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EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 401k Plan overview

Plan NameEMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE
Plan identification number 001

EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related

401k Sponsoring company profile

THE CHILDRENS VILLAGE INC. has sponsored the creation of one or more 401k plans.

Company Name:THE CHILDRENS VILLAGE INC.
Employer identification number (EIN):131739945
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01RICHARD GOERG2023-10-16 RICHARD GOERG2023-10-16
0012021-01-01RICHARD GOERG2022-10-17 RICHARD GOERG2022-10-17
0012020-01-01RICHARD GOERG2021-10-15 RICHARD GOERG2021-10-15
0012019-01-01
0012018-01-01
0012017-01-01RICHARD GOERG RICHARD GOERG2018-10-15

Plan Statistics for EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE

401k plan membership statisitcs for EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE

Measure Date Value
2022: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2022 401k membership
Market value of plan assets2022-12-316,186,911
Acturial value of plan assets2022-12-315,799,315
Funding target for retired participants and beneficiaries receiving payment2022-12-312,307,824
Number of terminated vested participants2022-12-3184
Fundng target for terminated vested participants2022-12-312,613,872
Active participant vested funding target2022-12-31377,983
Number of active participants2022-12-316
Total funding liabilities for active participants2022-12-31377,983
Total participant count2022-12-31118
Total funding target for all participants2022-12-315,299,679
Balance at beginning of prior year after applicable adjustments2022-12-310
Prefunding balance at beginning of prior year after applicable adjustments2022-12-3149,979
Carryover balanced portion elected for use to offset prior years funding requirement2022-12-310
Prefunding balanced used to offset prior years funding requirement2022-12-310
Amount remaining of prefunding balance2022-12-3149,979
Present value of excess contributions2022-12-31254,945
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2022-12-31269,400
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2022-12-31254,945
Reductions in caryover balances due to elections or deemed elections2022-12-310
Balance of carryovers at beginning of current year2022-12-310
Balance of prefunding at beginning of current year2022-12-31310,986
Total employer contributions2022-12-3186,048
Contributions allocated toward unpaid minimum require contributions from prior years2022-12-310
Contributions made to avoid restrictions adjusted to valuation date2022-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2022-12-3185,015
Remaining amount of unpaid minimum required contributions2022-12-310
Minimum required contributions for current year target normal cost2022-12-3120,270
Contributions allocatedtoward minimum required contributions for current year2022-12-3185,015
Unpaid minimum required contributions for current year2022-12-310
Total participants, beginning-of-year2022-01-01118
Total number of active participants reported on line 7a of the Form 55002022-01-017
Number of retired or separated participants receiving benefits2022-01-0128
Number of other retired or separated participants entitled to future benefits2022-01-0181
Total of all active and inactive participants2022-01-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-013
Total participants2022-01-01119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2021 401k membership
Market value of plan assets2021-12-315,389,510
Acturial value of plan assets2021-12-314,883,265
Funding target for retired participants and beneficiaries receiving payment2021-12-312,215,814
Number of terminated vested participants2021-12-3192
Fundng target for terminated vested participants2021-12-312,917,828
Active participant vested funding target2021-12-310
Number of active participants2021-12-310
Total funding liabilities for active participants2021-12-310
Total participant count2021-12-31120
Total funding target for all participants2021-12-315,133,642
Prefunding balance at beginning of prior year after applicable adjustments2021-12-31149,729
Carryover balanced portion elected for use to offset prior years funding requirement2021-12-310
Prefunding balanced used to offset prior years funding requirement2021-12-31106,986
Amount remaining of prefunding balance2021-12-3142,743
Balance of carryovers at beginning of current year2021-12-310
Balance of prefunding at beginning of current year2021-12-3149,979
Total employer contributions2021-12-31315,188
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2021-12-31310,151
Liquidity shortfalls end of Q12021-12-310
Liquidity shortfalls end of Q22021-12-310
Liquidity shortfalls end of Q32021-12-310
Liquidity shortfalls end of Q42021-12-310
Remaining amount of unpaid minimum required contributions2021-12-310
Minimum required contributions for current year target normal cost2021-12-3120,396
Net shortfall amortization installment of oustanding balance2021-12-31300,356
Total funding amount beforereflecting carryover/prefunding balances2021-12-3155,206
Additional cash requirement2021-12-3155,206
Contributions allocatedtoward minimum required contributions for current year2021-12-31310,151
Unpaid minimum required contributions for current year2021-12-310
Total participants, beginning-of-year2021-01-01119
Total number of active participants reported on line 7a of the Form 55002021-01-017
Number of retired or separated participants receiving benefits2021-01-0127
Number of other retired or separated participants entitled to future benefits2021-01-0182
Total of all active and inactive participants2021-01-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-012
Total participants2021-01-01118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2020 401k membership
Market value of plan assets2020-12-314,806,776
Funding target for retired participants and beneficiaries receiving payment2020-12-311,960,739
Number of terminated vested participants2020-12-3194
Fundng target for terminated vested participants2020-12-312,954,939
Active participant vested funding target2020-12-310
Number of active participants2020-12-310
Total funding liabilities for active participants2020-12-310
Total participant count2020-12-31120
Total funding target for all participants2020-12-314,915,678
Prefunding balance at beginning of prior year after applicable adjustments2020-12-313,261
Amount remaining of prefunding balance2020-12-313,261
Present value of excess contributions2020-12-31138,016
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2020-12-31145,828
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2020-12-31145,828
Balance of carryovers at beginning of current year2020-12-310
Balance of prefunding at beginning of current year2020-12-31149,728
Remaining amount of unpaid minimum required contributions2020-12-310
Minimum required contributions for current year target normal cost2020-12-3120,948
Net shortfall amortization installment of oustanding balance2020-12-31466,087
Total funding amount beforereflecting carryover/prefunding balances2020-12-3199,380
Prefunding balance elected to use to offset funding requirement2020-12-3199,380
Unpaid minimum required contributions for current year2020-12-310
Total participants, beginning-of-year2020-01-01120
Total number of active participants reported on line 7a of the Form 55002020-01-017
Number of retired or separated participants receiving benefits2020-01-0127
Number of other retired or separated participants entitled to future benefits2020-01-0184
Total of all active and inactive participants2020-01-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01119
2019: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2019 401k membership
Market value of plan assets2019-12-313,964,392
Acturial value of plan assets2019-12-314,159,321
Funding target for retired participants and beneficiaries receiving payment2019-12-311,258,637
Number of terminated vested participants2019-12-31103
Fundng target for terminated vested participants2019-12-313,648,314
Active participant vested funding target2019-12-310
Number of active participants2019-12-310
Total funding liabilities for active participants2019-12-310
Total participant count2019-12-31122
Total funding target for all participants2019-12-314,906,951
Balance at beginning of prior year after applicable adjustments2019-12-310
Prefunding balance at beginning of prior year after applicable adjustments2019-12-313,404
Carryover balanced portion elected for use to offset prior years funding requirement2019-12-310
Prefunding balanced used to offset prior years funding requirement2019-12-310
Amount remaining of carryover balance2019-12-310
Amount remaining of prefunding balance2019-12-313,404
Present value of excess contributions2019-12-3131
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2019-12-3133
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2019-12-310
Reductions in caryover balances due to elections or deemed elections2019-12-310
Reductions in prefunding balances due to elections or deemed elections2019-12-310
Balance of carryovers at beginning of current year2019-12-310
Balance of prefunding at beginning of current year2019-12-313,261
Total employer contributions2019-12-31156,120
Total employee contributions2019-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2019-12-310
Contributions made to avoid restrictions adjusted to valuation date2019-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2019-12-31144,631
Liquidity shortfalls end of Q12019-12-310
Liquidity shortfalls end of Q22019-12-310
Liquidity shortfalls end of Q32019-12-310
Liquidity shortfalls end of Q42019-12-310
Unpaid minimum required contributions for all prior years2019-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2019-12-310
Remaining amount of unpaid minimum required contributions2019-12-310
Minimum required contributions for current year target normal cost2019-12-3120,990
Net shortfall amortization installment of oustanding balance2019-12-31750,891
Waiver amortization installment2019-12-310
Total funding amount beforereflecting carryover/prefunding balances2019-12-31228,365
Carryover balance elected to use to offset funding requirement2019-12-310
Prefunding balance elected to use to offset funding requirement2019-12-310
Additional cash requirement2019-12-31228,365
Contributions allocatedtoward minimum required contributions for current year2019-12-31144,631
Unpaid minimum required contributions for current year2019-12-3183,734
Unpaid minimum required contributions for all years2019-12-3183,734
Total participants, beginning-of-year2019-01-01122
Total number of active participants reported on line 7a of the Form 55002019-01-017
Number of retired or separated participants receiving benefits2019-01-0125
Number of other retired or separated participants entitled to future benefits2019-01-0186
Total of all active and inactive participants2019-01-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-012
Total participants2019-01-01120
Number of participants with account balances2019-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2018 401k membership
Market value of plan assets2018-12-314,398,513
Acturial value of plan assets2018-12-314,219,940
Funding target for retired participants and beneficiaries receiving payment2018-12-31993,136
Number of terminated vested participants2018-12-31130
Fundng target for terminated vested participants2018-12-313,773,450
Active participant vested funding target2018-12-310
Number of active participants2018-12-310
Total funding liabilities for active participants2018-12-310
Total participant count2018-12-31144
Total funding target for all participants2018-12-314,766,586
Balance at beginning of prior year after applicable adjustments2018-12-310
Prefunding balance at beginning of prior year after applicable adjustments2018-12-312,999
Carryover balanced portion elected for use to offset prior years funding requirement2018-12-310
Prefunding balanced used to offset prior years funding requirement2018-12-310
Amount remaining of carryover balance2018-12-310
Amount remaining of prefunding balance2018-12-312,999
Present value of excess contributions2018-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2018-12-310
Reductions in caryover balances due to elections or deemed elections2018-12-310
Reductions in prefunding balances due to elections or deemed elections2018-12-310
Balance of carryovers at beginning of current year2018-12-310
Balance of prefunding at beginning of current year2018-12-313,404
Total employer contributions2018-12-31103,350
Total employee contributions2018-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2018-12-310
Contributions made to avoid restrictions adjusted to valuation date2018-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2018-12-3199,059
Liquidity shortfalls end of Q12018-12-310
Liquidity shortfalls end of Q22018-12-310
Liquidity shortfalls end of Q32018-12-310
Liquidity shortfalls end of Q42018-12-310
Unpaid minimum required contributions for all prior years2018-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2018-12-310
Remaining amount of unpaid minimum required contributions2018-12-310
Minimum required contributions for current year target normal cost2018-12-3123,084
Net shortfall amortization installment of oustanding balance2018-12-31550,050
Waiver amortization installment2018-12-310
Total funding amount beforereflecting carryover/prefunding balances2018-12-3199,028
Carryover balance elected to use to offset funding requirement2018-12-310
Prefunding balance elected to use to offset funding requirement2018-12-310
Additional cash requirement2018-12-3199,028
Contributions allocatedtoward minimum required contributions for current year2018-12-3199,059
Unpaid minimum required contributions for current year2018-12-310
Unpaid minimum required contributions for all years2018-12-310
Total participants, beginning-of-year2018-01-01144
Total number of active participants reported on line 7a of the Form 55002018-01-0111
Number of retired or separated participants receiving benefits2018-01-0118
Number of other retired or separated participants entitled to future benefits2018-01-0191
Total of all active and inactive participants2018-01-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-012
Total participants2018-01-01122
Number of participants with account balances2018-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2017 401k membership
Market value of plan assets2017-12-313,817,757
Acturial value of plan assets2017-12-313,879,457
Funding target for retired participants and beneficiaries receiving payment2017-12-31683,497
Number of terminated vested participants2017-12-31132
Fundng target for terminated vested participants2017-12-313,545,297
Active participant vested funding target2017-12-310
Number of active participants2017-12-310
Total funding liabilities for active participants2017-12-310
Total participant count2017-12-31144
Total funding target for all participants2017-12-314,228,794
Balance at beginning of prior year after applicable adjustments2017-12-310
Prefunding balance at beginning of prior year after applicable adjustments2017-12-312,805
Carryover balanced portion elected for use to offset prior years funding requirement2017-12-310
Prefunding balanced used to offset prior years funding requirement2017-12-310
Amount remaining of carryover balance2017-12-310
Amount remaining of prefunding balance2017-12-312,805
Present value of excess contributions2017-12-311
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-311
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-12-310
Reductions in caryover balances due to elections or deemed elections2017-12-310
Reductions in prefunding balances due to elections or deemed elections2017-12-310
Balance of carryovers at beginning of current year2017-12-310
Balance of prefunding at beginning of current year2017-12-312,999
Total employer contributions2017-12-31168,660
Total employee contributions2017-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2017-12-310
Contributions made to avoid restrictions adjusted to valuation date2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-31161,255
Liquidity shortfalls end of Q12017-12-310
Liquidity shortfalls end of Q22017-12-310
Liquidity shortfalls end of Q32017-12-310
Liquidity shortfalls end of Q42017-12-310
Unpaid minimum required contributions for all prior years2017-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2017-12-310
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-3123,060
Net shortfall amortization installment of oustanding balance2017-12-31352,336
Waiver amortization installment2017-12-310
Total funding amount beforereflecting carryover/prefunding balances2017-12-31161,255
Carryover balance elected to use to offset funding requirement2017-12-310
Prefunding balance elected to use to offset funding requirement2017-12-310
Additional cash requirement2017-12-31161,255
Contributions allocatedtoward minimum required contributions for current year2017-12-31161,255
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
Total participants, beginning-of-year2017-01-01143
Total number of active participants reported on line 7a of the Form 55002017-01-0116
Number of retired or separated participants receiving benefits2017-01-0113
Number of other retired or separated participants entitled to future benefits2017-01-01113
Total of all active and inactive participants2017-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-012
Total participants2017-01-01144
Number of participants with account balances2017-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011

Financial Data on EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE

Measure Date Value
2022 : EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-863,330
Total of all expenses incurred2022-12-31$198,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$179,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$86,048
Value of total assets at end of year2022-12-31$5,124,719
Value of total assets at beginning of year2022-12-31$6,186,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$19,674
Total interest from all sources2022-12-31$3,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Administrative expenses (other) incurred2022-12-31$19,674
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,062,192
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,124,719
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,186,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$5,123,645
Value of interest in pooled separate accounts at beginning of year2022-12-31$5,638,409
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$3,061
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,074
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$548,502
Net investment gain/loss from pooled separate accounts2022-12-31$-952,439
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$86,048
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$179,188
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MAYER HOFFMAN MCCANN CPAS
Accountancy firm EIN2022-12-31431947695
2021 : EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$984,768
Total of all expenses incurred2021-12-31$187,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$167,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$315,188
Value of total assets at end of year2021-12-31$6,186,911
Value of total assets at beginning of year2021-12-31$5,389,510
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$20,140
Total interest from all sources2021-12-31$669,580
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Administrative expenses (other) incurred2021-12-31$20,140
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$797,401
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,186,911
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,389,510
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$5,638,409
Value of interest in pooled separate accounts at beginning of year2021-12-31$4,974,227
Interest earned on other investments2021-12-31$664,183
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$5,397
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$548,502
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$415,283
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$315,188
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$167,227
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MARKS PANETH LLP
Accountancy firm EIN2021-12-31113518842
2020 : EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,007,222
Total of all expenses incurred2020-12-31$181,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$161,132
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$249,265
Value of total assets at end of year2020-12-31$5,389,510
Value of total assets at beginning of year2020-12-31$4,563,635
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$20,215
Total interest from all sources2020-12-31$757,957
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Administrative expenses (other) incurred2020-12-31$20,215
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$825,875
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,389,510
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,563,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$4,974,227
Value of interest in pooled separate accounts at beginning of year2020-12-31$4,562,589
Interest earned on other investments2020-12-31$755,342
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$2,615
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$415,283
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$1,046
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$249,265
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$161,132
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31MARKS PANETH LLP
Accountancy firm EIN2020-12-31113518842
2019 : EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$770,925
Total income from all sources (including contributions)2019-12-31$770,925
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$159,959
Total of all expenses incurred2019-12-31$159,959
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$137,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$137,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$12,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$12,030
Value of total assets at end of year2019-12-31$4,563,635
Value of total assets at end of year2019-12-31$4,563,635
Value of total assets at beginning of year2019-12-31$3,952,669
Value of total assets at beginning of year2019-12-31$3,952,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$22,538
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$22,538
Total interest from all sources2019-12-31$758,895
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$11,408
Administrative expenses professional fees incurred2019-12-31$11,408
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Administrative expenses (other) incurred2019-12-31$11,130
Administrative expenses (other) incurred2019-12-31$11,130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$610,966
Value of net income/loss2019-12-31$610,966
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,563,635
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,563,635
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,952,669
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,952,669
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$4,562,589
Value of interest in pooled separate accounts at end of year2019-12-31$4,562,589
Value of interest in pooled separate accounts at beginning of year2019-12-31$3,951,641
Value of interest in pooled separate accounts at beginning of year2019-12-31$3,951,641
Interest earned on other investments2019-12-31$758,895
Interest earned on other investments2019-12-31$758,895
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,046
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,046
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,028
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$12,030
Contributions received in cash from employer2019-12-31$12,030
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$137,421
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$137,421
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MARKS PANETH LLP
Accountancy firm name2019-12-31MARKS PANETH LLP
Accountancy firm EIN2019-12-31113518842
Accountancy firm EIN2019-12-31113518842
2018 : EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$-48,136
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$368,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$337,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$120,942
Value of total assets at end of year2018-12-31$3,952,669
Value of total assets at beginning of year2018-12-31$4,369,389
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$31,184
Total interest from all sources2018-12-31$-169,078
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$18,260
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Administrative expenses (other) incurred2018-12-31$12,924
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-416,720
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,952,669
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,369,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$3,951,641
Value of interest in pooled separate accounts at beginning of year2018-12-31$3,241,228
Interest earned on other investments2018-12-31$-169,078
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,028
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,128,161
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$120,942
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$337,400
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MARKS PANETH, LLP
Accountancy firm EIN2018-12-31113518842
2017 : EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$789,884
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$85,904
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$62,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$293,447
Value of total assets at end of year2017-12-31$4,369,389
Value of total assets at beginning of year2017-12-31$3,665,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$23,296
Total interest from all sources2017-12-31$10,393
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$9,460
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Administrative expenses (other) incurred2017-12-31$13,836
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$703,980
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,369,389
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,665,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,755,184
Value of interest in pooled separate accounts at end of year2017-12-31$3,241,228
Interest earned on other investments2017-12-31$10,393
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,128,161
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$910,225
Net investment gain/loss from pooled separate accounts2017-12-31$486,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$293,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$62,608
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MARKS PANETH, LLP
Accountancy firm EIN2017-12-31113518842

Form 5500 Responses for EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE

2022: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: EMPLOYEE DEFINED BENEFIT PLAN OF INWOOD HOUSE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052320-C
Policy instance 1
Insurance contract or identification number052320-C
Number of Individuals Covered119
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052320-C
Policy instance 1
Insurance contract or identification number052320-C
Number of Individuals Covered118
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $10
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees10
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052320-C
Policy instance 1
Insurance contract or identification number052320-C
Number of Individuals Covered119
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $10
Contracts With Unallocated Funds Deposit Administration1
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 fees10
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052320-C
Policy instance 1
Insurance contract or identification number052320-C
Number of Individuals Covered10
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $350
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees350
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052320-C
Policy instance 1
Insurance contract or identification number052320-C
Number of Individuals Covered122
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $609
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees609
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052320-C
Policy instance 1
Insurance contract or identification number052320-C
Number of Individuals Covered144
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $378
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees378
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameTARRYTOWN REGIONAL OFFICE

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