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RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 401k Plan overview

Plan NameRANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST
Plan identification number 001

RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 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.

401k Sponsoring company profile

RANGE MENTAL HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:RANGE MENTAL HEALTH CENTER, INC.
Employer identification number (EIN):410849301
NAIC Classification:621330
NAIC Description:Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01REBECCA L. TARDY
0012016-01-01REBECCA L. TARDY
0012015-01-01MARY CARPENTER
0012014-01-01TIMOTHY KILLIAN
0012013-01-01WANDA TARAY
0012012-01-01DARIK BUCHAR
0012011-01-01WANDA TARAY
0012009-01-01WANDA TARAY WANDA TARAY2010-09-30

Plan Statistics for RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST

401k plan membership statisitcs for RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST

Measure Date Value
2022: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01201
Total number of active participants reported on line 7a of the Form 55002022-01-01140
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0156
Total of all active and inactive participants2022-01-01196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01196
Number of participants with account balances2022-01-01183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-017
2021: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01211
Total number of active participants reported on line 7a of the Form 55002021-01-01129
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0173
Total of all active and inactive participants2021-01-01202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01202
Number of participants with account balances2021-01-01195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0113
2020: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01231
Total number of active participants reported on line 7a of the Form 55002020-01-01145
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0160
Total of all active and inactive participants2020-01-01205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01205
Number of participants with account balances2020-01-01194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0117
2019: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01246
Total number of active participants reported on line 7a of the Form 55002019-01-01179
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0154
Total of all active and inactive participants2019-01-01233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01233
Number of participants with account balances2019-01-01224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0114
2018: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01262
Total number of active participants reported on line 7a of the Form 55002018-01-01181
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0159
Total of all active and inactive participants2018-01-01242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01242
Number of participants with account balances2018-01-01234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0116
2017: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01250
Total number of active participants reported on line 7a of the Form 55002017-01-01196
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0164
Total of all active and inactive participants2017-01-01261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01261
Number of participants with account balances2017-01-01251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0116
2016: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01275
Total number of active participants reported on line 7a of the Form 55002016-01-01190
Number of retired or separated participants receiving benefits2016-01-013
Number of other retired or separated participants entitled to future benefits2016-01-0156
Total of all active and inactive participants2016-01-01249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01249
Number of participants with account balances2016-01-01238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-019
2015: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01270
Total number of active participants reported on line 7a of the Form 55002015-01-01184
Number of retired or separated participants receiving benefits2015-01-015
Number of other retired or separated participants entitled to future benefits2015-01-0182
Total of all active and inactive participants2015-01-01271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01271
Number of participants with account balances2015-01-01253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0113
2014: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01234
Total number of active participants reported on line 7a of the Form 55002014-01-01201
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-0162
Total of all active and inactive participants2014-01-01266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01266
Number of participants with account balances2014-01-01243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0115
2013: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01262
Total number of active participants reported on line 7a of the Form 55002013-01-01204
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0141
Total of all active and inactive participants2013-01-01245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01245
Number of participants with account balances2013-01-01245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01201
Total number of active participants reported on line 7a of the Form 55002012-01-01222
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0140
Total of all active and inactive participants2012-01-01262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01262
Number of participants with account balances2012-01-01262
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01185
Total number of active participants reported on line 7a of the Form 55002011-01-01162
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0139
Total of all active and inactive participants2011-01-01201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01201
Number of participants with account balances2011-01-01201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01177
Total number of active participants reported on line 7a of the Form 55002009-01-01154
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0131
Total of all active and inactive participants2009-01-01185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01185
Number of participants with account balances2009-01-01185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST

Measure Date Value
2022 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$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$0
Total income from all sources (including contributions)2022-12-31$-666,062
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,768,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,763,781
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$672,764
Value of total assets at end of year2022-12-31$6,653,684
Value of total assets at beginning of year2022-12-31$9,088,494
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$4,967
Total interest from all sources2022-12-31$5,821
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
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$378,846
Participant contributions at end of year2022-12-31$114,648
Participant contributions at beginning of year2022-12-31$147,571
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$8,740
Administrative expenses (other) incurred2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$2,677
Total non interest bearing cash at beginning of year2022-12-31$10,675
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,434,810
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,653,684
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,088,494
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 pooled separate accounts at end of year2022-12-31$6,536,359
Value of interest in pooled separate accounts at beginning of year2022-12-31$8,930,248
Interest on participant loans2022-12-31$5,821
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,344,647
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$285,178
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,763,781
Contract administrator fees2022-12-31$4,967
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 name2022-12-31REDPATH & COMPANY
Accountancy firm EIN2022-12-31920370318
2021 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$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$1,673,513
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,118,184
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,113,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$695,759
Value of total assets at end of year2021-12-31$9,088,494
Value of total assets at beginning of year2021-12-31$8,533,165
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$4,649
Total interest from all sources2021-12-31$7,352
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$332,701
Participant contributions at end of year2021-12-31$147,571
Participant contributions at beginning of year2021-12-31$128,064
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$67,779
Administrative expenses (other) incurred2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$10,675
Total non interest bearing cash at beginning of year2021-12-31$11,485
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$555,329
Value of net assets at end of year (total assets less liabilities)2021-12-31$9,088,494
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,533,165
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 pooled separate accounts at end of year2021-12-31$8,930,248
Value of interest in pooled separate accounts at beginning of year2021-12-31$8,390,575
Interest on participant loans2021-12-31$7,352
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$970,402
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$295,279
Employer contributions (assets) at beginning of year2021-12-31$3,041
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,113,535
Contract administrator fees2021-12-31$4,649
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 name2021-12-31BOECKERMAN GRAFSTROM & MAYER LLC
Accountancy firm EIN2021-12-31200472826
2020 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 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$1,544,348
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$741,989
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$736,490
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$697,911
Value of total assets at end of year2020-12-31$8,533,165
Value of total assets at beginning of year2020-12-31$7,730,806
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$5,499
Total interest from all sources2020-12-31$8,153
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
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$313,708
Participant contributions at end of year2020-12-31$128,064
Participant contributions at beginning of year2020-12-31$169,502
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$79,611
Administrative expenses (other) incurred2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$11,485
Total non interest bearing cash at beginning of year2020-12-31$11,521
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$802,359
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,533,165
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,730,806
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$8,390,575
Value of interest in pooled separate accounts at beginning of year2020-12-31$7,546,370
Interest on participant loans2020-12-31$8,153
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$838,284
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$304,592
Employer contributions (assets) at end of year2020-12-31$3,041
Employer contributions (assets) at beginning of year2020-12-31$3,413
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$736,490
Contract administrator fees2020-12-31$5,499
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 name2020-12-31BOECKERMAN GRAFSTROM & MAYER LLC
Accountancy firm EIN2020-12-31200472826
2019 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,030,591
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,177,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,169,354
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$686,407
Value of total assets at end of year2019-12-31$7,730,806
Value of total assets at beginning of year2019-12-31$6,878,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,545
Total interest from all sources2019-12-31$9,512
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
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$500,000
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$326,662
Participant contributions at end of year2019-12-31$169,502
Participant contributions at beginning of year2019-12-31$172,260
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$38,643
Other income not declared elsewhere2019-12-31$0
Administrative expenses (other) incurred2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$11,521
Total non interest bearing cash at beginning of year2019-12-31$5,445
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$852,692
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,730,806
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,878,114
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
Investment advisory and management fees2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$7,546,370
Value of interest in pooled separate accounts at beginning of year2019-12-31$6,700,409
Interest on participant loans2019-12-31$9,512
Interest earned on other investments2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,334,672
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$321,102
Employer contributions (assets) at end of year2019-12-31$3,413
Income. Dividends from preferred stock2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,169,354
Contract administrator fees2019-12-31$8,545
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 name2019-12-31BOECKERMAN GRAFSTROM & MAYER LLC
Accountancy firm EIN2019-12-31200472826
2018 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 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$887
Total income from all sources (including contributions)2018-12-31$316,939
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$872,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$864,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$782,257
Value of total assets at end of year2018-12-31$6,878,114
Value of total assets at beginning of year2018-12-31$7,434,924
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$8,447
Total interest from all sources2018-12-31$7,699
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$500,000
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$349,363
Participant contributions at end of year2018-12-31$172,260
Participant contributions at beginning of year2018-12-31$130,491
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$87,646
Other income not declared elsewhere2018-12-31$5,810
Total non interest bearing cash at end of year2018-12-31$5,445
Total non interest bearing cash at beginning of year2018-12-31$7,170
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-555,923
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,878,114
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,434,037
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
Investment advisory and management fees2018-12-31$5,516
Value of interest in pooled separate accounts at end of year2018-12-31$6,700,409
Value of interest in pooled separate accounts at beginning of year2018-12-31$7,297,263
Income. Interest from loans (other than to participants)2018-12-31$7,699
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-478,827
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$345,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$864,415
Contract administrator fees2018-12-31$2,931
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$887
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 name2018-12-31BOECKERMAN GRAFSTROM & MAYER LLC
Accountancy firm EIN2018-12-31200472826
2017 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$887
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,444
Total income from all sources (including contributions)2017-12-31$1,658,417
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,086,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,080,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$719,714
Value of total assets at end of year2017-12-31$7,434,924
Value of total assets at beginning of year2017-12-31$6,865,316
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,612
Total interest from all sources2017-12-31$4,535
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
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$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$349,596
Participant contributions at end of year2017-12-31$130,491
Participant contributions at beginning of year2017-12-31$48,579
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$19,037
Other income not declared elsewhere2017-12-31$5,591
Total non interest bearing cash at end of year2017-12-31$7,170
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$572,165
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,434,037
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,861,872
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
Investment advisory and management fees2017-12-31$3,849
Value of interest in pooled separate accounts at end of year2017-12-31$7,297,263
Value of interest in pooled separate accounts at beginning of year2017-12-31$6,812,721
Interest on participant loans2017-12-31$4,535
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$4,016
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$4,016
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$928,577
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$351,081
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,080,640
Contract administrator fees2017-12-31$1,763
Liabilities. Value of benefit claims payable at end of year2017-12-31$887
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$3,444
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 name2017-12-31BOECKERMAN GRAFSTROM & MAYER LLC
Accountancy firm EIN2017-12-31200472826
2016 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,444
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,144
Total income from all sources (including contributions)2016-12-31$1,210,933
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,687,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,685,376
Value of total corrective distributions2016-12-31$1,925
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$754,512
Value of total assets at end of year2016-12-31$6,865,316
Value of total assets at beginning of year2016-12-31$7,342,384
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$570
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$342,465
Participant contributions at end of year2016-12-31$48,579
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$138,536
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$3,444
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-476,368
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,861,872
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,338,240
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$6,812,721
Value of interest in pooled separate accounts at beginning of year2016-12-31$7,311,376
Interest on participant loans2016-12-31$570
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$4,016
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$31,008
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$31,008
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$455,851
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$273,511
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,681,932
Liabilities. Value of benefit claims payable at end of year2016-12-31$3,444
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$4,144
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 name2016-12-31BOECKERMAN GRAFSTROM & MAYER LLC
Accountancy firm EIN2016-12-31200472826
2015 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,144
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$613,294
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$924,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$922,517
Value of total corrective distributions2015-12-31$1,325
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$728,836
Value of total assets at end of year2015-12-31$7,342,384
Value of total assets at beginning of year2015-12-31$7,649,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$610
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
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$1,000,000
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$378,228
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$17,499
Administrative expenses (other) incurred2015-12-31$610
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-311,158
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,338,240
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$7,649,398
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$7,311,376
Value of interest in pooled separate accounts at beginning of year2015-12-31$7,648,788
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$31,008
Net investment gain/loss from pooled separate accounts2015-12-31$-115,542
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$333,109
Employer contributions (assets) at beginning of year2015-12-31$610
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$922,517
Liabilities. Value of benefit claims payable at end of year2015-12-31$4,144
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 name2015-12-31BOECKERMAN GRAFSTROM & MAYER LLC
Accountancy firm EIN2015-12-31200472826
2014 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$0
Total transfer of assets from this plan2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$1,001,129
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,819,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,819,177
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$727,519
Value of total assets at end of year2014-12-31$7,649,398
Value of total assets at beginning of year2014-12-31$8,467,573
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$127
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31Yes
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$385,797
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$5,770
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-818,175
Value of net assets at end of year (total assets less liabilities)2014-12-31$7,649,398
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$8,467,573
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$7,648,788
Value of interest in pooled separate accounts at beginning of year2014-12-31$6,428,523
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$2,039,050
Net investment gain/loss from pooled separate accounts2014-12-31$273,610
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$335,952
Employer contributions (assets) at end of year2014-12-31$610
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,819,177
Contract administrator fees2014-12-31$127
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31Yes
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 name2014-12-31BOECKERMANN GRAFSTROM & MAYER LLC
Accountancy firm EIN2014-12-31200472826
2013 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 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$2,054,801
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$992,056
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$990,448
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$716,419
Value of total assets at end of year2013-12-31$8,467,573
Value of total assets at beginning of year2013-12-31$7,404,828
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,608
Total interest from all sources2013-12-31$28,011
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
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$392,860
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$2,620
Administrative expenses (other) incurred2013-12-31$1,608
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$1,062,745
Value of net assets at end of year (total assets less liabilities)2013-12-31$8,467,573
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$7,404,828
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
Value of interest in pooled separate accounts at end of year2013-12-31$6,428,523
Value of interest in pooled separate accounts at beginning of year2013-12-31$5,372,285
Interest earned on other investments2013-12-31$28,011
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$2,039,050
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$2,032,543
Net investment gain/loss from pooled separate accounts2013-12-31$1,310,371
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$320,939
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$990,448
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 name2013-12-31WALKER, GIROUX AND HAHNE LLC
Accountancy firm EIN2013-12-31463893925
2012 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,604,722
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,841,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,840,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$790,625
Value of total assets at end of year2012-12-31$7,404,828
Value of total assets at beginning of year2012-12-31$7,641,564
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,454
Total interest from all sources2012-12-31$37,376
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$439,257
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$37,146
Administrative expenses (other) incurred2012-12-31$1,454
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-236,736
Value of net assets at end of year (total assets less liabilities)2012-12-31$7,404,828
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$7,641,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$5,372,285
Value of interest in pooled separate accounts at beginning of year2012-12-31$5,584,961
Interest earned on other investments2012-12-31$37,376
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$2,032,543
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$2,056,603
Net investment gain/loss from pooled separate accounts2012-12-31$776,721
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$314,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,840,004
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31WALKER GIROUX AND HAHNE
Accountancy firm EIN2012-12-31411359264
2011 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$764,321
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$926,800
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$925,385
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$781,147
Value of total assets at end of year2011-12-31$7,641,564
Value of total assets at beginning of year2011-12-31$7,804,043
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,415
Total interest from all sources2011-12-31$43,156
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$439,035
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$4,473
Other income not declared elsewhere2011-12-31$0
Administrative expenses (other) incurred2011-12-31$1,415
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-162,479
Value of net assets at end of year (total assets less liabilities)2011-12-31$7,641,564
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$7,804,043
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$5,584,961
Value of interest in pooled separate accounts at beginning of year2011-12-31$5,884,121
Interest earned on other investments2011-12-31$43,156
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$2,056,603
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$1,919,922
Net investment gain/loss from pooled separate accounts2011-12-31$-59,982
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$337,639
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$925,385
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31WALKER GIROUX AND HAHNE
Accountancy firm EIN2011-12-31411359264
2010 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,613,001
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$996,428
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$995,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$828,953
Value of total assets at end of year2010-12-31$7,804,043
Value of total assets at beginning of year2010-12-31$7,187,470
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,393
Total interest from all sources2010-12-31$46,971
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$471,571
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$10,305
Administrative expenses (other) incurred2010-12-31$1,393
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$616,573
Value of net assets at end of year (total assets less liabilities)2010-12-31$7,804,043
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$7,187,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$5,884,121
Value of interest in pooled separate accounts at beginning of year2010-12-31$5,170,522
Interest earned on other investments2010-12-31$46,971
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$1,919,922
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$2,016,948
Net investment gain/loss from pooled separate accounts2010-12-31$737,077
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$347,077
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$995,035
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31WALKER GIROUX AND HAHNE LTD
Accountancy firm EIN2010-12-31411359264
2009 : RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST

2022: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
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: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 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: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 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
2018: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
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: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 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 – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: RANGE MENTAL HEALTH CENTER, INC. RETIREMENT SAVINGS PLAN AND TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan 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 number15644
Policy instance 1
Insurance contract or identification number15644
Number of Individuals Covered199
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $25,643
Total amount of fees paid to insurance companyUSD $6,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,643
Insurance broker organization code?4
Amount paid for insurance broker fees6621
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number15644
Policy instance 1
Insurance contract or identification number15644
Number of Individuals Covered209
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $30,981
Total amount of fees paid to insurance companyUSD $7,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,981
Insurance broker organization code?4
Amount paid for insurance broker fees7264
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number15644
Policy instance 1
Insurance contract or identification number15644
Number of Individuals Covered206
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $25,254
Total amount of fees paid to insurance companyUSD $6,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,356
Insurance broker organization code?4
Amount paid for insurance broker fees6981
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number115644
Policy instance 1
Insurance contract or identification number115644
Number of Individuals Covered235
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $25,189
Total amount of fees paid to insurance companyUSD $3,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,189
Insurance broker organization code?4
Amount paid for insurance broker fees2141
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number115644
Policy instance 1
Insurance contract or identification number115644
Number of Individuals Covered247
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $25,540
Total amount of fees paid to insurance companyUSD $9,016
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $25,540
Insurance broker organization code?4
Amount paid for insurance broker fees9016
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number115644
Policy instance 1
Insurance contract or identification number115644
Number of Individuals Covered266
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $24,258
Total amount of fees paid to insurance companyUSD $7,380
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $24,258
Insurance broker organization code?4
Amount paid for insurance broker fees7380
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameCORPORATE BENEFIT ADMIN
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number115644
Policy instance 1
Insurance contract or identification number115644
Number of Individuals Covered279
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $26,500
Total amount of fees paid to insurance companyUSD $10,768
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 $26,500
Insurance broker organization code?4
Amount paid for insurance broker fees10768
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameCORPORATE BENEFIT ADMIN
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number115644
Policy instance 1
Insurance contract or identification number115644
Number of Individuals Covered265
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,448
Total amount of fees paid to insurance companyUSD $12,801
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
Amount paid for insurance broker fees12801
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $4,448
Insurance broker nameLINCOLN FINANCIAL ADVISORS, CORP
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number31400-001
Policy instance 1
Insurance contract or identification number31400-001
Number of Individuals Covered245
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $23,317
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees23317
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS CORP
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number31400-001
Policy instance 1
Insurance contract or identification number31400-001
Number of Individuals Covered262
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $23,763
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees23763
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS CORP
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number31400-001
Policy instance 1
Insurance contract or identification number31400-001
Number of Individuals Covered201
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $23,240
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number31400-001
Policy instance 1
Insurance contract or identification number31400-001
Number of Individuals Covered185
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $21,952
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?Yes
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

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