401k Plan data: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN plan

QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 401k Plan overview

Plan Name	QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN
Plan identification number	001

QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN Benefits

401k Plan Type

Defined 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.

401k Sponsoring company profile

QUEENSCARE HEALTH CENTERS has sponsored the creation of one or more 401k plans.

Company Name: QUEENSCARE HEALTH CENTERS

Employer identification number (EIN): 953702136

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Additional information about QUEENSCARE HEALTH CENTERS

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C1105388

More information about QUEENSCARE HEALTH CENTERS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01 ARTHUR DOI ARTHUR DOI 2018-04-12
001 2015-07-01 ARTHUR DOI ARTHUR DOI 2017-04-12
001 2014-07-01 ARTHUR DOI ARTHUR DOI 2016-04-06
001 2013-07-01 FAITH LEE FAITH LEE 2015-04-14
001 2012-07-01 ARTHUR DOI ARTHUR DOI 2014-04-10
001 2011-07-01 BARBARA HINES BARBARA HINES 2013-04-11
001 2010-07-01 BARBARA HINES
001 2009-07-01 LEE HUEY

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2021-07-01
001	2020-07-01
001	2019-07-01
001	2018-07-01
001	2017-07-01
001	2016-07-01	ARTHUR DOI	ARTHUR DOI	2018-04-12
001	2015-07-01	ARTHUR DOI	ARTHUR DOI	2017-04-12
001	2014-07-01	ARTHUR DOI	ARTHUR DOI	2016-04-06
001	2013-07-01	FAITH LEE	FAITH LEE	2015-04-14
001	2012-07-01	ARTHUR DOI	ARTHUR DOI	2014-04-10
001	2011-07-01	BARBARA HINES	BARBARA HINES	2013-04-11
001	2010-07-01	BARBARA HINES
001	2009-07-01	LEE HUEY

Plan Statistics for QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN

401k plan membership statisitcs for QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN

Measure Date Value
2021: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 501
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 292
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 163
Total of all active and inactive participants 2021-07-01 455
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 455
Number of participants with account balances 2021-07-01 450
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 43
2020: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 468
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 301
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 200
Total of all active and inactive participants 2020-07-01 501
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 501
Number of participants with account balances 2020-07-01 496
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 22
2019: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 418
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 289
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 179
Total of all active and inactive participants 2019-07-01 468
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 468
Number of participants with account balances 2019-07-01 460
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 39
2018: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 356
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 286
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 131
Total of all active and inactive participants 2018-07-01 417
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 1
Total participants 2018-07-01 418
Number of participants with account balances 2018-07-01 410
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 28
2017: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 429
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 244
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 109
Total of all active and inactive participants 2017-07-01 353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 3
Total participants 2017-07-01 356
Number of participants with account balances 2017-07-01 375
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 32
2016: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 430
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 214
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 213
Total of all active and inactive participants 2016-07-01 427
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 2
Total participants 2016-07-01 429
Number of participants with account balances 2016-07-01 417
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 34
2015: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 401
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 211
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 217
Total of all active and inactive participants 2015-07-01 428
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 2
Total participants 2015-07-01 430
Number of participants with account balances 2015-07-01 430
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 62
2014: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 411
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 215
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 184
Total of all active and inactive participants 2014-07-01 399
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 2
Total participants 2014-07-01 401
Number of participants with account balances 2014-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 42
2013: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 385
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 238
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 171
Total of all active and inactive participants 2013-07-01 409
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 2
Total participants 2013-07-01 411
Number of participants with account balances 2013-07-01 368
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 34
2012: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 368
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 205
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 180
Total of all active and inactive participants 2012-07-01 385
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 385
Number of participants with account balances 2012-07-01 385
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 13
2011: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 350
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 380
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 19
Total of all active and inactive participants 2011-07-01 399
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 399
Number of participants with account balances 2011-07-01 380
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 15
2010: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 350
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 350
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 18
Total of all active and inactive participants 2010-07-01 368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 368
Number of participants with account balances 2010-07-01 350
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 31
2009: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 343
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 343
Number of retired or separated participants receiving benefits 2009-07-01 4
Number of other retired or separated participants entitled to future benefits 2009-07-01 1
Total of all active and inactive participants 2009-07-01 348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 348
Number of participants with account balances 2009-07-01 343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 14

Measure	Date	Value
2021: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	501
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	292
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	163
Total of all active and inactive participants	2021-07-01	455
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	455
Number of participants with account balances	2021-07-01	450
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	43
2020: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	468
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	301
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	200
Total of all active and inactive participants	2020-07-01	501
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	501
Number of participants with account balances	2020-07-01	496
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	22
2019: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	418
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	289
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	179
Total of all active and inactive participants	2019-07-01	468
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	468
Number of participants with account balances	2019-07-01	460
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	39
2018: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	356
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	286
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	131
Total of all active and inactive participants	2018-07-01	417
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	1
Total participants	2018-07-01	418
Number of participants with account balances	2018-07-01	410
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	28
2017: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	429
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	244
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	109
Total of all active and inactive participants	2017-07-01	353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	3
Total participants	2017-07-01	356
Number of participants with account balances	2017-07-01	375
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	32
2016: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	430
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	214
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	213
Total of all active and inactive participants	2016-07-01	427
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	2
Total participants	2016-07-01	429
Number of participants with account balances	2016-07-01	417
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	34
2015: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	401
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	211
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	217
Total of all active and inactive participants	2015-07-01	428
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	2
Total participants	2015-07-01	430
Number of participants with account balances	2015-07-01	430
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	62
2014: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	411
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	215
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	184
Total of all active and inactive participants	2014-07-01	399
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	2
Total participants	2014-07-01	401
Number of participants with account balances	2014-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	42
2013: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	385
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	238
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	171
Total of all active and inactive participants	2013-07-01	409
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	2
Total participants	2013-07-01	411
Number of participants with account balances	2013-07-01	368
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	34
2012: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	368
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	205
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	180
Total of all active and inactive participants	2012-07-01	385
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	385
Number of participants with account balances	2012-07-01	385
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	13
2011: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	350
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	380
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	19
Total of all active and inactive participants	2011-07-01	399
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	399
Number of participants with account balances	2011-07-01	380
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	15
2010: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	350
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	350
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	18
Total of all active and inactive participants	2010-07-01	368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	368
Number of participants with account balances	2010-07-01	350
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	31
2009: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	343
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	343
Number of retired or separated participants receiving benefits	2009-07-01	4
Number of other retired or separated participants entitled to future benefits	2009-07-01	1
Total of all active and inactive participants	2009-07-01	348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	348
Number of participants with account balances	2009-07-01	343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	14

Financial Data on QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN

Measure	Date	Value
2022 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$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	$-590,226
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$1,049,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$1,045,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$2,095,204
Value of total assets at end of year	2022-06-30	$20,742,829
Value of total assets at beginning of year	2022-06-30	$22,382,487
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$4,372
Total interest from all sources	2022-06-30	$2,613
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$1,101,508
Participant contributions at end of year	2022-06-30	$63,773
Participant contributions at beginning of year	2022-06-30	$17,956
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$152,665
Other income not declared elsewhere	2022-06-30	$0
Administrative expenses (other) incurred	2022-06-30	$4,372
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-1,639,658
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$20,742,829
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$22,382,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$17,979,103
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$19,675,326
Interest on participant loans	2022-06-30	$2,613
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$2,699,953
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$2,689,205
Expenses. Payments to insurance carriers foe the provision of benefits	2022-06-30	$0
Net investment gain/loss from pooled separate accounts	2022-06-30	$-2,688,043
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$841,031
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$1,045,060
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2022-06-30	954557617
2021 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$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	$6,904,963
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$1,221,728
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$1,216,669
Expenses. Certain deemed distributions of participant loans	2021-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$2,375,184
Value of total assets at end of year	2021-06-30	$22,382,487
Value of total assets at beginning of year	2021-06-30	$16,699,252
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$5,059
Total interest from all sources	2021-06-30	$33,117
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$1,130,563
Participant contributions at end of year	2021-06-30	$17,956
Participant contributions at beginning of year	2021-06-30	$30,690
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$245,063
Other income not declared elsewhere	2021-06-30	$5,994
Administrative expenses (other) incurred	2021-06-30	$5,059
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$5,683,235
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$22,382,487
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$16,699,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$19,675,326
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$14,157,551
Interest on participant loans	2021-06-30	$1,873
Interest earned on other investments	2021-06-30	$31,244
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$2,689,205
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$2,511,011
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$0
Net investment gain/loss from pooled separate accounts	2021-06-30	$4,490,668
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$999,558
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$1,216,669
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2021-06-30	954557617
2020 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$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	$2,235,946
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$738,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$738,586
Expenses. Certain deemed distributions of participant loans	2020-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$1,824,468
Value of total assets at end of year	2020-06-30	$16,699,252
Value of total assets at beginning of year	2020-06-30	$15,201,892
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$0
Total interest from all sources	2020-06-30	$37,052
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$841,426
Participant contributions at end of year	2020-06-30	$30,690
Participant contributions at beginning of year	2020-06-30	$24,987
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$132,413
Other income not declared elsewhere	2020-06-30	$2,097
Administrative expenses (other) incurred	2020-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$1,497,360
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$16,699,252
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$15,201,892
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$14,157,551
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$12,919,309
Interest on participant loans	2020-06-30	$388
Interest earned on other investments	2020-06-30	$36,664
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$2,511,011
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$2,257,596
Expenses. Payments to insurance carriers foe the provision of benefits	2020-06-30	$0
Net investment gain/loss from pooled separate accounts	2020-06-30	$372,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$850,629
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$738,586
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2020-06-30	954557617
2019 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$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	$2,514,690
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$1,359,487
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$1,351,140
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$1,846,558
Value of total assets at end of year	2019-06-30	$15,201,892
Value of total assets at beginning of year	2019-06-30	$14,046,689
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$8,347
Total interest from all sources	2019-06-30	$34,617
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$821,025
Participant contributions at end of year	2019-06-30	$24,987
Participant contributions at beginning of year	2019-06-30	$27,390
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$229,429
Other income not declared elsewhere	2019-06-30	$191
Administrative expenses (other) incurred	2019-06-30	$8,347
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$1,155,203
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$15,201,892
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$14,046,689
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$12,919,309
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$11,841,106
Interest on participant loans	2019-06-30	$326
Interest earned on other investments	2019-06-30	$34,291
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$2,257,596
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$2,178,193
Expenses. Payments to insurance carriers foe the provision of benefits	2019-06-30	$0
Net investment gain/loss from pooled separate accounts	2019-06-30	$633,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$796,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$1,351,140
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2019-06-30	954557617
2018 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$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	$2,389,998
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$789,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$789,752
Expenses. Certain deemed distributions of participant loans	2018-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$1,416,843
Value of total assets at end of year	2018-06-30	$14,046,689
Value of total assets at beginning of year	2018-06-30	$12,446,684
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$241
Total interest from all sources	2018-06-30	$27,668
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$727,468
Participant contributions at end of year	2018-06-30	$27,390
Participant contributions at beginning of year	2018-06-30	$26,844
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$18,685
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-06-30	$2,803
Other income not declared elsewhere	2018-06-30	$2,028
Administrative expenses (other) incurred	2018-06-30	$241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$1,600,005
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$14,046,689
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$12,446,684
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$11,841,106
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$10,374,909
Interest on participant loans	2018-06-30	$0
Income. Interest from loans (other than to participants)	2018-06-30	$1,121
Interest earned on other investments	2018-06-30	$26,547
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$2,178,193
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$2,044,931
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$0
Net investment gain/loss from pooled separate accounts	2018-06-30	$943,459
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$670,690
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$786,949
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2018-06-30	954557617
2017 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$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	$3,500,908
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$3,032,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$3,029,820
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$2,166,366
Value of total assets at end of year	2017-06-30	$12,446,684
Value of total assets at beginning of year	2017-06-30	$11,978,346
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$2,750
Total interest from all sources	2017-06-30	$33,556
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$646,263
Participant contributions at end of year	2017-06-30	$26,844
Participant contributions at beginning of year	2017-06-30	$25,925
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$928,173
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-06-30	$3,018
Other income not declared elsewhere	2017-06-30	$1,272
Administrative expenses (other) incurred	2017-06-30	$2,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$468,338
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$12,446,684
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$11,978,346
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$10,374,909
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$9,526,529
Interest on participant loans	2017-06-30	$0
Interest earned on other investments	2017-06-30	$33,556
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$2,044,931
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$2,425,892
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$0
Net investment gain/loss from pooled separate accounts	2017-06-30	$1,299,714
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$591,930
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$3,026,802
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2017-06-30	954557617
2016 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$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	$1,072,777
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$632,196
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$628,194
Expenses. Certain deemed distributions of participant loans	2016-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$976,392
Value of total assets at end of year	2016-06-30	$11,978,346
Value of total assets at beginning of year	2016-06-30	$11,537,765
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$4,002
Total interest from all sources	2016-06-30	$34,202
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$543,559
Participant contributions at end of year	2016-06-30	$25,925
Participant contributions at beginning of year	2016-06-30	$33,702
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$28,298
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-06-30	$5,467
Other income not declared elsewhere	2016-06-30	$109
Administrative expenses (other) incurred	2016-06-30	$4,002
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$440,581
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$11,978,346
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$11,537,765
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$9,526,529
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$9,002,587
Interest on participant loans	2016-06-30	$0
Interest earned on other investments	2016-06-30	$34,202
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$2,425,892
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$2,501,476
Expenses. Payments to insurance carriers foe the provision of benefits	2016-06-30	$0
Net investment gain/loss from pooled separate accounts	2016-06-30	$62,074
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$404,535
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$622,727
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2016-06-30	954557617
2015 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$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	$2,260,736
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$634,943
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$632,464
Expenses. Certain deemed distributions of participant loans	2015-06-30	$579
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$1,845,992
Value of total assets at end of year	2015-06-30	$11,537,765
Value of total assets at beginning of year	2015-06-30	$9,911,972
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$1,900
Total interest from all sources	2015-06-30	$34,764
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$538,763
Participant contributions at end of year	2015-06-30	$33,702
Participant contributions at beginning of year	2015-06-30	$39,562
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$962,373
Other income not declared elsewhere	2015-06-30	$0
Administrative expenses (other) incurred	2015-06-30	$1,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$1,625,793
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$11,537,765
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$9,911,972
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$9,002,587
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$8,092,256
Interest on participant loans	2015-06-30	$1,010
Interest earned on other investments	2015-06-30	$33,754
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$2,501,476
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$1,780,154
Expenses. Payments to insurance carriers foe the provision of benefits	2015-06-30	$0
Net investment gain/loss from pooled separate accounts	2015-06-30	$379,980
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$344,856
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$632,464
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2015-06-30	954557617
2014 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$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	$2,586,600
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$758,195
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$665,543
Expenses. Certain deemed distributions of participant loans	2014-06-30	$3,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$1,376,710
Value of total assets at end of year	2014-06-30	$9,911,972
Value of total assets at beginning of year	2014-06-30	$8,083,567
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$89,117
Total interest from all sources	2014-06-30	$45,147
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$612,763
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$373,438
Assets. Loans (other than to participants) at end of year	2014-06-30	$39,562
Assets. Loans (other than to participants) at beginning of year	2014-06-30	$51,544
Other income not declared elsewhere	2014-06-30	$4,101
Administrative expenses (other) incurred	2014-06-30	$89,117
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$1,828,405
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$9,911,972
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$8,083,567
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$8,092,256
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$6,025,903
Interest on participant loans	2014-06-30	$1,630
Interest earned on other investments	2014-06-30	$43,517
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$1,780,154
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$1,942,165
Expenses. Payments to insurance carriers foe the provision of benefits	2014-06-30	$0
Net investment gain/loss from pooled separate accounts	2014-06-30	$1,160,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$390,509
Employer contributions (assets) at beginning of year	2014-06-30	$63,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$665,543
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	HARRINGTON GROUP CPA LLP
Accountancy firm EIN	2014-06-30	954557617
2013 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$1,665,823
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$565,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$565,402
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$824,731
Value of total assets at end of year	2013-06-30	$8,083,567
Value of total assets at beginning of year	2013-06-30	$6,983,146
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$0
Total interest from all sources	2013-06-30	$104,273
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$536,264
Participant contributions at end of year	2013-06-30	$51,544
Participant contributions at beginning of year	2013-06-30	$69,437
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$1,100,421
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$8,083,567
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$6,983,146
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$6,649,196
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$4,357,380
Interest on participant loans	2013-06-30	$3,055
Interest earned on other investments	2013-06-30	$101,218
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$1,318,872
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$2,490,475
Expenses. Payments to insurance carriers foe the provision of benefits	2013-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$736,819
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$288,467
Employer contributions (assets) at end of year	2013-06-30	$63,955
Employer contributions (assets) at beginning of year	2013-06-30	$65,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$565,402
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-06-30	Yes
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	GREEN HASSON & JANKS LLP
Accountancy firm EIN	2013-06-30	951777440
2012 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-06-30	$849,165
Total of all expenses incurred	2012-06-30	$294,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$294,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$850,445
Value of total assets at end of year	2012-06-30	$6,983,146
Value of total assets at beginning of year	2012-06-30	$6,428,728
Total interest from all sources	2012-06-30	$6,015
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$563,763
Participant contributions at end of year	2012-06-30	$69,437
Participant contributions at beginning of year	2012-06-30	$90,369
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$554,418
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$6,983,146
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$6,428,728
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$4,357,380
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$4,232,506
Interest on participant loans	2012-06-30	$3,171
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-06-30	$2,844
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$2,490,475
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$2,039,337
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-7,295
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$286,682
Employer contributions (assets) at end of year	2012-06-30	$65,854
Employer contributions (assets) at beginning of year	2012-06-30	$66,516
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$294,747
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	GREEN HASSON & JANKS LLP
Accountancy firm EIN	2012-06-30	951777440
2011 : QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-06-30	$1,770,644
Total of all expenses incurred	2011-06-30	$240,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$240,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$855,614
Value of total assets at end of year	2011-06-30	$6,508,619
Value of total assets at beginning of year	2011-06-30	$4,978,142
Total interest from all sources	2011-06-30	$8,338
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$533,974
Participant contributions at end of year	2011-06-30	$170,260
Participant contributions at beginning of year	2011-06-30	$155,713
Other income not declared elsewhere	2011-06-30	$906,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$1,530,477
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$6,508,619
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$4,978,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$4,232,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$3,259,758
Interest on participant loans	2011-06-30	$5,055
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$3,283
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$2,039,337
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$1,562,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$321,640
Employer contributions (assets) at end of year	2011-06-30	$66,516
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$240,167
Did the plan have assets held for investment	2011-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	GREEN HASSON JANKS LLP
Accountancy firm EIN	2011-06-30	951777440

Form 5500 Responses for QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN

2021: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	Yes
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: QUEENSCARE HEALTH CENTERS RETIREMENT AND SALARY REDUCTION PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	8
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $161
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $21
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	CASH COMMISSIONS

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000I

Policy instance

Insurance contract or identification number	059000I
Number of Individuals Covered	455
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,778
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5778
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	10
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $764
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $757
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000I

Policy instance

Insurance contract or identification number	059000I
Number of Individuals Covered	501
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,778
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5778
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000I

Policy instance

Insurance contract or identification number	059000I
Number of Individuals Covered	468
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,788
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5788
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	42
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $1,352
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $13
Additional information about fees paid to insurance broker	CASH COMMISSIONS
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	45
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $1,453
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $14
Additional information about fees paid to insurance broker	CASH COMMISSIONS
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000I

Policy instance

Insurance contract or identification number	059000I
Number of Individuals Covered	418
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $7,888
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	7888
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	53
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $1,612
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000I

Policy instance

Insurance contract or identification number	059000I
Number of Individuals Covered	381
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $4,667
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000I

Policy instance

Insurance contract or identification number	059000I
Number of Individuals Covered	430
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $4,216
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	4216
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	LOS ANGELES REGIONAL OFFICE

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	78
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $1,761
Total amount of fees paid to insurance company	USD $2
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,761
Amount paid for insurance broker fees	2
Additional information about fees paid to insurance broker	CASH COMMISSION AND SUPPLEMENTAL CASH PAID
Insurance broker organization code?	3
Insurance broker name	NANCY JOHNSON

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	98
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $2,183
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,183
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	3
Insurance broker name	NANCY JOHNSON

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000I

Policy instance

Insurance contract or identification number	059000I
Number of Individuals Covered	0
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $26,731
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	26731
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	LOS ANGELES REGIONAL OFFICE

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	130
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $2,865
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $-1
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	CASH COMMISSION
Insurance broker organization code?	3
Insurance broker name	NANCY JOHNSON

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000I

Policy instance

Insurance contract or identification number	059000I
Number of Individuals Covered	408
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059000

Policy instance

Insurance contract or identification number	059000
Number of Individuals Covered	594
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	401
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $12,186
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,546
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	CASH COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	NANCY JOHNSON

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	380
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $13,135
Are there contracts with allocated funds for group deferred annuity?	Yes
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

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6096

Policy instance

Insurance contract or identification number	VF6096
Number of Individuals Covered	350
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $10,921
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for group deferred annuity?	Yes
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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Company Name:	QUEENSCARE HEALTH CENTERS
Employer identification number (EIN):	953702136
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C1105388