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EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 401k Plan overview

Plan NameEZRAS CHOILIM HEALTH CENTER 403(B) PLAN
Plan identification number 002

EZRAS CHOILIM HEALTH CENTER 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

EZRAS CHOILIM HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name:EZRAS CHOILIM HEALTH CENTER
Employer identification number (EIN):133595755
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EZRAS CHOILIM HEALTH CENTER 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01JOEL MITTELMAN2024-05-21
0022022-01-01
0022022-01-01JOEL MITTELMAN
0022021-01-01
0022021-01-01JOEL MITTELMAN
0022020-01-01
0022019-04-01

Financial Data on EZRAS CHOILIM HEALTH CENTER 403(B) PLAN

Measure Date Value
2025 : EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2025 401k financial data
Total liabilities as of the end of the plan year2025-07-2122490
Total liabilities as of the beginning of the plan year2025-07-210
Total expenses incurred by plan in this plan year2025-07-21867935
Net assets as of the end of the plan year2025-07-218997720
Total assets as of the beginning of the plan year2025-07-217669546
Value of plan covered by a fidelity bond2025-07-21500000
Participant contributions to plan in this plan year2025-07-21850414
Value of participant loans at end of plan year2025-07-21105470
Other expenses paid from plan in this plan year2025-07-210
Other contributions to plan in this plan year2025-07-2153873
Other income to plan in this plan year2025-07-211269332
Plan net income in this plan year2025-07-211305684
Net assets as of the end of the plan year2025-07-218975230
Net assets as of the beginning of the plan year2025-07-217669546
Employer contributions to plan in this plan year2025-07-210
Fees paid to broker by Benefit Provider2025-07-21458
Expensese paid to adminstrative service provicers from plan in this plan year2025-07-2162448
2024 : EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2024 401k financial data
Total liabilities as of the end of the plan year2024-05-210
Total liabilities as of the beginning of the plan year2024-05-210
Total expenses incurred by plan in this plan year2024-05-21199909
Net assets as of the end of the plan year2024-05-217669546
Total assets as of the beginning of the plan year2024-05-215800249
Value of plan covered by a fidelity bond2024-05-21500000
Participant contributions to plan in this plan year2024-05-21788031
Value of participant loans at end of plan year2024-05-2145885
Other contributions to plan in this plan year2024-05-21137025
Other income to plan in this plan year2024-05-211144150
Plan net income in this plan year2024-05-211869297
Net assets as of the end of the plan year2024-05-217669546
Net assets as of the beginning of the plan year2024-05-215800249
Fees paid to broker by Benefit Provider2024-05-21508
Expensese paid to adminstrative service provicers from plan in this plan year2024-05-2148177
2022 : EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-303,659
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$126,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$84,394
Expenses. Certain deemed distributions of participant loans2022-12-31$1,335
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$714,724
Value of total assets at end of year2022-12-31$5,800,249
Value of total assets at beginning of year2022-12-31$6,230,280
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$40,643
Total interest from all sources2022-12-31$18,315
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$83,904
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$83,904
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$704,271
Participant contributions at end of year2022-12-31$76,071
Participant contributions at beginning of year2022-12-31$92,857
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$10,453
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-430,031
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,800,249
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,230,280
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,759,557
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$5,355,935
Interest on participant loans2022-12-31$4,446
Interest earned on other investments2022-12-31$13,869
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$964,621
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$781,488
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,120,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$84,394
Contract administrator fees2022-12-31$40,643
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31COHNREZNICK LLP
Accountancy firm EIN2022-12-31221478099
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$-303,659
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$126,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$84,394
Expenses. Certain deemed distributions of participant loans2022-01-01$1,335
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$714,724
Value of total assets at end of year2022-01-01$5,800,249
Value of total assets at beginning of year2022-01-01$6,230,280
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$40,643
Total interest from all sources2022-01-01$18,315
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$83,904
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$83,904
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$704,271
Participant contributions at end of year2022-01-01$76,071
Participant contributions at beginning of year2022-01-01$92,857
Participant contributions at end of year2022-01-01$0
Participant contributions at beginning of year2022-01-01$0
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$10,453
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-430,031
Value of net assets at end of year (total assets less liabilities)2022-01-01$5,800,249
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$6,230,280
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$4,759,557
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$5,355,935
Interest on participant loans2022-01-01$4,446
Interest earned on other investments2022-01-01$13,869
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$964,621
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$781,488
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-1,120,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$84,394
Contract administrator fees2022-01-01$40,643
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01COHNREZNICK LLP
Accountancy firm EIN2022-01-01221478099
2021 : EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,426,158
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$140,453
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$100,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$646,789
Value of total assets at end of year2021-12-31$6,230,280
Value of total assets at beginning of year2021-12-31$4,944,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$39,632
Total interest from all sources2021-12-31$15,847
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$75,566
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$75,566
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$646,789
Participant contributions at end of year2021-12-31$92,857
Participant contributions at beginning of year2021-12-31$84,675
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$19,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,285,705
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,230,280
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,944,575
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$5,355,935
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$4,126,519
Interest on participant loans2021-12-31$4,330
Interest earned on other investments2021-12-31$11,517
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$781,488
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$714,097
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$687,956
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$100,821
Contract administrator fees2021-12-31$39,632
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31COHNREZNICK LLP
Accountancy firm EIN2021-12-31221478099
2020 : EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,213,812
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$39,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,996
Value of total corrective distributions2020-12-31$6,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$640,574
Value of total assets at end of year2020-12-31$4,944,575
Value of total assets at beginning of year2020-12-31$3,769,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$29,430
Total interest from all sources2020-12-31$16,321
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$57,863
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$57,863
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$584,439
Participant contributions at end of year2020-12-31$84,675
Participant contributions at beginning of year2020-12-31$43,774
Participant contributions at end of year2020-12-31$19,284
Participant contributions at beginning of year2020-12-31$27,000
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$56,135
Other income not declared elsewhere2020-12-31$89
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,174,739
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,944,575
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,769,836
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$4,126,519
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,100,865
Interest on participant loans2020-12-31$3,394
Interest earned on other investments2020-12-31$12,927
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$714,097
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$598,197
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$498,965
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,996
Contract administrator fees2020-12-31$29,430
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31COHNREZNICK LLP
Accountancy firm EIN2020-12-31221478099
2019 : EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$3,788,169
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$18,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,486,990
Value of total assets at end of year2019-12-31$3,769,836
Value of total assets at beginning of year2019-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$17,219
Total interest from all sources2019-12-31$11,417
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$49,896
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$49,896
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$350,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$385,055
Participant contributions at end of year2019-12-31$43,774
Participant contributions at beginning of year2019-12-31$0
Participant contributions at end of year2019-12-31$27,000
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$3,101,935
Other income not declared elsewhere2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,769,836
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,769,836
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,100,865
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Interest on participant loans2019-12-31$2,366
Interest earned on other investments2019-12-31$9,051
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$598,197
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$239,866
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,114
Contract administrator fees2019-12-31$17,219
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31COHNREZNICK LLP
Accountancy firm EIN2019-12-31221478099

Form 5500 Responses for EZRAS CHOILIM HEALTH CENTER 403(B) PLAN

2022: EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: EZRAS CHOILIM HEALTH CENTER 403(B) PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01First time form 5500 has been submittedYes
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered313
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $430
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1

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