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HEALTH CENTERS 401(K) PLAN 401k Plan overview

Plan NameHEALTH CENTERS 401(K) PLAN
Plan identification number 001

HEALTH CENTERS 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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

GROSVENOR PARK HEALTH CENTER LLC has sponsored the creation of one or more 401k plans.

Company Name:GROSVENOR PARK HEALTH CENTER LLC
Employer identification number (EIN):473373524
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about GROSVENOR PARK HEALTH CENTER LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5706122

More information about GROSVENOR PARK HEALTH CENTER LLC

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01FRANCIS MUSSO2021-05-13 FRANCIS MUSSO2021-05-13
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01CHAIM COHEN
0012017-01-01DAVID WEINSTOCK
0012017-01-01
0012016-01-01CHAIM COHEN
0012015-01-01CHAIM COHEN2016-10-07

Plan Statistics for HEALTH CENTERS 401(K) PLAN

401k plan membership statisitcs for HEALTH CENTERS 401(K) PLAN

Measure Date Value
2019: HEALTH CENTERS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01574
Total number of active participants reported on line 7a of the Form 55002019-01-01506
Number of other retired or separated participants entitled to future benefits2019-01-0124
Total of all active and inactive participants2019-01-01530
Total participants2019-01-01530
Number of participants with account balances2019-01-0152
2018: HEALTH CENTERS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01718
Total number of active participants reported on line 7a of the Form 55002018-01-01708
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-01713
Total participants2018-01-01713
Number of participants with account balances2018-01-0147
2017: HEALTH CENTERS 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01819
Total number of active participants reported on line 7a of the Form 55002017-01-01708
Number of other retired or separated participants entitled to future benefits2017-01-015
Total of all active and inactive participants2017-01-01713
Total participants2017-01-01713
Number of participants with account balances2017-01-0143
2016: HEALTH CENTERS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01272
Total number of active participants reported on line 7a of the Form 55002016-01-01260
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-01262
Total participants2016-01-01262
Number of participants with account balances2016-01-0112

Financial Data on HEALTH CENTERS 401(K) PLAN

Measure Date Value
2019 : HEALTH CENTERS 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$239,513
Total income from all sources (including contributions)2019-12-31$239,513
Total of all expenses incurred2019-12-31$66,127
Total of all expenses incurred2019-12-31$66,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$66,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$66,127
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$149,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$149,946
Value of total assets at end of year2019-12-31$669,263
Value of total assets at end of year2019-12-31$669,263
Value of total assets at beginning of year2019-12-31$495,877
Value of total assets at beginning of year2019-12-31$495,877
Total interest from all sources2019-12-31$885
Total interest from all sources2019-12-31$885
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$200,000
Value of fidelity bond cover2019-12-31$200,000
If this is an individual account plan, was there a blackout period2019-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$149,946
Contributions received from participants2019-12-31$149,946
Participant contributions at end of year2019-12-31$15,039
Participant contributions at end of year2019-12-31$15,039
Participant contributions at beginning of year2019-12-31$9,824
Participant contributions at beginning of year2019-12-31$9,824
Participant contributions at end of year2019-12-31$7,447
Participant contributions at end of year2019-12-31$7,447
Total non interest bearing cash at end of year2019-12-31$488
Total non interest bearing cash at end of year2019-12-31$488
Total non interest bearing cash at beginning of year2019-12-31$264
Total non interest bearing cash at beginning of year2019-12-31$264
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
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$173,386
Value of net income/loss2019-12-31$173,386
Value of net assets at end of year (total assets less liabilities)2019-12-31$669,263
Value of net assets at end of year (total assets less liabilities)2019-12-31$669,263
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$495,877
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$495,877
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$646,289
Value of interest in pooled separate accounts at end of year2019-12-31$646,289
Value of interest in pooled separate accounts at beginning of year2019-12-31$485,789
Value of interest in pooled separate accounts at beginning of year2019-12-31$485,789
Interest on participant loans2019-12-31$885
Interest on participant loans2019-12-31$885
Net investment gain/loss from pooled separate accounts2019-12-31$88,682
Net investment gain/loss from pooled separate accounts2019-12-31$88,682
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$66,127
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$66,127
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
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
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
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
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31PEASE & ASSOCIATES, LLC
Accountancy firm name2019-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2019-12-31364267431
Accountancy firm EIN2019-12-31364267431
2018 : HEALTH CENTERS 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$254,618
Total of all expenses incurred2018-12-31$567,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$567,864
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$285,256
Value of total assets at end of year2018-12-31$491,900
Value of total assets at beginning of year2018-12-31$805,146
Total interest from all sources2018-12-31$455
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$200,000
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$227,960
Participant contributions at end of year2018-12-31$9,824
Participant contributions at beginning of year2018-12-31$10,105
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$57,296
Total non interest bearing cash at end of year2018-12-31$264
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-313,246
Value of net assets at end of year (total assets less liabilities)2018-12-31$491,900
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$805,146
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$482,076
Value of interest in pooled separate accounts at beginning of year2018-12-31$795,041
Interest on participant loans2018-12-31$455
Net investment gain/loss from pooled separate accounts2018-12-31$-30,433
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$567,864
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 name2018-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2018-12-31364267431
2017 : HEALTH CENTERS 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$289,558
Total of all expenses incurred2017-12-31$7,836
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,836
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$193,469
Value of total assets at end of year2017-12-31$805,146
Value of total assets at beginning of year2017-12-31$523,424
Total interest from all sources2017-12-31$610
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$200,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$122,499
Participant contributions at end of year2017-12-31$10,105
Participant contributions at beginning of year2017-12-31$16,385
Participant contributions at beginning of year2017-12-31$665
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$70,970
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$281,722
Value of net assets at end of year (total assets less liabilities)2017-12-31$805,146
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$523,424
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$795,041
Value of interest in pooled separate accounts at beginning of year2017-12-31$506,374
Interest on participant loans2017-12-31$610
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,836
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 name2017-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2017-12-31364267431
2016 : HEALTH CENTERS 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$158,286
Total of all expenses incurred2016-12-31$15,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$15,481
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$121,753
Value of total assets at end of year2016-12-31$523,424
Value of total assets at beginning of year2016-12-31$380,619
Total interest from all sources2016-12-31$513
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$200,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$56,538
Participant contributions at end of year2016-12-31$16,385
Participant contributions at beginning of year2016-12-31$11,000
Participant contributions at end of year2016-12-31$665
Participant contributions at beginning of year2016-12-31$100
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$65,215
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$142,805
Value of net assets at end of year (total assets less liabilities)2016-12-31$523,424
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$380,619
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$506,374
Value of interest in pooled separate accounts at beginning of year2016-12-31$369,519
Interest on participant loans2016-12-31$513
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$15,481
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 name2016-12-31PEASE & ASSOCIATES, LLC
Accountancy firm EIN2016-12-31364267431

Form 5500 Responses for HEALTH CENTERS 401(K) PLAN

2019: HEALTH CENTERS 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HEALTH CENTERS 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HEALTH CENTERS 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HEALTH CENTERS 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number119857
Policy instance 1
Insurance contract or identification number119857
Number of Individuals Covered68
Total amount of commissions paid to insurance brokerUSD $2,228
Total amount of fees paid to insurance companyUSD $5,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5588
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $2,228
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number119857
Policy instance 1
Insurance contract or identification number119857
Total amount of commissions paid to insurance brokerUSD $2,377
Total amount of fees paid to insurance companyUSD $2,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2647
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $2,377
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number119857
Policy instance 1
Insurance contract or identification number119857
Number of Individuals Covered52
Total amount of commissions paid to insurance brokerUSD $2,452
Total amount of fees paid to insurance companyUSD $1,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,452
Insurance broker organization code?3
Amount paid for insurance broker fees1528
Insurance broker nameINTAC ACTUARIAL SERVICES

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