401k Plan data: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN plan

CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 401k Plan overview

Plan Name	CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN
Plan identification number	010

CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HEALTH INSURANCE PLAN OF GREATER NEW YORK has sponsored the creation of one or more 401k plans.

Company Name: HEALTH INSURANCE PLAN OF GREATER NEW YORK

Employer identification number (EIN): 131828429

NAIC Classification: 524140

Additional information about HEALTH INSURANCE PLAN OF GREATER NEW YORK

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1944-10-05

Company Identification Number: 44664

Legal Registered Office Address: ATTENTION: GENERAL COUNSEL
55 WATER STREET
NEW YORK
United States of America (USA)
10041

More information about HEALTH INSURANCE PLAN OF GREATER NEW YORK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
010 2013-01-01 MYRON SPEKTOR MICHAEL PALMATEER 2014-06-06
010 2012-01-01 PATRICIA GRANNUM
010 2011-01-01 PATRICIA GRANNUM JOAN RUBY 2012-10-11
010 2010-01-01 PATRICIA GRANNUM JOAN RUBY 2012-10-11
010 2009-01-01 PATRICIA GRANNUM RACHEL AMALFITANO 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
010	2013-01-01	MYRON SPEKTOR	MICHAEL PALMATEER	2014-06-06
010	2012-01-01	PATRICIA GRANNUM
010	2011-01-01	PATRICIA GRANNUM	JOAN RUBY	2012-10-11
010	2010-01-01	PATRICIA GRANNUM	JOAN RUBY	2012-10-11
010	2009-01-01	PATRICIA GRANNUM	RACHEL AMALFITANO	2010-10-11

Plan Statistics for CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN

401k plan membership statisitcs for CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN

Measure Date Value
2013: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 19
Total of all active and inactive participants 2012-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 19
Number of participants with account balances 2012-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 18
Total of all active and inactive participants 2011-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 18
Number of participants with account balances 2011-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 32
Total of all active and inactive participants 2010-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 32
Number of participants with account balances 2010-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 28
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 19
Total of all active and inactive participants 2009-01-01 47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 47
Number of participants with account balances 2009-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	19
Total of all active and inactive participants	2012-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	19
Number of participants with account balances	2012-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	18
Total of all active and inactive participants	2011-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	18
Number of participants with account balances	2011-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	32
Total of all active and inactive participants	2010-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	32
Number of participants with account balances	2010-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	28
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	19
Total of all active and inactive participants	2009-01-01	47
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	47
Number of participants with account balances	2009-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN

Measure	Date	Value
2013 : CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2013 401k financial data
Transfers to/from the plan	2013-09-30	$0
Total income from all sources	2013-09-30	$31,287
Expenses. Total of all expenses incurred	2013-09-30	$780,519
Benefits paid (including direct rollovers)	2013-09-30	$779,410
Total plan assets at end of year	2013-09-30	$0
Total plan assets at beginning of year	2013-09-30	$749,232
Value of fidelity bond covering the plan	2013-09-30	$250,000
Other income received	2013-09-30	$31,287
Net income (gross income less expenses)	2013-09-30	$-749,232
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$749,232
Expenses. Administrative service providers (salaries,fees and commissions)	2013-09-30	$1,109
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Funding deficiency by the employer to the plan for this plan year	2013-09-30	$0
Minimum employer required contribution for this plan year	2013-09-30	$0
Amount contributed by the employer to the plan for this plan year	2013-09-30	$0
2012 : CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$79,692
Expenses. Total of all expenses incurred	2012-12-31	$2,700
Total plan assets at end of year	2012-12-31	$749,232
Total plan assets at beginning of year	2012-12-31	$672,240
Value of fidelity bond covering the plan	2012-12-31	$250,000
Other income received	2012-12-31	$79,692
Net income (gross income less expenses)	2012-12-31	$76,992
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$749,232
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$672,240
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,700
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
2011 : CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$808
Total income from all sources	2011-12-31	$28,144
Expenses. Total of all expenses incurred	2011-12-31	$627,826
Benefits paid (including direct rollovers)	2011-12-31	$624,569
Total plan assets at end of year	2011-12-31	$672,240
Total plan assets at beginning of year	2011-12-31	$1,272,730
Value of fidelity bond covering the plan	2011-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Other income received	2011-12-31	$28,144
Net income (gross income less expenses)	2011-12-31	$-599,682
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$672,240
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,271,922
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,257
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
2010 : CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$808
Total plan liabilities at beginning of year	2010-12-31	$9,268
Total income from all sources	2010-12-31	$167,155
Expenses. Total of all expenses incurred	2010-12-31	$1,059,619
Benefits paid (including direct rollovers)	2010-12-31	$1,032,362
Total plan assets at end of year	2010-12-31	$1,272,730
Total plan assets at beginning of year	2010-12-31	$2,173,654
Value of fidelity bond covering the plan	2010-12-31	$250,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$167,155
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$-892,464
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,271,922
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,164,386
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$27,257
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
2009 : CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE 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 CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN

2013: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: CENTRALIZED LABORATORY SERVICES, INC. MONEY PURCHASE 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HEALTH INSURANCE PLAN OF GREATER NEW YORK
Employer identification number (EIN):	131828429
NAIC Classification:	524140

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1944-10-05
Company Identification Number:	44664
Legal Registered Office Address:	ATTENTION: GENERAL COUNSEL 55 WATER STREET NEW YORK United States of America (USA) 10041