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NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 401k Plan overview

Plan NameNYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN
Plan identification number 002

NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN Benefits

401k Plan TypeDefined 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.

401k Sponsoring company profile

BOARD OF TRUSTEES NYSA-ILA MED AND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES NYSA-ILA MED AND
Employer identification number (EIN):136320346
NAIC Classification:483000
NAIC Description: Water Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01JOHN NARDI & HAROLD J. DAGGETT
0022016-01-01JOHN NARDI & HAROLD J. DAGGETT
0022015-01-01JOHN NARDI & HAROLD J. DAGGETT
0022014-01-01JOHN NARDI & HAROLD J. DAGGETT
0022013-01-01JOHN NARDI & HAROLD DAGGETT
0022012-01-01JOHN NARDI & HAROLD DAGGETT
0022011-01-01JOSEPH CURTO HAROLD J DAGGETT
0022010-01-01JOSEPH CURTO HAROLD J DAGGETT
0022009-01-01JOSEPH CURTO HAROLD J DAGGETT

Plan Statistics for NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN

401k plan membership statisitcs for NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN

Measure Date Value
2022: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01141
Total number of active participants reported on line 7a of the Form 55002022-01-0165
Number of retired or separated participants receiving benefits2022-01-013
Number of other retired or separated participants entitled to future benefits2022-01-0167
Total of all active and inactive participants2022-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-016
Total participants2022-01-01141
Number of participants with account balances2022-01-01141
2021: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01143
Total number of active participants reported on line 7a of the Form 55002021-01-0165
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-0167
Total of all active and inactive participants2021-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-016
Total participants2021-01-01141
Number of participants with account balances2021-01-01141
2020: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01142
Total number of active participants reported on line 7a of the Form 55002020-01-0165
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-0171
Total of all active and inactive participants2020-01-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-014
Total participants2020-01-01143
Number of participants with account balances2020-01-01143
2019: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01135
Total number of active participants reported on line 7a of the Form 55002019-01-0162
Number of retired or separated participants receiving benefits2019-01-013
Number of other retired or separated participants entitled to future benefits2019-01-0173
Total of all active and inactive participants2019-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-014
Total participants2019-01-01142
Number of participants with account balances2019-01-01142
2018: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01157
Total number of active participants reported on line 7a of the Form 55002018-01-0161
Number of retired or separated participants receiving benefits2018-01-014
Number of other retired or separated participants entitled to future benefits2018-01-0169
Total of all active and inactive participants2018-01-01134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01135
Number of participants with account balances2018-01-01135
2017: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01154
Total number of active participants reported on line 7a of the Form 55002017-01-0161
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-0192
Total of all active and inactive participants2017-01-01156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01157
Number of participants with account balances2017-01-01157
2016: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01159
Total number of active participants reported on line 7a of the Form 55002016-01-0165
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-0187
Total of all active and inactive participants2016-01-01154
Total participants2016-01-01154
Number of participants with account balances2016-01-01154
2015: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01165
Total number of active participants reported on line 7a of the Form 55002015-01-0167
Number of retired or separated participants receiving benefits2015-01-0112
Number of other retired or separated participants entitled to future benefits2015-01-0180
Total of all active and inactive participants2015-01-01159
Total participants2015-01-01159
Number of participants with account balances2015-01-01159
2014: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01163
Total number of active participants reported on line 7a of the Form 55002014-01-0161
Number of retired or separated participants receiving benefits2014-01-0116
Number of other retired or separated participants entitled to future benefits2014-01-0188
Total of all active and inactive participants2014-01-01165
Total participants2014-01-01165
Number of participants with account balances2014-01-01165
2013: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01162
Total number of active participants reported on line 7a of the Form 55002013-01-0158
Number of retired or separated participants receiving benefits2013-01-0116
Number of other retired or separated participants entitled to future benefits2013-01-0189
Total of all active and inactive participants2013-01-01163
Total participants2013-01-01163
Number of participants with account balances2013-01-01163
2012: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01158
Total number of active participants reported on line 7a of the Form 55002012-01-0155
Number of retired or separated participants receiving benefits2012-01-0115
Number of other retired or separated participants entitled to future benefits2012-01-0192
Total of all active and inactive participants2012-01-01162
Total participants2012-01-01162
Number of participants with account balances2012-01-01162
2011: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01167
Total number of active participants reported on line 7a of the Form 55002011-01-0152
Number of retired or separated participants receiving benefits2011-01-0114
Number of other retired or separated participants entitled to future benefits2011-01-0192
Total of all active and inactive participants2011-01-01158
Total participants2011-01-01158
Number of participants with account balances2011-01-01158
2010: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01166
Total number of active participants reported on line 7a of the Form 55002010-01-0153
Number of retired or separated participants receiving benefits2010-01-0112
Number of other retired or separated participants entitled to future benefits2010-01-01102
Total of all active and inactive participants2010-01-01167
Total participants2010-01-01167
Number of participants with account balances2010-01-01167
2009: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01188
Total number of active participants reported on line 7a of the Form 55002009-01-0156
Number of retired or separated participants receiving benefits2009-01-0110
Number of other retired or separated participants entitled to future benefits2009-01-01100
Total of all active and inactive participants2009-01-01166
Total participants2009-01-01166
Number of participants with account balances2009-01-01166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN

Measure Date Value
2022 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-945,134
Total unrealized appreciation/depreciation of assets2022-12-31$-945,134
Total income from all sources (including contributions)2022-12-31$799,952
Total of all expenses incurred2022-12-31$1,310,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,310,301
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,035,533
Value of total assets at end of year2022-12-31$24,471,123
Value of total assets at beginning of year2022-12-31$24,981,472
Total interest from all sources2022-12-31$699,978
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$252,489
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$771,758
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-510,349
Value of net assets at end of year (total assets less liabilities)2022-12-31$24,471,123
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$24,981,472
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$3,873,300
Value of interest in pooled separate accounts at beginning of year2022-12-31$4,617,071
Interest earned on other investments2022-12-31$699,978
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$20,521,525
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$20,287,618
Net investment gain/loss from pooled separate accounts2022-12-31$9,575
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$783,044
Employer contributions (assets) at end of year2022-12-31$76,298
Employer contributions (assets) at beginning of year2022-12-31$76,783
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$538,543
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
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 name2022-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2022-12-31200609534
2021 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$453,962
Total unrealized appreciation/depreciation of assets2021-12-31$453,962
Total income from all sources (including contributions)2021-12-31$2,319,723
Total of all expenses incurred2021-12-31$669,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$669,637
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,055,019
Value of total assets at end of year2021-12-31$24,981,472
Value of total assets at beginning of year2021-12-31$23,331,386
Total interest from all sources2021-12-31$695,351
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$250,074
Participant contributions at beginning of year2021-12-31$4,730
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$249,976
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$1,650,086
Value of net assets at end of year (total assets less liabilities)2021-12-31$24,981,472
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$23,331,386
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$4,617,071
Value of interest in pooled separate accounts at beginning of year2021-12-31$3,683,753
Interest earned on other investments2021-12-31$695,351
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$20,287,618
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$19,568,451
Net investment gain/loss from pooled separate accounts2021-12-31$115,391
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$804,945
Employer contributions (assets) at end of year2021-12-31$76,783
Employer contributions (assets) at beginning of year2021-12-31$74,452
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$419,661
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
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 name2021-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2021-12-31200609534
2020 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$517,011
Total unrealized appreciation/depreciation of assets2020-12-31$517,011
Total income from all sources (including contributions)2020-12-31$2,321,352
Total of all expenses incurred2020-12-31$584,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$578,009
Value of total corrective distributions2020-12-31$6,923
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$961,341
Value of total assets at end of year2020-12-31$23,331,386
Value of total assets at beginning of year2020-12-31$21,594,966
Total interest from all sources2020-12-31$652,306
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$251,107
Participant contributions at end of year2020-12-31$4,730
Participant contributions at beginning of year2020-12-31$3,140
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$11,901
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$1,736,420
Value of net assets at end of year (total assets less liabilities)2020-12-31$23,331,386
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$21,594,966
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$3,683,753
Value of interest in pooled separate accounts at beginning of year2020-12-31$3,439,158
Interest earned on other investments2020-12-31$652,306
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$19,568,451
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$18,098,222
Net investment gain/loss from pooled separate accounts2020-12-31$190,694
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$710,234
Employer contributions (assets) at end of year2020-12-31$74,452
Employer contributions (assets) at beginning of year2020-12-31$54,446
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$566,108
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2020-12-31200609534
2019 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$512,342
Total unrealized appreciation/depreciation of assets2019-12-31$512,342
Total income from all sources (including contributions)2019-12-31$2,097,341
Total of all expenses incurred2019-12-31$786,214
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$761,235
Value of total corrective distributions2019-12-31$24,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$942,786
Value of total assets at end of year2019-12-31$21,594,966
Value of total assets at beginning of year2019-12-31$20,283,839
Total interest from all sources2019-12-31$631,428
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$266,120
Participant contributions at end of year2019-12-31$3,140
Participant contributions at beginning of year2019-12-31$2,424
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$7,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,311,127
Value of net assets at end of year (total assets less liabilities)2019-12-31$21,594,966
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$20,283,839
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$3,439,158
Value of interest in pooled separate accounts at beginning of year2019-12-31$2,011,721
Interest earned on other investments2019-12-31$631,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$18,098,222
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$18,221,566
Net investment gain/loss from pooled separate accounts2019-12-31$10,785
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$676,666
Employer contributions (assets) at end of year2019-12-31$54,446
Employer contributions (assets) at beginning of year2019-12-31$48,128
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$753,317
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2019-12-31200609534
2018 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-188,745
Total unrealized appreciation/depreciation of assets2018-12-31$-188,745
Total income from all sources (including contributions)2018-12-31$1,344,607
Total of all expenses incurred2018-12-31$1,055,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,055,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$917,222
Value of total assets at end of year2018-12-31$20,283,839
Value of total assets at beginning of year2018-12-31$19,994,804
Total interest from all sources2018-12-31$617,191
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$268,304
Participant contributions at end of year2018-12-31$2,424
Participant contributions at beginning of year2018-12-31$2,725
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$9,653
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$289,035
Value of net assets at end of year (total assets less liabilities)2018-12-31$20,283,839
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$19,994,804
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$2,011,721
Value of interest in pooled separate accounts at beginning of year2018-12-31$2,364,116
Interest earned on other investments2018-12-31$617,191
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$18,221,566
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$17,577,384
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,061
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$648,918
Employer contributions (assets) at end of year2018-12-31$48,128
Employer contributions (assets) at beginning of year2018-12-31$50,579
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,045,919
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2018-12-31200609534
2017 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$270,979
Total unrealized appreciation/depreciation of assets2017-12-31$270,979
Total income from all sources (including contributions)2017-12-31$1,902,296
Total of all expenses incurred2017-12-31$987,316
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$987,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,003,886
Value of total assets at end of year2017-12-31$19,994,804
Value of total assets at beginning of year2017-12-31$19,079,824
Total interest from all sources2017-12-31$623,027
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$261,375
Participant contributions at end of year2017-12-31$2,725
Participant contributions at beginning of year2017-12-31$3,969
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$450,916
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$914,980
Value of net assets at end of year (total assets less liabilities)2017-12-31$19,994,804
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$19,079,824
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$2,364,116
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,243,381
Interest earned on other investments2017-12-31$623,027
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$17,577,384
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$17,773,243
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$4,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$742,511
Employer contributions (assets) at end of year2017-12-31$50,579
Employer contributions (assets) at beginning of year2017-12-31$59,231
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$536,400
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2017-12-31200609534
2016 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$350,574
Total unrealized appreciation/depreciation of assets2016-12-31$350,574
Total income from all sources (including contributions)2016-12-31$2,017,589
Total of all expenses incurred2016-12-31$496,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$496,269
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$982,996
Value of total assets at end of year2016-12-31$19,079,824
Value of total assets at beginning of year2016-12-31$17,558,504
Total interest from all sources2016-12-31$617,826
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$45
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$45
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$331,445
Participant contributions at end of year2016-12-31$3,969
Participant contributions at beginning of year2016-12-31$4,168
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$269,531
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,521,320
Value of net assets at end of year (total assets less liabilities)2016-12-31$19,079,824
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$17,558,504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$993,234
Value of interest in pooled separate accounts at end of year2016-12-31$1,243,381
Value of interest in pooled separate accounts at beginning of year2016-12-31$81,882
Interest earned on other investments2016-12-31$617,826
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$17,773,243
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$16,421,951
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$66,148
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$651,551
Employer contributions (assets) at end of year2016-12-31$59,231
Employer contributions (assets) at beginning of year2016-12-31$57,269
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$226,738
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2016-12-31200609534
2015 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-3,005
Total unrealized appreciation/depreciation of assets2015-12-31$-3,005
Total income from all sources (including contributions)2015-12-31$1,415,047
Total of all expenses incurred2015-12-31$566,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$565,858
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$809,817
Value of total assets at end of year2015-12-31$17,558,504
Value of total assets at beginning of year2015-12-31$16,709,834
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$519
Total interest from all sources2015-12-31$599,391
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$11,998
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$11,998
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$227,721
Participant contributions at end of year2015-12-31$4,168
Participant contributions at beginning of year2015-12-31$7,739
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$353,697
Administrative expenses (other) incurred2015-12-31$519
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$848,670
Value of net assets at end of year (total assets less liabilities)2015-12-31$17,558,504
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$16,709,834
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,075,116
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,037,519
Interest earned on other investments2015-12-31$599,391
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$16,421,951
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$15,611,467
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-3,154
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$582,096
Employer contributions (assets) at end of year2015-12-31$57,269
Employer contributions (assets) at beginning of year2015-12-31$53,109
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$212,161
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2015-12-31200609534
2014 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$48,811
Total unrealized appreciation/depreciation of assets2014-12-31$48,811
Total income from all sources (including contributions)2014-12-31$1,388,576
Total of all expenses incurred2014-12-31$1,301,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,301,862
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$735,943
Value of total assets at end of year2014-12-31$16,709,834
Value of total assets at beginning of year2014-12-31$16,623,220
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$100
Total interest from all sources2014-12-31$592,529
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$11,293
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$11,293
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$201,690
Participant contributions at end of year2014-12-31$7,739
Participant contributions at beginning of year2014-12-31$1,009
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$214,911
Administrative expenses (other) incurred2014-12-31$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$86,614
Value of net assets at end of year (total assets less liabilities)2014-12-31$16,709,834
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$16,623,220
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,037,519
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$949,165
Interest earned on other investments2014-12-31$592,529
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$15,611,467
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$15,636,383
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$534,253
Employer contributions (assets) at end of year2014-12-31$53,109
Employer contributions (assets) at beginning of year2014-12-31$36,663
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,086,951
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2014-12-31200609534
2013 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$159,452
Total unrealized appreciation/depreciation of assets2013-12-31$159,452
Total income from all sources (including contributions)2013-12-31$1,390,692
Total of all expenses incurred2013-12-31$890,078
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$890,003
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$641,982
Value of total assets at end of year2013-12-31$16,623,220
Value of total assets at beginning of year2013-12-31$16,122,606
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$75
Total interest from all sources2013-12-31$576,138
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$13,120
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$13,120
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$179,901
Participant contributions at end of year2013-12-31$1,009
Participant contributions at beginning of year2013-12-31$6,874
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$506,314
Administrative expenses (other) incurred2013-12-31$75
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$500,614
Value of net assets at end of year (total assets less liabilities)2013-12-31$16,623,220
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$16,122,606
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$949,165
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$998,117
Interest earned on other investments2013-12-31$576,138
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$15,636,383
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$15,082,148
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$462,081
Employer contributions (assets) at end of year2013-12-31$36,663
Employer contributions (assets) at beginning of year2013-12-31$35,467
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$383,689
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2013-12-31200609534
2012 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$68,938
Total unrealized appreciation/depreciation of assets2012-12-31$68,938
Total income from all sources (including contributions)2012-12-31$1,256,203
Total of all expenses incurred2012-12-31$373,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$373,115
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$614,876
Value of total assets at end of year2012-12-31$16,122,606
Value of total assets at beginning of year2012-12-31$15,239,539
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$21
Total interest from all sources2012-12-31$556,742
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$15,647
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$15,647
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$177,827
Participant contributions at end of year2012-12-31$6,874
Participant contributions at beginning of year2012-12-31$5,351
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$233,594
Administrative expenses (other) incurred2012-12-31$21
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$883,067
Value of net assets at end of year (total assets less liabilities)2012-12-31$16,122,606
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$15,239,539
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$998,117
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$767,624
Interest earned on other investments2012-12-31$556,742
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$15,082,148
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$14,428,567
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$437,049
Employer contributions (assets) at end of year2012-12-31$35,467
Employer contributions (assets) at beginning of year2012-12-31$37,997
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$139,521
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2012-12-31200609534
2011 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-8,556
Total unrealized appreciation/depreciation of assets2011-12-31$-8,556
Total income from all sources (including contributions)2011-12-31$1,084,353
Total of all expenses incurred2011-12-31$519,869
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$519,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$550,518
Value of total assets at end of year2011-12-31$15,239,539
Value of total assets at beginning of year2011-12-31$14,675,055
Total interest from all sources2011-12-31$528,080
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$14,311
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$14,311
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$153,666
Participant contributions at end of year2011-12-31$5,351
Participant contributions at beginning of year2011-12-31$4,895
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$366,639
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$564,484
Value of net assets at end of year (total assets less liabilities)2011-12-31$15,239,539
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$14,675,055
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$767,624
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$824,549
Interest earned on other investments2011-12-31$528,080
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$14,428,567
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$13,810,905
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$396,852
Employer contributions (assets) at end of year2011-12-31$37,997
Employer contributions (assets) at beginning of year2011-12-31$34,706
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$153,230
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2011-12-31200609534
2010 : NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$73,587
Total unrealized appreciation/depreciation of assets2010-12-31$73,587
Total income from all sources (including contributions)2010-12-31$1,069,211
Total of all expenses incurred2010-12-31$155,716
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$155,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$478,136
Value of total assets at end of year2010-12-31$14,675,055
Value of total assets at beginning of year2010-12-31$13,761,560
Total interest from all sources2010-12-31$500,170
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$17,318
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$17,318
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$110,825
Participant contributions at end of year2010-12-31$4,895
Participant contributions at beginning of year2010-12-31$1,567
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$144,993
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$913,495
Value of net assets at end of year (total assets less liabilities)2010-12-31$14,675,055
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$13,761,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$824,549
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$763,152
Interest earned on other investments2010-12-31$500,170
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$13,810,905
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$12,962,467
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$367,311
Employer contributions (assets) at end of year2010-12-31$34,706
Employer contributions (assets) at beginning of year2010-12-31$34,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$10,723
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31DESENA & CO. CPAS LLC
Accountancy firm EIN2010-12-31200609534

Form 5500 Responses for NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN

2022: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan is a collectively bargained planYes
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: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan is a collectively bargained planYes
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: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan is a collectively bargained planYes
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: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: NYSA-ILA MEDICAL AND CLINICAL SERVICES FUND RETIREMENT TRUST AND PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number002826
Policy instance 2
Insurance contract or identification number002826
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $7,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4114
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $41,474
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 fees21044
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number002826
Policy instance 2
Insurance contract or identification number002826
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $9,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees9015
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $39,499
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 fees39499
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number002826
Policy instance 2
Insurance contract or identification number002826
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $6,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6768
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $37,423
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 fees37423
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number002826
Policy instance 2
Insurance contract or identification number002826
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $8,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees8559
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $54,295
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 fees54295
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number002826
Policy instance 2
Insurance contract or identification number002826
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $7,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7929
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $52,979
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 fees52979
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number002826
Policy instance 2
Insurance contract or identification number002826
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $4,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4922
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $53,448
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 fees53448
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number350178
Policy instance 2
Insurance contract or identification number350178
Number of Individuals Covered160
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $47,742
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 fees47742
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
Insurance broker namePRUCO SECURITIES CORPORATION
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number040031
Policy instance 1
Insurance contract or identification number040031
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $84
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 fees84
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PROVIDER
Insurance broker organization code?3
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Number of Individuals Covered165
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of fees paid to insurance companyUSD $47,220
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 fees47220
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PROVIDER
Insurance broker organization code?3
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of fees paid to insurance companyUSD $46,010
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 fees46010
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PROVIDER
Insurance broker organization code?3
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of fees paid to insurance companyUSD $44,591
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 fees44591
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PROVIDER
Insurance broker organization code?3
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number002826
Policy instance 1
Insurance contract or identification number002826
Number of Individuals Covered158
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $42,364
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 number002826
Policy instance 1
Insurance contract or identification number002826
Number of Individuals Covered167
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of fees paid to insurance companyUSD $40,211
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 fees40211
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
Insurance broker nameWS INSURANCE SERVICES,LLC

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