401k Plan data: MOUNTAIN LAKE SERVICES 401K PLAN plan

MOUNTAIN LAKE SERVICES 401K PLAN 401k Plan overview

Plan Name	MOUNTAIN LAKE SERVICES 401K PLAN
Plan identification number	004

MOUNTAIN LAKE SERVICES 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ESSEX COUNTY CHAPTER NYSARC, INC. has sponsored the creation of one or more 401k plans.

Company Name: ESSEX COUNTY CHAPTER NYSARC, INC.

Employer identification number (EIN): 141563885

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOUNTAIN LAKE SERVICES 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2020-01-01
004 2019-01-01
004 2018-01-01
004 2017-01-01 ROBIN PIERCE MARTIN NEPHEW 2018-10-08
004 2017-01-01
004 2017-01-01
004 2016-01-01 ROBIN PIERCE MARTIN NEPHEW 2017-09-07
004 2015-01-01 ROBIN PIERCE MARTIN NEPHEW 2016-07-27
004 2014-01-01 ROBIN PIERCE MARTIN NEPHEW 2015-07-30
004 2013-01-01 ROBIN PIERCE MARTIN NEPHEW 2014-07-28
004 2012-01-01 ROBIN PIERCE MARTIN NEPHEW 2014-07-28
004 2011-01-01 ROBIN PIERCE MARTIN NEPHEW 2012-07-23
004 2009-01-01 MARTIN J. NEPHEW DIPU BASU 2010-07-26

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2020-01-01
004	2019-01-01
004	2018-01-01
004	2017-01-01	ROBIN PIERCE	MARTIN NEPHEW	2018-10-08
004	2017-01-01
004	2017-01-01
004	2016-01-01	ROBIN PIERCE	MARTIN NEPHEW	2017-09-07
004	2015-01-01	ROBIN PIERCE	MARTIN NEPHEW	2016-07-27
004	2014-01-01	ROBIN PIERCE	MARTIN NEPHEW	2015-07-30
004	2013-01-01	ROBIN PIERCE	MARTIN NEPHEW	2014-07-28
004	2012-01-01	ROBIN PIERCE	MARTIN NEPHEW	2014-07-28
004	2011-01-01	ROBIN PIERCE	MARTIN NEPHEW	2012-07-23
004	2009-01-01	MARTIN J. NEPHEW	DIPU BASU	2010-07-26

Plan Statistics for MOUNTAIN LAKE SERVICES 401K PLAN

401k plan membership statisitcs for MOUNTAIN LAKE SERVICES 401K PLAN

Measure Date Value
2020: MOUNTAIN LAKE SERVICES 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 755
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: MOUNTAIN LAKE SERVICES 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 792
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 547
Number of retired or separated participants receiving benefits 2019-01-01 17
Number of other retired or separated participants entitled to future benefits 2019-01-01 190
Total of all active and inactive participants 2019-01-01 754
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 755
Number of participants with account balances 2019-01-01 755
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 38
2018: MOUNTAIN LAKE SERVICES 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 851
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 602
Number of retired or separated participants receiving benefits 2018-01-01 11
Number of other retired or separated participants entitled to future benefits 2018-01-01 177
Total of all active and inactive participants 2018-01-01 790
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 2
Total participants 2018-01-01 792
Number of participants with account balances 2018-01-01 771
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 50
2017: MOUNTAIN LAKE SERVICES 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 861
Number of retired or separated participants receiving benefits 2017-01-01 3
Number of other retired or separated participants entitled to future benefits 2017-01-01 56
Total of all active and inactive participants 2017-01-01 59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 59
Number of participants with account balances 2017-01-01 660
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 792
2016: MOUNTAIN LAKE SERVICES 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 879
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 820
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 39
Total of all active and inactive participants 2016-01-01 860
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 861
Number of participants with account balances 2016-01-01 649
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: MOUNTAIN LAKE SERVICES 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 835
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 862
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 15
Total of all active and inactive participants 2015-01-01 879
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 879
Number of participants with account balances 2015-01-01 219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MOUNTAIN LAKE SERVICES 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 840
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 815
Number of retired or separated participants receiving benefits 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 17
Total of all active and inactive participants 2014-01-01 835
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 835
Number of participants with account balances 2014-01-01 229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MOUNTAIN LAKE SERVICES 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 848
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 818
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 21
Total of all active and inactive participants 2013-01-01 840
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 840
Number of participants with account balances 2013-01-01 184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MOUNTAIN LAKE SERVICES 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 780
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 824
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 23
Total of all active and inactive participants 2012-01-01 848
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 848
Number of participants with account balances 2012-01-01 152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MOUNTAIN LAKE SERVICES 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 638
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 760
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 19
Total of all active and inactive participants 2011-01-01 780
Total participants 2011-01-01 780
Number of participants with account balances 2011-01-01 147
2009: MOUNTAIN LAKE SERVICES 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 588
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 635
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 14
Total of all active and inactive participants 2009-01-01 651
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 651
Number of participants with account balances 2009-01-01 145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2020: MOUNTAIN LAKE SERVICES 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	755
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: MOUNTAIN LAKE SERVICES 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	792
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	547
Number of retired or separated participants receiving benefits	2019-01-01	17
Number of other retired or separated participants entitled to future benefits	2019-01-01	190
Total of all active and inactive participants	2019-01-01	754
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	755
Number of participants with account balances	2019-01-01	755
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	38
2018: MOUNTAIN LAKE SERVICES 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	851
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	602
Number of retired or separated participants receiving benefits	2018-01-01	11
Number of other retired or separated participants entitled to future benefits	2018-01-01	177
Total of all active and inactive participants	2018-01-01	790
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	2
Total participants	2018-01-01	792
Number of participants with account balances	2018-01-01	771
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	50
2017: MOUNTAIN LAKE SERVICES 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	861
Number of retired or separated participants receiving benefits	2017-01-01	3
Number of other retired or separated participants entitled to future benefits	2017-01-01	56
Total of all active and inactive participants	2017-01-01	59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	59
Number of participants with account balances	2017-01-01	660
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	792
2016: MOUNTAIN LAKE SERVICES 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	879
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	820
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	39
Total of all active and inactive participants	2016-01-01	860
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	861
Number of participants with account balances	2016-01-01	649
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: MOUNTAIN LAKE SERVICES 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	835
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	862
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	15
Total of all active and inactive participants	2015-01-01	879
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	879
Number of participants with account balances	2015-01-01	219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MOUNTAIN LAKE SERVICES 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	840
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	815
Number of retired or separated participants receiving benefits	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	17
Total of all active and inactive participants	2014-01-01	835
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	835
Number of participants with account balances	2014-01-01	229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MOUNTAIN LAKE SERVICES 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	848
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	818
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	21
Total of all active and inactive participants	2013-01-01	840
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	840
Number of participants with account balances	2013-01-01	184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MOUNTAIN LAKE SERVICES 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	780
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	824
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	23
Total of all active and inactive participants	2012-01-01	848
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	848
Number of participants with account balances	2012-01-01	152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MOUNTAIN LAKE SERVICES 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	638
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	760
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	19
Total of all active and inactive participants	2011-01-01	780
Total participants	2011-01-01	780
Number of participants with account balances	2011-01-01	147
2009: MOUNTAIN LAKE SERVICES 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	588
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	635
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	14
Total of all active and inactive participants	2009-01-01	651
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	651
Number of participants with account balances	2009-01-01	145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MOUNTAIN LAKE SERVICES 401K PLAN

Measure	Date	Value
2020 : MOUNTAIN LAKE SERVICES 401K PLAN 2020 401k financial data
Total transfer of assets from this plan	2020-12-21	$44,885,505
Total income from all sources (including contributions)	2020-12-21	$7,089,887
Total of all expenses incurred	2020-12-21	$2,312,629
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-21	$2,111,637
Expenses. Certain deemed distributions of participant loans	2020-12-21	$54,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-21	$3,102,850
Value of total assets at end of year	2020-12-21	$0
Value of total assets at beginning of year	2020-12-21	$40,108,247
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-21	$146,675
Total interest from all sources	2020-12-21	$77,363
Total dividends received (eg from common stock, registered investment company shares)	2020-12-21	$436,048
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-21	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-12-21	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-21	$436,048
Was this plan covered by a fidelity bond	2020-12-21	Yes
Value of fidelity bond cover	2020-12-21	$500,000
If this is an individual account plan, was there a blackout period	2020-12-21	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-21	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-21	No
Contributions received from participants	2020-12-21	$1,210,102
Participant contributions at end of year	2020-12-21	$0
Participant contributions at beginning of year	2020-12-21	$2,421,599
Assets. Other investments not covered elsewhere at end of year	2020-12-21	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-12-21	$23,799
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-21	$4,099
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-21	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-21	$1,480
Other income not declared elsewhere	2020-12-21	$13,061
Administrative expenses (other) incurred	2020-12-21	$80,319
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-21	No
Value of net income/loss	2020-12-21	$4,777,258
Value of net assets at end of year (total assets less liabilities)	2020-12-21	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-12-21	$40,108,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-21	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-21	No
Were any leases to which the plan was party in default or uncollectible	2020-12-21	No
Investment advisory and management fees	2020-12-21	$66,356
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-21	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-21	$25,433,579
Value of interest in pooled separate accounts at end of year	2020-12-21	$0
Value of interest in pooled separate accounts at beginning of year	2020-12-21	$12,199,176
Interest on participant loans	2020-12-21	$77,240
Interest earned on other investments	2020-12-21	$123
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-21	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-21	$28,614
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-21	$3,224,250
Net investment gain/loss from pooled separate accounts	2020-12-21	$236,315
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-21	No
Was there a failure to transmit to the plan any participant contributions	2020-12-21	No
Has the plan failed to provide any benefit when due under the plan	2020-12-21	No
Contributions received in cash from employer	2020-12-21	$1,888,649
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-21	$2,111,637
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-21	Yes
Did the plan have assets held for investment	2020-12-21	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-21	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-21	Yes
Opinion of an independent qualified public accountant for this plan	2020-12-21	Disclaimer
Accountancy firm name	2020-12-21	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2020-12-21	141818557
2019 : MOUNTAIN LAKE SERVICES 401K PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$8,294,214
Total of all expenses incurred	2019-12-31	$3,279,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,117,634
Expenses. Certain deemed distributions of participant loans	2019-12-31	$5,764
Value of total corrective distributions	2019-12-31	$351
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,400,475
Value of total assets at end of year	2019-12-31	$40,108,247
Value of total assets at beginning of year	2019-12-31	$35,093,491
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$155,709
Total interest from all sources	2019-12-31	$85,695
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$460,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$460,840
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,271,813
Participant contributions at end of year	2019-12-31	$2,421,599
Participant contributions at beginning of year	2019-12-31	$2,690,320
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$23,799
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$16,113
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$14,436
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$1,480
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$1,509
Other income not declared elsewhere	2019-12-31	$7,685
Administrative expenses (other) incurred	2019-12-31	$102,664
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$5,014,756
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$40,108,247
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$35,093,491
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$53,045
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$25,433,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$20,881,971
Value of interest in pooled separate accounts at end of year	2019-12-31	$12,199,176
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$11,485,095
Interest on participant loans	2019-12-31	$85,420
Interest earned on other investments	2019-12-31	$275
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$28,614
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$18,483
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$4,075,470
Net investment gain/loss from pooled separate accounts	2019-12-31	$264,049
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$2,114,226
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$3,117,634
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2019-12-31	141818557
2018 : MOUNTAIN LAKE SERVICES 401K PLAN 2018 401k financial data
Total transfer of assets to this plan	2018-12-31	$31,184,587
Total income from all sources (including contributions)	2018-12-31	$2,321,362
Total of all expenses incurred	2018-12-31	$4,293,966
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$4,168,501
Expenses. Certain deemed distributions of participant loans	2018-12-31	$25,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,294,466
Value of total assets at end of year	2018-12-31	$35,093,491
Value of total assets at beginning of year	2018-12-31	$5,881,508
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$99,930
Total interest from all sources	2018-12-31	$92,808
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$411,542
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$411,542
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,139,210
Participant contributions at end of year	2018-12-31	$2,690,320
Participant contributions at beginning of year	2018-12-31	$211,983
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$16,113
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$64,008
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$1,509
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$32
Other income not declared elsewhere	2018-12-31	$-3,072
Administrative expenses (other) incurred	2018-12-31	$47,271
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,972,604
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$35,093,491
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,881,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$52,659
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$20,881,971
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$4,144,810
Value of interest in pooled separate accounts at end of year	2018-12-31	$11,485,095
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$1,521,126
Interest on participant loans	2018-12-31	$92,365
Interest earned on other investments	2018-12-31	$443
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$18,483
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$3,557
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,699,121
Net investment gain/loss from pooled separate accounts	2018-12-31	$224,739
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$2,091,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$4,168,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2018-12-31	141818557
2017 : MOUNTAIN LAKE SERVICES 401K PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$1,691,482
Total of all expenses incurred	2017-12-31	$457,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$438,830
Expenses. Certain deemed distributions of participant loans	2017-12-31	$944
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,128,825
Value of total assets at end of year	2017-12-31	$5,881,508
Value of total assets at beginning of year	2017-12-31	$4,647,388
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$17,588
Total interest from all sources	2017-12-31	$4,892
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$59,670
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$59,670
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$995,445
Participant contributions at end of year	2017-12-31	$211,983
Participant contributions at beginning of year	2017-12-31	$139,094
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$133,380
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$32
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$4
Administrative expenses (other) incurred	2017-12-31	$9,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,234,120
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,881,508
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,647,388
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$7,725
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$4,144,810
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$3,173,318
Value of interest in pooled separate accounts at end of year	2017-12-31	$1,521,126
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$1,332,166
Interest on participant loans	2017-12-31	$4,892
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$3,557
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$2,806
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$475,760
Net investment gain/loss from pooled separate accounts	2017-12-31	$22,335
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$438,830
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2017-12-31	141818557
2016 : MOUNTAIN LAKE SERVICES 401K PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$1,163,838
Total of all expenses incurred	2016-12-31	$270,982
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$258,759
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$918,288
Value of total assets at end of year	2016-12-31	$4,647,388
Value of total assets at beginning of year	2016-12-31	$3,754,532
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$12,223
Total interest from all sources	2016-12-31	$4,206
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$45,602
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$45,602
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$917,410
Participant contributions at end of year	2016-12-31	$139,094
Participant contributions at beginning of year	2016-12-31	$137,115
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$878
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$4
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$51
Administrative expenses (other) incurred	2016-12-31	$5,683
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$892,856
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,647,388
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,754,532
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$6,540
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$3,173,318
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,512,211
Value of interest in pooled separate accounts at end of year	2016-12-31	$1,332,166
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,102,551
Interest on participant loans	2016-12-31	$4,206
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$2,806
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$2,604
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$174,053
Net investment gain/loss from pooled separate accounts	2016-12-31	$21,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$258,759
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2016-12-31	141818557
2015 : MOUNTAIN LAKE SERVICES 401K PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$531,317
Total of all expenses incurred	2015-12-31	$955,690
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$944,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$504,403
Value of total assets at end of year	2015-12-31	$3,754,532
Value of total assets at beginning of year	2015-12-31	$4,178,905
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$11,129
Total interest from all sources	2015-12-31	$3,574
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$33,443
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$33,443
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$443,291
Participant contributions at end of year	2015-12-31	$137,115
Participant contributions at beginning of year	2015-12-31	$110,540
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$61,112
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$51
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$18
Administrative expenses (other) incurred	2015-12-31	$4,689
Total non interest bearing cash at beginning of year	2015-12-31	$1,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-424,373
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,754,532
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,178,905
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$6,440
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,512,211
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,010,873
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,102,551
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$1,056,340
Interest on participant loans	2015-12-31	$3,574
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$2,604
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-30,767
Net investment gain/loss from pooled separate accounts	2015-12-31	$20,664
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$944,561
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2015-12-31	141818557
2014 : MOUNTAIN LAKE SERVICES 401K PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$696,708
Total of all expenses incurred	2014-12-31	$239,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$227,987
Value of total corrective distributions	2014-12-31	$598
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$489,939
Value of total assets at end of year	2014-12-31	$4,178,905
Value of total assets at beginning of year	2014-12-31	$3,721,967
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$11,185
Total interest from all sources	2014-12-31	$3,518
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$44,597
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$44,597
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$433,828
Participant contributions at end of year	2014-12-31	$110,540
Participant contributions at beginning of year	2014-12-31	$101,085
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$56,111
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$18
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$22
Administrative expenses (other) incurred	2014-12-31	$5,048
Total non interest bearing cash at end of year	2014-12-31	$1,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$456,938
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,178,905
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,721,967
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$6,137
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,010,873
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,615,388
Value of interest in pooled separate accounts at end of year	2014-12-31	$1,056,340
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,005,472
Interest on participant loans	2014-12-31	$3,518
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$137,028
Net investment gain/loss from pooled separate accounts	2014-12-31	$21,626
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$227,987
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2014-12-31	141818557
2013 : MOUNTAIN LAKE SERVICES 401K PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$855,050
Total of all expenses incurred	2013-12-31	$383,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$379,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$433,782
Value of total assets at end of year	2013-12-31	$3,721,967
Value of total assets at beginning of year	2013-12-31	$3,250,629
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,419
Total interest from all sources	2013-12-31	$3,128
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$34,602
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$34,602
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$369,973
Participant contributions at end of year	2013-12-31	$101,085
Participant contributions at beginning of year	2013-12-31	$94,078
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$63,809
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$22
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$17
Administrative expenses (other) incurred	2013-12-31	$4,419
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$471,338
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,721,967
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,250,629
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,615,388
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,139,331
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,005,472
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,017,203
Interest on participant loans	2013-12-31	$3,128
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$360,959
Net investment gain/loss from pooled separate accounts	2013-12-31	$22,579
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$379,293
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2013-12-31	141818557
2012 : MOUNTAIN LAKE SERVICES 401K PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$604,888
Total of all expenses incurred	2012-12-31	$54,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$30,975
Value of total corrective distributions	2012-12-31	$1,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$330,332
Value of total assets at end of year	2012-12-31	$3,250,629
Value of total assets at beginning of year	2012-12-31	$2,700,502
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$22,193
Total interest from all sources	2012-12-31	$2,475
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$40,479
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$40,479
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$330,332
Participant contributions at end of year	2012-12-31	$94,078
Participant contributions at beginning of year	2012-12-31	$67,115
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$17
Administrative expenses (other) incurred	2012-12-31	$9,693
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$550,127
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,250,629
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,700,502
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$12,500
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$2,139,331
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,782,980
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,017,203
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$850,407
Interest on participant loans	2012-12-31	$2,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$207,483
Net investment gain/loss from pooled separate accounts	2012-12-31	$24,119
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$30,975
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2012-12-31	141818557
2011 : MOUNTAIN LAKE SERVICES 401K PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$311,952
Total of all expenses incurred	2011-12-31	$60,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$58,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$318,176
Value of total assets at end of year	2011-12-31	$2,700,502
Value of total assets at beginning of year	2011-12-31	$2,449,352
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,155
Total interest from all sources	2011-12-31	$2,622
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$27,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$27,699
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$313,582
Participant contributions at end of year	2011-12-31	$67,115
Participant contributions at beginning of year	2011-12-31	$73,736
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$4,594
Administrative expenses (other) incurred	2011-12-31	$2,155
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$251,150
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,700,502
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,449,352
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,782,980
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,692,886
Value of interest in pooled separate accounts at end of year	2011-12-31	$850,407
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$682,730
Interest on participant loans	2011-12-31	$2,622
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-58,584
Net investment gain/loss from pooled separate accounts	2011-12-31	$22,039
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$58,647
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MARTINDALE KEYSOR &CO., PLLC
Accountancy firm EIN	2011-12-31	141818557
2010 : MOUNTAIN LAKE SERVICES 401K PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$555,157
Total of all expenses incurred	2010-12-31	$255,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$253,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$383,143
Value of total assets at end of year	2010-12-31	$2,449,352
Value of total assets at beginning of year	2010-12-31	$2,150,014
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,935
Total interest from all sources	2010-12-31	$3,307
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$22,880
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$22,880
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$291,844
Participant contributions at end of year	2010-12-31	$73,736
Participant contributions at beginning of year	2010-12-31	$81,416
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$91,299
Administrative expenses (other) incurred	2010-12-31	$1,935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$299,338
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,449,352
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,150,014
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,692,886
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,475,364
Value of interest in pooled separate accounts at end of year	2010-12-31	$682,730
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$593,234
Interest on participant loans	2010-12-31	$3,307
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$127,148
Net investment gain/loss from pooled separate accounts	2010-12-31	$18,679
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$253,884
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2010-12-31	141818557
2009 : MOUNTAIN LAKE SERVICES 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MOUNTAIN LAKE SERVICES 401K PLAN

2020: MOUNTAIN LAKE SERVICES 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MOUNTAIN LAKE SERVICES 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MOUNTAIN LAKE SERVICES 401K PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MOUNTAIN LAKE SERVICES 401K PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MOUNTAIN LAKE SERVICES 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MOUNTAIN LAKE SERVICES 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MOUNTAIN LAKE SERVICES 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MOUNTAIN LAKE SERVICES 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MOUNTAIN LAKE SERVICES 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MOUNTAIN LAKE SERVICES 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MOUNTAIN LAKE SERVICES 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

QK61440

Policy instance

Insurance contract or identification number	QK61440
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-21
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

QK61440

Policy instance

Insurance contract or identification number	QK61440
Number of Individuals Covered	755
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

QK61440

Policy instance

Insurance contract or identification number	QK61440
Number of Individuals Covered	771
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

QK61440

Policy instance

Insurance contract or identification number	QK61440
Number of Individuals Covered	660
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ESSEX COUNTY CHAPTER NYSARC, INC.
Employer identification number (EIN):	141563885
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities