| Plan Name | MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. |
| Employer identification number (EIN): | 141810672 |
| NAIC Classification: | 611000 |
Additional information about MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1999-01-25 |
| Company Identification Number: | 2338490 |
| Legal Registered Office Address: |
386 RIVER RD Essex LAKE PLACID United States of America (USA) 12946 |
More information about MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2019-07-01 | SUSAN ROSE-HOCKERT | 2020-04-22 | ||
| 001 | 2018-07-01 | ||||
| 001 | 2017-07-01 | SUSAN HOCKERT | 2018-11-13 | ||
| 001 | 2016-07-01 | SUSAN HOCKERT | 2018-03-29 | SUSAN HOCKERT | 2018-03-29 |
| 001 | 2015-07-01 | SUSAN HOCKERT | 2017-04-07 | ||
| 001 | 2014-07-01 | SUSAN HOCKERT | 2017-04-07 | ||
| 001 | 2014-07-01 | SUSAN HOCKERT | 2016-04-08 | ||
| 001 | 2013-07-01 | SUSAN ROSE-HOCKERT | 2015-01-13 |
| Measure | Date | Value |
|---|---|---|
| 2019 : MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN 2019 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2019-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-06-30 | $1,492 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-06-30 | $1,483 |
| Total income from all sources (including contributions) | 2019-06-30 | $340,142 |
| Total loss/gain on sale of assets | 2019-06-30 | $0 |
| Total of all expenses incurred | 2019-06-30 | $22,539 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-06-30 | $20,847 |
| Value of total corrective distributions | 2019-06-30 | $1,492 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-06-30 | $265,181 |
| Value of total assets at end of year | 2019-06-30 | $2,582,396 |
| Value of total assets at beginning of year | 2019-06-30 | $2,264,784 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-06-30 | $200 |
| Total interest from all sources | 2019-06-30 | $3,154 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-06-30 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2019-06-30 | $0 |
| Was this plan covered by a fidelity bond | 2019-06-30 | Yes |
| Value of fidelity bond cover | 2019-06-30 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2019-06-30 | Yes |
| Were there any nonexempt tranactions with any party-in-interest | 2019-06-30 | No |
| Contributions received from participants | 2019-06-30 | $196,878 |
| Participant contributions at end of year | 2019-06-30 | $53,820 |
| Participant contributions at beginning of year | 2019-06-30 | $21,158 |
| Participant contributions at end of year | 2019-06-30 | $5,336 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-06-30 | $1,492 |
| Administrative expenses (other) incurred | 2019-06-30 | $200 |
| Liabilities. Value of operating payables at end of year | 2019-06-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2019-06-30 | $1,483 |
| Total non interest bearing cash at end of year | 2019-06-30 | $24,008 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-06-30 | No |
| Value of net income/loss | 2019-06-30 | $317,603 |
| Value of net assets at end of year (total assets less liabilities) | 2019-06-30 | $2,580,904 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-06-30 | $2,263,301 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-06-30 | $2,495,817 |
| Value of interest in pooled separate accounts at beginning of year | 2019-06-30 | $1,978,702 |
| Interest on participant loans | 2019-06-30 | $1,029 |
| Interest earned on other investments | 2019-06-30 | $2,125 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-06-30 | $1,501 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2019-06-30 | $264,924 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-06-30 | $-63,228 |
| Net investment gain/loss from pooled separate accounts | 2019-06-30 | $135,035 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-06-30 | No |
| Contributions received in cash from employer | 2019-06-30 | $68,303 |
| Employer contributions (assets) at end of year | 2019-06-30 | $1,914 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-06-30 | $20,847 |
| 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 | 2019-06-30 | Yes |
| Did the plan have assets held for investment | 2019-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-06-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2019-06-30 | Disclaimer |
| Accountancy firm name | 2019-06-30 | BONADIO & CO., LLP |
| Accountancy firm EIN | 2019-06-30 | 161131146 |
| 2018: MOUNTAIN LAKE CHILDREN'S RESIDENCE, INC. 403(B) PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Submission has been amended | No |
| 2018-07-01 | This submission is the final filing | No |
| 2018-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-07-01 | Plan is a collectively bargained plan | No |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan funding arrangement – Trust | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement - Trust | Yes |
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) | |
| Policy contract number | 666450 |
| Policy instance | 1 |