401k Plan data: EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN plan

EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN 401k Plan overview

Plan Name	EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN
Plan identification number	001

EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Code section 401(h) arrangement - Plan contains separate accounts under Code section 401(h) to provide employee health benefits. Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

HMS SCHOOL FOR CHILDREN WITH CEREBR AL PALSY has sponsored the creation of one or more 401k plans.

Company Name: HMS SCHOOL FOR CHILDREN WITH CEREBR AL PALSY

Employer identification number (EIN): 231352327

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-07-01 ALVIN WADLER 2014-07-02 ALVIN WADLER 2014-07-02
001 2009-07-01 ALVIN WADLER DIANE GALLAGHER 2011-04-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-07-01	ALVIN WADLER	2014-07-02	ALVIN WADLER	2014-07-02
001	2009-07-01	ALVIN WADLER		DIANE GALLAGHER	2011-04-08

Plan Statistics for EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN

401k plan membership statisitcs for EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN

Measure Date Value
2009: EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 167
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 72
Number of retired or separated participants receiving benefits 2009-07-01 4
Number of other retired or separated participants entitled to future benefits 2009-07-01 84
Total of all active and inactive participants 2009-07-01 160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 2
Total participants 2009-07-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2009: EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	167
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	72
Number of retired or separated participants receiving benefits	2009-07-01	4
Number of other retired or separated participants entitled to future benefits	2009-07-01	84
Total of all active and inactive participants	2009-07-01	160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	2
Total participants	2009-07-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN

Measure	Date	Value
2011 : EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN 2011 401k financial data
Total income from all sources (including contributions)	2011-06-30	$3,080,042
Total of all expenses incurred	2011-06-30	$407,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$406,237
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$2,250,000
Value of total assets at end of year	2011-06-30	$7,245,560
Value of total assets at beginning of year	2011-06-30	$4,573,355
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$1,600
Total interest from all sources	2011-06-30	$830,042
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	Yes
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$500,000
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$2,672,205
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$7,245,560
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$4,573,355
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$4,352,855
Interest earned on other investments	2011-06-30	$766,079
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$63,963
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$7,245,560
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$220,500
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$2,250,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$406,237
Contract administrator fees	2011-06-30	$1,600
Did the plan have assets held for investment	2011-06-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No

Form 5500 Responses for EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN

2009: EMPLOYEES BENEFIT PLAN OF THE MERCIFUL SAVIOUR FOR CRIPPLED CHILDREN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

051446-I

Policy instance

Insurance contract or identification number	051446-I
Number of Individuals Covered	153
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $20

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Company Name:	HMS SCHOOL FOR CHILDREN WITH CEREBR AL PALSY
Employer identification number (EIN):	231352327
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities