401k Plan data: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN plan

NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 401k Plan overview

Plan Name	NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN
Plan identification number	001

NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

NEIGHBORHOOD HEALTH CENTER OF WNY, INC. has sponsored the creation of one or more 401k plans.

Company Name: NEIGHBORHOOD HEALTH CENTER OF WNY, INC.

Employer identification number (EIN): 161294447

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 JOANNE HAEFNER
001 2016-01-01 JOANNE HAEFNER
001 2015-01-01 JOANNE HAEFNER JOANNE HAEFNER 2016-10-12
001 2014-01-01 JOANNE HAEFNER JOANNE HAEFNER 2015-10-15
001 2013-01-01 JOANNE HAEFNER 2014-09-18 JOANNE HAEFNER 2014-09-18
001 2012-01-01 JOANNE HAEFNER 2013-07-11 JOANNE HAEFNER 2013-07-11
001 2011-01-01 JOANNE HAEFNER 2012-05-22 JOANNE HAEFNER 2012-05-22
001 2010-01-01 JOANNE E HAEFNER 2011-07-27 JOANNE E HAEFNER 2011-07-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	JOANNE HAEFNER
001	2016-01-01	JOANNE HAEFNER
001	2015-01-01	JOANNE HAEFNER		JOANNE HAEFNER	2016-10-12
001	2014-01-01	JOANNE HAEFNER		JOANNE HAEFNER	2015-10-15
001	2013-01-01	JOANNE HAEFNER	2014-09-18	JOANNE HAEFNER	2014-09-18
001	2012-01-01	JOANNE HAEFNER	2013-07-11	JOANNE HAEFNER	2013-07-11
001	2011-01-01	JOANNE HAEFNER	2012-05-22	JOANNE HAEFNER	2012-05-22
001	2010-01-01	JOANNE E HAEFNER	2011-07-27	JOANNE E HAEFNER	2011-07-27

Plan Statistics for NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN

401k plan membership statisitcs for NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN

Measure Date Value
2022: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 373
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 348
Number of retired or separated participants receiving benefits 2022-01-01 3
Number of other retired or separated participants entitled to future benefits 2022-01-01 44
Total of all active and inactive participants 2022-01-01 395
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 395
Number of participants with account balances 2022-01-01 264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 17
2021: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 382
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 331
Number of retired or separated participants receiving benefits 2021-01-01 5
Number of other retired or separated participants entitled to future benefits 2021-01-01 37
Total of all active and inactive participants 2021-01-01 373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 373
Number of participants with account balances 2021-01-01 254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 18
2020: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 351
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 321
Number of retired or separated participants receiving benefits 2020-01-01 13
Number of other retired or separated participants entitled to future benefits 2020-01-01 52
Total of all active and inactive participants 2020-01-01 386
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 386
Number of participants with account balances 2020-01-01 276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 12
2019: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 297
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 307
Number of retired or separated participants receiving benefits 2019-01-01 7
Number of other retired or separated participants entitled to future benefits 2019-01-01 39
Total of all active and inactive participants 2019-01-01 353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 353
Number of participants with account balances 2019-01-01 278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 14
2018: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 275
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 279
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 26
Total of all active and inactive participants 2018-01-01 305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 305
Number of participants with account balances 2018-01-01 169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 15
2017: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 251
Number of retired or separated participants receiving benefits 2017-01-01 21
Number of other retired or separated participants entitled to future benefits 2017-01-01 2
Total of all active and inactive participants 2017-01-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 274
Number of participants with account balances 2017-01-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 190
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 21
Total of all active and inactive participants 2016-01-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 211
Number of participants with account balances 2016-01-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 7
2015: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 94
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 20
Total of all active and inactive participants 2015-01-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 114
Number of participants with account balances 2015-01-01 91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 11
2014: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 130
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 5
Total of all active and inactive participants 2014-01-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 135
Number of participants with account balances 2014-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1

Measure	Date	Value
2022: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	373
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	348
Number of retired or separated participants receiving benefits	2022-01-01	3
Number of other retired or separated participants entitled to future benefits	2022-01-01	44
Total of all active and inactive participants	2022-01-01	395
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	395
Number of participants with account balances	2022-01-01	264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	17
2021: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	382
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	331
Number of retired or separated participants receiving benefits	2021-01-01	5
Number of other retired or separated participants entitled to future benefits	2021-01-01	37
Total of all active and inactive participants	2021-01-01	373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	373
Number of participants with account balances	2021-01-01	254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	18
2020: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	351
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	321
Number of retired or separated participants receiving benefits	2020-01-01	13
Number of other retired or separated participants entitled to future benefits	2020-01-01	52
Total of all active and inactive participants	2020-01-01	386
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	386
Number of participants with account balances	2020-01-01	276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	12
2019: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	297
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	307
Number of retired or separated participants receiving benefits	2019-01-01	7
Number of other retired or separated participants entitled to future benefits	2019-01-01	39
Total of all active and inactive participants	2019-01-01	353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	353
Number of participants with account balances	2019-01-01	278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	14
2018: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	275
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	279
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	26
Total of all active and inactive participants	2018-01-01	305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	305
Number of participants with account balances	2018-01-01	169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	15
2017: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	251
Number of retired or separated participants receiving benefits	2017-01-01	21
Number of other retired or separated participants entitled to future benefits	2017-01-01	2
Total of all active and inactive participants	2017-01-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	274
Number of participants with account balances	2017-01-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	190
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	21
Total of all active and inactive participants	2016-01-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	211
Number of participants with account balances	2016-01-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	7
2015: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	94
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	20
Total of all active and inactive participants	2015-01-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	114
Number of participants with account balances	2015-01-01	91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	11
2014: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	130
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	5
Total of all active and inactive participants	2014-01-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	135
Number of participants with account balances	2014-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1

Financial Data on NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN

Measure	Date	Value
2022 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$631,498
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$580,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$535,529
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,537,728
Value of total assets at end of year	2022-12-31	$7,860,432
Value of total assets at beginning of year	2022-12-31	$7,809,239
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$44,776
Total interest from all sources	2022-12-31	$5,837
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$110,137
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$110,137
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,169,340
Participant contributions at end of year	2022-12-31	$97,400
Participant contributions at beginning of year	2022-12-31	$96,996
Participant contributions at end of year	2022-12-31	$457
Participant contributions at beginning of year	2022-12-31	$1,440
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$132,299
Other income not declared elsewhere	2022-12-31	$29,030
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$51,193
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$7,860,432
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$7,809,239
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$25,320
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$5,693,912
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$5,438,107
Interest on participant loans	2022-12-31	$5,837
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,832,574
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$2,031,809
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,051,234
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$236,089
Employer contributions (assets) at end of year	2022-12-31	$236,089
Employer contributions (assets) at beginning of year	2022-12-31	$240,887
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$535,529
Contract administrator fees	2022-12-31	$19,456
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2022-12-31	202368569
2021 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$0
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets to this plan	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$0
Expenses. Interest paid	2021-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$2,334,053
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$462,725
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$389,594
Expenses. Certain deemed distributions of participant loans	2021-12-31	$12,792
Value of total corrective distributions	2021-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,619,380
Value of total assets at end of year	2021-12-31	$7,809,239
Value of total assets at beginning of year	2021-12-31	$5,937,911
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$60,339
Total income from rents	2021-12-31	$0
Total interest from all sources	2021-12-31	$16,047
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$42,182
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$42,182
Administrative expenses professional fees incurred	2021-12-31	$0
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$998,853
Participant contributions at end of year	2021-12-31	$96,996
Participant contributions at beginning of year	2021-12-31	$181,928
Participant contributions at end of year	2021-12-31	$1,440
Participant contributions at beginning of year	2021-12-31	$2,635
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$379,640
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-12-31	$0
Other income not declared elsewhere	2021-12-31	$21,051
Administrative expenses (other) incurred	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Income. Non cash contributions	2021-12-31	$0
Value of net income/loss	2021-12-31	$1,871,328
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$7,809,239
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$5,937,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$5,438,107
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$5,086,039
Interest on participant loans	2021-12-31	$7,678
Income. Interest from loans (other than to participants)	2021-12-31	$0
Interest earned on other investments	2021-12-31	$8,369
Income. Interest from US Government securities	2021-12-31	$0
Income. Interest from corporate debt instruments	2021-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$2,031,809
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$462,705
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$635,393
Net investment gain/loss from pooled separate accounts	2021-12-31	$0
Net investment gain or loss from common/collective trusts	2021-12-31	$0
Net gain/loss from 103.12 investment entities	2021-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$240,887
Employer contributions (assets) at end of year	2021-12-31	$240,887
Employer contributions (assets) at beginning of year	2021-12-31	$204,604
Income. Dividends from preferred stock	2021-12-31	$0
Income. Dividends from common stock	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$389,594
Contract administrator fees	2021-12-31	$60,339
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	2021-12-31	Yes
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Aggregate proceeds on sale of assets	2021-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$0
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2021-12-31	202368569
2020 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$1,778,959
Total of all expenses incurred	2020-12-31	$591,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$536,529
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,046,509
Value of total assets at end of year	2020-12-31	$5,937,911
Value of total assets at beginning of year	2020-12-31	$4,750,690
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$55,209
Total interest from all sources	2020-12-31	$14,074
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$839,205
Participant contributions at end of year	2020-12-31	$181,928
Participant contributions at beginning of year	2020-12-31	$179,845
Participant contributions at end of year	2020-12-31	$2,635
Participant contributions at beginning of year	2020-12-31	$1,646
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$2,700
Other income not declared elsewhere	2020-12-31	$7,183
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,187,221
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$5,937,911
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$4,750,690
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$5,086,039
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,009,838
Interest on participant loans	2020-12-31	$14,074
Interest earned on other investments	2020-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$462,705
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$387,237
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$711,193
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$204,604
Employer contributions (assets) at end of year	2020-12-31	$204,604
Employer contributions (assets) at beginning of year	2020-12-31	$172,124
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$536,529
Contract administrator fees	2020-12-31	$55,209
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2020-12-31	202368569
2019 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$1,991,629
Total of all expenses incurred	2019-12-31	$419,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$373,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,310,443
Value of total assets at end of year	2019-12-31	$4,750,690
Value of total assets at beginning of year	2019-12-31	$3,178,599
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$46,534
Total interest from all sources	2019-12-31	$8,216
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$300,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$748,107
Participant contributions at end of year	2019-12-31	$179,845
Participant contributions at beginning of year	2019-12-31	$36,375
Participant contributions at end of year	2019-12-31	$1,646
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$390,212
Other income not declared elsewhere	2019-12-31	$6,693
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,572,091
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$4,750,690
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,178,599
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$4,009,838
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,646,324
Interest on participant loans	2019-12-31	$8,216
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$387,237
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$353,892
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$666,277
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	$172,124
Employer contributions (assets) at end of year	2019-12-31	$172,124
Employer contributions (assets) at beginning of year	2019-12-31	$142,008
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$373,004
Contract administrator fees	2019-12-31	$46,534
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	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2019-12-31	202368569
2018 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$816,852
Total of all expenses incurred	2018-12-31	$502,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$498,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$950,682
Value of total assets at end of year	2018-12-31	$3,178,599
Value of total assets at beginning of year	2018-12-31	$2,863,838
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$3,182
Total interest from all sources	2018-12-31	$2,631
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$300,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$639,211
Participant contributions at end of year	2018-12-31	$36,375
Participant contributions at beginning of year	2018-12-31	$52,482
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$170,337
Other income not declared elsewhere	2018-12-31	$4,935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$314,761
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$3,178,599
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,863,838
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,646,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,325,184
Interest on participant loans	2018-12-31	$2,631
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$353,892
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$379,786
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-141,396
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	$141,134
Employer contributions (assets) at end of year	2018-12-31	$142,008
Employer contributions (assets) at beginning of year	2018-12-31	$106,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$498,909
Contract administrator fees	2018-12-31	$3,182
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	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2018-12-31	202368569
2017 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$1,171,017
Total of all expenses incurred	2017-12-31	$189,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$186,181
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$914,804
Value of total assets at end of year	2017-12-31	$2,863,838
Value of total assets at beginning of year	2017-12-31	$1,882,588
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$3,586
Total interest from all sources	2017-12-31	$1,437
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$300,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$545,516
Participant contributions at end of year	2017-12-31	$52,482
Participant contributions at beginning of year	2017-12-31	$35,055
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$252,906
Other income not declared elsewhere	2017-12-31	$3,089
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	$981,250
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,863,838
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,882,588
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,325,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,437,683
Income. Interest from loans (other than to participants)	2017-12-31	$1,437
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$379,786
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$323,954
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$251,687
Net gain/loss from 103.12 investment entities	2017-12-31	$0
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
Contributions received in cash from employer	2017-12-31	$116,382
Employer contributions (assets) at end of year	2017-12-31	$106,386
Employer contributions (assets) at beginning of year	2017-12-31	$85,896
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$186,181
Contract administrator fees	2017-12-31	$3,586
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	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2017-12-31	202368569
2016 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$531,027
Total of all expenses incurred	2016-12-31	$153,216
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$148,381
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$442,603
Value of total assets at end of year	2016-12-31	$1,882,588
Value of total assets at beginning of year	2016-12-31	$1,504,777
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$4,835
Total interest from all sources	2016-12-31	$1,558
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	No
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$353,691
Participant contributions at end of year	2016-12-31	$35,055
Participant contributions at beginning of year	2016-12-31	$33,729
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$3,016
Other income not declared elsewhere	2016-12-31	$3,280
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	$377,811
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,882,588
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,504,777
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,437,683
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,166,489
Interest on participant loans	2016-12-31	$1,558
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$323,954
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$304,559
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$83,586
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
Contributions received in cash from employer	2016-12-31	$85,896
Employer contributions (assets) at end of year	2016-12-31	$85,896
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$148,381
Contract administrator fees	2016-12-31	$4,835
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	JEFFREY L. OFFHAUS CPA, LLC
Accountancy firm EIN	2016-12-31	202368569
2015 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$366,460
Total of all expenses incurred	2015-12-31	$46,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$41,605
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$392,302
Value of total assets at end of year	2015-12-31	$1,504,777
Value of total assets at beginning of year	2015-12-31	$1,184,881
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$4,959
Total interest from all sources	2015-12-31	$4,407
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	No
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$281,315
Participant contributions at end of year	2015-12-31	$33,729
Participant contributions at beginning of year	2015-12-31	$18,736
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$48,450
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	$319,896
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,504,777
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,184,881
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	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,166,489
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$930,106
Interest on participant loans	2015-12-31	$1,428
Interest earned on other investments	2015-12-31	$2,979
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$215
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$215
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$304,559
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$235,824
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-30,249
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
Contributions received in cash from employer	2015-12-31	$62,537
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$41,605
Contract administrator fees	2015-12-31	$4,959
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	JEFFREY L. OFFHAUS CPA,LLC
Accountancy firm EIN	2015-12-31	202368569
2014 : NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$409,085
Total of all expenses incurred	2014-12-31	$24,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$20,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$378,286
Value of total assets at end of year	2014-12-31	$1,184,881
Value of total assets at beginning of year	2014-12-31	$799,861
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,842
Total interest from all sources	2014-12-31	$3,030
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	No
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$278,322
Participant contributions at end of year	2014-12-31	$18,736
Participant contributions at beginning of year	2014-12-31	$7,093
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$35,696
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	$385,020
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,184,881
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$799,861
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$930,106
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$656,636
Interest on participant loans	2014-12-31	$472
Interest earned on other investments	2014-12-31	$2,558
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$215
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$235,824
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$136,132
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$27,769
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
Contributions received in cash from employer	2014-12-31	$64,268
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$20,223
Contract administrator fees	2014-12-31	$3,842
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	JEFFREY L. OFFHAUS CPA,LLC
Accountancy firm EIN	2014-12-31	202368569

Form 5500 Responses for NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN

2022: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: NEIGHBORHOOD HEALTH CENTER OF WNY, INC. 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	264
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $937
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	937
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-KB2D

Policy instance

Insurance contract or identification number	GAP-B2-KB2D
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-09-01
Total amount of commissions paid to insurance broker	USD $1,940
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,188
Insurance broker organization code?	4

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	254
Insurance policy start date	2021-09-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $266
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	266
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	5

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-KB2D

Policy instance

Insurance contract or identification number	GAP-B2-KB2D
Number of Individuals Covered	276
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,182
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,182
Insurance broker organization code?	4

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-KB2D

Policy instance

Insurance contract or identification number	GAP-B2-KB2D
Number of Individuals Covered	278
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,066
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,066
Amount paid for insurance broker fees	0
Insurance broker organization code?	4

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-KB2D

Policy instance

Insurance contract or identification number	GAP-B2-KB2D
Number of Individuals Covered	169
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,011
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,011
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	4

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-KB2D

Policy instance

Insurance contract or identification number	GAP-B2-KB2D
Number of Individuals Covered	140
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $691
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $691
Amount paid for insurance broker fees	0
Insurance broker organization code?	4
Insurance broker name	FSC SECURITIES CORP

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-CA3B

Policy instance

Insurance contract or identification number	GAP-B2-CA3B
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $402
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $402
Insurance broker organization code?	4
Insurance broker name	FSC SECURITIES CORP

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

Policy instance

Number of Individuals Covered	91
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,483
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,483
Insurance broker organization code?	4
Insurance broker name	FSC SECURITIES CORP

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

Policy instance

Number of Individuals Covered	82
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $947
Commission paid to Insurance Broker	USD $947
Insurance broker organization code?	4
Insurance broker name	FSC SECURITIES CORP

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Company Name:	NEIGHBORHOOD HEALTH CENTER OF WNY, INC.
Employer identification number (EIN):	161294447
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners