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RIVERSBEND REHABILITATION, INC. 401(K) PLAN 401k Plan overview

Plan NameRIVERSBEND REHABILITATION, INC. 401(K) PLAN
Plan identification number 001

RIVERSBEND REHABILITATION, INC. 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.
  • 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

RIVERSBEND REHABILITATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:RIVERSBEND REHABILITATION, INC.
Employer identification number (EIN):383514901
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RIVERSBEND REHABILITATION, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MICHAEL WILSON2023-10-11
0012021-01-01MICHAEL WILSON2022-10-14
0012020-01-01MICHAEL WILSON2021-10-05 MICHAEL WILSON2021-10-05
0012019-01-01MICHAEL WILSON2020-09-29 MICHAEL WILSON2020-09-29
0012018-01-01MICHAEL WILSON2019-09-18 MICHAEL WILSON2019-09-18
0012018-01-01MICHAEL WILSON2019-09-17 MICHAEL WILSON2019-09-17
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01PAMELA LAWRIE AS PRACTITIONER2013-10-08
0012011-01-01CAROL MILMINE-PRACTIONER2012-09-21
0012010-01-01MICHAEL WILSON2011-06-07

Plan Statistics for RIVERSBEND REHABILITATION, INC. 401(K) PLAN

401k plan membership statisitcs for RIVERSBEND REHABILITATION, INC. 401(K) PLAN

Measure Date Value
2022: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01165
Total number of active participants reported on line 7a of the Form 55002022-01-01101
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-0148
Total of all active and inactive participants2022-01-01151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01151
Number of participants with account balances2022-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-019
2021: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01170
Total number of active participants reported on line 7a of the Form 55002021-01-01102
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0155
Total of all active and inactive participants2021-01-01157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01157
Number of participants with account balances2021-01-01122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-017
2020: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01158
Total number of active participants reported on line 7a of the Form 55002020-01-01103
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0158
Total of all active and inactive participants2020-01-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01161
Number of participants with account balances2020-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-016
2019: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01140
Total number of active participants reported on line 7a of the Form 55002019-01-01103
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0149
Total of all active and inactive participants2019-01-01152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01152
Number of participants with account balances2019-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0111
2018: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01198
Total number of active participants reported on line 7a of the Form 55002018-01-01116
Number of retired or separated participants receiving benefits2018-01-0144
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01160
Total participants2018-01-01160
Number of participants with account balances2018-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-015
2017: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01187
Total number of active participants reported on line 7a of the Form 55002017-01-01124
Number of retired or separated participants receiving benefits2017-01-0148
Total of all active and inactive participants2017-01-01172
Total participants2017-01-01172
Number of participants with account balances2017-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0111
2016: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01183
Total number of active participants reported on line 7a of the Form 55002016-01-01130
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0144
Total of all active and inactive participants2016-01-01174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01174
Number of participants with account balances2016-01-01126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017
2015: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01180
Total number of active participants reported on line 7a of the Form 55002015-01-01132
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0143
Total of all active and inactive participants2015-01-01175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01175
Number of participants with account balances2015-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-019
2014: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01166
Total number of active participants reported on line 7a of the Form 55002014-01-01134
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0136
Total of all active and inactive participants2014-01-01170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01170
Number of participants with account balances2014-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01150
Total number of active participants reported on line 7a of the Form 55002013-01-01124
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0135
Total of all active and inactive participants2013-01-01159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01159
Number of participants with account balances2013-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0115

Financial Data on RIVERSBEND REHABILITATION, INC. 401(K) PLAN

Measure Date Value
2022 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$277
Total income from all sources (including contributions)2022-12-31$-577,245
Total of all expenses incurred2022-12-31$157,904
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$121,595
Value of total corrective distributions2022-12-31$277
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$252,269
Value of total assets at end of year2022-12-31$4,270,349
Value of total assets at beginning of year2022-12-31$5,005,221
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$36,032
Total interest from all sources2022-12-31$55
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$119,730
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$119,730
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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$181,985
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$4,691
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-735,149
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,270,072
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,005,221
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
Investment advisory and management fees2022-12-31$32,603
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,073,195
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,818,614
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$55
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$185,924
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$180,484
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-949,299
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 contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$70,284
Employer contributions (assets) at end of year2022-12-31$11,230
Employer contributions (assets) at beginning of year2022-12-31$1,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$121,595
Contract administrator fees2022-12-31$3,429
Liabilities. Value of benefit claims payable at end of year2022-12-31$277
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 name2022-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2022-12-31382272300
2021 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$937,506
Total of all expenses incurred2021-12-31$287,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$247,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$309,026
Value of total assets at end of year2021-12-31$5,005,221
Value of total assets at beginning of year2021-12-31$4,355,064
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$39,556
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$193,057
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$193,057
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
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$231,613
Participant contributions at end of year2021-12-31$4,691
Participant contributions at beginning of year2021-12-31$3,244
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$650,157
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,005,221
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,355,064
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
Investment advisory and management fees2021-12-31$36,292
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,818,614
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$4,276,584
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$180,484
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$74,055
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$435,423
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 contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$77,413
Employer contributions (assets) at end of year2021-12-31$1,432
Employer contributions (assets) at beginning of year2021-12-31$1,181
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$247,793
Contract administrator fees2021-12-31$3,264
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 name2021-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2021-12-31382272300
2020 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$907,459
Total of all expenses incurred2020-12-31$151,736
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$120,302
Value of total corrective distributions2020-12-31$103
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$307,005
Value of total assets at end of year2020-12-31$4,355,064
Value of total assets at beginning of year2020-12-31$3,599,341
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$31,331
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$227,944
Participant contributions at end of year2020-12-31$3,244
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$755,723
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,355,064
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,599,341
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
Investment advisory and management fees2020-12-31$31,331
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$4,276,584
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,530,873
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$74,055
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$68,468
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$600,454
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 contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$79,061
Employer contributions (assets) at end of year2020-12-31$1,181
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$120,302
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 name2020-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2020-12-31382272300
2019 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$955,031
Total of all expenses incurred2019-12-31$121,613
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$121,134
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$320,647
Value of total assets at end of year2019-12-31$3,599,341
Value of total assets at beginning of year2019-12-31$2,765,923
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$479
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$479
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$236,597
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$833,418
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,599,341
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,765,923
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$3,530,873
Value of interest in pooled separate accounts at beginning of year2019-12-31$2,765,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$521
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$521
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$68,468
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Net investment gain/loss from pooled separate accounts2019-12-31$634,384
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 contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$84,050
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$121,134
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
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 name2019-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2019-12-31382272300
2018 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$102,022
Total of all expenses incurred2018-12-31$33,337
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$32,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$303,082
Value of total assets at end of year2018-12-31$2,765,923
Value of total assets at beginning of year2018-12-31$2,697,238
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,037
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$1,037
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$250,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$220,935
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$68,685
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,765,923
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,697,238
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$2,765,402
Value of interest in pooled separate accounts at beginning of year2018-12-31$2,697,238
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$521
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$0
Net investment gain/loss from pooled separate accounts2018-12-31$-201,060
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$82,147
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$32,300
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2018-12-31382272300
2017 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$619,268
Total of all expenses incurred2017-12-31$239,845
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$238,035
Value of total corrective distributions2017-12-31$618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$253,514
Value of total assets at end of year2017-12-31$2,697,238
Value of total assets at beginning of year2017-12-31$2,317,815
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,192
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$250,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$187,502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$379,423
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,697,238
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,317,815
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$2,697,238
Value of interest in pooled separate accounts at beginning of year2017-12-31$2,317,261
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$554
Net investment gain/loss from pooled separate accounts2017-12-31$365,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$66,012
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$238,035
Contract administrator fees2017-12-31$1,192
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2017-12-31382272300
2016 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$420,662
Total of all expenses incurred2016-12-31$64,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$63,715
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$254,561
Value of total assets at end of year2016-12-31$2,317,815
Value of total assets at beginning of year2016-12-31$1,961,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$805
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$150,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$186,942
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$356,142
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,317,815
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,961,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$2,317,261
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,960,996
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$554
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$677
Net investment gain/loss from pooled separate accounts2016-12-31$166,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$67,619
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$63,715
Contract administrator fees2016-12-31$805
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2016-12-31382272300
2015 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$195,065
Total of all expenses incurred2015-12-31$20,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$18,784
Value of total corrective distributions2015-12-31$1,082
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$242,954
Value of total assets at end of year2015-12-31$1,961,673
Value of total assets at beginning of year2015-12-31$1,787,054
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$580
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$150,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$176,765
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$2,463
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$174,619
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,961,673
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,787,054
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$1,960,996
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,786,855
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$677
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$199
Net investment gain/loss from pooled separate accounts2015-12-31$-47,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$63,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$18,784
Contract administrator fees2015-12-31$580
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2015-12-31382272300
2014 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$286,636
Total of all expenses incurred2014-12-31$7,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,598
Value of total corrective distributions2014-12-31$1,140
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$201,318
Value of total assets at end of year2014-12-31$1,787,054
Value of total assets at beginning of year2014-12-31$1,507,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$530
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$150,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$146,563
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$279,368
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,787,054
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,507,686
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$1,786,855
Value of interest in pooled separate accounts at beginning of year2014-12-31$1,507,497
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$199
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$189
Net investment gain/loss from pooled separate accounts2014-12-31$85,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$54,755
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$5,598
Contract administrator fees2014-12-31$530
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2014-12-31382272300
2013 : RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$379,910
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$29,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$28,110
Value of total corrective distributions2013-12-31$1,334
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$181,845
Value of total assets at end of year2013-12-31$1,507,686
Value of total assets at beginning of year2013-12-31$1,157,481
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$261
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$100
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$150,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$130,154
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$350,205
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,507,686
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,157,481
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$161
Value of interest in pooled separate accounts at end of year2013-12-31$1,507,497
Value of interest in pooled separate accounts at beginning of year2013-12-31$1,155,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$189
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$2,040
Net investment gain/loss from pooled separate accounts2013-12-31$198,065
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$51,691
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$28,110
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31WEINLANDER FITZHUGH
Accountancy firm EIN2013-12-31382272300

Form 5500 Responses for RIVERSBEND REHABILITATION, INC. 401(K) PLAN

2022: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RIVERSBEND REHABILITATION, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number80280026
Policy instance 1
Insurance contract or identification number80280026
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $460
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 BrokerUSD $460
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number80280026
Policy instance 1
Insurance contract or identification number80280026
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $309
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number80280026
Policy instance 1
Insurance contract or identification number80280026
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $8
Total amount of fees paid to insurance companyUSD $167
Amount paid for insurance broker fees167
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $8
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102026
Policy instance 1
Insurance contract or identification number102026
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,055
Total amount of fees paid to insurance companyUSD $77
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,817
Insurance broker organization code?3
Amount paid for insurance broker fees77
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102026
Policy instance 1
Insurance contract or identification number102026
Number of Individuals Covered130
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $7,055
Total amount of fees paid to insurance companyUSD $1,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,055
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees1861
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102026
Policy instance 1
Insurance contract or identification number102026
Number of Individuals Covered129
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,323
Total amount of fees paid to insurance companyUSD $1,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,323
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees1265
Insurance broker namePENSION PLAN SERVICES INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102026
Policy instance 1
Insurance contract or identification number102026
Number of Individuals Covered124
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,709
Total amount of fees paid to insurance companyUSD $945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,709
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees945
Insurance broker namePENSION PLAN SERVICES INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102026
Policy instance 1
Insurance contract or identification number102026
Number of Individuals Covered109
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,095
Total amount of fees paid to insurance companyUSD $856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,095
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees856
Insurance broker namePENSION PLAN SERVICES INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number102026
Policy instance 1
Insurance contract or identification number102026
Number of Individuals Covered103
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,236
Total amount of fees paid to insurance companyUSD $649
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $3,236
Insurance broker organization code?3
Amount paid for insurance broker fees649
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker namePENSION PLAN SERVICES, INC.

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