401k Plan data: ARISTACARE MEP 401(K) PLAN plan

ARISTACARE MEP 401(K) PLAN 401k Plan overview

Plan Name	ARISTACARE MEP 401(K) PLAN
Plan identification number	001

ARISTACARE MEP 401(K) 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.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ARISTACARE AT MEADOW SPRINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name: ARISTACARE AT MEADOW SPRINGS, LLC

Employer identification number (EIN): 204755042

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARISTACARE MEP 401(K) 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 SIDNEY GREENBERGER
001 2016-01-01 SIDNEY GREENBERGER
001 2015-01-01 SIDNEY GREENBERGER
001 2014-01-01 SIDNEY GREENBERGER
001 2013-01-01 SIDNEY GREENBERGER
001 2012-01-01 SIDNEY GREENBERGER
001 2011-01-01 SIDNEY GREENBERGER
001 2010-01-01 SIDNEY GREENBERGER

Plan Statistics for ARISTACARE MEP 401(K) PLAN

401k plan membership statisitcs for ARISTACARE MEP 401(K) PLAN

Measure Date Value
2022: ARISTACARE MEP 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 716
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 416
Number of other retired or separated participants entitled to future benefits 2022-01-01 146
Total of all active and inactive participants 2022-01-01 562
Total participants 2022-01-01 562
Number of participants with account balances 2022-01-01 354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 14
2021: ARISTACARE MEP 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 836
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 455
Number of retired or separated participants receiving benefits 2021-01-01 34
Number of other retired or separated participants entitled to future benefits 2021-01-01 194
Total of all active and inactive participants 2021-01-01 683
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 683
Number of participants with account balances 2021-01-01 460
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 14
2020: ARISTACARE MEP 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,225
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 998
Number of retired or separated participants receiving benefits 2020-01-01 25
Number of other retired or separated participants entitled to future benefits 2020-01-01 110
Total of all active and inactive participants 2020-01-01 1,133
Total participants 2020-01-01 1,133
Number of participants with account balances 2020-01-01 529
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 19
2019: ARISTACARE MEP 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 185
Number of other retired or separated participants entitled to future benefits 2019-01-01 9
Total of all active and inactive participants 2019-01-01 194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 194
Number of participants with account balances 2019-01-01 73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 2
2018: ARISTACARE MEP 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 181
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 173
Number of other retired or separated participants entitled to future benefits 2018-01-01 7
Total of all active and inactive participants 2018-01-01 180
Total participants 2018-01-01 180
Number of participants with account balances 2018-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: ARISTACARE MEP 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 170
Number of other retired or separated participants entitled to future benefits 2017-01-01 6
Total of all active and inactive participants 2017-01-01 176
Total participants 2017-01-01 176
Number of participants with account balances 2017-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: ARISTACARE MEP 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 167
Number of other retired or separated participants entitled to future benefits 2016-01-01 5
Total of all active and inactive participants 2016-01-01 172
Total participants 2016-01-01 172
Number of participants with account balances 2016-01-01 55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3
2015: ARISTACARE MEP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 153
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 2
Total of all active and inactive participants 2015-01-01 155
Total participants 2015-01-01 155
Number of participants with account balances 2015-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: ARISTACARE MEP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 160
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 161
Total participants 2014-01-01 161
Number of participants with account balances 2014-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ARISTACARE MEP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 188
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 182
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 183
Total participants 2013-01-01 183
Number of participants with account balances 2013-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ARISTACARE MEP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 180
Number of retired or separated participants receiving benefits 2012-01-01 5
Total of all active and inactive participants 2012-01-01 185
Total participants 2012-01-01 185
Number of participants with account balances 2012-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ARISTACARE MEP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 188
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 192
Number of participants with account balances 2011-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ARISTACARE MEP 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 148
Number of other retired or separated participants entitled to future benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 154
Number of participants with account balances 2010-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2022: ARISTACARE MEP 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	716
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	416
Number of other retired or separated participants entitled to future benefits	2022-01-01	146
Total of all active and inactive participants	2022-01-01	562
Total participants	2022-01-01	562
Number of participants with account balances	2022-01-01	354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	14
2021: ARISTACARE MEP 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	836
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	455
Number of retired or separated participants receiving benefits	2021-01-01	34
Number of other retired or separated participants entitled to future benefits	2021-01-01	194
Total of all active and inactive participants	2021-01-01	683
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	683
Number of participants with account balances	2021-01-01	460
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	14
2020: ARISTACARE MEP 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,225
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	998
Number of retired or separated participants receiving benefits	2020-01-01	25
Number of other retired or separated participants entitled to future benefits	2020-01-01	110
Total of all active and inactive participants	2020-01-01	1,133
Total participants	2020-01-01	1,133
Number of participants with account balances	2020-01-01	529
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	19
2019: ARISTACARE MEP 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	185
Number of other retired or separated participants entitled to future benefits	2019-01-01	9
Total of all active and inactive participants	2019-01-01	194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	194
Number of participants with account balances	2019-01-01	73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	2
2018: ARISTACARE MEP 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	181
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	173
Number of other retired or separated participants entitled to future benefits	2018-01-01	7
Total of all active and inactive participants	2018-01-01	180
Total participants	2018-01-01	180
Number of participants with account balances	2018-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: ARISTACARE MEP 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	170
Number of other retired or separated participants entitled to future benefits	2017-01-01	6
Total of all active and inactive participants	2017-01-01	176
Total participants	2017-01-01	176
Number of participants with account balances	2017-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: ARISTACARE MEP 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	167
Number of other retired or separated participants entitled to future benefits	2016-01-01	5
Total of all active and inactive participants	2016-01-01	172
Total participants	2016-01-01	172
Number of participants with account balances	2016-01-01	55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3
2015: ARISTACARE MEP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	153
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	2
Total of all active and inactive participants	2015-01-01	155
Total participants	2015-01-01	155
Number of participants with account balances	2015-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: ARISTACARE MEP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	160
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	161
Total participants	2014-01-01	161
Number of participants with account balances	2014-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ARISTACARE MEP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	188
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	182
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	183
Total participants	2013-01-01	183
Number of participants with account balances	2013-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ARISTACARE MEP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	180
Number of retired or separated participants receiving benefits	2012-01-01	5
Total of all active and inactive participants	2012-01-01	185
Total participants	2012-01-01	185
Number of participants with account balances	2012-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ARISTACARE MEP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	188
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	192
Number of participants with account balances	2011-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ARISTACARE MEP 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	148
Number of other retired or separated participants entitled to future benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	154
Number of participants with account balances	2010-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on ARISTACARE MEP 401(K) PLAN

Measure	Date	Value
2022 : ARISTACARE MEP 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-68,873
Total of all expenses incurred	2022-12-31	$1,244,429
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,234,208
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$896,782
Value of total assets at end of year	2022-12-31	$5,289,275
Value of total assets at beginning of year	2022-12-31	$6,602,577
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$10,221
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
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	$614,169
Participant contributions at beginning of year	2022-12-31	$30,647
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$14,173
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	$-1,313,302
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$5,289,275
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$6,602,577
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	$10,221
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,049,558
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,536,808
Value of interest in pooled separate accounts at end of year	2022-12-31	$3,027,028
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$3,374,342
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$212,689
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$642,592
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-420,575
Net investment gain/loss from pooled separate accounts	2022-12-31	$-545,080
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	$268,440
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$18,188
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,234,208
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	FASTEN HALBERTSTAM LLP
Accountancy firm EIN	2022-12-31	472319109
2021 : ARISTACARE MEP 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$1,549,100
Total of all expenses incurred	2021-12-31	$1,191,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,181,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$847,507
Value of total assets at end of year	2021-12-31	$6,602,577
Value of total assets at beginning of year	2021-12-31	$6,244,589
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$9,328
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
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	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$591,419
Participant contributions at end of year	2021-12-31	$30,647
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
Value of net income/loss	2021-12-31	$357,988
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$6,602,577
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$6,244,589
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	$9,328
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,536,808
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,462,573
Value of interest in pooled separate accounts at end of year	2021-12-31	$3,374,342
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$2,758,130
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$642,592
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$343,155
Net investment gain/loss from pooled separate accounts	2021-12-31	$358,438
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	$256,088
Employer contributions (assets) at end of year	2021-12-31	$18,188
Employer contributions (assets) at beginning of year	2021-12-31	$23,886
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,181,784
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
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FASTEN HALBERTSTAM LLP
Accountancy firm EIN	2021-12-31	472319109
2020 : ARISTACARE MEP 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$1,837,603
Total of all expenses incurred	2020-12-31	$807,706
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$787,287
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,138,546
Value of total assets at end of year	2020-12-31	$6,244,589
Value of total assets at beginning of year	2020-12-31	$5,214,692
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$20,419
Total interest from all sources	2020-12-31	$256
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	$786,624
Participant contributions at beginning of year	2020-12-31	$22,252
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$12,886
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	$1,029,897
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$6,244,589
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$5,214,692
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	$3,462,573
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,625,311
Value of interest in pooled separate accounts at end of year	2020-12-31	$2,758,130
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$2,511,401
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$256
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$335,915
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	$339,036
Employer contributions (assets) at end of year	2020-12-31	$23,886
Employer contributions (assets) at beginning of year	2020-12-31	$55,728
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$787,287
Contract administrator fees	2020-12-31	$20,419
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	FASTEN HALBERTSTAM LLP
Accountancy firm EIN	2020-12-31	472319109
2019 : ARISTACARE MEP 401(K) PLAN 2019 401k financial data
Total transfer of assets to this plan	2019-12-31	$3,903,895
Total transfer of assets to this plan	2019-12-31	$3,903,895
Total income from all sources (including contributions)	2019-12-31	$534,292
Total income from all sources (including contributions)	2019-12-31	$534,292
Total of all expenses incurred	2019-12-31	$503,286
Total of all expenses incurred	2019-12-31	$503,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$503,286
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$325,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$325,711
Value of total assets at end of year	2019-12-31	$5,214,692
Value of total assets at end of year	2019-12-31	$5,214,692
Value of total assets at beginning of year	2019-12-31	$1,279,791
Value of total assets at beginning of year	2019-12-31	$1,279,791
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
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
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
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
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
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$204,009
Contributions received from participants	2019-12-31	$204,009
Participant contributions at end of year	2019-12-31	$22,252
Participant contributions at end of year	2019-12-31	$22,252
Participant contributions at beginning of year	2019-12-31	$17,632
Participant contributions at beginning of year	2019-12-31	$17,632
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$44,733
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$44,733
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	$31,006
Value of net income/loss	2019-12-31	$31,006
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,214,692
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,214,692
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,279,791
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,279,791
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 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
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	$2,625,311
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,625,311
Value of interest in pooled separate accounts at end of year	2019-12-31	$2,511,401
Value of interest in pooled separate accounts at end of year	2019-12-31	$2,511,401
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,255,937
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,255,937
Net investment gain/loss from pooled separate accounts	2019-12-31	$208,581
Net investment gain/loss from pooled separate accounts	2019-12-31	$208,581
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
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	$76,969
Contributions received in cash from employer	2019-12-31	$76,969
Employer contributions (assets) at end of year	2019-12-31	$55,728
Employer contributions (assets) at end of year	2019-12-31	$55,728
Employer contributions (assets) at beginning of year	2019-12-31	$6,222
Employer contributions (assets) at beginning of year	2019-12-31	$6,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$503,286
Did the plan have assets held for investment	2019-12-31	Yes
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
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	FASTEN HALBERTSTAM LLP
Accountancy firm name	2019-12-31	FASTEN HALBERTSTAM LLP
Accountancy firm EIN	2019-12-31	472319109
Accountancy firm EIN	2019-12-31	472319109
2018 : ARISTACARE MEP 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$155,999
Total of all expenses incurred	2018-12-31	$157,017
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$157,017
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$278,671
Value of total assets at end of year	2018-12-31	$1,279,791
Value of total assets at beginning of year	2018-12-31	$1,280,809
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	$127,979
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	$200,204
Participant contributions at end of year	2018-12-31	$17,632
Participant contributions at beginning of year	2018-12-31	$24,326
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	$-1,018
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,279,791
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,280,809
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 pooled separate accounts at end of year	2018-12-31	$1,255,937
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$1,245,915
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-122,672
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	Yes
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	$78,467
Employer contributions (assets) at end of year	2018-12-31	$6,222
Employer contributions (assets) at beginning of year	2018-12-31	$10,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$157,017
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	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2018-12-31	472319109
2017 : ARISTACARE MEP 401(K) PLAN 2017 401k financial data
Total transfer of assets to this plan	2017-12-31	$23,602
Total income from all sources (including contributions)	2017-12-31	$363,444
Total of all expenses incurred	2017-12-31	$32,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$32,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$233,902
Value of total assets at end of year	2017-12-31	$1,280,809
Value of total assets at beginning of year	2017-12-31	$926,293
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	$128,081
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	$162,313
Participant contributions at end of year	2017-12-31	$24,326
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	$330,914
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,280,809
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$926,293
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 pooled separate accounts at end of year	2017-12-31	$1,245,915
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$926,293
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$129,542
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	Yes
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	$71,589
Employer contributions (assets) at end of year	2017-12-31	$10,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$32,530
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	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2017-12-31	472319109
2016 : ARISTACARE MEP 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$234,637
Total of all expenses incurred	2016-12-31	$20,375
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$17,092
Value of total corrective distributions	2016-12-31	$3,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$208,261
Value of total assets at end of year	2016-12-31	$926,293
Value of total assets at beginning of year	2016-12-31	$712,031
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	Yes
Value of fidelity bond cover	2016-12-31	$93,000
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	$146,568
Other income not declared elsewhere	2016-12-31	$1,282
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	$214,262
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$926,293
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$712,031
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 pooled separate accounts at end of year	2016-12-31	$926,293
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$712,031
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$25,094
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	$61,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$17,092
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	DAVID FISCH & CO. CPAS PA
Accountancy firm EIN	2016-12-31	133624679
2015 : ARISTACARE MEP 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$131,696
Total of all expenses incurred	2015-12-31	$1,871
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,871
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$157,785
Value of total assets at end of year	2015-12-31	$712,031
Value of total assets at beginning of year	2015-12-31	$582,206
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	Yes
Value of fidelity bond cover	2015-12-31	$72,000
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	$117,829
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	$129,825
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$712,031
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$582,206
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
Value of interest in pooled separate accounts at end of year	2015-12-31	$712,031
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$582,206
Net gain/loss from 103.12 investment entities	2015-12-31	$-26,089
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	$39,956
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,871
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	DAVID FISCH & CO CPAS PA
Accountancy firm EIN	2015-12-31	133624679
2014 : ARISTACARE MEP 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$138,661
Total of all expenses incurred	2014-12-31	$24,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$24,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$127,318
Value of total assets at end of year	2014-12-31	$582,206
Value of total assets at beginning of year	2014-12-31	$468,508
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	Yes
Value of fidelity bond cover	2014-12-31	$60,000
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	$28,267
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$12,771
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	$113,698
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$582,206
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$468,508
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 pooled separate accounts at end of year	2014-12-31	$582,206
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$468,508
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$11,343
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	$86,280
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$24,963
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	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	DAVID FISCH & CO. CPAS PC
Accountancy firm EIN	2014-12-31	133624679
2013 : ARISTACARE MEP 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$327,235
Total of all expenses incurred	2013-12-31	$34,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$34,434
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$296,179
Value of total assets at end of year	2013-12-31	$468,508
Value of total assets at beginning of year	2013-12-31	$175,707
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$76,917
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$206,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$292,801
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$468,508
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$175,707
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 pooled separate accounts at end of year	2013-12-31	$468,508
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$175,707
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$31,056
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
Contributions received in cash from employer	2013-12-31	$13,128
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$34,434
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	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	DAVID FISCH & CO. CPAS PC
Accountancy firm EIN	2013-12-31	133624679
2012 : ARISTACARE MEP 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$60,260
Total of all expenses incurred	2012-12-31	$17,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$17,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$46,986
Value of total assets at end of year	2012-12-31	$175,707
Value of total assets at beginning of year	2012-12-31	$132,925
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$46,986
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	$42,782
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$175,707
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$132,925
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
Value of interest in pooled separate accounts at end of year	2012-12-31	$175,707
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$132,925
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$13,274
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	$17,478
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	DAVID FISCH & CO CPAS PC
Accountancy firm EIN	2012-12-31	133624679
2011 : ARISTACARE MEP 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$20,388
Total of all expenses incurred	2011-12-31	$42,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$42,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$23,656
Value of total assets at end of year	2011-12-31	$132,925
Value of total assets at beginning of year	2011-12-31	$154,654
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$23,656
Participant contributions at beginning of year	2011-12-31	$3,386
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	$-21,729
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$132,925
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$154,654
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 pooled separate accounts at end of year	2011-12-31	$132,925
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$151,268
Net investment gain/loss from pooled separate accounts	2011-12-31	$-3,268
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	$42,117
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	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	DAVID FISCHAND CO. CPAS PC
Accountancy firm EIN	2011-12-31	133624679
2010 : ARISTACARE MEP 401(K) PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$52,543
Total of all expenses incurred	2010-12-31	$43,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$43,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$33,780
Value of total assets at end of year	2010-12-31	$154,654
Value of total assets at beginning of year	2010-12-31	$145,215
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$33,780
Participant contributions at end of year	2010-12-31	$3,386
Participant contributions at beginning of year	2010-12-31	$1,700
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	$9,439
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$154,654
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$145,215
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 pooled separate accounts at end of year	2010-12-31	$151,268
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$143,515
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$18,763
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	$43,104
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	DAVID FISCHAND CO. CPAS PC
Accountancy firm EIN	2010-12-31	133624679

Form 5500 Responses for ARISTACARE MEP 401(K) PLAN

2022: ARISTACARE MEP 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Mulitple employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ARISTACARE MEP 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Mulitple employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ARISTACARE MEP 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Mulitple employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ARISTACARE MEP 401(K) 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 - Trust	Yes
2018: ARISTACARE MEP 401(K) 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 - Trust	Yes
2017: ARISTACARE MEP 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ARISTACARE MEP 401(K) 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 - Trust	Yes
2015: ARISTACARE MEP 401(K) 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 - Trust	Yes
2014: ARISTACARE MEP 401(K) 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 - Trust	Yes
2013: ARISTACARE MEP 401(K) 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 - Trust	Yes
2012: ARISTACARE MEP 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ARISTACARE MEP 401(K) 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 - Trust	Yes
2010: ARISTACARE MEP 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

350-80275

Policy instance

Insurance contract or identification number	350-80275
Number of Individuals Covered	104
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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

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

Policy contract number

350-80578

Policy instance

Insurance contract or identification number	350-80578
Number of Individuals Covered	100
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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

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

Policy contract number

350-80576

Policy instance

Insurance contract or identification number	350-80576
Number of Individuals Covered	143
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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

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

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Number of Individuals Covered	40
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $6,163
Total amount of fees paid to insurance company	USD $1,213
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
Commission paid to Insurance Broker	USD $6,163
Amount paid for insurance broker fees	1213
Insurance broker organization code?	5

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Number of Individuals Covered	90
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $9,011
Total amount of fees paid to insurance company	USD $1,347
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
Commission paid to Insurance Broker	USD $9,011
Amount paid for insurance broker fees	1347
Insurance broker organization code?	5

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Number of Individuals Covered	80
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $8,986
Total amount of fees paid to insurance company	USD $1,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,986
Amount paid for insurance broker fees	1349
Insurance broker organization code?	5

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

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Number of Individuals Covered	40
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $6,200
Total amount of fees paid to insurance company	USD $1,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,200
Amount paid for insurance broker fees	1217
Insurance broker organization code?	5

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

Policy contract number

350-80576

Policy instance

Insurance contract or identification number	350-80576
Number of Individuals Covered	135
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

350-80578

Policy instance

Insurance contract or identification number	350-80578
Number of Individuals Covered	110
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

350-80275

Policy instance

Insurance contract or identification number	350-80275
Number of Individuals Covered	96
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

350-80275

Policy instance

Insurance contract or identification number	350-80275
Number of Individuals Covered	92
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

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

Policy contract number

350-80578

Policy instance

Insurance contract or identification number	350-80578
Number of Individuals Covered	182
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

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

Policy contract number

350-80576

Policy instance

Insurance contract or identification number	350-80576
Number of Individuals Covered	135
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

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

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Number of Individuals Covered	40
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $487
Total amount of fees paid to insurance company	USD $1,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $487
Amount paid for insurance broker fees	1166
Insurance broker organization code?	5

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Number of Individuals Covered	80
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $683
Total amount of fees paid to insurance company	USD $1,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $683
Amount paid for insurance broker fees	1137
Insurance broker organization code?	5

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $7,528
Total amount of fees paid to insurance company	USD $1,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,528
Amount paid for insurance broker fees	1038
Insurance broker organization code?	4

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Number of Individuals Covered	70
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $12,046
Total amount of fees paid to insurance company	USD $1,146
Commission paid to Insurance Broker	USD $12,046
Amount paid for insurance broker fees	1146
Insurance broker organization code?	4

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $9,850
Total amount of fees paid to insurance company	USD $1,049
Commission paid to Insurance Broker	USD $9,850
Amount paid for insurance broker fees	1049
Insurance broker organization code?	4
Insurance broker name	VOYA FINANCIAL PARTNERS LLC

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,744
Total amount of fees paid to insurance company	USD $794
Commission paid to Insurance Broker	USD $5,744
Amount paid for insurance broker fees	794
Insurance broker organization code?	4
Insurance broker name	VOYA FINANCIAL PARTNERS LLC

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $694
Total amount of fees paid to insurance company	USD $4,806
Commission paid to Insurance Broker	USD $694
Amount paid for insurance broker fees	4806
Insurance broker organization code?	4
Insurance broker name	VOYA FINANCIAL PARTNERS LLC

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Number of Individuals Covered	185
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,510
Total amount of fees paid to insurance company	USD $330
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
Commission paid to Insurance Broker	USD $2,510
Amount paid for insurance broker fees	330
Insurance broker organization code?	4
Insurance broker name	ING FINANCIAL PARTNERS INC

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Number of Individuals Covered	185
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,296
Total amount of fees paid to insurance company	USD $150
Commission paid to Insurance Broker	USD $0
Insurance broker organization code?	4
Amount paid for insurance broker fees	150
Insurance broker name	ING FINANCIAL PARTNERS INC

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Number of Individuals Covered	158
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $1,174
Total amount of fees paid to insurance company	USD $157

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

Policy contract number

350-00998

Policy instance

Insurance contract or identification number	350-00998
Number of Individuals Covered	158
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,242
Total amount of fees paid to insurance company	USD $166

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Company Name:	ARISTACARE AT MEADOW SPRINGS, LLC
Employer identification number (EIN):	204755042
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities