401k Plan data: LA RED HEALTH CENTER, INC. 403B PLAN plan

LA RED HEALTH CENTER, INC. 403B PLAN 401k Plan overview

Plan Name	LA RED HEALTH CENTER, INC. 403B PLAN
Plan identification number	001

LA RED HEALTH CENTER, INC. 403B PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

LA RED HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: LA RED HEALTH CENTER, INC.

Employer identification number (EIN): 141850828

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LA RED HEALTH CENTER, INC. 403B PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 BEATRICE CHIEMELU
001 2017-01-01 BEATRICE CHIEMELU
001 2016-01-01 BEATRICE CHIEMELU 2017-05-25 BEATRICE CHIEMELU 2017-05-25
001 2015-01-01 BEATRICE CHIEMELU 2016-05-04 BEATRICE CHIEMELU 2016-05-04
001 2014-01-01 BEATRICE CHIEMELU 2015-04-30 BEATRICE CHIEMELU 2015-04-30
001 2013-01-01 BEATRICE CHIEMELU 2014-12-29 BEATRICE CHIEMELU 2014-12-29
001 2012-01-01 BEATRICE CHIEMELU 2014-12-29 BEATRICE CHIEMELU 2014-12-29
001 2011-01-01 BEATRICE CHIEMELU 2012-05-31
001 2010-01-01 BEATRICE CHIEMELU 2014-12-29 BEATRICE CHIEMELU 2014-12-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	BEATRICE CHIEMELU
001	2017-01-01	BEATRICE CHIEMELU
001	2016-01-01	BEATRICE CHIEMELU	2017-05-25	BEATRICE CHIEMELU	2017-05-25
001	2015-01-01	BEATRICE CHIEMELU	2016-05-04	BEATRICE CHIEMELU	2016-05-04
001	2014-01-01	BEATRICE CHIEMELU	2015-04-30	BEATRICE CHIEMELU	2015-04-30
001	2013-01-01	BEATRICE CHIEMELU	2014-12-29	BEATRICE CHIEMELU	2014-12-29
001	2012-01-01	BEATRICE CHIEMELU	2014-12-29	BEATRICE CHIEMELU	2014-12-29
001	2011-01-01	BEATRICE CHIEMELU	2012-05-31
001	2010-01-01	BEATRICE CHIEMELU	2014-12-29	BEATRICE CHIEMELU	2014-12-29

Plan Statistics for LA RED HEALTH CENTER, INC. 403B PLAN

401k plan membership statisitcs for LA RED HEALTH CENTER, INC. 403B PLAN

Measure Date Value
2022: LA RED HEALTH CENTER, INC. 403B PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 228
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 165
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 69
Total of all active and inactive participants 2022-01-01 234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 234
Number of participants with account balances 2022-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 10
2021: LA RED HEALTH CENTER, INC. 403B PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 190
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 171
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 54
Total of all active and inactive participants 2021-01-01 225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 225
Number of participants with account balances 2021-01-01 190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 3
2020: LA RED HEALTH CENTER, INC. 403B PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 143
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 45
Total of all active and inactive participants 2020-01-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 188
Number of participants with account balances 2020-01-01 172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 4
2019: LA RED HEALTH CENTER, INC. 403B PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 149
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 138
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 42
Total of all active and inactive participants 2019-01-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 181
Number of participants with account balances 2019-01-01 151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: LA RED HEALTH CENTER, INC. 403B PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 108
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 39
Total of all active and inactive participants 2018-01-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 147
Number of participants with account balances 2018-01-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 10
2017: LA RED HEALTH CENTER, INC. 403B PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 111
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 2
Total of all active and inactive participants 2017-01-01 113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 113
Number of participants with account balances 2017-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 2

Measure	Date	Value
2022: LA RED HEALTH CENTER, INC. 403B PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	228
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	165
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	69
Total of all active and inactive participants	2022-01-01	234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	234
Number of participants with account balances	2022-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	10
2021: LA RED HEALTH CENTER, INC. 403B PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	190
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	171
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	54
Total of all active and inactive participants	2021-01-01	225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	225
Number of participants with account balances	2021-01-01	190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	3
2020: LA RED HEALTH CENTER, INC. 403B PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	143
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	45
Total of all active and inactive participants	2020-01-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	188
Number of participants with account balances	2020-01-01	172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	4
2019: LA RED HEALTH CENTER, INC. 403B PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	138
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	42
Total of all active and inactive participants	2019-01-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	181
Number of participants with account balances	2019-01-01	151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: LA RED HEALTH CENTER, INC. 403B PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	108
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	39
Total of all active and inactive participants	2018-01-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	147
Number of participants with account balances	2018-01-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	10
2017: LA RED HEALTH CENTER, INC. 403B PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	111
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	2
Total of all active and inactive participants	2017-01-01	113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	113
Number of participants with account balances	2017-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	2

Financial Data on LA RED HEALTH CENTER, INC. 403B PLAN

Measure	Date	Value
2022 : LA RED HEALTH CENTER, INC. 403B PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-74,645
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$399,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$372,919
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$328,862
Value of total assets at end of year	2022-12-31	$2,074,390
Value of total assets at beginning of year	2022-12-31	$2,548,658
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$26,704
Total interest from all sources	2022-12-31	$3,470
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$38,128
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$38,128
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$100,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$265,871
Participant contributions at end of year	2022-12-31	$35,322
Participant contributions at beginning of year	2022-12-31	$47,582
Participant contributions at end of year	2022-12-31	$8,391
Participant contributions at beginning of year	2022-12-31	$5,510
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$143,918
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$4,538
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$4,104
Other income not declared elsewhere	2022-12-31	$-32,158
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-474,268
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,074,390
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,548,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$6,169
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$1,763,395
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,256,910
Value of interest in pooled separate accounts at end of year	2022-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$171,538
Interest on participant loans	2022-12-31	$1,832
Income. Interest from loans (other than to participants)	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$123,364
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$3,692
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$3,692
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$1,638
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-412,947
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$58,887
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$58,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$372,919
Contract administrator fees	2022-12-31	$20,535
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Disclaimer
Accountancy firm name	2022-12-31	WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN	2022-12-31	203934956
2021 : LA RED HEALTH CENTER, INC. 403B PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$560,058
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$106,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$82,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$318,074
Value of total assets at end of year	2021-12-31	$2,548,658
Value of total assets at beginning of year	2021-12-31	$2,095,482
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$24,488
Total interest from all sources	2021-12-31	$2,119
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$42,533
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$42,533
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$100,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$228,792
Participant contributions at end of year	2021-12-31	$47,582
Participant contributions at beginning of year	2021-12-31	$34,033
Participant contributions at end of year	2021-12-31	$5,510
Participant contributions at beginning of year	2021-12-31	$60,980
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$4,538
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$3,486
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$453,176
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,548,658
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,095,482
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$5,893
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,256,910
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,834,067
Value of interest in pooled separate accounts at end of year	2021-12-31	$171,538
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$161,586
Interest on participant loans	2021-12-31	$2,119
Income. Interest from loans (other than to participants)	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$3,692
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$1,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$1,330
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$197,332
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$89,282
Employer contributions (assets) at end of year	2021-12-31	$58,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$82,394
Contract administrator fees	2021-12-31	$18,595
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN	2021-12-31	203934956
2020 : LA RED HEALTH CENTER, INC. 403B PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$589,112
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$129,034
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$106,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$351,811
Value of total assets at end of year	2020-12-31	$2,095,482
Value of total assets at beginning of year	2020-12-31	$1,635,404
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$22,807
Total interest from all sources	2020-12-31	$1,522
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$27,823
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$27,823
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$100,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$197,117
Participant contributions at end of year	2020-12-31	$34,033
Participant contributions at beginning of year	2020-12-31	$27,709
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$3,486
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$2,983
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$8,905
Other income not declared elsewhere	2020-12-31	$91
Administrative expenses (other) incurred	2020-12-31	$1,430
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$460,078
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,095,482
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,635,404
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$4,218
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$1,834,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,428,017
Value of interest in pooled separate accounts at end of year	2020-12-31	$161,586
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$148,042
Interest on participant loans	2020-12-31	$1,520
Income. Interest from loans (other than to participants)	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$1,330
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$383
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$383
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$188,537
Net investment gain/loss from pooled separate accounts	2020-12-31	$19,328
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$145,789
Employer contributions (assets) at end of year	2020-12-31	$60,980
Employer contributions (assets) at beginning of year	2020-12-31	$28,270
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$106,227
Contract administrator fees	2020-12-31	$17,159
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN	2020-12-31	203934956
2019 : LA RED HEALTH CENTER, INC. 403B PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$442,178
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$56,475
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$37,835
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$195,557
Value of total assets at end of year	2019-12-31	$1,635,404
Value of total assets at beginning of year	2019-12-31	$1,249,701
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$18,640
Total interest from all sources	2019-12-31	$2,064
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$32,741
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$32,741
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$100,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$169,335
Participant contributions at end of year	2019-12-31	$27,709
Participant contributions at beginning of year	2019-12-31	$37,439
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$2,983
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$125,518
Other income not declared elsewhere	2019-12-31	$25,507
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$385,703
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,635,404
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,249,701
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$3,628
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,428,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,057,215
Value of interest in pooled separate accounts at end of year	2019-12-31	$148,042
Interest on participant loans	2019-12-31	$2,031
Income. Interest from loans (other than to participants)	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$383
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$2,031
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$2,031
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$33
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$186,309
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$26,222
Employer contributions (assets) at end of year	2019-12-31	$28,270
Employer contributions (assets) at beginning of year	2019-12-31	$27,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$37,835
Contract administrator fees	2019-12-31	$15,012
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN	2019-12-31	203934956
2018 : LA RED HEALTH CENTER, INC. 403B PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$217,746
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$591,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$577,103
Value of total corrective distributions	2018-12-31	$947
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$268,949
Value of total assets at end of year	2018-12-31	$1,249,701
Value of total assets at beginning of year	2018-12-31	$1,623,012
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$13,007
Total interest from all sources	2018-12-31	$2,713
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$25,581
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$25,581
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$100,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$202,313
Participant contributions at end of year	2018-12-31	$37,439
Participant contributions at beginning of year	2018-12-31	$38,372
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$6,984
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$125,518
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$348,400
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$10,548
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$223,578
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-373,311
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,249,701
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,623,012
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$3,087
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,057,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,183,352
Interest on participant loans	2018-12-31	$1,984
Income. Interest from loans (other than to participants)	2018-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$2,031
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$21,336
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$21,336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$729
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-79,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$56,088
Employer contributions (assets) at end of year	2018-12-31	$27,498
Employer contributions (assets) at beginning of year	2018-12-31	$24,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$353,525
Contract administrator fees	2018-12-31	$9,920
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN	2018-12-31	203934956
2017 : LA RED HEALTH CENTER, INC. 403B PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$558,858
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$40,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$37,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$356,051
Value of total assets at end of year	2017-12-31	$1,623,011
Value of total assets at beginning of year	2017-12-31	$1,104,739
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$3,243
Total interest from all sources	2017-12-31	$536
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$21,953
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$21,953
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$100,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$177,450
Participant contributions at end of year	2017-12-31	$38,372
Participant contributions at beginning of year	2017-12-31	$4,663
Participant contributions at end of year	2017-12-31	$6,984
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$348,400
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$80,330
Administrative expenses (other) incurred	2017-12-31	$3,243
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	$518,272
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,623,011
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,104,739
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,183,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,100,076
Interest on participant loans	2017-12-31	$335
Income. Interest from loans (other than to participants)	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$21,335
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$201
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$180,318
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	$98,271
Employer contributions (assets) at end of year	2017-12-31	$24,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$37,343
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	Yes
Did the plan have assets held for investment	2017-12-31	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	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	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN	2017-12-31	203934956

Form 5500 Responses for LA RED HEALTH CENTER, INC. 403B PLAN

2022: LA RED HEALTH CENTER, INC. 403B PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: LA RED HEALTH CENTER, INC. 403B PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: LA RED HEALTH CENTER, INC. 403B PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: LA RED HEALTH CENTER, INC. 403B PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: LA RED HEALTH CENTER, INC. 403B PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: LA RED HEALTH CENTER, INC. 403B PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-750905

Policy instance

Insurance contract or identification number	GA-750905
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-750905

Policy instance

Insurance contract or identification number	GA-750905
Number of Individuals Covered	190
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-750905

Policy instance

Insurance contract or identification number	GA-750905
Number of Individuals Covered	172
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-750905

Policy instance

Insurance contract or identification number	GA-750905
Number of Individuals Covered	151
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,427
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,427
Insurance broker organization code?	3

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Company Name:	LA RED HEALTH CENTER, INC.
Employer identification number (EIN):	141850828
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)