401k Plan data: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN plan

VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 401k Plan overview

Plan Name	VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN
Plan identification number	001

VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC. has sponsored the creation of one or more 401k plans.

Company Name: VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC.

Employer identification number (EIN): 111722477

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Additional information about VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1952-03-13

Company Identification Number: 77585

Legal Registered Office Address: 505 MAIN STREET
Suffolk
NORTHPORT
United States of America (USA)
11768

More information about VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 SCOTT WILLIAMS
001 2016-01-01 STEVEN MOLLER STEVEN MOLLER 2017-10-16
001 2015-01-01 STEVEN MOLLER STEVEN MOLLER 2016-09-21
001 2014-01-01 STEVEN MOLLER STEVEN MOLLER 2015-10-01
001 2013-01-01 STEVEN MOLLER STEVEN MOLLER 2014-10-14
001 2012-01-01 LINDA M. TAYLOR
001 2011-01-01 LINDA M. TAYLOR
001 2010-01-01 LINDA M. TAYLOR
001 2009-01-01 LINDA M. TAYLOR

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	SCOTT WILLIAMS
001	2016-01-01	STEVEN MOLLER	STEVEN MOLLER	2017-10-16
001	2015-01-01	STEVEN MOLLER	STEVEN MOLLER	2016-09-21
001	2014-01-01	STEVEN MOLLER	STEVEN MOLLER	2015-10-01
001	2013-01-01	STEVEN MOLLER	STEVEN MOLLER	2014-10-14
001	2012-01-01	LINDA M. TAYLOR
001	2011-01-01	LINDA M. TAYLOR
001	2010-01-01	LINDA M. TAYLOR
001	2009-01-01	LINDA M. TAYLOR

Plan Statistics for VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN

401k plan membership statisitcs for VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN

Measure Date Value
2019: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 75
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 4
2018: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 203
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 74
Total of all active and inactive participants 2018-01-01 74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 75
Number of participants with account balances 2018-01-01 75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 6
2017: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 165
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 37
Total of all active and inactive participants 2017-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 203
Number of participants with account balances 2017-01-01 203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 2
2016: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 155
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 35
Total of all active and inactive participants 2016-01-01 190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 3
Total participants 2016-01-01 193
Number of participants with account balances 2016-01-01 165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 6
2015: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 161
Number of other retired or separated participants entitled to future benefits 2015-01-01 28
Total of all active and inactive participants 2015-01-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 3
Total participants 2015-01-01 192
Number of participants with account balances 2015-01-01 192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 3
2014: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 158
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 23
Total of all active and inactive participants 2014-01-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 4
Total participants 2014-01-01 185
Number of participants with account balances 2014-01-01 185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 180
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 149
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 23
Total of all active and inactive participants 2013-01-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 3
Total participants 2013-01-01 175
Number of participants with account balances 2013-01-01 175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 149
Number of other retired or separated participants entitled to future benefits 2012-01-01 30
Total of all active and inactive participants 2012-01-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 180
Number of participants with account balances 2012-01-01 179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 176
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 144
Number of other retired or separated participants entitled to future benefits 2011-01-01 30
Total of all active and inactive participants 2011-01-01 174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 175
Number of participants with account balances 2011-01-01 175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2010: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 146
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 30
Total of all active and inactive participants 2010-01-01 176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 176
Number of participants with account balances 2010-01-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 131
Number of other retired or separated participants entitled to future benefits 2009-01-01 34
Total of all active and inactive participants 2009-01-01 165
Total participants 2009-01-01 165
Number of participants with account balances 2009-01-01 165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2019: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	75
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	4
2018: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	203
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	74
Total of all active and inactive participants	2018-01-01	74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	75
Number of participants with account balances	2018-01-01	75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	6
2017: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	165
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	37
Total of all active and inactive participants	2017-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	203
Number of participants with account balances	2017-01-01	203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	2
2016: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	155
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	35
Total of all active and inactive participants	2016-01-01	190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	3
Total participants	2016-01-01	193
Number of participants with account balances	2016-01-01	165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	6
2015: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	161
Number of other retired or separated participants entitled to future benefits	2015-01-01	28
Total of all active and inactive participants	2015-01-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	3
Total participants	2015-01-01	192
Number of participants with account balances	2015-01-01	192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	3
2014: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	158
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	23
Total of all active and inactive participants	2014-01-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	4
Total participants	2014-01-01	185
Number of participants with account balances	2014-01-01	185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	180
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	149
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	23
Total of all active and inactive participants	2013-01-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	3
Total participants	2013-01-01	175
Number of participants with account balances	2013-01-01	175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	149
Number of other retired or separated participants entitled to future benefits	2012-01-01	30
Total of all active and inactive participants	2012-01-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	180
Number of participants with account balances	2012-01-01	179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	176
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	144
Number of other retired or separated participants entitled to future benefits	2011-01-01	30
Total of all active and inactive participants	2011-01-01	174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	175
Number of participants with account balances	2011-01-01	175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2010: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	146
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	30
Total of all active and inactive participants	2010-01-01	176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	176
Number of participants with account balances	2010-01-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	131
Number of other retired or separated participants entitled to future benefits	2009-01-01	34
Total of all active and inactive participants	2009-01-01	165
Total participants	2009-01-01	165
Number of participants with account balances	2009-01-01	165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN

Measure	Date	Value
2019 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2019 401k financial data
Transfers to/from the plan	2019-02-28	$-999,724
Total plan liabilities at end of year	2019-02-28	$0
Total plan liabilities at beginning of year	2019-02-28	$0
Total income from all sources	2019-02-28	$113,564
Expenses. Total of all expenses incurred	2019-02-28	$1,145,360
Benefits paid (including direct rollovers)	2019-02-28	$1,145,360
Total plan assets at end of year	2019-02-28	$0
Total plan assets at beginning of year	2019-02-28	$2,031,520
Value of fidelity bond covering the plan	2019-02-28	$500,000
Total contributions received or receivable from participants	2019-02-28	$0
Expenses. Other expenses not covered elsewhere	2019-02-28	$0
Contributions received from other sources (not participants or employers)	2019-02-28	$0
Other income received	2019-02-28	$113,564
Noncash contributions received	2019-02-28	$0
Net income (gross income less expenses)	2019-02-28	$-1,031,796
Net plan assets at end of year (total assets less liabilities)	2019-02-28	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-02-28	$2,031,520
Total contributions received or receivable from employer(s)	2019-02-28	$0
Value of certain deemed distributions of participant loans	2019-02-28	$0
Value of corrective distributions	2019-02-28	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-02-28	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-02-28	$0
2018 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets from this plan	2018-12-31	$4,072,808
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$183,221
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,296,071
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,296,071
Expenses. Certain deemed distributions of participant loans	2018-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$300,425
Value of total assets at end of year	2018-12-31	$2,031,520
Value of total assets at beginning of year	2018-12-31	$7,217,178
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$0
Total interest from all sources	2018-12-31	$17,338
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,112,850
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,031,520
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,217,178
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,522,653
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$5,299,517
Interest on participant loans	2018-12-31	$0
Interest earned on other investments	2018-12-31	$17,338
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$508,867
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$1,917,661
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Net investment gain/loss from pooled separate accounts	2018-12-31	$-134,542
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$300,425
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,296,071
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CERINI AND ASSOCIATES, LLP
Accountancy firm EIN	2018-12-31	113066459
2017 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,318,730
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$700,870
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$700,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$444,881
Value of total assets at end of year	2017-12-31	$7,217,178
Value of total assets at beginning of year	2017-12-31	$6,599,318
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$0
Total interest from all sources	2017-12-31	$22,864
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2017-12-31	$0
Minimum employer required contribution for this plan year	2017-12-31	$444,881
Amount contributed by the employer to the plan for this plan year	2017-12-31	$444,881
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$617,860
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,217,178
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$6,599,318
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$5,299,517
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,703,724
Interest earned on other investments	2017-12-31	$22,864
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$1,917,661
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,840,840
Net investment gain/loss from pooled separate accounts	2017-12-31	$850,985
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$444,881
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$54,754
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$700,870
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	CERINI AND ASSOCIATES, LLP
Accountancy firm EIN	2017-12-31	113066459
2016 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$840,855
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$458,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$458,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$419,741
Value of total assets at end of year	2016-12-31	$6,599,318
Value of total assets at beginning of year	2016-12-31	$6,216,869
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$0
Total interest from all sources	2016-12-31	$27,810
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2016-12-31	$54,754
Minimum employer required contribution for this plan year	2016-12-31	$419,741
Amount contributed by the employer to the plan for this plan year	2016-12-31	$364,987
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$382,449
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$6,599,318
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,216,869
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$4,703,724
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$4,379,270
Interest earned on other investments	2016-12-31	$27,810
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,840,840
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,837,599
Net investment gain/loss from pooled separate accounts	2016-12-31	$393,304
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$419,741
Employer contributions (assets) at end of year	2016-12-31	$54,754
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$458,406
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CERINI AND ASSOCIATES, LLP
Accountancy firm EIN	2016-12-31	113066459
2015 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$514,350
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$303,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$303,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$482,982
Value of total assets at end of year	2015-12-31	$6,216,869
Value of total assets at beginning of year	2015-12-31	$6,006,234
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$100
Total interest from all sources	2015-12-31	$26,728
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2015-12-31	$0
Minimum employer required contribution for this plan year	2015-12-31	$482,982
Amount contributed by the employer to the plan for this plan year	2015-12-31	$482,982
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Administrative expenses (other) incurred	2015-12-31	$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$210,635
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,216,869
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,006,234
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,379,270
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,212,175
Interest earned on other investments	2015-12-31	$26,728
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,837,599
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,794,059
Net investment gain/loss from pooled separate accounts	2015-12-31	$4,640
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$482,982
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$303,615
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CERINI AND ASSOCIATES
Accountancy firm EIN	2015-12-31	113066459
2014 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$774,197
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$408,383
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$408,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$442,639
Value of total assets at end of year	2014-12-31	$6,006,234
Value of total assets at beginning of year	2014-12-31	$5,640,420
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$100
Total interest from all sources	2014-12-31	$26,625
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Administrative expenses (other) incurred	2014-12-31	$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$365,814
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,006,234
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,640,420
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,212,175
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,953,198
Interest earned on other investments	2014-12-31	$26,625
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,794,059
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,687,222
Net investment gain/loss from pooled separate accounts	2014-12-31	$304,933
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$442,639
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$408,283
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CERINI AND ASSOCIATES, LLP
Accountancy firm EIN	2014-12-31	113066459
2013 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,233,917
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$327,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$327,646
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$412,955
Value of total assets at end of year	2013-12-31	$5,640,420
Value of total assets at beginning of year	2013-12-31	$4,734,349
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$200
Total interest from all sources	2013-12-31	$27,713
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$510,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Administrative expenses (other) incurred	2013-12-31	$200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$906,071
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,640,420
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,734,349
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$3,953,198
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$3,071,856
Interest earned on other investments	2013-12-31	$27,713
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,687,222
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,662,493
Net investment gain/loss from pooled separate accounts	2013-12-31	$793,249
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$412,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$327,646
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CERINI AND ASSOCIATES, LLP
Accountancy firm EIN	2013-12-31	113066459
2012 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$347,955
Total unrealized appreciation/depreciation of assets	2012-12-31	$347,955
Total income from all sources (including contributions)	2012-12-31	$773,976
Total of all expenses incurred	2012-12-31	$199,026
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$198,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$400,218
Value of total assets at end of year	2012-12-31	$4,734,349
Value of total assets at beginning of year	2012-12-31	$4,159,399
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$200
Total interest from all sources	2012-12-31	$25,803
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$510,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Administrative expenses (other) incurred	2012-12-31	$200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$574,950
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,734,349
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,159,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,071,856
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,627,985
Income. Interest from US Government securities	2012-12-31	$25,803
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,662,493
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,531,414
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$74,485
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$400,218
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$124,341
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	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	LOEB & TROPER LLP
Accountancy firm EIN	2012-12-31	131517563
2011 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-33,337
Total unrealized appreciation/depreciation of assets	2011-12-31	$-33,337
Total income from all sources (including contributions)	2011-12-31	$332,951
Total of all expenses incurred	2011-12-31	$232,370
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$232,070
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$366,288
Value of total assets at end of year	2011-12-31	$4,159,399
Value of total assets at beginning of year	2011-12-31	$4,058,818
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$510,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Administrative expenses (other) incurred	2011-12-31	$300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$100,581
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,159,399
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,058,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,627,985
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,595,973
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,531,414
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,462,845
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$44,597
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$366,288
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$187,473
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	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	LOEB & TROPER LLP
Accountancy firm EIN	2011-12-31	131517563
2010 : VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$382,011
Total unrealized appreciation/depreciation of assets	2010-12-31	$382,011
Total income from all sources (including contributions)	2010-12-31	$724,710
Total of all expenses incurred	2010-12-31	$367,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$367,483
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$342,699
Value of total assets at end of year	2010-12-31	$4,058,818
Value of total assets at beginning of year	2010-12-31	$3,701,591
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$510,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$357,227
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,058,818
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,701,591
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,595,973
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,356,105
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,462,845
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,345,486
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$35,007
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$342,699
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$332,476
Contract administrator fees	2010-12-31	$0
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	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LOEB & TROPER LLP
Accountancy firm EIN	2010-12-31	131517563

Form 5500 Responses for VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN

2019: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: VISITING NURSE SERVICE & HOSPICE OF SUFFOLK, INC. EMPLOYEE RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

012253A

Policy instance

Insurance contract or identification number	012253A
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-02-28
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?	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

012253-A

Policy instance

Insurance contract or identification number	012253-A
Number of Individuals Covered	75
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $713
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	713
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

012253A

Policy instance

Insurance contract or identification number	012253A
Number of Individuals Covered	203
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $583
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	583
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	LONG ISLAND REGIONAL OFFICE

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

Policy contract number

012253A

Policy instance

Insurance contract or identification number	012253A
Number of Individuals Covered	192
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of fees paid to insurance company	USD $414
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
Amount paid for insurance broker fees	414
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	LONG ISLAND REGIONAL OFFICE

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

Policy contract number

012253-A

Policy instance

Insurance contract or identification number	012253-A
Number of Individuals Covered	185
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $821
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	821
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	LONG ISLAND REGIONAL OFFICE

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

Policy contract number

012253A

Policy instance

Insurance contract or identification number	012253A
Number of Individuals Covered	175
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $376
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	376
Additional information about fees paid to insurance broker	PORTION OF INVESTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	LONG ISLAND REGIONAL OFFICE

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

Policy contract number

012253-A

Policy instance

Insurance contract or identification number	012253-A
Number of Individuals Covered	179
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $41
Total amount of fees paid to insurance company	USD $418
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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	165
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	3
Insurance broker name	STEPHEN DUGANIERI

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

Policy contract number

012253-A

Policy instance

Insurance contract or identification number	012253-A
Number of Individuals Covered	175
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $950
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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

012253-A

Policy instance

Insurance contract or identification number	012253-A
Number of Individuals Covered	176
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $926
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK, INC.
Employer identification number (EIN):	111722477
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1952-03-13
Company Identification Number:	77585
Legal Registered Office Address:	505 MAIN STREET Suffolk NORTHPORT United States of America (USA) 11768