401k Plan data: MOUNTAIN LAKE SERVICES RETIREMENT PLAN plan

MOUNTAIN LAKE SERVICES RETIREMENT PLAN 401k Plan overview

Plan Name	MOUNTAIN LAKE SERVICES RETIREMENT PLAN
Plan identification number	001

MOUNTAIN LAKE SERVICES RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ESSEX COUNTY CHAPTER NYSARC, INC. has sponsored the creation of one or more 401k plans.

Company Name: ESSEX COUNTY CHAPTER NYSARC, INC.

Employer identification number (EIN): 141563885

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOUNTAIN LAKE SERVICES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 ROBIN PIERCE MARTIN NEPHEW 2018-10-08
001 2016-01-01 ROBIN PIERCE MARTIN NEPHEW 2017-09-07
001 2015-01-01 ROBIN PIERCE MARTIN NEPHEW 2016-07-27
001 2014-01-01 ROBIN PIERCE MARTIN NEPHEW 2015-07-30
001 2013-01-01 ROBIN PIERCE MARTIN NEPHEW 2014-07-28
001 2012-01-01 ROBIN PIERCE
001 2012-01-01 ROBIN PIERCE MARTIN NEPHEW 2014-07-28
001 2011-01-01 ROBIN PIERCE MARTIN NEPHEW 2012-07-23
001 2010-01-01 ROBIN PIERCE MARTIN NEPHEW 2011-07-22
001 2009-01-01 MARTIN J. NEPHEW DIPU BASU 2010-07-26

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	ROBIN PIERCE	MARTIN NEPHEW	2018-10-08
001	2016-01-01	ROBIN PIERCE	MARTIN NEPHEW	2017-09-07
001	2015-01-01	ROBIN PIERCE	MARTIN NEPHEW	2016-07-27
001	2014-01-01	ROBIN PIERCE	MARTIN NEPHEW	2015-07-30
001	2013-01-01	ROBIN PIERCE	MARTIN NEPHEW	2014-07-28
001	2012-01-01	ROBIN PIERCE
001	2012-01-01	ROBIN PIERCE	MARTIN NEPHEW	2014-07-28
001	2011-01-01	ROBIN PIERCE	MARTIN NEPHEW	2012-07-23
001	2010-01-01	ROBIN PIERCE	MARTIN NEPHEW	2011-07-22
001	2009-01-01	MARTIN J. NEPHEW	DIPU BASU	2010-07-26

Plan Statistics for MOUNTAIN LAKE SERVICES RETIREMENT PLAN

401k plan membership statisitcs for MOUNTAIN LAKE SERVICES RETIREMENT PLAN

Measure Date Value
2017: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 806
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 986
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 672
Number of retired or separated participants receiving benefits 2016-01-01 16
Number of other retired or separated participants entitled to future benefits 2016-01-01 115
Total of all active and inactive participants 2016-01-01 803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 3
Total participants 2016-01-01 806
Number of participants with account balances 2016-01-01 722
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 31
2015: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 912
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 862
Number of retired or separated participants receiving benefits 2015-01-01 13
Number of other retired or separated participants entitled to future benefits 2015-01-01 109
Total of all active and inactive participants 2015-01-01 984
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 986
Number of participants with account balances 2015-01-01 708
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 31
2014: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 918
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 815
Number of retired or separated participants receiving benefits 2014-01-01 10
Number of other retired or separated participants entitled to future benefits 2014-01-01 85
Total of all active and inactive participants 2014-01-01 910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 2
Total participants 2014-01-01 912
Number of participants with account balances 2014-01-01 744
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 17
2013: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 927
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 818
Number of retired or separated participants receiving benefits 2013-01-01 8
Number of other retired or separated participants entitled to future benefits 2013-01-01 89
Total of all active and inactive participants 2013-01-01 915
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 3
Total participants 2013-01-01 918
Number of participants with account balances 2013-01-01 739
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 28
2012: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 859
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 824
Number of retired or separated participants receiving benefits 2012-01-01 7
Number of other retired or separated participants entitled to future benefits 2012-01-01 93
Total of all active and inactive participants 2012-01-01 924
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 3
Total participants 2012-01-01 927
Number of participants with account balances 2012-01-01 736
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 25
2011: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 722
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 760
Number of retired or separated participants receiving benefits 2011-01-01 6
Number of other retired or separated participants entitled to future benefits 2011-01-01 90
Total of all active and inactive participants 2011-01-01 856
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 3
Total participants 2011-01-01 859
Number of participants with account balances 2011-01-01 692
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 14
2010: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 728
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 619
Number of retired or separated participants receiving benefits 2010-01-01 8
Number of other retired or separated participants entitled to future benefits 2010-01-01 92
Total of all active and inactive participants 2010-01-01 719
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 3
Total participants 2010-01-01 722
Number of participants with account balances 2010-01-01 651
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 35
2009: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 658
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 635
Number of retired or separated participants receiving benefits 2009-01-01 4
Number of other retired or separated participants entitled to future benefits 2009-01-01 86
Total of all active and inactive participants 2009-01-01 725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 3
Total participants 2009-01-01 728
Number of participants with account balances 2009-01-01 665
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 29

Measure	Date	Value
2017: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	806
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	986
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	672
Number of retired or separated participants receiving benefits	2016-01-01	16
Number of other retired or separated participants entitled to future benefits	2016-01-01	115
Total of all active and inactive participants	2016-01-01	803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	3
Total participants	2016-01-01	806
Number of participants with account balances	2016-01-01	722
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	31
2015: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	912
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	862
Number of retired or separated participants receiving benefits	2015-01-01	13
Number of other retired or separated participants entitled to future benefits	2015-01-01	109
Total of all active and inactive participants	2015-01-01	984
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	986
Number of participants with account balances	2015-01-01	708
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	31
2014: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	918
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	815
Number of retired or separated participants receiving benefits	2014-01-01	10
Number of other retired or separated participants entitled to future benefits	2014-01-01	85
Total of all active and inactive participants	2014-01-01	910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	2
Total participants	2014-01-01	912
Number of participants with account balances	2014-01-01	744
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	17
2013: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	927
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	818
Number of retired or separated participants receiving benefits	2013-01-01	8
Number of other retired or separated participants entitled to future benefits	2013-01-01	89
Total of all active and inactive participants	2013-01-01	915
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	3
Total participants	2013-01-01	918
Number of participants with account balances	2013-01-01	739
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	28
2012: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	859
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	824
Number of retired or separated participants receiving benefits	2012-01-01	7
Number of other retired or separated participants entitled to future benefits	2012-01-01	93
Total of all active and inactive participants	2012-01-01	924
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	3
Total participants	2012-01-01	927
Number of participants with account balances	2012-01-01	736
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	25
2011: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	722
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	760
Number of retired or separated participants receiving benefits	2011-01-01	6
Number of other retired or separated participants entitled to future benefits	2011-01-01	90
Total of all active and inactive participants	2011-01-01	856
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	3
Total participants	2011-01-01	859
Number of participants with account balances	2011-01-01	692
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	14
2010: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	728
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	619
Number of retired or separated participants receiving benefits	2010-01-01	8
Number of other retired or separated participants entitled to future benefits	2010-01-01	92
Total of all active and inactive participants	2010-01-01	719
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	3
Total participants	2010-01-01	722
Number of participants with account balances	2010-01-01	651
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	35
2009: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	658
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	635
Number of retired or separated participants receiving benefits	2009-01-01	4
Number of other retired or separated participants entitled to future benefits	2009-01-01	86
Total of all active and inactive participants	2009-01-01	725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	3
Total participants	2009-01-01	728
Number of participants with account balances	2009-01-01	665
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	29

Financial Data on MOUNTAIN LAKE SERVICES RETIREMENT PLAN

Measure	Date	Value
2017 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2017 401k financial data
Total transfer of assets from this plan	2017-12-31	$31,184,587
Total income from all sources (including contributions)	2017-12-31	$5,129,026
Total of all expenses incurred	2017-12-31	$2,354,075
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,238,449
Expenses. Certain deemed distributions of participant loans	2017-12-31	$31,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,083,690
Value of total assets at end of year	2017-12-31	$0
Value of total assets at beginning of year	2017-12-31	$28,409,636
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$83,917
Total interest from all sources	2017-12-31	$79,489
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$264,112
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$264,112
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2017-12-31	$0
Minimum employer required contribution for this plan year	2017-12-31	$2,083,690
Amount contributed by the employer to the plan for this plan year	2017-12-31	$2,083,690
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$2,230,057
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$16,378
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$361
Other income not declared elsewhere	2017-12-31	$2,808
Administrative expenses (other) incurred	2017-12-31	$40,142
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$2,774,951
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$28,409,636
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$43,775
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$16,999,415
Value of interest in pooled separate accounts at end of year	2017-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$9,146,356
Interest on participant loans	2017-12-31	$79,395
Interest earned on other investments	2017-12-31	$94
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$17,069
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$2,508,183
Net investment gain/loss from pooled separate accounts	2017-12-31	$190,744
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$2,083,690
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,238,449
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2017-12-31	141818557
2016 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$3,854,368
Total of all expenses incurred	2016-12-31	$2,748,388
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,628,765
Expenses. Certain deemed distributions of participant loans	2016-12-31	$36,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,184,853
Value of total assets at end of year	2016-12-31	$28,409,636
Value of total assets at beginning of year	2016-12-31	$27,303,656
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$82,832
Total interest from all sources	2016-12-31	$75,724
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$234,231
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$234,231
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2016-12-31	$0
Minimum employer required contribution for this plan year	2016-12-31	$2,163,372
Amount contributed by the employer to the plan for this plan year	2016-12-31	$2,163,372
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Participant contributions at end of year	2016-12-31	$2,230,057
Participant contributions at beginning of year	2016-12-31	$2,382,942
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$16,378
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$11,787
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$21,481
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$361
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$1,330
Other income not declared elsewhere	2016-12-31	$4,591
Administrative expenses (other) incurred	2016-12-31	$37,872
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,105,980
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$28,409,636
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$27,303,656
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$44,960
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$16,999,415
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$15,585,880
Value of interest in pooled separate accounts at end of year	2016-12-31	$9,146,356
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$9,288,404
Interest on participant loans	2016-12-31	$75,420
Interest earned on other investments	2016-12-31	$304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$17,069
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$33,313
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,159,298
Net investment gain/loss from pooled separate accounts	2016-12-31	$195,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$2,163,372
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,628,765
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2016-12-31	141818557
2015 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$2,203,793
Total of all expenses incurred	2015-12-31	$4,983,667
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$4,890,951
Expenses. Certain deemed distributions of participant loans	2015-12-31	$5,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,135,068
Value of total assets at end of year	2015-12-31	$27,303,656
Value of total assets at beginning of year	2015-12-31	$30,083,530
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$86,769
Total interest from all sources	2015-12-31	$74,936
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$191,938
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$191,938
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2015-12-31	$0
Minimum employer required contribution for this plan year	2015-12-31	$2,135,068
Amount contributed by the employer to the plan for this plan year	2015-12-31	$2,135,068
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Participant contributions at end of year	2015-12-31	$2,382,942
Participant contributions at beginning of year	2015-12-31	$2,493,760
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$11,787
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$118,440
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$1,330
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$1,144
Other income not declared elsewhere	2015-12-31	$2,787
Administrative expenses (other) incurred	2015-12-31	$41,834
Total non interest bearing cash at beginning of year	2015-12-31	$7,621
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-2,779,874
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$27,303,656
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$30,083,530
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$44,935
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$15,585,880
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$17,629,458
Value of interest in pooled separate accounts at end of year	2015-12-31	$9,288,404
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$9,775,912
Interest on participant loans	2015-12-31	$74,747
Interest earned on other investments	2015-12-31	$189
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$33,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$57,195
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-411,657
Net investment gain/loss from pooled separate accounts	2015-12-31	$210,721
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$2,135,068
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$4,890,951
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2015-12-31	141818557
2014 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$3,709,703
Total of all expenses incurred	2014-12-31	$1,455,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,364,605
Expenses. Certain deemed distributions of participant loans	2014-12-31	$4,208
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,322,411
Value of total assets at end of year	2014-12-31	$30,083,530
Value of total assets at beginning of year	2014-12-31	$27,829,819
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$87,179
Total interest from all sources	2014-12-31	$79,346
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$219,095
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$219,095
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$2,297,971
Amount contributed by the employer to the plan for this plan year	2014-12-31	$2,297,971
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Participant contributions at end of year	2014-12-31	$2,493,760
Participant contributions at beginning of year	2014-12-31	$2,563,181
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$118,440
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$94,910
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$24,440
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$1,144
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$935
Other income not declared elsewhere	2014-12-31	$-10,806
Administrative expenses (other) incurred	2014-12-31	$43,316
Total non interest bearing cash at end of year	2014-12-31	$7,621
Total non interest bearing cash at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$2,253,711
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$30,083,530
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$27,829,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$43,863
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$17,629,458
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$15,631,053
Value of interest in pooled separate accounts at end of year	2014-12-31	$9,775,912
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$9,507,343
Interest on participant loans	2014-12-31	$78,901
Interest earned on other investments	2014-12-31	$445
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$57,195
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$32,397
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$876,152
Net investment gain/loss from pooled separate accounts	2014-12-31	$223,505
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$2,297,971
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,364,605
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2014-12-31	141818557
2013 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$5,301,406
Total of all expenses incurred	2013-12-31	$1,544,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,451,742
Expenses. Certain deemed distributions of participant loans	2013-12-31	$907
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,349,066
Value of total assets at end of year	2013-12-31	$27,829,819
Value of total assets at beginning of year	2013-12-31	$24,073,070
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$92,008
Total interest from all sources	2013-12-31	$80,766
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$161,352
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$161,352
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$2,348,768
Amount contributed by the employer to the plan for this plan year	2013-12-31	$2,348,768
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Participant contributions at end of year	2013-12-31	$2,563,181
Participant contributions at beginning of year	2013-12-31	$2,426,568
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$94,910
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$86,498
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$298
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$935
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$714
Other income not declared elsewhere	2013-12-31	$1,138
Administrative expenses (other) incurred	2013-12-31	$42,008
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$12,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,756,749
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$27,829,819
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$24,073,070
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$50,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$15,631,053
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$12,114,060
Value of interest in pooled separate accounts at end of year	2013-12-31	$9,507,343
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$9,432,138
Interest on participant loans	2013-12-31	$80,607
Interest earned on other investments	2013-12-31	$159
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$32,397
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$592
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,465,576
Net investment gain/loss from pooled separate accounts	2013-12-31	$243,508
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$2,348,768
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,451,742
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2013-12-31	141818557
2012 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$3,685,129
Total of all expenses incurred	2012-12-31	$691,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$640,230
Expenses. Certain deemed distributions of participant loans	2012-12-31	$1,191
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,102,725
Value of total assets at end of year	2012-12-31	$24,073,070
Value of total assets at beginning of year	2012-12-31	$21,079,214
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$49,852
Total interest from all sources	2012-12-31	$77,576
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$184,067
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$184,067
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$2,102,725
Amount contributed by the employer to the plan for this plan year	2012-12-31	$2,102,725
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Participant contributions at end of year	2012-12-31	$2,426,568
Participant contributions at beginning of year	2012-12-31	$2,302,843
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$86,498
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$29,890
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$714
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$664
Other income not declared elsewhere	2012-12-31	$7,498
Administrative expenses (other) incurred	2012-12-31	$24,852
Total non interest bearing cash at end of year	2012-12-31	$12,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,993,856
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$24,073,070
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$21,079,214
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$25,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$12,114,060
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$10,225,545
Value of interest in pooled separate accounts at end of year	2012-12-31	$9,432,138
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$8,520,261
Interest on participant loans	2012-12-31	$77,505
Interest earned on other investments	2012-12-31	$71
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$592
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$11
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,067,862
Net investment gain/loss from pooled separate accounts	2012-12-31	$245,401
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$2,102,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$640,230
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2012-12-31	141818557
2011 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$2,239,635
Total of all expenses incurred	2011-12-31	$1,319,675
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,294,853
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,019,577
Value of total assets at end of year	2011-12-31	$21,079,214
Value of total assets at beginning of year	2011-12-31	$20,159,254
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$24,822
Total interest from all sources	2011-12-31	$79,858
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$145,081
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$145,081
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$2,019,577
Amount contributed by the employer to the plan for this plan year	2011-12-31	$2,019,577
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Participant contributions at end of year	2011-12-31	$2,302,843
Participant contributions at beginning of year	2011-12-31	$2,041,691
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$29,890
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$28,582
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$664
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$582
Other income not declared elsewhere	2011-12-31	$1,307
Administrative expenses (other) incurred	2011-12-31	$24,822
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$919,960
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$21,079,214
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$20,159,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$10,225,545
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$9,902,842
Value of interest in pooled separate accounts at end of year	2011-12-31	$8,520,261
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$8,184,636
Interest on participant loans	2011-12-31	$79,530
Interest earned on other investments	2011-12-31	$328
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$11
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$921
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-246,033
Net investment gain/loss from pooled separate accounts	2011-12-31	$239,845
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$2,019,577
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,294,853
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2011-12-31	141818557
2010 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$3,169,451
Total of all expenses incurred	2010-12-31	$1,392,108
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,361,682
Expenses. Certain deemed distributions of participant loans	2010-12-31	$8,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,916,723
Value of total assets at end of year	2010-12-31	$20,159,254
Value of total assets at beginning of year	2010-12-31	$18,381,911
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$22,312
Total interest from all sources	2010-12-31	$88,899
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$119,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$119,143
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$1,913,007
Amount contributed by the employer to the plan for this plan year	2010-12-31	$1,913,007
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Participant contributions at end of year	2010-12-31	$2,041,691
Participant contributions at beginning of year	2010-12-31	$1,864,038
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$28,582
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$27,365
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$3,716
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$582
Other income not declared elsewhere	2010-12-31	$1,217
Administrative expenses (other) incurred	2010-12-31	$22,312
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,777,343
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$20,159,254
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$18,381,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$9,902,842
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$8,533,122
Value of interest in pooled separate accounts at end of year	2010-12-31	$8,184,636
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$7,955,379
Interest on participant loans	2010-12-31	$88,370
Interest earned on other investments	2010-12-31	$529
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$921
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,007
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$807,506
Net investment gain/loss from pooled separate accounts	2010-12-31	$235,963
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,913,007
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,361,682
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MARTINDALE KEYSOR & CO., PLLC
Accountancy firm EIN	2010-12-31	141818557
2009 : MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$1,826,033
Amount contributed by the employer to the plan for this plan year	2009-12-31	$1,826,033

Form 5500 Responses for MOUNTAIN LAKE SERVICES RETIREMENT PLAN

2017: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MOUNTAIN LAKE SERVICES RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

QP61153

Policy instance

Insurance contract or identification number	QP61153
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

QP61153

Policy instance

Insurance contract or identification number	QP61153
Number of Individuals Covered	708
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

QP61153

Policy instance

Insurance contract or identification number	QP61153
Number of Individuals Covered	744
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

QP61153

Policy instance

Insurance contract or identification number	QP61153
Number of Individuals Covered	739
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

QP61153

Policy instance

Insurance contract or identification number	QP61153
Number of Individuals Covered	736
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $5,325
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,325
Insurance broker organization code?	4
Insurance broker name	CAMMACK LARHETTE ADVISORS, LLC

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

Policy contract number

QP61153

Policy instance

Insurance contract or identification number	QP61153
Number of Individuals Covered	692
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $20,767
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

QP61153

Policy instance

Insurance contract or identification number	QP61153
Number of Individuals Covered	651
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $20,689
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,689
Insurance broker organization code?	3
Insurance broker name	CAMMACK LARHETTE BROKERAGE

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Company Name:	ESSEX COUNTY CHAPTER NYSARC, INC.
Employer identification number (EIN):	141563885
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities