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WHITE-TAILED HEALTHCARE 401(K) PLAN 401k Plan overview

Plan NameWHITE-TAILED HEALTHCARE 401(K) PLAN
Plan identification number 001

WHITE-TAILED HEALTHCARE 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
    SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='823370164' AND PlanID='001'

401k Sponsoring company profile

VALLEY MANOR OPERATIONS LLC has sponsored the creation of one or more 401k plans.

Company Name:VALLEY MANOR OPERATIONS LLC
Employer identification number (EIN):823370164
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WHITE-TAILED HEALTHCARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01YONI MECHANIC2024-05-07
0012022-01-01
0012022-01-01
0012022-01-01YONI MECHANIC
0012020-01-01
0012020-01-01YONI MECHANIC

Financial Data on WHITE-TAILED HEALTHCARE 401(K) PLAN

Measure Date Value
2025 : WHITE-TAILED HEALTHCARE 401(K) PLAN 2025 401k financial data
Total liabilities as of the end of the plan year2025-09-250
Total liabilities as of the beginning of the plan year2025-09-250
Total expenses incurred by plan in this plan year2025-09-2518728
Net assets as of the end of the plan year2025-09-25640870
Total assets as of the beginning of the plan year2025-09-25361959
Value of plan covered by a fidelity bond2025-09-2536196
Participant contributions to plan in this plan year2025-09-25216641
Other expenses paid from plan in this plan year2025-09-250
Other contributions to plan in this plan year2025-09-250
Other income to plan in this plan year2025-09-2553034
Plan net income in this plan year2025-09-25278911
Net assets as of the end of the plan year2025-09-25640870
Net assets as of the beginning of the plan year2025-09-25361959
Employer contributions to plan in this plan year2025-09-2527964
Fees paid to broker by Benefit Provider2025-09-252796
Expensese paid to adminstrative service provicers from plan in this plan year2025-09-256228
2024 : WHITE-TAILED HEALTHCARE 401(K) PLAN 2024 401k financial data
Total transfers to/from plan in this plan year2024-05-070
Total liabilities as of the end of the plan year2024-05-070
Total liabilities as of the beginning of the plan year2024-05-070
Total expenses incurred by plan in this plan year2024-05-0765495
Net assets as of the end of the plan year2024-05-07361959
Total assets as of the beginning of the plan year2024-05-07250791
Value of plan covered by a fidelity bond2024-05-0725080
Participant contributions to plan in this plan year2024-05-07113390
Other expenses paid from plan in this plan year2024-05-070
Other contributions to plan in this plan year2024-05-070
Other income to plan in this plan year2024-05-0747323
Plan net income in this plan year2024-05-07111168
Net assets as of the end of the plan year2024-05-07361959
Net assets as of the beginning of the plan year2024-05-07250791
Employer contributions to plan in this plan year2024-05-0715950
Fees paid to broker by Benefit Provider2024-05-072499
Expensese paid to adminstrative service provicers from plan in this plan year2024-05-075072
2022 : WHITE-TAILED HEALTHCARE 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$0
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$0
Total transfer of assets from this plan2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Expenses. Interest paid2022-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$0
Total income from all sources (including contributions)2022-12-31$62,315
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$18,679
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$14,951
Expenses. Certain deemed distributions of participant loans2022-12-31$0
Value of total corrective distributions2022-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$96,904
Value of total assets at end of year2022-12-31$250,791
Value of total assets at beginning of year2022-12-31$207,155
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$3,728
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$0
Assets. Real estate other than employer real property at end of year2022-12-31$0
Assets. Real estate other than employer real property at beginning of year2022-12-31$0
Administrative expenses professional fees incurred2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$20,716
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$84,827
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Assets. Other investments not covered elsewhere at end of year2022-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Assets. Loans (other than to participants) at end of year2022-12-31$0
Assets. Loans (other than to participants) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Administrative expenses (other) incurred2022-12-31$0
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$43,636
Value of net assets at end of year (total assets less liabilities)2022-12-31$250,791
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$207,155
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$0
Assets. partnership/joint venture interests at beginning of year2022-12-31$0
Investment advisory and management fees2022-12-31$3,728
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$238,714
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$207,155
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Interest on participant loans2022-12-31$0
Income. Interest from loans (other than to participants)2022-12-31$0
Interest earned on other investments2022-12-31$0
Income. Interest from US Government securities2022-12-31$0
Income. Interest from corporate debt instruments2022-12-31$0
Value of interest in master investment trust accounts at end of year2022-12-31$0
Value of interest in master investment trust accounts at beginning of year2022-12-31$0
Value of interest in common/collective trusts at end of year2022-12-31$0
Value of interest in common/collective trusts at beginning of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$0
Asset value of US Government securities at end of year2022-12-31$0
Asset value of US Government securities at beginning of year2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-34,589
Net investment gain/loss from pooled separate accounts2022-12-31$0
Net investment gain or loss from common/collective trusts2022-12-31$0
Net gain/loss from 103.12 investment entities2022-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$12,077
Employer contributions (assets) at end of year2022-12-31$12,077
Employer contributions (assets) at beginning of year2022-12-31$0
Income. Dividends from preferred stock2022-12-31$0
Income. Dividends from common stock2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$14,951
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$0
Contract administrator fees2022-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$0
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$0
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$0
Aggregate carrying amount (costs) on sale of assets2022-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31ALAN GOODMAN, CPA PC
Accountancy firm EIN2022-12-31261556810
Unrealized appreciation/depreciation of real estate assets2022-01-01$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-01-01$0
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total transfer of assets to this plan2022-01-01$0
Total transfer of assets from this plan2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$62,315
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$18,679
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$14,951
Expenses. Certain deemed distributions of participant loans2022-01-01$0
Value of total corrective distributions2022-01-01$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$96,904
Value of total assets at end of year2022-01-01$250,791
Value of total assets at beginning of year2022-01-01$207,155
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$3,728
Total interest from all sources2022-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$0
Assets. Real estate other than employer real property at end of year2022-01-01$0
Assets. Real estate other than employer real property at beginning of year2022-01-01$0
Administrative expenses professional fees incurred2022-01-01$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-01-01$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-01-01$0
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$20,716
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$84,827
Participant contributions at end of year2022-01-01$0
Participant contributions at beginning of year2022-01-01$0
Participant contributions at end of year2022-01-01$0
Participant contributions at beginning of year2022-01-01$0
Assets. Other investments not covered elsewhere at end of year2022-01-01$0
Assets. Other investments not covered elsewhere at beginning of year2022-01-01$0
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$0
Assets. Loans (other than to participants) at end of year2022-01-01$0
Assets. Loans (other than to participants) at beginning of year2022-01-01$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$0
Administrative expenses (other) incurred2022-01-01$0
Liabilities. Value of operating payables at end of year2022-01-01$0
Liabilities. Value of operating payables at beginning of year2022-01-01$0
Total non interest bearing cash at end of year2022-01-01$0
Total non interest bearing cash at beginning of year2022-01-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Income. Non cash contributions2022-01-01$0
Value of net income/loss2022-01-01$43,636
Value of net assets at end of year (total assets less liabilities)2022-01-01$250,791
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$207,155
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Assets. partnership/joint venture interests at end of year2022-01-01$0
Assets. partnership/joint venture interests at beginning of year2022-01-01$0
Investment advisory and management fees2022-01-01$3,728
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$238,714
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$207,155
Value of interest in pooled separate accounts at end of year2022-01-01$0
Value of interest in pooled separate accounts at beginning of year2022-01-01$0
Interest on participant loans2022-01-01$0
Income. Interest from loans (other than to participants)2022-01-01$0
Interest earned on other investments2022-01-01$0
Income. Interest from US Government securities2022-01-01$0
Income. Interest from corporate debt instruments2022-01-01$0
Value of interest in master investment trust accounts at end of year2022-01-01$0
Value of interest in master investment trust accounts at beginning of year2022-01-01$0
Value of interest in common/collective trusts at end of year2022-01-01$0
Value of interest in common/collective trusts at beginning of year2022-01-01$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-01$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-01$0
Assets. Value of investments in 103.12 investment entities at end of year2022-01-01$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$0
Asset value of US Government securities at end of year2022-01-01$0
Asset value of US Government securities at beginning of year2022-01-01$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-34,589
Net investment gain/loss from pooled separate accounts2022-01-01$0
Net investment gain or loss from common/collective trusts2022-01-01$0
Net gain/loss from 103.12 investment entities2022-01-01$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Assets. Invements in employer securities at end of year2022-01-01$0
Assets. Invements in employer securities at beginning of year2022-01-01$0
Assets. Value of employer real property at end of year2022-01-01$0
Assets. Value of employer real property at beginning of year2022-01-01$0
Contributions received in cash from employer2022-01-01$12,077
Employer contributions (assets) at end of year2022-01-01$12,077
Employer contributions (assets) at beginning of year2022-01-01$0
Income. Dividends from preferred stock2022-01-01$0
Income. Dividends from common stock2022-01-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$14,951
Asset. Corporate debt instrument preferred debt at end of year2022-01-01$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-01-01$0
Asset. Corporate debt instrument debt (other) at end of year2022-01-01$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-01-01$0
Contract administrator fees2022-01-01$0
Assets. Corporate common stocks other than exployer securities at end of year2022-01-01$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-01-01$0
Liabilities. Value of benefit claims payable at end of year2022-01-01$0
Liabilities. Value of benefit claims payable at beginning of year2022-01-01$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-01-01$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-01-01$0
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Aggregate proceeds on sale of assets2022-01-01$0
Aggregate carrying amount (costs) on sale of assets2022-01-01$0
Liabilities. Value of acquisition indebtedness at end of year2022-01-01$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-01-01$0
Opinion of an independent qualified public accountant for this plan2022-01-013
Accountancy firm name2022-01-01ALAN GOODMAN, CPA PC
Accountancy firm EIN2022-01-01261556810
2020 : WHITE-TAILED HEALTHCARE 401(K) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$0
Total transfer of assets from this plan2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$65,432
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$0
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Value of total corrective distributions2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$47,455
Value of total assets at end of year2020-12-31$147,952
Value of total assets at beginning of year2020-12-31$84,742
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,222
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$0
Assets. Real estate other than employer real property at end of year2020-12-31$0
Assets. Real estate other than employer real property at beginning of year2020-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$15,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$47,455
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Assets. Other investments not covered elsewhere at end of year2020-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Assets. Loans (other than to participants) at end of year2020-12-31$0
Assets. Loans (other than to participants) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$0
Administrative expenses (other) incurred2020-12-31$0
Liabilities. Value of operating payables at end of year2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$63,210
Value of net assets at end of year (total assets less liabilities)2020-12-31$147,952
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$84,742
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$0
Assets. partnership/joint venture interests at beginning of year2020-12-31$0
Investment advisory and management fees2020-12-31$2,222
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$147,952
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$84,742
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest in pooled separate accounts at beginning of year2020-12-31$0
Interest on participant loans2020-12-31$0
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$0
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Value of interest in master investment trust accounts at end of year2020-12-31$0
Value of interest in master investment trust accounts at beginning of year2020-12-31$0
Value of interest in common/collective trusts at end of year2020-12-31$0
Value of interest in common/collective trusts at beginning of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Asset value of US Government securities at end of year2020-12-31$0
Asset value of US Government securities at beginning of year2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$17,977
Net investment gain/loss from pooled separate accounts2020-12-31$0
Net investment gain or loss from common/collective trusts2020-12-31$0
Net gain/loss from 103.12 investment entities2020-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Assets. Invements in employer securities at end of year2020-12-31$0
Assets. Invements in employer securities at beginning of year2020-12-31$0
Assets. Value of employer real property at end of year2020-12-31$0
Assets. Value of employer real property at beginning of year2020-12-31$0
Contributions received in cash from employer2020-12-31$0
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$0
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$0
Contract administrator fees2020-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$0
Liabilities. Value of benefit claims payable at end of year2020-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ALAN GOODMAN, CPA PC
Accountancy firm EIN2020-12-31261556810
Unrealized appreciation/depreciation of real estate assets2020-01-01$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-01-01$0
Total unrealized appreciation/depreciation of assets2020-01-01$0
Total transfer of assets to this plan2020-01-01$0
Total transfer of assets from this plan2020-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-01$0
Total income from all sources (including contributions)2020-01-01$65,432
Total loss/gain on sale of assets2020-01-01$0
Total of all expenses incurred2020-01-01$2,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-01$0
Expenses. Certain deemed distributions of participant loans2020-01-01$0
Value of total corrective distributions2020-01-01$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-01$47,455
Value of total assets at end of year2020-01-01$147,952
Value of total assets at beginning of year2020-01-01$84,742
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-01-01$2,222
Total income from rents2020-01-01$0
Total interest from all sources2020-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2020-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2020-01-01$0
Assets. Real estate other than employer real property at end of year2020-01-01$0
Assets. Real estate other than employer real property at beginning of year2020-01-01$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-01-01$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-01-01$0
Was this plan covered by a fidelity bond2020-01-01Yes
Value of fidelity bond cover2020-01-01$15,000
If this is an individual account plan, was there a blackout period2020-01-01No
Were there any nonexempt tranactions with any party-in-interest2020-01-01No
Contributions received from participants2020-01-01$47,455
Participant contributions at end of year2020-01-01$0
Participant contributions at beginning of year2020-01-01$0
Participant contributions at end of year2020-01-01$0
Participant contributions at beginning of year2020-01-01$0
Assets. Other investments not covered elsewhere at end of year2020-01-01$0
Assets. Other investments not covered elsewhere at beginning of year2020-01-01$0
Income. Received or receivable in cash from other sources (including rollovers)2020-01-01$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-01-01$0
Assets. Loans (other than to participants) at end of year2020-01-01$0
Assets. Loans (other than to participants) at beginning of year2020-01-01$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-01-01$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-01-01$0
Other income not declared elsewhere2020-01-01$0
Administrative expenses (other) incurred2020-01-01$0
Liabilities. Value of operating payables at end of year2020-01-01$0
Liabilities. Value of operating payables at beginning of year2020-01-01$0
Total non interest bearing cash at end of year2020-01-01$0
Total non interest bearing cash at beginning of year2020-01-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-01No
Income. Non cash contributions2020-01-01$0
Value of net income/loss2020-01-01$63,210
Value of net assets at end of year (total assets less liabilities)2020-01-01$147,952
Value of net assets at beginning of year (total assets less liabilities)2020-01-01$84,742
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-01No
Were any leases to which the plan was party in default or uncollectible2020-01-01No
Assets. partnership/joint venture interests at end of year2020-01-01$0
Assets. partnership/joint venture interests at beginning of year2020-01-01$0
Investment advisory and management fees2020-01-01$2,222
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-01-01$147,952
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-01-01$84,742
Value of interest in pooled separate accounts at end of year2020-01-01$0
Value of interest in pooled separate accounts at beginning of year2020-01-01$0
Interest on participant loans2020-01-01$0
Income. Interest from loans (other than to participants)2020-01-01$0
Interest earned on other investments2020-01-01$0
Income. Interest from US Government securities2020-01-01$0
Income. Interest from corporate debt instruments2020-01-01$0
Value of interest in master investment trust accounts at end of year2020-01-01$0
Value of interest in master investment trust accounts at beginning of year2020-01-01$0
Value of interest in common/collective trusts at end of year2020-01-01$0
Value of interest in common/collective trusts at beginning of year2020-01-01$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-01-01$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-01-01$0
Assets. Value of investments in 103.12 investment entities at end of year2020-01-01$0
Assets. Value of investments in 103.12 investment entities at beginning of year2020-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-01-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-01-01$0
Asset value of US Government securities at end of year2020-01-01$0
Asset value of US Government securities at beginning of year2020-01-01$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-01-01$17,977
Net investment gain/loss from pooled separate accounts2020-01-01$0
Net investment gain or loss from common/collective trusts2020-01-01$0
Net gain/loss from 103.12 investment entities2020-01-01$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-01No
Was there a failure to transmit to the plan any participant contributions2020-01-01No
Has the plan failed to provide any benefit when due under the plan2020-01-01No
Assets. Invements in employer securities at end of year2020-01-01$0
Assets. Invements in employer securities at beginning of year2020-01-01$0
Assets. Value of employer real property at end of year2020-01-01$0
Assets. Value of employer real property at beginning of year2020-01-01$0
Contributions received in cash from employer2020-01-01$0
Employer contributions (assets) at end of year2020-01-01$0
Employer contributions (assets) at beginning of year2020-01-01$0
Income. Dividends from preferred stock2020-01-01$0
Income. Dividends from common stock2020-01-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-01-01$0
Asset. Corporate debt instrument preferred debt at end of year2020-01-01$0
Asset. Corporate debt instrument preferred debt at beginning of year2020-01-01$0
Asset. Corporate debt instrument debt (other) at end of year2020-01-01$0
Asset. Corporate debt instrument debt (other) at beginning of year2020-01-01$0
Contract administrator fees2020-01-01$0
Assets. Corporate common stocks other than exployer securities at end of year2020-01-01$0
Assets. Corporate common stocks other than exployer securities at beginning of year2020-01-01$0
Liabilities. Value of benefit claims payable at end of year2020-01-01$0
Liabilities. Value of benefit claims payable at beginning of year2020-01-01$0
Assets. Value of buildings and other operty used in plan operation at end of year2020-01-01$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-01-01$0
Did the plan have assets held for investment2020-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-01No
Aggregate proceeds on sale of assets2020-01-01$0
Aggregate carrying amount (costs) on sale of assets2020-01-01$0
Liabilities. Value of acquisition indebtedness at end of year2020-01-01$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-01-01$0
Opinion of an independent qualified public accountant for this plan2020-01-013
Accountancy firm name2020-01-01ALAN GOODMAN, CPA PC
Accountancy firm EIN2020-01-01261556810

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number802260
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number802260
Policy instance 1
Insurance contract or identification number802260
Number of Individuals Covered11
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $513
Total amount of fees paid to insurance companyUSD $390
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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