401k Plan data: CENTER FOR NURSING AND REHABILITATION PENSION PLAN plan

CENTER FOR NURSING AND REHABILITATION PENSION PLAN 401k Plan overview

Plan Name	CENTER FOR NURSING AND REHABILITATION PENSION PLAN
Plan identification number	002

CENTER FOR NURSING AND REHABILITATION PENSION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CENTERLIGHT HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: CENTERLIGHT HEALTH SYSTEM

Employer identification number (EIN): 113313588

NAIC Classification: 624310
NAIC Description: Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTER FOR NURSING AND REHABILITATION PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 CATHERINE GORIS 2023-08-14
002 2021-01-01 CATHERINE GORIS 2022-10-17
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2018-01-01
002 2016-01-01 DEBRA TIRADO
002 2015-01-01 MARY SHINHAM
002 2014-01-01 GLENN COUROUNIS
002 2013-01-01 PETER FRAGALE
002 2012-01-01 PETER FRAGALE
002 2011-01-01 PETER FRAGALE
002 2010-01-01 PETER FRAGALE
002 2009-01-01 PETER FRAGALE PETER FRAGALE 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	CATHERINE GORIS	2023-08-14
002	2021-01-01	CATHERINE GORIS	2022-10-17
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2018-01-01
002	2016-01-01	DEBRA TIRADO
002	2015-01-01	MARY SHINHAM
002	2014-01-01	GLENN COUROUNIS
002	2013-01-01	PETER FRAGALE
002	2012-01-01	PETER FRAGALE
002	2011-01-01	PETER FRAGALE
002	2010-01-01	PETER FRAGALE
002	2009-01-01	PETER FRAGALE		PETER FRAGALE	2010-10-14

Plan Statistics for CENTER FOR NURSING AND REHABILITATION PENSION PLAN

401k plan membership statisitcs for CENTER FOR NURSING AND REHABILITATION PENSION PLAN

Measure Date Value
2020: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 8
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 9
Total of all active and inactive participants 2020-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 18
Number of participants with account balances 2020-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 68
Number of retired or separated participants receiving benefits 2019-01-01 5
Number of other retired or separated participants entitled to future benefits 2019-01-01 79
Total of all active and inactive participants 2019-01-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 3
Total participants 2019-01-01 155
Number of participants with account balances 2019-01-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 66
Number of retired or separated participants receiving benefits 2018-01-01 6
Number of other retired or separated participants entitled to future benefits 2018-01-01 71
Total of all active and inactive participants 2018-01-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 144
Number of participants with account balances 2018-01-01 144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2016: CENTER FOR NURSING AND REHABILITATION PENSION 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 92
Number of retired or separated participants receiving benefits 2016-01-01 9
Number of other retired or separated participants entitled to future benefits 2016-01-01 85
Total of all active and inactive participants 2016-01-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 187
Number of participants with account balances 2016-01-01 187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 97
Number of retired or separated participants receiving benefits 2015-01-01 8
Number of other retired or separated participants entitled to future benefits 2015-01-01 87
Total of all active and inactive participants 2015-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
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 0
2014: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 112
Number of retired or separated participants receiving benefits 2014-01-01 7
Number of other retired or separated participants entitled to future benefits 2014-01-01 84
Total of all active and inactive participants 2014-01-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 204
Number of participants with account balances 2014-01-01 204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 203
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 105
Number of retired or separated participants receiving benefits 2013-01-01 7
Number of other retired or separated participants entitled to future benefits 2013-01-01 81
Total of all active and inactive participants 2013-01-01 193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 2
Total participants 2013-01-01 195
Number of participants with account balances 2013-01-01 195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 230
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 113
Number of retired or separated participants receiving benefits 2012-01-01 6
Number of other retired or separated participants entitled to future benefits 2012-01-01 83
Total of all active and inactive participants 2012-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 203
Number of participants with account balances 2012-01-01 203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 128
Number of retired or separated participants receiving benefits 2011-01-01 7
Number of other retired or separated participants entitled to future benefits 2011-01-01 94
Total of all active and inactive participants 2011-01-01 229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 230
Number of participants with account balances 2011-01-01 230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 136
Number of retired or separated participants receiving benefits 2010-01-01 4
Number of other retired or separated participants entitled to future benefits 2010-01-01 98
Total of all active and inactive participants 2010-01-01 238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 238
Number of participants with account balances 2010-01-01 238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 150
Number of retired or separated participants receiving benefits 2009-01-01 5
Number of other retired or separated participants entitled to future benefits 2009-01-01 92
Total of all active and inactive participants 2009-01-01 247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 247
Number of participants with account balances 2009-01-01 244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2020: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	8
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	9
Total of all active and inactive participants	2020-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	18
Number of participants with account balances	2020-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	68
Number of retired or separated participants receiving benefits	2019-01-01	5
Number of other retired or separated participants entitled to future benefits	2019-01-01	79
Total of all active and inactive participants	2019-01-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	3
Total participants	2019-01-01	155
Number of participants with account balances	2019-01-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	66
Number of retired or separated participants receiving benefits	2018-01-01	6
Number of other retired or separated participants entitled to future benefits	2018-01-01	71
Total of all active and inactive participants	2018-01-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	144
Number of participants with account balances	2018-01-01	144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2016: CENTER FOR NURSING AND REHABILITATION PENSION 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	92
Number of retired or separated participants receiving benefits	2016-01-01	9
Number of other retired or separated participants entitled to future benefits	2016-01-01	85
Total of all active and inactive participants	2016-01-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	187
Number of participants with account balances	2016-01-01	187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	97
Number of retired or separated participants receiving benefits	2015-01-01	8
Number of other retired or separated participants entitled to future benefits	2015-01-01	87
Total of all active and inactive participants	2015-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
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	0
2014: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	112
Number of retired or separated participants receiving benefits	2014-01-01	7
Number of other retired or separated participants entitled to future benefits	2014-01-01	84
Total of all active and inactive participants	2014-01-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	204
Number of participants with account balances	2014-01-01	204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	203
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	105
Number of retired or separated participants receiving benefits	2013-01-01	7
Number of other retired or separated participants entitled to future benefits	2013-01-01	81
Total of all active and inactive participants	2013-01-01	193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	2
Total participants	2013-01-01	195
Number of participants with account balances	2013-01-01	195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	230
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	113
Number of retired or separated participants receiving benefits	2012-01-01	6
Number of other retired or separated participants entitled to future benefits	2012-01-01	83
Total of all active and inactive participants	2012-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	203
Number of participants with account balances	2012-01-01	203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	128
Number of retired or separated participants receiving benefits	2011-01-01	7
Number of other retired or separated participants entitled to future benefits	2011-01-01	94
Total of all active and inactive participants	2011-01-01	229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	230
Number of participants with account balances	2011-01-01	230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	136
Number of retired or separated participants receiving benefits	2010-01-01	4
Number of other retired or separated participants entitled to future benefits	2010-01-01	98
Total of all active and inactive participants	2010-01-01	238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	238
Number of participants with account balances	2010-01-01	238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	150
Number of retired or separated participants receiving benefits	2009-01-01	5
Number of other retired or separated participants entitled to future benefits	2009-01-01	92
Total of all active and inactive participants	2009-01-01	247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	247
Number of participants with account balances	2009-01-01	244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CENTER FOR NURSING AND REHABILITATION PENSION PLAN

Measure	Date	Value
2020 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$772,183
Total of all expenses incurred	2020-12-31	$4,399,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$4,385,780
Value of total assets at end of year	2020-12-31	$767,993
Value of total assets at beginning of year	2020-12-31	$4,395,356
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$13,766
Total interest from all sources	2020-12-31	$36,465
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$26,369
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$26,369
Administrative expenses professional fees incurred	2020-12-31	$10,000
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2020-12-31	$0
Minimum employer required contribution for this plan year	2020-12-31	$0
Amount contributed by the employer to the plan for this plan year	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Administrative expenses (other) incurred	2020-12-31	$3,766
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-3,627,363
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$767,993
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$4,395,356
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,527,716
Value of interest in pooled separate accounts at end of year	2020-12-31	$273,948
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$232,973
Interest earned on other investments	2020-12-31	$36,465
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$494,045
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,634,667
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$668,007
Net investment gain/loss from pooled separate accounts	2020-12-31	$41,342
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$4,385,780
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	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2020-12-31	271728945
2019 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$702,975
Total of all expenses incurred	2019-12-31	$539,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$518,551
Value of total assets at end of year	2019-12-31	$4,395,356
Value of total assets at end of year	2019-12-31	$4,395,356
Value of total assets at beginning of year	2019-12-31	$4,231,978
Value of total assets at beginning of year	2019-12-31	$4,231,978
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$21,046
Total interest from all sources	2019-12-31	$41,915
Total interest from all sources	2019-12-31	$41,915
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$27,392
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$27,392
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$27,392
Administrative expenses professional fees incurred	2019-12-31	$17,300
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2019-12-31	$0
Minimum employer required contribution for this plan year	2019-12-31	$0
Amount contributed by the employer to the plan for this plan year	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$3,746
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$163,378
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$4,395,356
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$4,395,356
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,231,978
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,231,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,527,716
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,527,716
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,147,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,147,261
Value of interest in pooled separate accounts at end of year	2019-12-31	$232,973
Value of interest in pooled separate accounts at end of year	2019-12-31	$232,973
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$186,032
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$186,032
Interest earned on other investments	2019-12-31	$41,915
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,634,667
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,634,667
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,898,685
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,898,685
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$585,928
Net investment gain/loss from pooled separate accounts	2019-12-31	$47,740
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$518,551
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	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	PFK O'CONNOR DAVIES, LLP
Accountancy firm EIN	2019-12-31	271728945
2018 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$-22,845
Total of all expenses incurred	2018-12-31	$559,850
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$548,414
Value of total assets at end of year	2018-12-31	$4,231,978
Value of total assets at beginning of year	2018-12-31	$4,814,673
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$11,436
Total interest from all sources	2018-12-31	$44,598
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$27,900
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$27,900
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
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
Funding deficiency by the employer to the plan for this plan year	2018-12-31	$0
Minimum employer required contribution for this plan year	2018-12-31	$0
Amount contributed by the employer to the plan for this plan year	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$5,710
Administrative expenses (other) incurred	2018-12-31	$11,436
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	$-582,695
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,231,978
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,814,673
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	$2,147,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,621,070
Value of interest in pooled separate accounts at end of year	2018-12-31	$186,032
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$202,402
Interest on participant loans	2018-12-31	$39
Interest earned on other investments	2018-12-31	$44,559
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$1,898,685
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$1,985,491
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-80,965
Net investment gain/loss from pooled separate accounts	2018-12-31	$-14,378
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$548,414
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	2018-12-31	No
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	PKF O'CONNOR DAVIES LLP
Accountancy firm EIN	2018-12-31	271728945
2016 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$249,770
Total of all expenses incurred	2016-12-31	$310,891
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$306,794
Value of total assets at end of year	2016-12-31	$6,222,017
Value of total assets at beginning of year	2016-12-31	$6,283,138
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$4,097
Total interest from all sources	2016-12-31	$60,058
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$39,692
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$39,692
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
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	$0
Minimum employer required contribution for this plan year	2016-12-31	$0
Amount contributed by the employer to the plan for this plan year	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Participant contributions at end of year	2016-12-31	$6,289
Participant contributions at beginning of year	2016-12-31	$7,568
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$4,097
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	$-61,121
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$6,222,017
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,283,138
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 registered invesment companies (eg mutual funds) at end of year	2016-12-31	$3,283,278
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,243,374
Value of interest in pooled separate accounts at end of year	2016-12-31	$168,025
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$630,579
Interest on participant loans	2016-12-31	$617
Interest earned on other investments	2016-12-31	$59,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$2,764,425
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$2,401,617
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$150,020
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$306,794
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	2016-12-31	No
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	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2016-12-31	271728945
2015 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$86,483
Total of all expenses incurred	2015-12-31	$1,336,699
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,250,073
Value of total assets at end of year	2015-12-31	$6,283,138
Value of total assets at beginning of year	2015-12-31	$7,533,354
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$86,626
Total interest from all sources	2015-12-31	$57,528
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$40,091
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$40,091
Administrative expenses professional fees incurred	2015-12-31	$10,200
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
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	$0
Amount contributed by the employer to the plan for this plan year	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Participant contributions at end of year	2015-12-31	$7,568
Participant contributions at beginning of year	2015-12-31	$10,121
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$7,676
Total non interest bearing cash at beginning of year	2015-12-31	$31,250
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	$-1,250,216
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,283,138
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$7,533,354
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
Investment advisory and management fees	2015-12-31	$68,750
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,243,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,739,616
Value of interest in pooled separate accounts at end of year	2015-12-31	$630,579
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$3,215,829
Interest on participant loans	2015-12-31	$781
Interest earned on other investments	2015-12-31	$56,747
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$2,401,617
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$536,538
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-20,929
Net investment gain/loss from pooled separate accounts	2015-12-31	$9,793
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,250,073
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	2015-12-31	No
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	LOEB & TROPER LLP.
Accountancy firm EIN	2015-12-31	131517563
2014 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$376,882
Total of all expenses incurred	2014-12-31	$405,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$233,143
Value of total assets at end of year	2014-12-31	$7,533,354
Value of total assets at beginning of year	2014-12-31	$7,561,720
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$172,105
Total interest from all sources	2014-12-31	$16,481
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$59,079
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$59,079
Administrative expenses professional fees incurred	2014-12-31	$20,400
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Participant contributions at end of year	2014-12-31	$10,121
Participant contributions at beginning of year	2014-12-31	$12,791
Administrative expenses (other) incurred	2014-12-31	$1,705
Total non interest bearing cash at end of year	2014-12-31	$31,250
Total non interest bearing cash at beginning of year	2014-12-31	$31,250
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	$-28,366
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,533,354
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$7,561,720
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
Investment advisory and management fees	2014-12-31	$150,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,739,616
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,468,952
Value of interest in pooled separate accounts at end of year	2014-12-31	$3,215,829
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,386,115
Interest on participant loans	2014-12-31	$980
Interest earned on other investments	2014-12-31	$15,501
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$536,538
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$662,612
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$238,418
Net investment gain/loss from pooled separate accounts	2014-12-31	$62,904
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$233,143
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	2014-12-31	No
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	LOEB & TROPER LLP.
Accountancy firm EIN	2014-12-31	131517563
2013 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$846,418
Total of all expenses incurred	2013-12-31	$735,554
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$725,629
Value of total assets at end of year	2013-12-31	$7,561,720
Value of total assets at beginning of year	2013-12-31	$7,450,856
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$9,925
Total interest from all sources	2013-12-31	$17,193
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$55,928
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$55,928
Administrative expenses professional fees incurred	2013-12-31	$9,900
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
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
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Participant contributions at end of year	2013-12-31	$12,791
Participant contributions at beginning of year	2013-12-31	$36,562
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$692
Administrative expenses (other) incurred	2013-12-31	$25
Total non interest bearing cash at end of year	2013-12-31	$31,250
Total non interest bearing cash at beginning of year	2013-12-31	$31,250
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	$110,864
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$7,561,720
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$7,450,856
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 registered invesment companies (eg mutual funds) at end of year	2013-12-31	$3,468,952
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,999,135
Value of interest in pooled separate accounts at end of year	2013-12-31	$3,386,115
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$3,714,882
Interest on participant loans	2013-12-31	$1,296
Interest earned on other investments	2013-12-31	$15,897
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$662,612
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$668,335
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$704,445
Net investment gain/loss from pooled separate accounts	2013-12-31	$68,852
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$725,629
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
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	LOEB & TROPER LLP.
Accountancy firm EIN	2013-12-31	131517563
2012 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$477,315
Total of all expenses incurred	2012-12-31	$266,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$252,770
Value of total assets at end of year	2012-12-31	$7,450,856
Value of total assets at beginning of year	2012-12-31	$7,239,692
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$13,381
Total interest from all sources	2012-12-31	$18,302
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$48,886
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$48,886
Administrative expenses professional fees incurred	2012-12-31	$9,500
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Participant contributions at end of year	2012-12-31	$36,562
Participant contributions at beginning of year	2012-12-31	$51,329
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$692
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$205
Administrative expenses (other) incurred	2012-12-31	$3,881
Total non interest bearing cash at end of year	2012-12-31	$31,250
Total non interest bearing cash at beginning of year	2012-12-31	$6,250
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	$211,164
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$7,450,856
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,239,692
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	$2,999,135
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,773,517
Value of interest in pooled separate accounts at end of year	2012-12-31	$3,714,882
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,797,501
Interest on participant loans	2012-12-31	$3,568
Interest earned on other investments	2012-12-31	$14,734
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$668,335
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$610,890
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$339,833
Net investment gain/loss from pooled separate accounts	2012-12-31	$70,294
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$252,770
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 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$16,966
Total of all expenses incurred	2011-12-31	$287,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$277,734
Expenses. Certain deemed distributions of participant loans	2011-12-31	$6,171
Value of total assets at end of year	2011-12-31	$7,239,692
Value of total assets at beginning of year	2011-12-31	$7,509,825
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,194
Total interest from all sources	2011-12-31	$72,441
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$46,830
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$46,830
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Participant contributions at end of year	2011-12-31	$51,329
Participant contributions at beginning of year	2011-12-31	$101,512
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$205
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$2,009
Administrative expenses (other) incurred	2011-12-31	$3,194
Total non interest bearing cash at end of year	2011-12-31	$6,250
Total non interest bearing cash at beginning of year	2011-12-31	$6,250
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	$-270,133
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,239,692
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,509,825
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	$2,773,517
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,057,606
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,797,501
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$3,705,487
Interest on participant loans	2011-12-31	$5,092
Interest earned on other investments	2011-12-31	$67,349
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$610,890
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$636,961
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-109,959
Net investment gain/loss from pooled separate accounts	2011-12-31	$7,654
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$277,734
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 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$530,653
Total of all expenses incurred	2010-12-31	$358,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$314,463
Expenses. Certain deemed distributions of participant loans	2010-12-31	$33,016
Value of total assets at end of year	2010-12-31	$7,509,825
Value of total assets at beginning of year	2010-12-31	$7,337,926
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$11,275
Total interest from all sources	2010-12-31	$27,800
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$60,257
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$60,257
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Participant contributions at end of year	2010-12-31	$101,512
Participant contributions at beginning of year	2010-12-31	$159,572
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$2,009
Administrative expenses (other) incurred	2010-12-31	$11,275
Total non interest bearing cash at end of year	2010-12-31	$6,250
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	$171,899
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$7,509,825
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,337,926
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	$3,057,606
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,647,839
Value of interest in pooled separate accounts at end of year	2010-12-31	$3,705,487
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$3,889,293
Interest on participant loans	2010-12-31	$13,198
Interest earned on other investments	2010-12-31	$14,602
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$636,961
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$641,222
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$316,956
Net investment gain/loss from pooled separate accounts	2010-12-31	$125,640
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$314,463
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	Yes
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
2009 : CENTER FOR NURSING AND REHABILITATION PENSION PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for CENTER FOR NURSING AND REHABILITATION PENSION PLAN

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

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

007110

Policy instance

Insurance contract or identification number	007110
Number of Individuals Covered	18
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

007110

Policy instance

Insurance contract or identification number	007110
Number of Individuals Covered	19
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	137
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	137
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

007110

Policy instance

Insurance contract or identification number	007110
Number of Individuals Covered	20
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	144
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	144
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	173
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

007110

Policy instance

Insurance contract or identification number	007110
Number of Individuals Covered	19
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

608

Policy instance

Insurance contract or identification number	608
Number of Individuals Covered	173
Insurance policy start date	2015-03-26
Insurance policy end date	2015-12-31
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	186
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

007110

Policy instance

Insurance contract or identification number	007110
Number of Individuals Covered	20
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

007110

Policy instance

Insurance contract or identification number	007110
Number of Individuals Covered	20
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	082
Number of Individuals Covered	2725
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 $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $14,305,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	203
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

004479

Policy instance

Insurance contract or identification number	004479
Number of Individuals Covered	21
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of fees paid to insurance company	USD $1,065
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
Amount paid for insurance broker fees	1065
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PROVIDER
Insurance broker name	NFP INSURANCE SERVICES, INC.

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

007110

Policy instance

Insurance contract or identification number	007110
Number of Individuals Covered	20
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of fees paid to insurance company	USD $1,079
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	213
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
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

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

007110

Policy instance

Insurance contract or identification number	007110
Number of Individuals Covered	22
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of fees paid to insurance company	USD $1,081
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080219

Policy instance

Insurance contract or identification number	TT080219
Number of Individuals Covered	219
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $787
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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Company Name:	CENTERLIGHT HEALTH SYSTEM
Employer identification number (EIN):	113313588
NAIC Classification:	624310
NAIC Description:	Vocational Rehabilitation Services