Logo

LIBERTANA HEALTH SERVICES 401(K) PLAN 401k Plan overview

Plan NameLIBERTANA HEALTH SERVICES 401(K) PLAN
Plan identification number 002

LIBERTANA HEALTH SERVICES 401(K) PLAN Benefits

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

401k Sponsoring company profile

JSI ACQUISITION, INC. has sponsored the creation of one or more 401k plans.

Company Name:JSI ACQUISITION, INC.
Employer identification number (EIN):205940887
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIBERTANA HEALTH SERVICES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022024-01-01NEIL ROTTER
0022023-01-01
0022023-01-01
0022023-01-01
0022023-01-01NEIL ROTTER
0022023-01-01NEIL ROTTER
0022023-01-01NEIL ROTTER
0022023-01-01NEIL ROTTER
0022022-01-01
0022022-01-01NEIL ROTTER
0022021-01-01
0022021-01-01NEIL ROTTER
0022020-01-01JONATHAN ISTRIN2021-10-13 JONATHAN ISTRIN2021-10-13
0022019-01-01JONATHAN ISTRIN2020-10-15

Plan Statistics for LIBERTANA HEALTH SERVICES 401(K) PLAN

401k plan membership statisitcs for LIBERTANA HEALTH SERVICES 401(K) PLAN

Measure Date Value
2023: LIBERTANA HEALTH SERVICES 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01436
Total number of active participants reported on line 7a of the Form 55002023-01-01469
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0146
Total of all active and inactive participants2023-01-01515
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01515
Number of participants with account balances2023-01-01483
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: LIBERTANA HEALTH SERVICES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01410
Total number of active participants reported on line 7a of the Form 55002022-01-01421
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0114
Total of all active and inactive participants2022-01-01435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01435
Number of participants with account balances2022-01-01166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: LIBERTANA HEALTH SERVICES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01366
Total number of active participants reported on line 7a of the Form 55002021-01-01393
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-018
Total of all active and inactive participants2021-01-01401
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01401
Number of participants with account balances2021-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: LIBERTANA HEALTH SERVICES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01523
Total number of active participants reported on line 7a of the Form 55002020-01-01487
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-017
Total of all active and inactive participants2020-01-01494
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01494
Number of participants with account balances2020-01-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: LIBERTANA HEALTH SERVICES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01372
Total number of active participants reported on line 7a of the Form 55002019-01-01367
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-014
Total of all active and inactive participants2019-01-01371
Total participants2019-01-01371
Number of participants with account balances2019-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on LIBERTANA HEALTH SERVICES 401(K) PLAN

Measure Date Value
2023 : LIBERTANA HEALTH SERVICES 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total transfer of assets to this plan2023-12-31$0
Total transfer of assets from this plan2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$2,006,950
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$369,495
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$365,551
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,494,475
Value of total assets at end of year2023-12-31$3,938,475
Value of total assets at beginning of year2023-12-31$2,301,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$3,944
Total interest from all sources2023-12-31$6,032
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$74,379
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$74,379
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$231,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$965,505
Participant contributions at end of year2023-12-31$165,135
Participant contributions at beginning of year2023-12-31$68,599
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$69,362
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,637,455
Value of net assets at end of year (total assets less liabilities)2023-12-31$3,938,475
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$2,301,020
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$3,736,891
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$2,177,250
Interest on participant loans2023-12-31$6,032
Value of interest in common/collective trusts at end of year2023-12-31$36,449
Value of interest in common/collective trusts at beginning of year2023-12-31$55,171
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$430,549
Net investment gain or loss from common/collective trusts2023-12-31$1,515
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$459,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$365,551
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31WALTERS & SKLYAR LLP
Accountancy firm EIN2023-12-31475677171
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total transfer of assets to this plan2023-01-01$0
Total transfer of assets from this plan2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$2,006,950
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$369,495
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$365,551
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$1,494,475
Value of total assets at end of year2023-01-01$3,938,475
Value of total assets at beginning of year2023-01-01$2,301,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$3,944
Total interest from all sources2023-01-01$6,032
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$74,379
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$74,379
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$231,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$965,505
Participant contributions at end of year2023-01-01$165,135
Participant contributions at beginning of year2023-01-01$68,599
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$69,362
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$1,637,455
Value of net assets at end of year (total assets less liabilities)2023-01-01$3,938,475
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$2,301,020
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$3,736,891
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$2,177,250
Interest on participant loans2023-01-01$6,032
Value of interest in common/collective trusts at end of year2023-01-01$36,449
Value of interest in common/collective trusts at beginning of year2023-01-01$55,171
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$430,549
Net investment gain or loss from common/collective trusts2023-01-01$1,515
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$459,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$365,551
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01WALTERS & SKLYAR LLP
Accountancy firm EIN2023-01-01475677171
2022 : LIBERTANA HEALTH SERVICES 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$0
Total transfer of assets from this plan2022-12-31$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$662,020
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$121,027
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$119,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$973,127
Value of total assets at end of year2022-12-31$2,301,020
Value of total assets at beginning of year2022-12-31$1,760,027
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,765
Total interest from all sources2022-12-31$3,113
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$46,224
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$46,224
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$177,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$621,170
Participant contributions at end of year2022-12-31$68,599
Participant contributions at beginning of year2022-12-31$75,493
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$46,717
Administrative expenses (other) incurred2022-12-31$1,765
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$540,993
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,301,020
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,760,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$2,177,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,659,277
Interest on participant loans2022-12-31$3,113
Value of interest in common/collective trusts at end of year2022-12-31$55,171
Value of interest in common/collective trusts at beginning of year2022-12-31$25,257
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-361,117
Net investment gain or loss from common/collective trusts2022-12-31$673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$305,240
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$119,262
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31WALTERS & SKLYAR LLP
Accountancy firm EIN2022-12-31475677171
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total transfer of assets to this plan2022-01-01$0
Total transfer of assets from this plan2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$662,020
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$121,027
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$119,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$973,127
Value of total assets at end of year2022-01-01$2,301,020
Value of total assets at beginning of year2022-01-01$1,760,027
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$1,765
Total interest from all sources2022-01-01$3,113
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$46,224
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$46,224
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$177,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$621,170
Participant contributions at end of year2022-01-01$68,599
Participant contributions at beginning of year2022-01-01$75,493
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$46,717
Administrative expenses (other) incurred2022-01-01$1,765
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$540,993
Value of net assets at end of year (total assets less liabilities)2022-01-01$2,301,020
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$1,760,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$2,177,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$1,659,277
Interest on participant loans2022-01-01$3,113
Value of interest in common/collective trusts at end of year2022-01-01$55,171
Value of interest in common/collective trusts at beginning of year2022-01-01$25,257
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-361,117
Net investment gain or loss from common/collective trusts2022-01-01$673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$305,240
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$119,262
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01WALTERS & SKLYAR LLP
Accountancy firm EIN2022-01-01475677171
2021 : LIBERTANA HEALTH SERVICES 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets from this plan2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$753,937
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$15,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$7,248
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$579,508
Value of total assets at end of year2021-12-31$1,760,027
Value of total assets at beginning of year2021-12-31$1,021,356
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$8,018
Total interest from all sources2021-12-31$1,864
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$28,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$28,007
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$103,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$396,390
Participant contributions at end of year2021-12-31$75,493
Participant contributions at beginning of year2021-12-31$59,015
Other income not declared elsewhere2021-12-31$0
Administrative expenses (other) incurred2021-12-31$8,018
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$738,671
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,760,027
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,021,356
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,659,277
Value of interest in pooled separate accounts at beginning of year2021-12-31$962,341
Interest on participant loans2021-12-31$1,864
Value of interest in common/collective trusts at end of year2021-12-31$25,257
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$144,437
Net investment gain or loss from common/collective trusts2021-12-31$121
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$183,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$7,248
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31WALTERS & SKLYAR LLP
Accountancy firm EIN2021-12-31475677171
2020 : LIBERTANA HEALTH SERVICES 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$646,635
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$0
Value of total corrective distributions2020-12-31$273
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$515,314
Value of total assets at end of year2020-12-31$1,021,356
Value of total assets at beginning of year2020-12-31$375,533
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$539
Total interest from all sources2020-12-31$3,438
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$375
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$110,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$260,285
Participant contributions at end of year2020-12-31$59,015
Participant contributions at beginning of year2020-12-31$60,626
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$122,069
Administrative expenses (other) incurred2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$645,823
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,021,356
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$375,533
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$962,341
Value of interest in pooled separate accounts at beginning of year2020-12-31$314,907
Interest on participant loans2020-12-31$3,438
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Net investment gain/loss from pooled separate accounts2020-12-31$127,883
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$132,960
Employer contributions (assets) at beginning of year2020-12-31$0
Contract administrator fees2020-12-31$164
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31WALTERS & SKLYAR LLP
Accountancy firm EIN2020-12-31475677171
2019 : LIBERTANA HEALTH SERVICES 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$276,861
Total of all expenses incurred2019-12-31$5,928
Value of total corrective distributions2019-12-31$5,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$235,507
Value of total assets at end of year2019-12-31$375,533
Value of total assets at beginning of year2019-12-31$104,600
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$274
Total interest from all sources2019-12-31$626
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$12,500
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$145,205
Participant contributions at end of year2019-12-31$60,626
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$323
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$10,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$270,933
Value of net assets at end of year (total assets less liabilities)2019-12-31$375,533
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$104,600
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$314,907
Value of interest in pooled separate accounts at beginning of year2019-12-31$103,696
Interest on participant loans2019-12-31$626
Net investment gain/loss from pooled separate accounts2019-12-31$40,728
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$79,552
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$581
Contract administrator fees2019-12-31$274
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31WALTERS & SKLYAR LLP
Accountancy firm EIN2019-12-31475677171
2018 : LIBERTANA HEALTH SERVICES 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$104,600
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$108,466
Value of total assets at end of year2018-12-31$104,600
Value of total assets at beginning of year2018-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$12,500
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$79,852
Participant contributions at end of year2018-12-31$323
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$104,600
Value of net assets at end of year (total assets less liabilities)2018-12-31$104,600
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$103,696
Net investment gain/loss from pooled separate accounts2018-12-31$-3,866
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$28,614
Employer contributions (assets) at end of year2018-12-31$581
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No

Form 5500 Responses for LIBERTANA HEALTH SERVICES 401(K) PLAN

2023: LIBERTANA HEALTH SERVICES 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: LIBERTANA HEALTH SERVICES 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LIBERTANA HEALTH SERVICES 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LIBERTANA HEALTH SERVICES 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: LIBERTANA HEALTH SERVICES 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number135592
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number135592
Policy instance 1

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
US 401k Lookup     VAT Lookup