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FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 401k Plan overview

Plan NameFORT HUDSON NURSING CENTER, INC. 403(B) PLAN
Plan identification number 001

FORT HUDSON NURSING CENTER, INC. 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.

401k Sponsoring company profile

FORT HUDSON NURSING CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:FORT HUDSON NURSING CENTER, INC.
Employer identification number (EIN):200481583
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about FORT HUDSON NURSING CENTER, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2003-12-15
Company Identification Number: 2988788
Legal Registered Office Address: 28 BROADWAY
Washington
FORT EDWARD
United States of America (USA)
12828

More information about FORT HUDSON NURSING CENTER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FORT HUDSON NURSING CENTER, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01JOHN COBURN JOHN COBURN2018-09-19
0012016-01-01JOHN COBURN JOHN COBURN2017-10-09
0012015-01-01JOHN COBURN
0012014-01-01JOHN COBURN
0012013-01-01JOHN COBURN
0012012-01-01JOHN COBURN
0012011-01-01JOHN COBURN
0012009-01-01 JOHN COBURN2010-11-01
0012009-01-01 JOHN COBURN2010-11-01
0012009-01-01JOHN COBURN JOHN COBURN2010-11-01

Plan Statistics for FORT HUDSON NURSING CENTER, INC. 403(B) PLAN

401k plan membership statisitcs for FORT HUDSON NURSING CENTER, INC. 403(B) PLAN

Measure Date Value
2022: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01536
Total number of active participants reported on line 7a of the Form 55002022-01-01495
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0154
Total of all active and inactive participants2022-01-01549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01549
Number of participants with account balances2022-01-01189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01530
Total number of active participants reported on line 7a of the Form 55002021-01-01529
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0150
Total of all active and inactive participants2021-01-01579
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01579
Number of participants with account balances2021-01-01187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01614
Total number of active participants reported on line 7a of the Form 55002020-01-01692
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0138
Total of all active and inactive participants2020-01-01730
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01730
Number of participants with account balances2020-01-01187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01548
Total number of active participants reported on line 7a of the Form 55002019-01-01542
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0172
Total of all active and inactive participants2019-01-01614
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01614
Number of participants with account balances2019-01-01189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01168
Total number of active participants reported on line 7a of the Form 55002018-01-01132
Number of retired or separated participants receiving benefits2018-01-0152
Total of all active and inactive participants2018-01-01184
Total participants2018-01-01184
Number of participants with account balances2018-01-01184
2017: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01509
Total number of active participants reported on line 7a of the Form 55002017-01-01109
Number of retired or separated participants receiving benefits2017-01-0137
Total of all active and inactive participants2017-01-01146
Total participants2017-01-01146
Number of participants with account balances2017-01-01146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01495
Total number of active participants reported on line 7a of the Form 55002016-01-0189
Number of retired or separated participants receiving benefits2016-01-0132
Total of all active and inactive participants2016-01-01121
Total participants2016-01-01121
Number of participants with account balances2016-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01485
Total number of active participants reported on line 7a of the Form 55002015-01-0185
Number of retired or separated participants receiving benefits2015-01-0130
Total of all active and inactive participants2015-01-01115
Total participants2015-01-01115
Number of participants with account balances2015-01-01112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01415
Total number of active participants reported on line 7a of the Form 55002014-01-01485
Total of all active and inactive participants2014-01-01485
Total participants2014-01-01485
Number of participants with account balances2014-01-01100
2013: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01307
Total number of active participants reported on line 7a of the Form 55002013-01-01415
Total of all active and inactive participants2013-01-01415
Total participants2013-01-01415
Number of participants with account balances2013-01-0138
2012: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01313
Total number of active participants reported on line 7a of the Form 55002012-01-01307
Total of all active and inactive participants2012-01-01307
Total participants2012-01-01307
Number of participants with account balances2012-01-0126
2011: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01344
Total number of active participants reported on line 7a of the Form 55002011-01-01313
Total of all active and inactive participants2011-01-01313
Total participants2011-01-01313
Number of participants with account balances2011-01-0145
2009: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01282
Total number of active participants reported on line 7a of the Form 55002009-01-01303
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0113
Total of all active and inactive participants2009-01-01316
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01316
Number of participants with account balances2009-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on FORT HUDSON NURSING CENTER, INC. 403(B) PLAN

Measure Date Value
2022 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-189,308
Total of all expenses incurred2022-12-31$246,925
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$238,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$158,961
Value of total assets at end of year2022-12-31$1,452,315
Value of total assets at beginning of year2022-12-31$1,888,548
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$7,966
Total interest from all sources2022-12-31$629
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$21,388
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$21,388
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$450,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$149,602
Participant contributions at end of year2022-12-31$13,689
Participant contributions at beginning of year2022-12-31$14,192
Participant contributions at end of year2022-12-31$1,230
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$9,359
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$248
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$158
Administrative expenses (other) incurred2022-12-31$7,966
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-436,233
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,452,315
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,888,548
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,375,175
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,788,001
Interest on participant loans2022-12-31$501
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$9,117
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$8,616
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$8,616
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$128
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$52,856
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$77,581
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-370,286
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$238,959
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BONADIO & CO LLP
Accountancy firm EIN2022-12-31161131146
2021 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets from this plan2021-12-31$1,525
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$447,526
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$193,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$182,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$160,555
Value of total assets at end of year2021-12-31$1,888,548
Value of total assets at beginning of year2021-12-31$1,635,702
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$10,594
Total interest from all sources2021-12-31$427
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$16,896
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$16,896
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$450,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$160,555
Participant contributions at end of year2021-12-31$14,192
Participant contributions at beginning of year2021-12-31$6,376
Participant contributions at beginning of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$158
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$159
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$254,371
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,888,548
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,635,702
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,788,001
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,537,134
Interest on participant loans2021-12-31$425
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$8,616
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$16,676
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$16,676
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$77,581
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$75,357
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$269,648
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$182,561
Contract administrator fees2021-12-31$10,594
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31BONADIO & CO., LLP
Accountancy firm EIN2021-12-31161131146
2020 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$345,030
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$92,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$82,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$132,493
Value of total assets at end of year2020-12-31$1,635,702
Value of total assets at beginning of year2020-12-31$1,383,283
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$10,483
Total interest from all sources2020-12-31$256
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$16,673
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$16,673
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$450,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$132,493
Participant contributions at end of year2020-12-31$6,376
Participant contributions at beginning of year2020-12-31$6,951
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$4,254
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$159
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$190
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$252,419
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,635,702
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,383,283
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,537,134
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,280,167
Interest on participant loans2020-12-31$203
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$16,676
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$13,870
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$13,870
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$53
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$75,357
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$77,851
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$195,608
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$82,128
Contract administrator fees2020-12-31$10,483
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BONADIO & CO. LLP
Accountancy firm EIN2020-12-31161131146
2019 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,000
Total income from all sources (including contributions)2019-12-31$381,436
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$77,926
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$68,914
Expenses. Certain deemed distributions of participant loans2019-12-31$692
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$130,022
Value of total assets at end of year2019-12-31$1,383,283
Value of total assets at beginning of year2019-12-31$1,085,773
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,320
Total interest from all sources2019-12-31$655
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$16,769
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$16,769
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$450,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$113,654
Participant contributions at end of year2019-12-31$6,951
Participant contributions at beginning of year2019-12-31$6,398
Participant contributions at end of year2019-12-31$4,254
Participant contributions at beginning of year2019-12-31$3,717
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$16,368
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$190
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$194
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$303,510
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,383,283
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,079,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,280,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$980,614
Interest on participant loans2019-12-31$370
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$13,870
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$14,288
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$14,288
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$285
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$77,851
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$80,562
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$233,990
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$68,914
Contract administrator fees2019-12-31$8,320
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$6,000
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BONADIO & CO. LLP
Accountancy firm EIN2019-12-31161131146
2018 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$2,395
Total unrealized appreciation/depreciation of assets2018-12-31$2,395
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$6,000
Total income from all sources (including contributions)2018-12-31$53,424
Total loss/gain on sale of assets2018-12-31$9,927
Total of all expenses incurred2018-12-31$59,459
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$48,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$118,910
Value of total assets at end of year2018-12-31$1,085,773
Value of total assets at beginning of year2018-12-31$1,085,808
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$10,685
Total interest from all sources2018-12-31$289
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$15,510
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$15,510
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$450,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$109,441
Participant contributions at end of year2018-12-31$6,398
Participant contributions at beginning of year2018-12-31$7,097
Participant contributions at end of year2018-12-31$3,717
Participant contributions at beginning of year2018-12-31$4,297
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$9,469
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$194
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-6,035
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,079,773
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,085,808
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$980,614
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$981,506
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$14,288
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$10,955
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$10,955
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$289
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$80,562
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$81,831
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-93,607
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$48,774
Contract administrator fees2018-12-31$10,685
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$6,000
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$246,735
Aggregate carrying amount (costs) on sale of assets2018-12-31$236,808
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BONADIO & CO. LLP
Accountancy firm EIN2018-12-31161131146
2017 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,640
Total unrealized appreciation/depreciation of assets2017-12-31$1,640
Total income from all sources (including contributions)2017-12-31$304,410
Total loss/gain on sale of assets2017-12-31$33,355
Total of all expenses incurred2017-12-31$144,482
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$138,576
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$151,398
Value of total assets at end of year2017-12-31$1,085,808
Value of total assets at beginning of year2017-12-31$925,880
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,906
Total interest from all sources2017-12-31$114
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$10,834
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$10,834
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$450,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$119,872
Participant contributions at end of year2017-12-31$7,097
Participant contributions at beginning of year2017-12-31$5,044
Participant contributions at end of year2017-12-31$4,297
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$31,526
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$122
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$80
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$159,928
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,085,808
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$925,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$981,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$822,781
Interest on participant loans2017-12-31$25
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$10,955
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$14,504
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$14,504
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$89
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$81,831
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$83,471
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$107,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$138,576
Contract administrator fees2017-12-31$5,906
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$246,312
Aggregate carrying amount (costs) on sale of assets2017-12-31$212,957
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BONADIO & CO. LLP
Accountancy firm EIN2017-12-31161131146
2016 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$2,592
Total unrealized appreciation/depreciation of assets2016-12-31$2,592
Total income from all sources (including contributions)2016-12-31$160,200
Total loss/gain on sale of assets2016-12-31$5,850
Total of all expenses incurred2016-12-31$111,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$106,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$94,612
Value of total assets at end of year2016-12-31$925,880
Value of total assets at beginning of year2016-12-31$877,524
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$5,178
Total interest from all sources2016-12-31$296
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$9,267
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$9,267
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$450,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$80,995
Participant contributions at end of year2016-12-31$5,044
Participant contributions at beginning of year2016-12-31$6,966
Participant contributions at beginning of year2016-12-31$2,718
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$13,617
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$80
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$89
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$48,356
Value of net assets at end of year (total assets less liabilities)2016-12-31$925,880
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$877,524
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$822,781
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$759,171
Interest on participant loans2016-12-31$289
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$14,504
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$15,653
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$15,653
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$7
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$83,471
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$92,927
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$47,583
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$106,666
Contract administrator fees2016-12-31$5,178
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$206,583
Aggregate carrying amount (costs) on sale of assets2016-12-31$200,733
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BONADIO & CO. LLP
Accountancy firm EIN2016-12-31161131146
2015 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-18,897
Total unrealized appreciation/depreciation of assets2015-12-31$-18,897
Total income from all sources (including contributions)2015-12-31$91,909
Total of all expenses incurred2015-12-31$51,262
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$47,314
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$93,738
Value of total assets at end of year2015-12-31$877,524
Value of total assets at beginning of year2015-12-31$836,877
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,948
Total interest from all sources2015-12-31$17,068
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$450,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$76,024
Participant contributions at end of year2015-12-31$6,966
Participant contributions at beginning of year2015-12-31$1,262
Participant contributions at end of year2015-12-31$2,718
Participant contributions at beginning of year2015-12-31$2,463
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$17,714
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$89
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$98
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$40,647
Value of net assets at end of year (total assets less liabilities)2015-12-31$877,524
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$836,877
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$759,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$763,000
Interest on participant loans2015-12-31$124
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$15,653
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$23,975
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$23,975
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$16,944
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$92,927
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$46,079
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$47,314
Contract administrator fees2015-12-31$3,948
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BONADIO & CO. LLP
Accountancy firm EIN2015-12-31161131146
2014 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$108,244
Total of all expenses incurred2014-12-31$72,159
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$69,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$49,162
Value of total assets at end of year2014-12-31$836,877
Value of total assets at beginning of year2014-12-31$800,792
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,422
Total interest from all sources2014-12-31$18,974
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$100,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$49,162
Participant contributions at end of year2014-12-31$1,262
Participant contributions at end of year2014-12-31$2,463
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$93
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$36,085
Value of net assets at end of year (total assets less liabilities)2014-12-31$836,877
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$800,792
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$763,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$729,608
Interest on participant loans2014-12-31$29
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$23,975
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$18,945
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$46,079
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$71,091
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$40,108
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$69,737
Contract administrator fees2014-12-31$2,422
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BONADIO & CO. LLP
Accountancy firm EIN2014-12-31161131146
2013 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$184,077
Total of all expenses incurred2013-12-31$42,331
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$40,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$35,144
Value of total assets at end of year2013-12-31$800,792
Value of total assets at beginning of year2013-12-31$659,046
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,909
Total interest from all sources2013-12-31$10,116
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$90,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$35,144
Participant contributions at beginning of year2013-12-31$2,920
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$93
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$112
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$141,746
Value of net assets at end of year (total assets less liabilities)2013-12-31$800,792
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$659,046
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$729,608
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$560,186
Interest on participant loans2013-12-31$41
Value of interest in common/collective trusts at end of year2013-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$30,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$30,811
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$10,075
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$71,091
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$65,017
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$138,817
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$40,422
Contract administrator fees2013-12-31$1,909
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BONADIO & CO. LLP
Accountancy firm EIN2013-12-31161131146
2012 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$114,206
Total of all expenses incurred2012-12-31$26,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$25,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$49,915
Value of total assets at end of year2012-12-31$659,046
Value of total assets at beginning of year2012-12-31$571,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,420
Total interest from all sources2012-12-31$8,242
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$70,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$49,915
Participant contributions at end of year2012-12-31$2,920
Participant contributions at beginning of year2012-12-31$4,102
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$112
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$71
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$87,506
Value of net assets at end of year (total assets less liabilities)2012-12-31$659,046
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$571,540
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$560,186
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$457,021
Interest on participant loans2012-12-31$230
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$30,811
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$27,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$27,184
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$8,012
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$65,017
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$83,162
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$56,049
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$25,280
Contract administrator fees2012-12-31$1,420
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BONADIO & CO., LLP
Accountancy firm EIN2012-12-31161131146
2011 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$56,312
Total of all expenses incurred2011-12-31$13,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$11,936
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$65,820
Value of total assets at end of year2011-12-31$571,540
Value of total assets at beginning of year2011-12-31$528,731
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,567
Total interest from all sources2011-12-31$7,392
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$60,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$65,820
Participant contributions at end of year2011-12-31$4,102
Participant contributions at beginning of year2011-12-31$5,207
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$71
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$46
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$42,809
Value of net assets at end of year (total assets less liabilities)2011-12-31$571,540
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$528,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$457,021
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$436,229
Interest on participant loans2011-12-31$301
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$27,184
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$25,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$25,450
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$7,091
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$83,162
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$61,799
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-16,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$11,936
Contract administrator fees2011-12-31$1,567
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BONADIO & CO., LLP
Accountancy firm EIN2011-12-31161131146
2010 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$81,071
Total of all expenses incurred2010-12-31$19,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$17,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$26,699
Value of total assets at end of year2010-12-31$528,731
Value of total assets at beginning of year2010-12-31$466,923
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,596
Total interest from all sources2010-12-31$6,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$50,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$26,699
Participant contributions at end of year2010-12-31$5,207
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$46
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$61,808
Value of net assets at end of year (total assets less liabilities)2010-12-31$528,731
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$466,923
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$436,229
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$382,135
Interest on participant loans2010-12-31$270
Interest earned on other investments2010-12-31$1,842
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$25,450
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$24,708
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$24,708
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$3,949
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$61,799
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$60,080
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$48,311
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$17,667
Contract administrator fees2010-12-31$1,596
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BONADIO & CO., LLP
Accountancy firm EIN2010-12-31161131146
2009 : FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for FORT HUDSON NURSING CENTER, INC. 403(B) PLAN

2022: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: FORT HUDSON NURSING CENTER, INC. 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number070491-0001
Policy instance 1
Insurance contract or identification number070491-0001
Number of Individuals Covered12
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number070491-0001
Policy instance 1
Insurance contract or identification number070491-0001
Number of Individuals Covered12
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number070491-0001
Policy instance 1
Insurance contract or identification number070491-0001
Number of Individuals Covered13
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number070491-0001
Policy instance 1
Insurance contract or identification number070491-0001
Number of Individuals Covered13
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number070491-0001
Policy instance 1
Insurance contract or identification number070491-0001
Number of Individuals Covered14
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number070491-0001
Policy instance 1
Insurance contract or identification number070491-0001
Number of Individuals Covered15
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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