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ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN
Plan identification number 001

ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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

ROBESON HEALTH CARE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:ROBESON HEALTH CARE CORPORATION
Employer identification number (EIN):581622664
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Additional information about ROBESON HEALTH CARE CORPORATION

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0165236

More information about ROBESON HEALTH CARE CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01
0012017-07-01
0012016-07-01KRISTY LOCKLEAR KRISTY LOCKLEAR2018-04-12
0012015-07-01KRISTY LOCKLEAR KRISTY LOCKLEAR2017-04-12
0012014-07-01KRISTY LOCKLEAR KRISTY LOCKLEAR2016-04-15
0012014-07-01KRISTY LOCKLEAR KRISTY LOCKLEAR2016-04-26
0012013-08-01KRISTY LOCKLEAR KRISTY LOCKLEAR2015-01-30
0012012-08-01KRISTY LOCKLEAR KRISTY LOCKLEAR2014-04-15
0012011-08-01KRISTY LOCKLEAR KRISTY LOCKLEAR2013-02-14
0012010-08-01KRISTY LOCKLEAR KRISTY LOCKLEAR2012-02-22
0012009-08-01TIMOTHY REVELS TIMOTHY REVELS2011-02-23

Plan Statistics for ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN

Measure Date Value
2022: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01383
Total number of active participants reported on line 7a of the Form 55002022-07-01367
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-0129
Total of all active and inactive participants2022-07-01396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-07-011
Total participants2022-07-01397
Number of participants with account balances2022-07-01173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-07-010
2021: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01326
Total number of active participants reported on line 7a of the Form 55002021-07-01268
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-0135
Total of all active and inactive participants2021-07-01303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-011
Total participants2021-07-01304
Number of participants with account balances2021-07-01159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-010
2020: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01311
Total number of active participants reported on line 7a of the Form 55002020-07-01283
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0133
Total of all active and inactive participants2020-07-01316
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-011
Total participants2020-07-01317
Number of participants with account balances2020-07-01173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-010
2019: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01266
Total number of active participants reported on line 7a of the Form 55002019-07-01236
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0130
Total of all active and inactive participants2019-07-01266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-011
Total participants2019-07-01267
Number of participants with account balances2019-07-01162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-010
2018: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01233
Total number of active participants reported on line 7a of the Form 55002018-07-01215
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-0129
Total of all active and inactive participants2018-07-01244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-011
Total participants2018-07-01245
Number of participants with account balances2018-07-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
2017: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01237
Total number of active participants reported on line 7a of the Form 55002017-07-01193
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0132
Total of all active and inactive participants2017-07-01225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-012
Total participants2017-07-01227
Number of participants with account balances2017-07-01150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01250
Total number of active participants reported on line 7a of the Form 55002016-07-01214
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-0128
Total of all active and inactive participants2016-07-01242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-012
Total participants2016-07-01244
Number of participants with account balances2016-07-01152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01264
Total number of active participants reported on line 7a of the Form 55002015-07-01221
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-0125
Total of all active and inactive participants2015-07-01246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-012
Total participants2015-07-01248
Number of participants with account balances2015-07-01150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01253
Total number of active participants reported on line 7a of the Form 55002014-07-01226
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-0124
Total of all active and inactive participants2014-07-01250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-011
Total participants2014-07-01251
Number of participants with account balances2014-07-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01240
Total number of active participants reported on line 7a of the Form 55002013-08-01223
Number of retired or separated participants receiving benefits2013-08-010
Number of other retired or separated participants entitled to future benefits2013-08-0122
Total of all active and inactive participants2013-08-01245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-08-011
Total participants2013-08-01246
Number of participants with account balances2013-08-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-08-010
2012: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01244
Total number of active participants reported on line 7a of the Form 55002012-08-01231
Number of retired or separated participants receiving benefits2012-08-010
Number of other retired or separated participants entitled to future benefits2012-08-0120
Total of all active and inactive participants2012-08-01251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-08-011
Total participants2012-08-01252
Number of participants with account balances2012-08-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-08-010
2011: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01228
Total number of active participants reported on line 7a of the Form 55002011-08-01228
Number of retired or separated participants receiving benefits2011-08-010
Number of other retired or separated participants entitled to future benefits2011-08-0122
Total of all active and inactive participants2011-08-01250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-08-011
Total participants2011-08-01251
Number of participants with account balances2011-08-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-08-010
2010: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-01247
Total number of active participants reported on line 7a of the Form 55002010-08-01218
Number of retired or separated participants receiving benefits2010-08-010
Number of other retired or separated participants entitled to future benefits2010-08-0130
Total of all active and inactive participants2010-08-01248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-08-011
Total participants2010-08-01249
Number of participants with account balances2010-08-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-08-010
2009: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01242
Total number of active participants reported on line 7a of the Form 55002009-08-01196
Number of retired or separated participants receiving benefits2009-08-010
Number of other retired or separated participants entitled to future benefits2009-08-0129
Total of all active and inactive participants2009-08-01225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-08-012
Total participants2009-08-01227
Number of participants with account balances2009-08-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-08-010

Financial Data on ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN

Measure Date Value
2022 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$-569,766
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$552,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$526,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$682,204
Value of total assets at end of year2022-06-30$6,399,931
Value of total assets at beginning of year2022-06-30$7,521,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$25,748
Total interest from all sources2022-06-30$7,543
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$82,391
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$82,391
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$700,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$429,247
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-1,121,856
Value of net assets at end of year (total assets less liabilities)2022-06-30$6,399,931
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$7,521,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$5,725,669
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$6,878,568
Interest earned on other investments2022-06-30$7,543
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$674,262
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$643,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-1,341,904
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30Yes
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$252,957
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$526,342
Contract administrator fees2022-06-30$25,748
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Disclaimer
Accountancy firm name2022-06-30S. PRESTON DOUGLAS & ASSOC. LLP
Accountancy firm EIN2022-06-30560731535
2021 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$2,380,572
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$182,230
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$160,370
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$665,427
Value of total assets at end of year2021-06-30$7,521,787
Value of total assets at beginning of year2021-06-30$5,323,445
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$21,860
Total interest from all sources2021-06-30$8,447
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$47,083
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$47,083
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$700,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$404,881
Participant contributions at beginning of year2021-06-30$29,907
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$689
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$2,198,342
Value of net assets at end of year (total assets less liabilities)2021-06-30$7,521,787
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$5,323,445
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$6,878,568
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$4,650,664
Interest earned on other investments2021-06-30$8,447
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$643,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$623,515
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$1,659,615
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30Yes
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$259,857
Employer contributions (assets) at beginning of year2021-06-30$19,359
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$160,370
Contract administrator fees2021-06-30$21,860
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30S. PRESTON DOUGLAS AND ASSOCIATES
Accountancy firm EIN2021-06-30560731535
2020 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-06-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$0
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total transfer of assets to this plan2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$829,813
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$284,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$267,777
Value of total corrective distributions2020-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$590,353
Value of total assets at end of year2020-06-30$5,323,445
Value of total assets at beginning of year2020-06-30$4,778,512
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$17,103
Total income from rents2020-06-30$0
Total interest from all sources2020-06-30$9,835
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$49,624
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$49,624
Administrative expenses professional fees incurred2020-06-30$0
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Amount of non-exempt transactions with any party-in-interest2020-06-30$0
Contributions received from participants2020-06-30$351,463
Participant contributions at end of year2020-06-30$29,907
Participant contributions at beginning of year2020-06-30$21,227
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$3,035
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$0
Other income not declared elsewhere2020-06-30$0
Administrative expenses (other) incurred2020-06-30$0
Liabilities. Value of operating payables at beginning of year2020-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$544,933
Value of net assets at end of year (total assets less liabilities)2020-06-30$5,323,445
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$4,778,512
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2020-06-30$0
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2020-06-30$0
Investment advisory and management fees2020-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$4,650,664
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$4,178,701
Income. Interest from loans (other than to participants)2020-06-30$0
Interest earned on other investments2020-06-30$9,835
Income. Interest from US Government securities2020-06-30$0
Income. Interest from corporate debt instruments2020-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$623,515
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$563,081
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$180,001
Net investment gain/loss from pooled separate accounts2020-06-30$0
Net investment gain or loss from common/collective trusts2020-06-30$0
Net gain/loss from 103.12 investment entities2020-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30Yes
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$235,855
Employer contributions (assets) at end of year2020-06-30$19,359
Employer contributions (assets) at beginning of year2020-06-30$15,503
Income. Dividends from preferred stock2020-06-30$0
Income. Dividends from common stock2020-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$267,777
Contract administrator fees2020-06-30$17,103
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$0
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Aggregate proceeds on sale of assets2020-06-30$0
Aggregate carrying amount (costs) on sale of assets2020-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30S. PRESTON DOUGLAS & ASSOCIATES
Accountancy firm EIN2020-06-30560731535
2019 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-06-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$0
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total transfer of assets to this plan2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$706,883
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$731,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$714,940
Value of total corrective distributions2019-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$467,273
Value of total assets at end of year2019-06-30$4,778,512
Value of total assets at beginning of year2019-06-30$4,803,292
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$16,723
Total income from rents2019-06-30$0
Total interest from all sources2019-06-30$15,633
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$44,297
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$44,297
Administrative expenses professional fees incurred2019-06-30$0
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Amount of non-exempt transactions with any party-in-interest2019-06-30$0
Contributions received from participants2019-06-30$263,307
Participant contributions at end of year2019-06-30$21,227
Participant contributions at beginning of year2019-06-30$19,554
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$9,640
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$0
Other income not declared elsewhere2019-06-30$0
Administrative expenses (other) incurred2019-06-30$0
Liabilities. Value of operating payables at beginning of year2019-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-24,780
Value of net assets at end of year (total assets less liabilities)2019-06-30$4,778,512
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$4,803,292
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2019-06-30$0
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2019-06-30$0
Investment advisory and management fees2019-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$4,178,701
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$3,725,926
Income. Interest from loans (other than to participants)2019-06-30$0
Interest earned on other investments2019-06-30$15,633
Income. Interest from US Government securities2019-06-30$0
Income. Interest from corporate debt instruments2019-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$563,081
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$1,043,253
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$179,680
Net investment gain/loss from pooled separate accounts2019-06-30$0
Net investment gain or loss from common/collective trusts2019-06-30$0
Net gain/loss from 103.12 investment entities2019-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30Yes
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$194,326
Employer contributions (assets) at end of year2019-06-30$15,503
Employer contributions (assets) at beginning of year2019-06-30$14,559
Income. Dividends from preferred stock2019-06-30$0
Income. Dividends from common stock2019-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$714,940
Contract administrator fees2019-06-30$16,723
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$0
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$0
Aggregate carrying amount (costs) on sale of assets2019-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30S. PRESTON DOUGLAS & ASSOCIATES
Accountancy firm EIN2019-06-30560731535
2018 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-06-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$0
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total transfer of assets to this plan2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$880,978
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$457,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$437,766
Value of total corrective distributions2018-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$444,173
Value of total assets at end of year2018-06-30$4,803,292
Value of total assets at beginning of year2018-06-30$4,379,344
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$19,264
Total income from rents2018-06-30$0
Total interest from all sources2018-06-30$19,655
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$40,552
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$40,552
Administrative expenses professional fees incurred2018-06-30$0
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Amount of non-exempt transactions with any party-in-interest2018-06-30$0
Contributions received from participants2018-06-30$258,792
Participant contributions at end of year2018-06-30$19,554
Participant contributions at beginning of year2018-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-06-30$15
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$0
Other income not declared elsewhere2018-06-30$0
Administrative expenses (other) incurred2018-06-30$0
Liabilities. Value of operating payables at beginning of year2018-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$423,948
Value of net assets at end of year (total assets less liabilities)2018-06-30$4,803,292
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$4,379,344
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2018-06-30$0
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2018-06-30$0
Investment advisory and management fees2018-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$3,725,926
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$3,233,697
Income. Interest from loans (other than to participants)2018-06-30$0
Interest earned on other investments2018-06-30$19,655
Income. Interest from US Government securities2018-06-30$0
Income. Interest from corporate debt instruments2018-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$1,043,253
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$1,145,647
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$376,598
Net investment gain/loss from pooled separate accounts2018-06-30$0
Net investment gain or loss from common/collective trusts2018-06-30$0
Net gain/loss from 103.12 investment entities2018-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30Yes
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$185,381
Employer contributions (assets) at end of year2018-06-30$14,559
Employer contributions (assets) at beginning of year2018-06-30$0
Income. Dividends from preferred stock2018-06-30$0
Income. Dividends from common stock2018-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$437,751
Contract administrator fees2018-06-30$19,264
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$0
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Aggregate proceeds on sale of assets2018-06-30$0
Aggregate carrying amount (costs) on sale of assets2018-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2018-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30S. PRESTON DOUGLAS & ASSOCIATES
Accountancy firm EIN2018-06-30560731535
2017 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-06-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$0
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total transfer of assets to this plan2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$833,936
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$337,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$313,669
Value of total corrective distributions2017-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$383,118
Value of total assets at end of year2017-06-30$4,379,344
Value of total assets at beginning of year2017-06-30$3,882,579
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$23,502
Total income from rents2017-06-30$0
Total interest from all sources2017-06-30$23,501
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$27,983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$27,983
Administrative expenses professional fees incurred2017-06-30$0
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$350,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Amount of non-exempt transactions with any party-in-interest2017-06-30$0
Contributions received from participants2017-06-30$226,009
Participant contributions at end of year2017-06-30$0
Participant contributions at beginning of year2017-06-30$7,449
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$0
Other income not declared elsewhere2017-06-30$0
Administrative expenses (other) incurred2017-06-30$0
Liabilities. Value of operating payables at beginning of year2017-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$496,765
Value of net assets at end of year (total assets less liabilities)2017-06-30$4,379,344
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$3,882,579
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2017-06-30$0
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2017-06-30$0
Investment advisory and management fees2017-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$3,233,697
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$2,741,253
Income. Interest from loans (other than to participants)2017-06-30$0
Interest earned on other investments2017-06-30$23,501
Income. Interest from US Government securities2017-06-30$0
Income. Interest from corporate debt instruments2017-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-06-30$1,145,647
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-06-30$1,128,343
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$399,334
Net investment gain/loss from pooled separate accounts2017-06-30$0
Net investment gain or loss from common/collective trusts2017-06-30$0
Net gain/loss from 103.12 investment entities2017-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30Yes
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$157,109
Employer contributions (assets) at end of year2017-06-30$0
Employer contributions (assets) at beginning of year2017-06-30$5,534
Income. Dividends from preferred stock2017-06-30$0
Income. Dividends from common stock2017-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$313,669
Contract administrator fees2017-06-30$23,502
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$0
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Aggregate proceeds on sale of assets2017-06-30$0
Aggregate carrying amount (costs) on sale of assets2017-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30S.PRESTON DOUGLAS
Accountancy firm EIN2017-06-30560731535
2016 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-06-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$0
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total transfer of assets to this plan2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$592,393
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$284,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$263,500
Value of total corrective distributions2016-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$584,617
Value of total assets at end of year2016-06-30$3,882,579
Value of total assets at beginning of year2016-06-30$3,574,275
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$20,589
Total income from rents2016-06-30$0
Total interest from all sources2016-06-30$26,723
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$20,300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$20,300
Administrative expenses professional fees incurred2016-06-30$0
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$350,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Amount of non-exempt transactions with any party-in-interest2016-06-30$0
Contributions received from participants2016-06-30$212,716
Participant contributions at end of year2016-06-30$7,449
Participant contributions at beginning of year2016-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$210,530
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$0
Other income not declared elsewhere2016-06-30$525
Administrative expenses (other) incurred2016-06-30$0
Liabilities. Value of operating payables at beginning of year2016-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$308,304
Value of net assets at end of year (total assets less liabilities)2016-06-30$3,882,579
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$3,574,275
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2016-06-30$0
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2016-06-30$0
Investment advisory and management fees2016-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$2,741,253
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$2,480,255
Income. Interest from loans (other than to participants)2016-06-30$0
Interest earned on other investments2016-06-30$26,723
Income. Interest from US Government securities2016-06-30$0
Income. Interest from corporate debt instruments2016-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-06-30$1,128,343
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$1,094,020
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-39,772
Net investment gain/loss from pooled separate accounts2016-06-30$0
Net investment gain or loss from common/collective trusts2016-06-30$0
Net gain/loss from 103.12 investment entities2016-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30Yes
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$161,371
Employer contributions (assets) at end of year2016-06-30$5,534
Employer contributions (assets) at beginning of year2016-06-30$0
Income. Dividends from preferred stock2016-06-30$0
Income. Dividends from common stock2016-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$263,500
Contract administrator fees2016-06-30$20,589
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$0
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$0
Aggregate carrying amount (costs) on sale of assets2016-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30S. PRESTON DOUGLAS & ASSOCIATES
Accountancy firm EIN2016-06-30560731535
2015 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-06-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$0
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total transfer of assets to this plan2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$477,876
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$177,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$157,656
Value of total corrective distributions2015-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$354,681
Value of total assets at end of year2015-06-30$3,574,275
Value of total assets at beginning of year2015-06-30$3,273,480
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$19,425
Total income from rents2015-06-30$0
Total interest from all sources2015-06-30$28,163
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$25,574
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$25,574
Administrative expenses professional fees incurred2015-06-30$0
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$350,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Amount of non-exempt transactions with any party-in-interest2015-06-30$0
Contributions received from participants2015-06-30$210,436
Participant contributions at end of year2015-06-30$0
Participant contributions at beginning of year2015-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$0
Other income not declared elsewhere2015-06-30$0
Administrative expenses (other) incurred2015-06-30$0
Liabilities. Value of operating payables at beginning of year2015-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$300,795
Value of net assets at end of year (total assets less liabilities)2015-06-30$3,574,275
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$3,273,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2015-06-30$0
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2015-06-30$0
Investment advisory and management fees2015-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$2,480,255
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$2,249,887
Income. Interest from loans (other than to participants)2015-06-30$0
Interest earned on other investments2015-06-30$28,163
Income. Interest from US Government securities2015-06-30$0
Income. Interest from corporate debt instruments2015-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$1,094,020
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$1,023,593
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$69,458
Net investment gain/loss from pooled separate accounts2015-06-30$0
Net investment gain or loss from common/collective trusts2015-06-30$0
Net gain/loss from 103.12 investment entities2015-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$144,245
Employer contributions (assets) at end of year2015-06-30$0
Employer contributions (assets) at beginning of year2015-06-30$0
Income. Dividends from preferred stock2015-06-30$0
Income. Dividends from common stock2015-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$157,656
Contract administrator fees2015-06-30$19,425
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$0
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Aggregate proceeds on sale of assets2015-06-30$0
Aggregate carrying amount (costs) on sale of assets2015-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30S. PRESTON DOUGLAS & ASSOCIATES LLP
Accountancy firm EIN2015-06-30560731535
2014 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-06-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$0
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total transfer of assets to this plan2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$681,462
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$284,495
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$266,563
Value of total corrective distributions2014-06-30$3,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$366,629
Value of total assets at end of year2014-06-30$3,273,480
Value of total assets at beginning of year2014-06-30$2,876,513
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$14,384
Total income from rents2014-06-30$0
Total interest from all sources2014-06-30$26,099
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$18,706
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$18,706
Administrative expenses professional fees incurred2014-06-30$0
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$190,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Amount of non-exempt transactions with any party-in-interest2014-06-30$0
Contributions received from participants2014-06-30$226,854
Participant contributions at end of year2014-06-30$0
Participant contributions at beginning of year2014-06-30$9,304
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$3,811
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$0
Other income not declared elsewhere2014-06-30$0
Administrative expenses (other) incurred2014-06-30$0
Liabilities. Value of operating payables at beginning of year2014-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$396,967
Value of net assets at end of year (total assets less liabilities)2014-06-30$3,273,480
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$2,876,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2014-06-30$0
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2014-06-30$0
Investment advisory and management fees2014-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$2,249,887
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$1,907,372
Income. Interest from loans (other than to participants)2014-06-30$0
Interest earned on other investments2014-06-30$26,099
Income. Interest from US Government securities2014-06-30$0
Income. Interest from corporate debt instruments2014-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$1,023,593
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$956,017
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$270,028
Net investment gain/loss from pooled separate accounts2014-06-30$0
Net investment gain or loss from common/collective trusts2014-06-30$0
Net gain/loss from 103.12 investment entities2014-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$135,964
Employer contributions (assets) at end of year2014-06-30$0
Employer contributions (assets) at beginning of year2014-06-30$3,820
Income. Dividends from preferred stock2014-06-30$0
Income. Dividends from common stock2014-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$266,563
Contract administrator fees2014-06-30$14,384
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$0
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$0
Aggregate carrying amount (costs) on sale of assets2014-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-06-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30S. PRESTON DOUGLAS & ASSOCIATES LLP
Accountancy firm EIN2014-06-30560731535
2013 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-07-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-07-31$0
Total unrealized appreciation/depreciation of assets2013-07-31$0
Total transfer of assets to this plan2013-07-31$0
Total transfer of assets from this plan2013-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-07-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-07-31$0
Total income from all sources (including contributions)2013-07-31$677,907
Total loss/gain on sale of assets2013-07-31$0
Total of all expenses incurred2013-07-31$190,185
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-07-31$172,394
Value of total corrective distributions2013-07-31$7,444
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-07-31$320,857
Value of total assets at end of year2013-07-31$2,876,513
Value of total assets at beginning of year2013-07-31$2,388,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-07-31$10,347
Total income from rents2013-07-31$0
Total interest from all sources2013-07-31$27,147
Total dividends received (eg from common stock, registered investment company shares)2013-07-31$20,483
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-07-31$20,483
Administrative expenses professional fees incurred2013-07-31$0
Was this plan covered by a fidelity bond2013-07-31Yes
Value of fidelity bond cover2013-07-31$190,000
If this is an individual account plan, was there a blackout period2013-07-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-07-31$0
Were there any nonexempt tranactions with any party-in-interest2013-07-31No
Amount of non-exempt transactions with any party-in-interest2013-07-31$0
Contributions received from participants2013-07-31$218,452
Participant contributions at end of year2013-07-31$9,304
Participant contributions at beginning of year2013-07-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-07-31$9,454
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-07-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-07-31$0
Other income not declared elsewhere2013-07-31$0
Administrative expenses (other) incurred2013-07-31$0
Liabilities. Value of operating payables at beginning of year2013-07-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-31No
Value of net income/loss2013-07-31$487,722
Value of net assets at end of year (total assets less liabilities)2013-07-31$2,876,513
Value of net assets at beginning of year (total assets less liabilities)2013-07-31$2,388,791
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-07-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2013-07-31$0
Were any leases to which the plan was party in default or uncollectible2013-07-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2013-07-31$0
Investment advisory and management fees2013-07-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-07-31$1,907,372
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-07-31$1,495,122
Income. Interest from loans (other than to participants)2013-07-31$0
Interest earned on other investments2013-07-31$27,147
Income. Interest from US Government securities2013-07-31$0
Income. Interest from corporate debt instruments2013-07-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-07-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-07-31$956,017
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-07-31$893,669
Expenses. Payments to insurance carriers foe the provision of benefits2013-07-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-07-31$309,420
Net investment gain/loss from pooled separate accounts2013-07-31$0
Net investment gain or loss from common/collective trusts2013-07-31$0
Net gain/loss from 103.12 investment entities2013-07-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-07-31No
Was there a failure to transmit to the plan any participant contributions2013-07-31No
Has the plan failed to provide any benefit when due under the plan2013-07-31No
Contributions received in cash from employer2013-07-31$92,951
Employer contributions (assets) at end of year2013-07-31$3,820
Employer contributions (assets) at beginning of year2013-07-31$0
Income. Dividends from preferred stock2013-07-31$0
Income. Dividends from common stock2013-07-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-07-31$172,394
Contract administrator fees2013-07-31$10,347
Liabilities. Value of benefit claims payable at beginning of year2013-07-31$0
Did the plan have assets held for investment2013-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-07-31No
Aggregate proceeds on sale of assets2013-07-31$0
Aggregate carrying amount (costs) on sale of assets2013-07-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-07-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-07-31Yes
Opinion of an independent qualified public accountant for this plan2013-07-31Disclaimer
Accountancy firm name2013-07-31S. PRESTON DOUGLAS & ASSOCIATES LLP
Accountancy firm EIN2013-07-31560731535
2012 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-07-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-07-31$0
Total unrealized appreciation/depreciation of assets2012-07-31$0
Total transfer of assets to this plan2012-07-31$0
Total transfer of assets from this plan2012-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-07-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-07-31$0
Total income from all sources (including contributions)2012-07-31$304,255
Total loss/gain on sale of assets2012-07-31$0
Total of all expenses incurred2012-07-31$156,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-07-31$143,679
Value of total corrective distributions2012-07-31$3,681
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-07-31$269,220
Value of total assets at end of year2012-07-31$2,388,791
Value of total assets at beginning of year2012-07-31$2,240,543
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-07-31$8,647
Total income from rents2012-07-31$0
Total interest from all sources2012-07-31$25,297
Total dividends received (eg from common stock, registered investment company shares)2012-07-31$23,303
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-07-31$23,303
Administrative expenses professional fees incurred2012-07-31$0
Was this plan covered by a fidelity bond2012-07-31Yes
Value of fidelity bond cover2012-07-31$190,000
If this is an individual account plan, was there a blackout period2012-07-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-07-31$0
Were there any nonexempt tranactions with any party-in-interest2012-07-31No
Amount of non-exempt transactions with any party-in-interest2012-07-31$0
Contributions received from participants2012-07-31$186,244
Participant contributions at end of year2012-07-31$0
Participant contributions at beginning of year2012-07-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-07-31$1,433
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-07-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-07-31$0
Other income not declared elsewhere2012-07-31$0
Administrative expenses (other) incurred2012-07-31$0
Liabilities. Value of operating payables at beginning of year2012-07-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-31No
Value of net income/loss2012-07-31$148,248
Value of net assets at end of year (total assets less liabilities)2012-07-31$2,388,791
Value of net assets at beginning of year (total assets less liabilities)2012-07-31$2,240,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-07-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2012-07-31$0
Were any leases to which the plan was party in default or uncollectible2012-07-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2012-07-31$0
Investment advisory and management fees2012-07-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-07-31$1,495,122
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-07-31$1,417,343
Income. Interest from loans (other than to participants)2012-07-31$0
Interest earned on other investments2012-07-31$25,297
Income. Interest from US Government securities2012-07-31$0
Income. Interest from corporate debt instruments2012-07-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-07-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-07-31$893,669
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-07-31$823,200
Expenses. Payments to insurance carriers foe the provision of benefits2012-07-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-07-31$-13,565
Net investment gain/loss from pooled separate accounts2012-07-31$0
Net investment gain or loss from common/collective trusts2012-07-31$0
Net gain/loss from 103.12 investment entities2012-07-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-07-31No
Was there a failure to transmit to the plan any participant contributions2012-07-31No
Has the plan failed to provide any benefit when due under the plan2012-07-31No
Contributions received in cash from employer2012-07-31$81,543
Employer contributions (assets) at end of year2012-07-31$0
Employer contributions (assets) at beginning of year2012-07-31$0
Income. Dividends from preferred stock2012-07-31$0
Income. Dividends from common stock2012-07-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-07-31$143,679
Contract administrator fees2012-07-31$8,647
Liabilities. Value of benefit claims payable at beginning of year2012-07-31$0
Did the plan have assets held for investment2012-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-07-31No
Aggregate proceeds on sale of assets2012-07-31$0
Aggregate carrying amount (costs) on sale of assets2012-07-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-07-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-07-31Yes
Opinion of an independent qualified public accountant for this plan2012-07-31Disclaimer
Accountancy firm name2012-07-31JOHN D MASTERS
Accountancy firm EIN2012-07-31560731535
2011 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-07-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-07-31$0
Total unrealized appreciation/depreciation of assets2011-07-31$0
Total transfer of assets to this plan2011-07-31$0
Total transfer of assets from this plan2011-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-07-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-07-31$0
Total income from all sources (including contributions)2011-07-31$454,338
Total loss/gain on sale of assets2011-07-31$0
Total of all expenses incurred2011-07-31$162,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-07-31$154,052
Value of total corrective distributions2011-07-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-07-31$220,983
Value of total assets at end of year2011-07-31$2,240,543
Value of total assets at beginning of year2011-07-31$1,948,864
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-07-31$8,607
Total income from rents2011-07-31$0
Total interest from all sources2011-07-31$23,650
Total dividends received (eg from common stock, registered investment company shares)2011-07-31$17,238
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-07-31$17,238
Administrative expenses professional fees incurred2011-07-31$0
Was this plan covered by a fidelity bond2011-07-31Yes
Value of fidelity bond cover2011-07-31$190,000
If this is an individual account plan, was there a blackout period2011-07-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-07-31$0
Were there any nonexempt tranactions with any party-in-interest2011-07-31No
Amount of non-exempt transactions with any party-in-interest2011-07-31$0
Contributions received from participants2011-07-31$154,328
Participant contributions at end of year2011-07-31$0
Participant contributions at beginning of year2011-07-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-07-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-07-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-07-31$0
Other income not declared elsewhere2011-07-31$65
Administrative expenses (other) incurred2011-07-31$0
Liabilities. Value of operating payables at beginning of year2011-07-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-31No
Value of net income/loss2011-07-31$291,679
Value of net assets at end of year (total assets less liabilities)2011-07-31$2,240,543
Value of net assets at beginning of year (total assets less liabilities)2011-07-31$1,948,864
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-07-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2011-07-31$0
Were any leases to which the plan was party in default or uncollectible2011-07-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2011-07-31$0
Investment advisory and management fees2011-07-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-07-31$1,417,343
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-07-31$1,181,189
Income. Interest from loans (other than to participants)2011-07-31$0
Interest earned on other investments2011-07-31$23,650
Income. Interest from US Government securities2011-07-31$0
Income. Interest from corporate debt instruments2011-07-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-07-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-07-31$823,200
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-07-31$767,675
Expenses. Payments to insurance carriers foe the provision of benefits2011-07-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-07-31$192,402
Net investment gain/loss from pooled separate accounts2011-07-31$0
Net investment gain or loss from common/collective trusts2011-07-31$0
Net gain/loss from 103.12 investment entities2011-07-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-07-31No
Was there a failure to transmit to the plan any participant contributions2011-07-31Yes
Has the plan failed to provide any benefit when due under the plan2011-07-31No
Contributions received in cash from employer2011-07-31$66,655
Employer contributions (assets) at end of year2011-07-31$0
Employer contributions (assets) at beginning of year2011-07-31$0
Income. Dividends from preferred stock2011-07-31$0
Income. Dividends from common stock2011-07-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-07-31$154,052
Contract administrator fees2011-07-31$8,607
Liabilities. Value of benefit claims payable at beginning of year2011-07-31$0
Did the plan have assets held for investment2011-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-07-31No
Aggregate proceeds on sale of assets2011-07-31$0
Aggregate carrying amount (costs) on sale of assets2011-07-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-07-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-07-31Yes
Opinion of an independent qualified public accountant for this plan2011-07-31Disclaimer
Accountancy firm name2011-07-31JOHN D MASTERS
Accountancy firm EIN2011-07-31560731535
2010 : ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-07-31$0

Form 5500 Responses for ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN

2022: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedYes
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Submission has been amendedYes
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-08-01Plan is a collectively bargained planNo
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – TrustYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement - TrustYes
2012: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planNo
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan funding arrangement – TrustYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement - TrustYes
2011: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planNo
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – TrustYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement - TrustYes
2010: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01This submission is the final filingNo
2010-08-01This return/report is a short plan year return/report (less than 12 months)No
2010-08-01Plan is a collectively bargained planNo
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan funding arrangement – TrustYes
2010-08-01Plan benefit arrangement – InsuranceYes
2010-08-01Plan benefit arrangement - TrustYes
2009: ROBESON HEALTH CARE CORPORATION RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan funding arrangement – TrustYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered304
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $1,631
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,631
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered317
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $1,614
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,614
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered267
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $1,442
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,442
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered245
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $2,559
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,559
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered227
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $2,750
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered248
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $2,754
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,754
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameFSC AGENCY INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered251
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $2,175
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,175
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameFSC AGENCY INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered246
Insurance policy start date2013-08-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $3,262
Total amount of fees paid to insurance companyUSD $2,405
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,836
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker nameFSC SECURITIES CORP
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered252
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $6,417
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,699
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameFSC AGENCY INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered251
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $3,767
Total amount of fees paid to insurance companyUSD $2,222
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered249
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $2,589
Total amount of fees paid to insurance companyUSD $3,742
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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