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RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 401k Plan overview

Plan NameRETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME
Plan identification number 001

RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • 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.
  • 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

COBBLE HILL HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:COBBLE HILL HEALTH CENTER, INC.
Employer identification number (EIN):112388200
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about COBBLE HILL HEALTH CENTER, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1976-05-05
Company Identification Number: 398920
Legal Registered Office Address: 380 HENRY STREET
Kings
BROOKLYN
United States of America (USA)
11201

More information about COBBLE HILL HEALTH CENTER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01NEIL SCHLISSEL2019-10-07
0012017-01-01NEIL SCHLISSEL
0012016-01-01NEIL SCHLISSEL
0012015-01-01ALAN GROSS
0012014-01-01ALAN GROSS
0012013-01-01ALAN GROSS
0012012-01-01ALAN GROSS
0012011-01-01ALAN GROSS
0012009-01-01ALAN GROSS

Plan Statistics for RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME

401k plan membership statisitcs for RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME

Measure Date Value
2023: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2023 401k membership
Total participants, beginning-of-year2023-01-01142
Total number of active participants reported on line 7a of the Form 55002023-01-0174
Number of retired or separated participants receiving benefits2023-01-0172
Total of all active and inactive participants2023-01-01146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01146
Number of participants with account balances2023-01-01145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-015
2022: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2022 401k membership
Total participants, beginning-of-year2022-01-01145
Total number of active participants reported on line 7a of the Form 55002022-01-0171
Number of other retired or separated participants entitled to future benefits2022-01-0171
Total of all active and inactive participants2022-01-01142
Total participants2022-01-01142
Number of participants with account balances2022-01-01136
2021: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2021 401k membership
Total participants, beginning-of-year2021-01-01156
Total number of active participants reported on line 7a of the Form 55002021-01-0171
Number of retired or separated participants receiving benefits2021-01-0115
Number of other retired or separated participants entitled to future benefits2021-01-0158
Total of all active and inactive participants2021-01-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01144
Number of participants with account balances2021-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-014
2020: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2020 401k membership
Total participants, beginning-of-year2020-01-01172
Total number of active participants reported on line 7a of the Form 55002020-01-0181
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-0174
Total of all active and inactive participants2020-01-01158
Total participants2020-01-01158
Number of participants with account balances2020-01-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014
2019: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2019 401k membership
Total participants, beginning-of-year2019-01-01164
Total number of active participants reported on line 7a of the Form 55002019-01-0185
Number of retired or separated participants receiving benefits2019-01-013
Number of other retired or separated participants entitled to future benefits2019-01-0172
Total of all active and inactive participants2019-01-01160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01160
Number of participants with account balances2019-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-015
2018: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2018 401k membership
Total participants, beginning-of-year2018-01-01158
Total number of active participants reported on line 7a of the Form 55002018-01-0169
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0177
Total of all active and inactive participants2018-01-01148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01148
Number of participants with account balances2018-01-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-015
2017: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2017 401k membership
Total participants, beginning-of-year2017-01-01160
Total number of active participants reported on line 7a of the Form 55002017-01-0199
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-0157
Total of all active and inactive participants2017-01-01158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01158
Number of participants with account balances2017-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2016 401k membership
Total participants, beginning-of-year2016-01-01161
Total number of active participants reported on line 7a of the Form 55002016-01-01104
Number of other retired or separated participants entitled to future benefits2016-01-0155
Total of all active and inactive participants2016-01-01159
Total participants2016-01-01159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-015
2015: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2015 401k membership
Total participants, beginning-of-year2015-01-01174
Total number of active participants reported on line 7a of the Form 55002015-01-01104
Number of other retired or separated participants entitled to future benefits2015-01-0163
Total of all active and inactive participants2015-01-01167
Total participants2015-01-01167
Number of participants with account balances2015-01-01166
2014: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2014 401k membership
Total participants, beginning-of-year2014-01-01160
Total number of active participants reported on line 7a of the Form 55002014-01-0181
Number of other retired or separated participants entitled to future benefits2014-01-0181
Total of all active and inactive participants2014-01-01162
Total participants2014-01-01162
Number of participants with account balances2014-01-01162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2013 401k membership
Total participants, beginning-of-year2013-01-01155
Total number of active participants reported on line 7a of the Form 55002013-01-01133
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-0119
Total of all active and inactive participants2013-01-01153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01153
Number of participants with account balances2013-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2012 401k membership
Total participants, beginning-of-year2012-01-01146
Total number of active participants reported on line 7a of the Form 55002012-01-01105
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-0149
Total of all active and inactive participants2012-01-01155
Total participants2012-01-01155
Number of participants with account balances2012-01-01155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2011 401k membership
Total participants, beginning-of-year2011-01-01146
Total number of active participants reported on line 7a of the Form 55002011-01-01102
Number of retired or separated participants receiving benefits2011-01-0144
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01146
Number of participants with account balances2011-01-01146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2009 401k membership
Total participants, beginning-of-year2009-01-01151
Total number of active participants reported on line 7a of the Form 55002009-01-01104
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0135
Total of all active and inactive participants2009-01-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01139
Number of participants with account balances2009-01-01139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME

Measure Date Value
2023 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2023 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$9,662
Total income from all sources (including contributions)2023-12-31$1,831,877
Total of all expenses incurred2023-12-31$479,638
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$475,361
Expenses. Certain deemed distributions of participant loans2023-12-31$1,368
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$724,447
Value of total assets at end of year2023-12-31$10,140,370
Value of total assets at beginning of year2023-12-31$8,797,793
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$2,909
Total interest from all sources2023-12-31$7,208
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Participant contributions at end of year2023-12-31$91,270
Participant contributions at beginning of year2023-12-31$143,654
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$9,662
Other income not declared elsewhere2023-12-31$87,506
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,352,239
Value of net assets at end of year (total assets less liabilities)2023-12-31$10,140,370
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$8,788,131
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in pooled separate accounts at end of year2023-12-31$6,358,317
Value of interest in pooled separate accounts at beginning of year2023-12-31$5,129,068
Interest on participant loans2023-12-31$7,208
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$2,966,336
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$2,759,067
Net investment gain/loss from pooled separate accounts2023-12-31$1,012,716
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$724,447
Employer contributions (assets) at end of year2023-12-31$724,447
Employer contributions (assets) at beginning of year2023-12-31$766,004
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$475,361
Contract administrator fees2023-12-31$2,909
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31FASTEN HALBERSTAM
Accountancy firm EIN2023-12-31472319109
2022 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$9,662
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$10,966
Total income from all sources (including contributions)2022-12-31$-956,899
Total of all expenses incurred2022-12-31$1,144,375
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,127,945
Expenses. Certain deemed distributions of participant loans2022-12-31$14,295
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$748,851
Value of total assets at end of year2022-12-31$8,797,793
Value of total assets at beginning of year2022-12-31$10,900,371
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,135
Total interest from all sources2022-12-31$5,064
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Participant contributions at end of year2022-12-31$143,654
Participant contributions at beginning of year2022-12-31$70,363
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$9,662
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$10,966
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,101,274
Value of net assets at end of year (total assets less liabilities)2022-12-31$8,788,131
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,889,405
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$5,129,068
Value of interest in pooled separate accounts at beginning of year2022-12-31$7,118,400
Interest on participant loans2022-12-31$5,064
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,759,067
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$3,123,783
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$86,227
Net investment gain/loss from pooled separate accounts2022-12-31$-1,797,041
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$748,851
Employer contributions (assets) at end of year2022-12-31$766,004
Employer contributions (assets) at beginning of year2022-12-31$587,825
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,127,945
Contract administrator fees2022-12-31$2,135
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FASTEN HALBERSTAM
Accountancy firm EIN2022-12-31472319109
2021 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$10,966
Total income from all sources (including contributions)2021-12-31$1,162,716
Total of all expenses incurred2021-12-31$690,955
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$689,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$737,312
Value of total assets at end of year2021-12-31$10,900,371
Value of total assets at beginning of year2021-12-31$10,417,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,838
Total interest from all sources2021-12-31$5,729
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Participant contributions at end of year2021-12-31$70,363
Participant contributions at beginning of year2021-12-31$114,550
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$10,966
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$471,761
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,889,405
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,417,644
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$7,118,400
Value of interest in pooled separate accounts at beginning of year2021-12-31$6,208,053
Interest on participant loans2021-12-31$5,729
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$3,123,783
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$3,874,342
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$89,926
Net investment gain/loss from pooled separate accounts2021-12-31$329,749
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$737,312
Employer contributions (assets) at end of year2021-12-31$587,825
Employer contributions (assets) at beginning of year2021-12-31$220,699
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$689,117
Contract administrator fees2021-12-31$1,838
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2021-12-31472319109
2020 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,951,821
Total of all expenses incurred2020-12-31$4,050,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,046,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$699,661
Value of total assets at end of year2020-12-31$10,417,644
Value of total assets at beginning of year2020-12-31$12,516,087
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,501
Total interest from all sources2020-12-31$8,156
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Participant contributions at end of year2020-12-31$114,550
Participant contributions at beginning of year2020-12-31$225,811
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$2,130
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-2,098,443
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,417,644
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$12,516,087
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$6,208,053
Value of interest in pooled separate accounts at beginning of year2020-12-31$7,716,211
Interest on participant loans2020-12-31$8,156
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$3,874,342
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$4,321,101
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,136,174
Net investment gain or loss from common/collective trusts2020-12-31$107,830
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$697,531
Employer contributions (assets) at end of year2020-12-31$220,699
Employer contributions (assets) at beginning of year2020-12-31$252,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,046,763
Contract administrator fees2020-12-31$3,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2020-12-31472319109
2019 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$2,408,603
Total of all expenses incurred2019-12-31$1,215,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,211,381
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$746,214
Value of total assets at end of year2019-12-31$12,516,087
Value of total assets at beginning of year2019-12-31$11,322,730
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,865
Total interest from all sources2019-12-31$14,545
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$0
Administrative expenses professional fees incurred2019-12-31$3,865
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$0
Participant contributions at end of year2019-12-31$225,811
Participant contributions at beginning of year2019-12-31$327,817
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,193,357
Value of net assets at end of year (total assets less liabilities)2019-12-31$12,516,087
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,322,730
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$7,716,211
Value of interest in pooled separate accounts at beginning of year2019-12-31$6,566,913
Interest on participant loans2019-12-31$14,545
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$4,321,101
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$4,239,109
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,647,844
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$746,214
Employer contributions (assets) at end of year2019-12-31$252,964
Employer contributions (assets) at beginning of year2019-12-31$188,891
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,211,381
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440150260
2018 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2018 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$22,758
Total income from all sources (including contributions)2018-12-31$183,946
Total of all expenses incurred2018-12-31$1,691,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,687,756
Expenses. Certain deemed distributions of participant loans2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$644,085
Value of total assets at end of year2018-12-31$11,322,730
Value of total assets at beginning of year2018-12-31$12,853,249
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,951
Total interest from all sources2018-12-31$8,992
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 year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$0
Administrative expenses professional fees incurred2018-12-31$3,951
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$0
Participant contributions at end of year2018-12-31$327,817
Participant contributions at beginning of year2018-12-31$286,006
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$22,758
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,507,761
Value of net assets at end of year (total assets less liabilities)2018-12-31$11,322,730
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$12,830,491
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$6,566,913
Value of interest in pooled separate accounts at beginning of year2018-12-31$7,415,569
Interest on participant loans2018-12-31$8,992
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$4,239,109
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$4,905,227
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-469,131
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$644,085
Employer contributions (assets) at end of year2018-12-31$188,891
Employer contributions (assets) at beginning of year2018-12-31$246,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,687,756
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440150260
2017 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$22,758
Total income from all sources (including contributions)2017-12-31$2,165,677
Total of all expenses incurred2017-12-31$2,772,952
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,768,782
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$869,488
Value of total assets at end of year2017-12-31$12,853,249
Value of total assets at beginning of year2017-12-31$13,437,766
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$4,170
Total interest from all sources2017-12-31$11,665
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 year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$0
Participant contributions at end of year2017-12-31$286,006
Participant contributions at beginning of year2017-12-31$290,922
Participant contributions at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$22,758
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-607,275
Value of net assets at end of year (total assets less liabilities)2017-12-31$12,830,491
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,437,766
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$7,415,569
Value of interest in pooled separate accounts at beginning of year2017-12-31$7,163,830
Interest on participant loans2017-12-31$11,665
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$4,905,227
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$5,791,341
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,284,524
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$869,488
Employer contributions (assets) at end of year2017-12-31$246,447
Employer contributions (assets) at beginning of year2017-12-31$191,673
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,768,782
Contract administrator fees2017-12-31$4,170
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31LOEB & TROPER, LLP
Accountancy firm EIN2017-12-31131517563
2016 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$1,520,258
Total of all expenses incurred2016-12-31$583,368
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$580,430
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$832,806
Value of total assets at end of year2016-12-31$13,437,766
Value of total assets at beginning of year2016-12-31$12,500,876
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,938
Total interest from all sources2016-12-31$11,383
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$2,938
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Participant contributions at end of year2016-12-31$290,922
Participant contributions at beginning of year2016-12-31$343,081
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$936,890
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,437,766
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$12,500,876
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$7,163,830
Value of interest in pooled separate accounts at beginning of year2016-12-31$6,754,386
Interest on participant loans2016-12-31$11,383
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$5,791,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$5,217,211
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$676,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$832,806
Employer contributions (assets) at end of year2016-12-31$191,673
Employer contributions (assets) at beginning of year2016-12-31$186,198
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$580,430
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31LOEB & TROPER, LLP
Accountancy firm EIN2016-12-31131517563
2015 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$893,859
Total of all expenses incurred2015-12-31$721,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$717,459
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$747,017
Value of total assets at end of year2015-12-31$12,500,876
Value of total assets at beginning of year2015-12-31$12,328,676
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,200
Total interest from all sources2015-12-31$15,965
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$4,200
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Participant contributions at end of year2015-12-31$343,081
Participant contributions at beginning of year2015-12-31$435,464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$172,200
Value of net assets at end of year (total assets less liabilities)2015-12-31$12,500,876
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$12,328,676
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$6,754,386
Value of interest in pooled separate accounts at beginning of year2015-12-31$6,680,732
Interest on participant loans2015-12-31$15,965
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$5,217,211
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$5,036,100
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-29,105
Net investment gain/loss from pooled separate accounts2015-12-31$159,982
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$747,017
Employer contributions (assets) at end of year2015-12-31$186,198
Employer contributions (assets) at beginning of year2015-12-31$176,380
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$717,459
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31LOEB & TROPER, LLP
Accountancy firm EIN2015-12-31131517563
2014 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,373,238
Total of all expenses incurred2014-12-31$1,141,670
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,139,040
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$733,315
Value of total assets at end of year2014-12-31$12,328,676
Value of total assets at beginning of year2014-12-31$12,097,108
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,630
Total interest from all sources2014-12-31$16,086
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Participant contributions at end of year2014-12-31$435,464
Participant contributions at beginning of year2014-12-31$457,410
Administrative expenses (other) incurred2014-12-31$2,630
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$231,568
Value of net assets at end of year (total assets less liabilities)2014-12-31$12,328,676
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$12,097,108
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$6,680,732
Value of interest in pooled separate accounts at beginning of year2014-12-31$6,211,669
Interest on participant loans2014-12-31$16,086
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$5,036,100
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$5,174,500
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$420,115
Net investment gain/loss from pooled separate accounts2014-12-31$203,722
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$733,315
Employer contributions (assets) at end of year2014-12-31$176,380
Employer contributions (assets) at beginning of year2014-12-31$253,529
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,139,040
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31LOEB & TROPER, LLP
Accountancy firm EIN2014-12-31131517563
2013 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$1,789,093
Total of all expenses incurred2013-12-31$586,545
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$584,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$855,219
Value of total assets at end of year2013-12-31$12,097,108
Value of total assets at beginning of year2013-12-31$10,894,560
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,535
Total interest from all sources2013-12-31$18,215
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Participant contributions at end of year2013-12-31$457,410
Participant contributions at beginning of year2013-12-31$466,624
Other income not declared elsewhere2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,202,548
Value of net assets at end of year (total assets less liabilities)2013-12-31$12,097,108
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$10,894,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$2,535
Value of interest in pooled separate accounts at end of year2013-12-31$6,211,669
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,833,177
Interest on participant loans2013-12-31$18,215
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$5,174,500
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$5,399,895
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,068,767
Net investment gain/loss from pooled separate accounts2013-12-31$-153,108
Net investment gain or loss from common/collective trusts2013-12-31$0
Net gain/loss from 103.12 investment entities2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$855,219
Employer contributions (assets) at end of year2013-12-31$253,529
Employer contributions (assets) at beginning of year2013-12-31$194,864
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$584,010
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31LOEB & TROPER LLP
Accountancy firm EIN2013-12-31131517563
2012 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$2,087,394
Total of all expenses incurred2012-12-31$736,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$734,613
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$812,918
Value of total assets at end of year2012-12-31$10,894,560
Value of total assets at beginning of year2012-12-31$9,543,454
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,675
Total interest from all sources2012-12-31$15,839
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$0
Participant contributions at end of year2012-12-31$466,624
Participant contributions at beginning of year2012-12-31$424,809
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Income. Non cash contributions2012-12-31$0
Value of net income/loss2012-12-31$1,351,106
Value of net assets at end of year (total assets less liabilities)2012-12-31$10,894,560
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$9,543,454
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$4,833,177
Value of interest in pooled separate accounts at beginning of year2012-12-31$3,918,674
Income. Interest from loans (other than to participants)2012-12-31$15,839
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$5,399,895
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$5,009,305
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$145,631
Net investment gain/loss from pooled separate accounts2012-12-31$1,113,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Value of employer real property at beginning of year2012-12-31$0
Contributions received in cash from employer2012-12-31$812,918
Employer contributions (assets) at end of year2012-12-31$194,864
Employer contributions (assets) at beginning of year2012-12-31$190,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$734,613
Contract administrator fees2012-12-31$1,675
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31LOEB & TROPER LLP
Accountancy firm EIN2012-12-31131517563
2011 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$0
Total unrealized appreciation/depreciation of assets2011-12-31$0
Expenses. Interest paid2011-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022011-12-31$0
Total income from all sources (including contributions)2011-12-31$792,997
Total of all expenses incurred2011-12-31$186,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$183,294
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$776,490
Value of total assets at end of year2011-12-31$9,543,454
Value of total assets at beginning of year2011-12-31$8,937,301
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,550
Total interest from all sources2011-12-31$13,912
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Participant contributions at end of year2011-12-31$424,809
Participant contributions at beginning of year2011-12-31$299,198
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Other income not declared elsewhere2011-12-31$0
Administrative expenses (other) incurred2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$606,153
Value of net assets at end of year (total assets less liabilities)2011-12-31$9,543,454
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$8,937,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$0
Value of interest in pooled separate accounts at end of year2011-12-31$3,918,674
Value of interest in pooled separate accounts at beginning of year2011-12-31$3,918,138
Interest on participant loans2011-12-31$13,912
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$5,009,305
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$4,498,485
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$2,595
Net investment gain/loss from pooled separate accounts2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Value of employer real property at end of year2011-12-31$0
Contributions received in cash from employer2011-12-31$776,490
Employer contributions (assets) at end of year2011-12-31$190,666
Employer contributions (assets) at beginning of year2011-12-31$221,480
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$183,294
Contract administrator fees2011-12-31$3,550
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31LOEB & TROPER LLP
Accountancy firm EIN2011-12-31131517563
2010 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$1,431,686
Total of all expenses incurred2010-12-31$360,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$344,617
Expenses. Certain deemed distributions of participant loans2010-12-31$13,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$840,822
Value of total assets at end of year2010-12-31$8,937,301
Value of total assets at beginning of year2010-12-31$7,865,978
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,950
Total interest from all sources2010-12-31$11,848
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at end of year2010-12-31$299,198
Participant contributions at beginning of year2010-12-31$267,064
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$44,362
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$14,926
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,071,323
Value of net assets at end of year (total assets less liabilities)2010-12-31$8,937,301
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$7,865,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$3,918,138
Value of interest in pooled separate accounts at beginning of year2010-12-31$3,101,203
Interest on participant loans2010-12-31$11,848
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$4,498,485
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$4,234,494
Net investment gain/loss from pooled separate accounts2010-12-31$579,016
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$796,460
Employer contributions (assets) at end of year2010-12-31$221,480
Employer contributions (assets) at beginning of year2010-12-31$248,291
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$344,617
Contract administrator fees2010-12-31$1,950
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31LOEB & TROPER LLP
Accountancy firm EIN2010-12-31131517563
2009 : RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME

2023: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: RETIREMENT PLAN FOR EMPLOYEES OF COBBLE HILL NURSING HOME 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered143
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $22,131
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 numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $23,723
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,723
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered129
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $25,342
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,342
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered181
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $26,539
Total amount of fees paid to insurance companyUSD $5,493
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,539
Insurance broker organization code?3
Amount paid for insurance broker fees5493
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered150
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $28,336
Total amount of fees paid to insurance companyUSD $5,639
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,336
Insurance broker organization code?3
Amount paid for insurance broker fees5639
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered156
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $29,374
Total amount of fees paid to insurance companyUSD $6,001
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,374
Insurance broker organization code?3
Amount paid for insurance broker fees4536
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 2
Insurance contract or identification numberPH9413
Number of Individuals Covered172
Total amount of commissions paid to insurance brokerUSD $10,579
Total amount of fees paid to insurance companyUSD $1,575
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,579
Insurance broker organization code?3
Amount paid for insurance broker fees1575
Insurance broker nameINTAC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered164
Insurance policy start date2017-04-21
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $21,663
Total amount of fees paid to insurance companyUSD $4,847
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,663
Insurance broker organization code?3
Amount paid for insurance broker fees4847
Insurance broker nameINTAC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $34,973
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $29,158
Insurance broker organization code?3
Insurance broker nameINTAC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered165
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $28,430
Total amount of fees paid to insurance companyUSD $5,624
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $28,430
Insurance broker organization code?3
Amount paid for insurance broker fees5624
Insurance broker nameINTAC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $25,991
Total amount of fees paid to insurance companyUSD $5,095
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $25,991
Insurance broker organization code?5
Amount paid for insurance broker fees5095
Insurance broker nameHARRY ROSENBERG
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered146
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $23,305
Total amount of fees paid to insurance companyUSD $4,597
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,305
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?5
Insurance broker nameHARRY ROSENBERG
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered146
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $18,334
Are there contracts with unallocated funds for contracts of type 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 numberPH9413
Policy instance 1
Insurance contract or identification numberPH9413
Number of Individuals Covered146
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,381
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type 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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