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| Plan Name | GUARDIAN LIFE INSURANCE |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HEARTSHARE HUMAN SERVICES OF NEW YORK |
| Employer identification number (EIN): | 111633549 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about HEARTSHARE HUMAN SERVICES OF NEW YORK
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1914-07-02 |
| Company Identification Number: | 12728 |
| Legal Registered Office Address: |
12 METROTECH CENTER, 29TH FL. Kings BROOKLYN United States of America (USA) 11201 |
More information about HEARTSHARE HUMAN SERVICES OF NEW YORK
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2012-03-01 | MARY JEAN PATELLA | |||
| 504 | 2012-03-01 | ||||
| 504 | 2011-03-01 | MARY JEAN PATELLA | |||
| 504 | 2009-03-01 | MARY JEAN PATELLA |
| Measure | Date | Value |
|---|---|---|
| 2012: GUARDIAN LIFE INSURANCE 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-03-01 | 990 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-03-01 | 1,043 |
| Number of retired or separated participants receiving benefits | 2012-03-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2012-03-01 | 0 |
| Total of all active and inactive participants | 2012-03-01 | 1,044 |
| 2011: GUARDIAN LIFE INSURANCE 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-03-01 | 968 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-03-01 | 990 |
| Number of retired or separated participants receiving benefits | 2011-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-03-01 | 0 |
| Total of all active and inactive participants | 2011-03-01 | 990 |
| 2009: GUARDIAN LIFE INSURANCE 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-03-01 | 795 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-03-01 | 895 |
| Number of retired or separated participants receiving benefits | 2009-03-01 | 9 |
| Number of other retired or separated participants entitled to future benefits | 2009-03-01 | 0 |
| Total of all active and inactive participants | 2009-03-01 | 904 |
| Total participants | 2009-03-01 | 0 |
| 2012: GUARDIAN LIFE INSURANCE 2012 form 5500 responses | ||
|---|---|---|
| 2012-03-01 | Type of plan entity | Single employer plan |
| 2012-03-01 | Submission has been amended | No |
| 2012-03-01 | This submission is the final filing | No |
| 2012-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-03-01 | Plan is a collectively bargained plan | No |
| 2012-03-01 | Plan funding arrangement – Insurance | Yes |
| 2012-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GUARDIAN LIFE INSURANCE 2011 form 5500 responses | ||
| 2011-03-01 | Type of plan entity | Single employer plan |
| 2011-03-01 | Submission has been amended | No |
| 2011-03-01 | This submission is the final filing | No |
| 2011-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-03-01 | Plan is a collectively bargained plan | No |
| 2011-03-01 | Plan funding arrangement – Insurance | Yes |
| 2011-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GUARDIAN LIFE INSURANCE 2009 form 5500 responses | ||
| 2009-03-01 | Type of plan entity | Single employer plan |
| 2009-03-01 | Submission has been amended | No |
| 2009-03-01 | This submission is the final filing | No |
| 2009-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-03-01 | Plan is a collectively bargained plan | No |
| 2009-03-01 | Plan funding arrangement – Insurance | Yes |
| 2009-03-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00328890 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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