2012-09-30$966,342
Amount contributed by the employer to the plan for this plan year2012-09-30$966,342
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$1,780,372
Value of net assets at end of year (total assets less liabilities)2012-09-30$8,552,447
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$6,715,892
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in pooled separate accounts at end of year2012-09-30$6,166,344
Value of interest in pooled separate accounts at beginning of year2012-09-30$4,541,910
Interest earned on other investments2012-09-30$46,414
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$1,419,761
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$1,255,739
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$989,282
Net investment gain/loss from pooled separate accounts2012-09-30$942,868
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$966,342
Employer contributions (assets) at end of year2012-09-30$966,342
Employer contributions (assets) at beginning of year2012-09-30$918,243
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$175,252
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30J H COHN
Accountancy firm EIN2012-09-30221478099
2011 : NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$792,888
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$171,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$171,458
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$919,749
Value of total assets at end of year2011-09-30$6,730,131
Value of total assets at beginning of year2011-09-30$6,108,701
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$0
Total interest from all sources2011-09-30$42,504
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
If this is an individual account plan, was there a blackout period2011-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Funding deficiency by the employer to the plan for this plan year2011-09-30$0
Minimum employer required contribution for this plan year2011-09-30$918,243
Amount contributed by the employer to the plan for this plan year2011-09-30$918,243
Were there any nonexempt tranactions with any party-in-interest2011-09-30Yes
Amount of non-exempt transactions with any party-in-interest2011-09-30$14,109
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$1,377
Other income not declared elsewhere2011-09-30$-169,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$621,430
Value of net assets at end of year (total assets less liabilities)2011-09-30$6,730,131
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$6,108,701
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in pooled separate accounts at end of year2011-09-30$4,541,910
Value of interest in pooled separate accounts at beginning of year2011-09-30$4,125,750
Interest earned on other investments2011-09-30$42,504
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$1,255,739
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$1,146,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-189,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$918,372
Employer contributions (assets) at end of year2011-09-30$932,482
Employer contributions (assets) at beginning of year2011-09-30$836,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$171,458
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30COHNREZNICK LLP
Accountancy firm EIN2011-09-30221478099
2010 : NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-09-30$0
Total income from all sources (including contributions)2010-09-30$1,186,240
Total loss/gain on sale of assets2010-09-30$0
Total of all expenses incurred2010-09-30$294,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-09-30$294,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-09-30$830,934
Value of total assets at end of year2010-09-30$6,108,701
Value of total assets at beginning of year2010-09-30$5,217,058
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-09-30$69
Total interest from all sources2010-09-30$39,123
Total dividends received (eg from common stock, registered investment company shares)2010-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-09-30No
Was this plan covered by a fidelity bond2010-09-30Yes
Value of fidelity bond cover2010-09-30$320,000
If this is an individual account plan, was there a blackout period2010-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0
Funding deficiency by the employer to the plan for this plan year2010-09-30$0
Minimum employer required contribution for this plan year2010-09-30$830,932
Amount contributed by the employer to the plan for this plan year2010-09-30$830,932
Were there any nonexempt tranactions with any party-in-interest2010-09-30Yes
Amount of non-exempt transactions with any party-in-interest2010-09-30$20,764
Administrative expenses (other) incurred2010-09-30$69
Total non interest bearing cash at end of year2010-09-30$836,222
Total non interest bearing cash at beginning of year2010-09-30$722,170
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-09-30No
Value of net income/loss2010-09-30$891,643
Value of net assets at end of year (total assets less liabilities)2010-09-30$6,108,701
Value of net assets at beginning of year (total assets less liabilities)2010-09-30$5,217,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2010-09-30No
Were any leases to which the plan was party in default or uncollectible2010-09-30No
Value of interest in pooled separate accounts at end of year2010-09-30$4,125,750
Value of interest in pooled separate accounts at beginning of year2010-09-30$3,434,038
Interest earned on other investments2010-09-30$39,123
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-09-30$1,146,729
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-09-30$1,060,850
Net investment gain/loss from pooled separate accounts2010-09-30$316,183
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-09-30No
Was there a failure to transmit to the plan any participant contributions2010-09-30No
Has the plan failed to provide any benefit when due under the plan2010-09-30No
Contributions received in cash from employer2010-09-30$830,934
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-09-30$294,528
Did the plan have assets held for investment2010-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-09-30Yes
Opinion of an independent qualified public accountant for this plan2010-09-30Disclaimer
Accountancy firm name2010-09-30COHNREZNICK LLP
Accountancy firm EIN2010-09-30221478099
2009 : NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2009 401k financial data
Total unrealized appreciation/depreciation of assets2009-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2009-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2009-09-30$0
Total income from all sources (including contributions)2009-09-30$623,039
Total loss/gain on sale of assets2009-09-30$0
Total of all expenses incurred2009-09-30$205,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2009-09-30$205,216
Total contributions o plan (from employers,participants, others, non cash contrinutions)2009-09-30$722,170
Value of total assets at end of year2009-09-30$5,217,058
Value of total assets at beginning of year2009-09-30$4,799,245
Total of administrative expenses incurred including professional, contract, advisory and management fees2009-09-30$10
Total interest from all sources2009-09-30$36,180
Total dividends received (eg from common stock, registered investment company shares)2009-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2009-09-30No
Was this plan covered by a fidelity bond2009-09-30Yes
Value of fidelity bond cover2009-09-30$320,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-09-30$0
Funding deficiency by the employer to the plan for this plan year2009-09-30$0
Minimum employer required contribution for this plan year2009-09-30$722,170
Amount contributed by the employer to the plan for this plan year2009-09-30$722,170
Were there any nonexempt tranactions with any party-in-interest2009-09-30Yes
Amount of non-exempt transactions with any party-in-interest2009-09-30$40,662
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2009-09-30$840,197
Administrative expenses (other) incurred2009-09-30$10
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2009-09-30No
Value of net income/loss2009-09-30$417,813
Value of net assets at end of year (total assets less liabilities)2009-09-30$5,217,058
Value of net assets at beginning of year (total assets less liabilities)2009-09-30$4,799,245
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2009-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2009-09-30No
Were any leases to which the plan was party in default or uncollectible2009-09-30No
Value of interest in pooled separate accounts at end of year2009-09-30$3,434,038
Value of interest in pooled separate accounts at beginning of year2009-09-30$2,548,330
Interest earned on other investments2009-09-30$36,180
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2009-09-30$1,060,850
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2009-09-30$769,654
Net investment gain/loss from pooled separate accounts2009-09-30$-135,311
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2009-09-30No
Was there a failure to transmit to the plan any participant contributions2009-09-30No
Has the plan failed to provide any benefit when due under the plan2009-09-30No
Contributions received in cash from employer2009-09-30$722,170
Employer contributions (assets) at end of year2009-09-30$722,170
Employer contributions (assets) at beginning of year2009-09-30$641,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2009-09-30$205,216
Did the plan have assets held for investment2009-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2009-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2009-09-30Yes
Opinion of an independent qualified public accountant for this plan2009-09-30Disclaimer
Accountancy firm name2009-09-30COHN REZNICK LLP
Accountancy firm EIN2009-09-30221478099

Form 5500 Responses for NATCHAUG HOSPITAL, INC. RETIREMENT PLAN

2016: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedYes
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedYes
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2010: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedYes
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement - TrustYes
2009: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes
2008: NATCHAUG HOSPITAL, INC. RETIREMENT PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedYes
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo
2008-10-01Plan funding arrangement – InsuranceYes
2008-10-01Plan funding arrangement – TrustYes
2008-10-01Plan benefit arrangement – InsuranceYes
2008-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6098
Policy instance 2
Insurance contract or identification numberVF6098
Number of Individuals Covered35
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $393
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
Commission paid to Insurance BrokerUSD $393
Insurance broker organization code?3
Insurance broker nameANDREW BAUER
PRUDENTIAL RETIREMTN INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number074142
Policy instance 1
Insurance contract or identification number074142
Number of Individuals Covered449
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6098
Policy instance 1
Insurance contract or identification numberVF6098
Number of Individuals Covered600
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,341
Total amount of fees paid to insurance companyUSD $0
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,341
Insurance broker organization code?3
Insurance broker nameANDREW BAUER
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number074142
Policy instance 2
Insurance contract or identification number074142
Number of Individuals Covered433
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6098
Policy instance 1
Insurance contract or identification numberVF6098
Number of Individuals Covered599
Insurance policy start date2013-10-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameANDREW BAUER
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6098
Policy instance 1
Insurance contract or identification numberVF6098
Number of Individuals Covered607
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $13,335
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
Commission paid to Insurance BrokerUSD $13,335
Insurance broker organization code?3
Insurance broker nameANDREW BAUER
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6098
Policy instance 1
Insurance contract or identification numberVF6098
Number of Individuals Covered574
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $10,559
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6098
Policy instance 1
Insurance contract or identification numberVF6098
Number of Individuals Covered541
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $10,798
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
Commission paid to Insurance BrokerUSD $10,798
Insurance broker organization code?3
Insurance broker nameANDREW BAUER
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6098
Policy instance 1
Insurance contract or identification numberVF6098
Number of Individuals Covered544
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $9,156
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
Commission paid to Insurance BrokerUSD $9,156
Insurance broker organization code?3
Insurance broker nameANDREW BAUER
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6098
Policy instance 1
Insurance contract or identification numberVF6098
Number of Individuals Covered419
Insurance policy start date2008-10-01
Insurance policy end date2009-09-30
Total amount of commissions paid to insurance brokerUSD $13,383
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
Commission paid to Insurance BrokerUSD $13,383
Insurance broker organization code?3
Insurance broker nameANDREW BAUER

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