LEATHERSTOCKING HEALTHCARE, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan COUNTRYSIDE CARE CENTER EMPLOYEE SAVINGS PLAN AND TRUST
| Measure | Date | Value |
|---|
| 2012 : COUNTRYSIDE CARE CENTER EMPLOYEE SAVINGS PLAN AND TRUST 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2012-12-31 | $142,386 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $142,386 |
| 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 | $252,549 |
| Total of all expenses incurred | 2012-12-31 | $625,264 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $593,998 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $106,822 |
| Value of total assets at end of year | 2012-12-31 | $564,092 |
| Value of total assets at beginning of year | 2012-12-31 | $936,807 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $31,266 |
| Total interest from all sources | 2012-12-31 | $3,341 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2012-12-31 | $0 |
| Administrative expenses professional fees incurred | 2012-12-31 | $17,045 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $52,969 |
| Participant contributions at end of year | 2012-12-31 | $1,589 |
| Participant contributions at beginning of year | 2012-12-31 | $2,901 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-12-31 | $13,638 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $396 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $-372,715 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $564,092 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $936,807 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Investment advisory and management fees | 2012-12-31 | $14,221 |
| Value of interest in pooled separate accounts at beginning of year | 2012-12-31 | $711,992 |
| Interest on participant loans | 2012-12-31 | $113 |
| Interest earned on other investments | 2012-12-31 | $3,121 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $562,503 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $11,932 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $11,932 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $107 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2012-12-31 | $209,586 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $40,215 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $593,998 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| 2011 : COUNTRYSIDE CARE CENTER EMPLOYEE SAVINGS PLAN AND TRUST 2011 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $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 | $4,999 |
| Total income from all sources (including contributions) | 2011-12-31 | $160,625 |
| Total loss/gain on sale of assets | 2011-12-31 | $0 |
| Total of all expenses incurred | 2011-12-31 | $179,639 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $159,296 |
| Expenses. Certain deemed distributions of participant loans | 2011-12-31 | $468 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $182,398 |
| Value of total assets at end of year | 2011-12-31 | $936,807 |
| Value of total assets at beginning of year | 2011-12-31 | $960,820 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $19,875 |
| Total interest from all sources | 2011-12-31 | $94 |
| 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 year | 2011-12-31 | No |
| Administrative expenses professional fees incurred | 2011-12-31 | $19,875 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $100,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $100,846 |
| Participant contributions at end of year | 2011-12-31 | $2,901 |
| Participant contributions at beginning of year | 2011-12-31 | $2,720 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2011-12-31 | $4,833 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $396 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $398 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $4,999 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $-19,014 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $936,807 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $955,821 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Value of interest in pooled separate accounts at end of year | 2011-12-31 | $711,992 |
| Value of interest in pooled separate accounts at beginning of year | 2011-12-31 | $774,657 |
| Income. Interest from loans (other than to participants) | 2011-12-31 | $66 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $11,932 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $13,954 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $13,954 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $28 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2011-12-31 | $209,586 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2011-12-31 | $169,091 |
| Net investment gain/loss from pooled separate accounts | 2011-12-31 | $-21,867 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $76,719 |
| Employer contributions (assets) at end of year | 2011-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $159,296 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Disclaimer |
| Accountancy firm name | 2011-12-31 | GRUVER, ZWEIFEL & SCOTT, LLP |
| Accountancy firm EIN | 2011-12-31 | 150625503 |
| 2010 : COUNTRYSIDE CARE CENTER EMPLOYEE SAVINGS PLAN AND TRUST 2010 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $4,999 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $2,666 |
| Total income from all sources (including contributions) | 2010-12-31 | $329,148 |
| Total loss/gain on sale of assets | 2010-12-31 | $0 |
| Total of all expenses incurred | 2010-12-31 | $205,392 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $194,674 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $245,370 |
| Value of total assets at end of year | 2010-12-31 | $960,820 |
| Value of total assets at beginning of year | 2010-12-31 | $834,731 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $10,718 |
| Total interest from all sources | 2010-12-31 | $5,777 |
| 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 year | 2010-12-31 | No |
| Administrative expenses professional fees incurred | 2010-12-31 | $10,718 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $50,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $138,077 |
| Participant contributions at end of year | 2010-12-31 | $2,720 |
| Participant contributions at beginning of year | 2010-12-31 | $4,881 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2010-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $398 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $39 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $4,999 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $2,666 |
| Total non interest bearing cash at end of year | 2010-12-31 | $0 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $173 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $123,756 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $955,821 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $832,065 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Value of interest in pooled separate accounts at end of year | 2010-12-31 | $774,657 |
| Value of interest in pooled separate accounts at beginning of year | 2010-12-31 | $662,094 |
| Interest on participant loans | 2010-12-31 | $297 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $13,954 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $17,196 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $17,196 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $5,480 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2010-12-31 | $169,091 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2010-12-31 | $150,348 |
| Net investment gain/loss from pooled separate accounts | 2010-12-31 | $78,001 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $107,293 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $194,674 |
| Contract administrator fees | 2010-12-31 | $0 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Disclaimer |
| Accountancy firm name | 2010-12-31 | GRUVER, ZWEIFEL & SCOTT, LLP |
| Accountancy firm EIN | 2010-12-31 | 150625503 |
