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403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 401k Plan overview

Plan Name403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES
Plan identification number 001

403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES Benefits

401k Plan TypeDefined 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

DAMIAN FAMILY CARE CENTERS,INC. has sponsored the creation of one or more 401k plans.

Company Name:DAMIAN FAMILY CARE CENTERS,INC.
Employer identification number (EIN):223433831
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01PETER GRISAFI
0012016-01-01PETER GRISAFI
0012015-01-01PETER GRISAFI
0012015-01-01PETER GRISAFI

Plan Statistics for 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES

401k plan membership statisitcs for 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES

Measure Date Value
2022: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2022 401k membership
Total participants, beginning-of-year2022-01-01309
Total number of active participants reported on line 7a of the Form 55002022-01-01207
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0190
Total of all active and inactive participants2022-01-01297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-012
Total participants2022-01-01299
Number of participants with account balances2022-01-01237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-013
2021: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2021 401k membership
Total participants, beginning-of-year2021-01-01276
Total number of active participants reported on line 7a of the Form 55002021-01-01227
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0179
Total of all active and inactive participants2021-01-01306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-013
Total participants2021-01-01309
Number of participants with account balances2021-01-01244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-018
2020: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2020 401k membership
Total participants, beginning-of-year2020-01-01218
Total number of active participants reported on line 7a of the Form 55002020-01-01214
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0159
Total of all active and inactive participants2020-01-01273
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-013
Total participants2020-01-01276
Number of participants with account balances2020-01-01225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0142
2019: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2019 401k membership
Total participants, beginning-of-year2019-01-01210
Total number of active participants reported on line 7a of the Form 55002019-01-01180
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0137
Total of all active and inactive participants2019-01-01217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01218
Number of participants with account balances2019-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0118
2018: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2018 401k membership
Total participants, beginning-of-year2018-01-01268
Total number of active participants reported on line 7a of the Form 55002018-01-01181
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0128
Total of all active and inactive participants2018-01-01209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01210
Number of participants with account balances2018-01-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-019
2017: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2017 401k membership
Total participants, beginning-of-year2017-01-01238
Total number of active participants reported on line 7a of the Form 55002017-01-01235
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0132
Total of all active and inactive participants2017-01-01267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01268
Number of participants with account balances2017-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2016 401k membership
Total participants, beginning-of-year2016-01-01135
Total number of active participants reported on line 7a of the Form 55002016-01-01196
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0141
Total of all active and inactive participants2016-01-01237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01238
Number of participants with account balances2016-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0115
2015: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2015 401k membership
Total participants, beginning-of-year2015-01-01143
Total number of active participants reported on line 7a of the Form 55002015-01-0197
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-0137
Total of all active and inactive participants2015-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01135
Number of participants with account balances2015-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-019

Financial Data on 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES

Measure Date Value
2022 : 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,008,487
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$211,823
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$210,000
Expenses. Certain deemed distributions of participant loans2022-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$619,725
Value of total assets at end of year2022-12-31$9,314,840
Value of total assets at beginning of year2022-12-31$10,535,150
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,823
Total interest from all sources2022-12-31$749
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
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$533,890
Participant contributions at end of year2022-12-31$75,015
Participant contributions at beginning of year2022-12-31$85,671
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$85,835
Other income not declared elsewhere2022-12-31$0
Administrative expenses (other) incurred2022-12-31$1,823
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,220,310
Value of net assets at end of year (total assets less liabilities)2022-12-31$9,314,840
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,535,150
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$8,110,648
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$9,408,569
Interest on participant loans2022-12-31$0
Interest earned on other investments2022-12-31$749
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$256,045
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$167,778
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$0
Net investment gain/loss from pooled separate accounts2022-12-31$-1,628,961
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$0
Employer contributions (assets) at end of year2022-12-31$873,132
Employer contributions (assets) at beginning of year2022-12-31$873,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$210,000
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 name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,070,605
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$353,750
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$351,791
Expenses. Certain deemed distributions of participant loans2021-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$869,876
Value of total assets at end of year2021-12-31$10,134,872
Value of total assets at beginning of year2021-12-31$8,418,017
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,959
Total interest from all sources2021-12-31$2,210
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31No
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$650,598
Participant contributions at end of year2021-12-31$85,671
Participant contributions at beginning of year2021-12-31$73,897
Participant contributions at end of year2021-12-31$28,734
Participant contributions at beginning of year2021-12-31$28,734
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$219,278
Other income not declared elsewhere2021-12-31$2,735
Administrative expenses (other) incurred2021-12-31$1,959
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,716,855
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,134,872
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,418,017
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$9,408,569
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$7,673,711
Interest on participant loans2021-12-31$0
Interest earned on other investments2021-12-31$2,210
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$167,778
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$197,555
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Net investment gain/loss from pooled separate accounts2021-12-31$1,195,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$0
Employer contributions (assets) at end of year2021-12-31$444,120
Employer contributions (assets) at beginning of year2021-12-31$444,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$351,791
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 name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 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$2,513,791
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$606,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$603,335
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,972,096
Value of total assets at end of year2020-12-31$8,418,017
Value of total assets at beginning of year2020-12-31$6,511,154
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,593
Total interest from all sources2020-12-31$11,072
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$582,680
Participant contributions at end of year2020-12-31$73,897
Participant contributions at beginning of year2020-12-31$55,597
Participant contributions at end of year2020-12-31$28,734
Participant contributions at beginning of year2020-12-31$18,178
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$972,904
Other income not declared elsewhere2020-12-31$0
Administrative expenses (other) incurred2020-12-31$3,593
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,906,863
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,418,017
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,511,154
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$7,673,711
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$5,520,058
Interest on participant loans2020-12-31$2,977
Interest earned on other investments2020-12-31$8,095
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$197,555
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from pooled separate accounts2020-12-31$530,623
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$416,512
Employer contributions (assets) at end of year2020-12-31$444,120
Employer contributions (assets) at beginning of year2020-12-31$917,321
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$603,335
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260
2019 : 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
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 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 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$1,911,595
Total income from all sources (including contributions)2019-12-31$1,911,595
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$465,825
Total of all expenses incurred2019-12-31$465,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$457,728
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$457,728
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$983,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$983,553
Value of total assets at end of year2019-12-31$6,511,154
Value of total assets at end of year2019-12-31$6,511,154
Value of total assets at beginning of year2019-12-31$5,065,384
Value of total assets at beginning of year2019-12-31$5,065,384
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,097
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,097
Total interest from all sources2019-12-31$4,345
Total interest from all sources2019-12-31$4,345
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$191,051
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$191,051
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
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$191,051
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$191,051
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$496,427
Contributions received from participants2019-12-31$496,427
Participant contributions at end of year2019-12-31$55,597
Participant contributions at end of year2019-12-31$55,597
Participant contributions at beginning of year2019-12-31$89,069
Participant contributions at beginning of year2019-12-31$89,069
Participant contributions at end of year2019-12-31$18,178
Participant contributions at end of year2019-12-31$18,178
Participant contributions at beginning of year2019-12-31$15,987
Participant contributions at beginning of year2019-12-31$15,987
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$27,447
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$27,447
Administrative expenses (other) incurred2019-12-31$950
Administrative expenses (other) incurred2019-12-31$950
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
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,445,770
Value of net income/loss2019-12-31$1,445,770
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,511,154
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,511,154
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,065,384
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,065,384
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
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$4,802,289
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,802,289
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,408,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,408,349
Value of interest in pooled separate accounts at end of year2019-12-31$711,016
Value of interest in pooled separate accounts at end of year2019-12-31$711,016
Value of interest in pooled separate accounts at beginning of year2019-12-31$737,710
Value of interest in pooled separate accounts at beginning of year2019-12-31$737,710
Interest on participant loans2019-12-31$4,345
Interest on participant loans2019-12-31$4,345
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$6,753
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$6,753
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$6,607
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$6,607
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$716,128
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$716,128
Net investment gain/loss from pooled separate accounts2019-12-31$16,518
Net investment gain/loss from pooled separate accounts2019-12-31$16,518
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$459,679
Contributions received in cash from employer2019-12-31$459,679
Employer contributions (assets) at end of year2019-12-31$917,321
Employer contributions (assets) at end of year2019-12-31$917,321
Employer contributions (assets) at beginning of year2019-12-31$807,662
Employer contributions (assets) at beginning of year2019-12-31$807,662
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$457,728
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$457,728
Contract administrator fees2019-12-31$7,147
Contract administrator fees2019-12-31$7,147
Did the plan have assets held for investment2019-12-31Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31WATSONRICE
Accountancy firm name2019-12-31WATSONRICE
Accountancy firm EIN2019-12-31261726741
Accountancy firm EIN2019-12-31261726741
2018 : 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$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$760,623
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$529,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$521,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$968,430
Value of total assets at end of year2018-12-31$5,065,384
Value of total assets at beginning of year2018-12-31$4,834,247
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$7,951
Total interest from all sources2018-12-31$5,345
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$210,592
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$210,592
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$497,052
Participant contributions at end of year2018-12-31$89,069
Participant contributions at beginning of year2018-12-31$107,679
Participant contributions at end of year2018-12-31$15,987
Participant contributions at beginning of year2018-12-31$20,753
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$10,429
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$231,137
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,065,384
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,834,247
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$3,408,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$3,829,727
Value of interest in pooled separate accounts at end of year2018-12-31$737,710
Value of interest in pooled separate accounts at beginning of year2018-12-31$522,911
Interest on participant loans2018-12-31$5,345
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$6,607
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$6,464
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-438,728
Net investment gain/loss from pooled separate accounts2018-12-31$14,984
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$460,949
Employer contributions (assets) at end of year2018-12-31$807,662
Employer contributions (assets) at beginning of year2018-12-31$346,713
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$521,535
Contract administrator fees2018-12-31$7,951
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WATSONRICE
Accountancy firm EIN2018-12-31261726741
2017 : 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$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$1,251,719
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$412,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$405,216
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$652,088
Value of total assets at end of year2017-12-31$4,834,247
Value of total assets at beginning of year2017-12-31$3,995,294
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$7,550
Total interest from all sources2017-12-31$4,828
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$147,698
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$147,698
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$305,375
Participant contributions at end of year2017-12-31$107,679
Participant contributions at beginning of year2017-12-31$123,855
Participant contributions at end of year2017-12-31$20,753
Participant contributions at beginning of year2017-12-31$9,414
Administrative expenses (other) incurred2017-12-31$1,075
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$838,953
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,834,247
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,995,294
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$3,829,727
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,161,367
Value of interest in pooled separate accounts at end of year2017-12-31$522,911
Value of interest in pooled separate accounts at beginning of year2017-12-31$473,375
Interest on participant loans2017-12-31$4,640
Interest earned on other investments2017-12-31$188
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$6,464
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$6,326
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$439,111
Net investment gain/loss from pooled separate accounts2017-12-31$7,994
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 contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$346,713
Employer contributions (assets) at end of year2017-12-31$346,713
Employer contributions (assets) at beginning of year2017-12-31$220,957
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$405,216
Contract administrator fees2017-12-31$6,475
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WATSONRICE
Accountancy firm EIN2017-12-31261726741
2016 : 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$806,898
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$103,716
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$97,682
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$595,584
Value of total assets at end of year2016-12-31$3,995,294
Value of total assets at beginning of year2016-12-31$3,292,112
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$6,034
Total interest from all sources2016-12-31$5,180
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$93,001
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$93,001
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$325,228
Participant contributions at end of year2016-12-31$123,855
Participant contributions at beginning of year2016-12-31$82,254
Participant contributions at end of year2016-12-31$9,414
Participant contributions at beginning of year2016-12-31$7,041
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$49,399
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$6,979
Other income not declared elsewhere2016-12-31$184
Administrative expenses (other) incurred2016-12-31$900
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$703,182
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,995,294
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,292,112
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$3,161,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,909,717
Value of interest in pooled separate accounts at end of year2016-12-31$473,375
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,300
Interest on participant loans2016-12-31$5,180
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$6,326
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$6,192
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$110,907
Net investment gain/loss from pooled separate accounts2016-12-31$2,042
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$220,957
Employer contributions (assets) at end of year2016-12-31$220,957
Employer contributions (assets) at beginning of year2016-12-31$278,629
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$97,682
Contract administrator fees2016-12-31$5,134
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WATSONRICE
Accountancy firm EIN2016-12-31261726741
2015 : 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$655,244
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$884,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$878,385
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$645,486
Value of total assets at end of year2015-12-31$3,292,112
Value of total assets at beginning of year2015-12-31$3,520,887
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$5,634
Total interest from all sources2015-12-31$3,063
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$99,159
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$99,159
Administrative expenses professional fees incurred2015-12-31$5,634
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$358,860
Participant contributions at end of year2015-12-31$82,254
Participant contributions at beginning of year2015-12-31$67,625
Participant contributions at end of year2015-12-31$7,041
Participant contributions at beginning of year2015-12-31$5,028
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$7,991
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$6,979
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$6,157
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-228,775
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,292,112
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,520,887
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$2,909,717
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,209,577
Value of interest in pooled separate accounts at end of year2015-12-31$1,300
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,262
Income. Interest from loans (other than to participants)2015-12-31$2,859
Interest earned on other investments2015-12-31$204
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest in common/collective trusts at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$6,192
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$7,283
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-92,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$278,635
Employer contributions (assets) at end of year2015-12-31$278,629
Employer contributions (assets) at beginning of year2015-12-31$223,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$878,385
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 name2015-12-31WATSONRICE
Accountancy firm EIN2015-12-31261726741

Form 5500 Responses for 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES

2022: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 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 benefit arrangement – InsuranceYes
2020: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 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 benefit arrangement – InsuranceYes
2019: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 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: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
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: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
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: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
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: 403(B) THRIFT PLAN OF DAMIAN FAMILY CARE CENTERS, INC. DBA PROJECT SAMARITAN HEALTH SERVICES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number062199G
Policy instance 1
Insurance contract or identification number062199G
Number of Individuals Covered299
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,588
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 Administration1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1588
Additional information about fees paid to insurance brokerINCENTIVE COMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number062199G
Policy instance 1
Insurance contract or identification number062199G
Number of Individuals Covered309
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 Administration1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number062199G
Policy instance 1
Insurance contract or identification number062199G
Number of Individuals Covered276
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 Administration1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INS CO (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberFA068945
Policy instance 1
Insurance contract or identification numberFA068945
Number of Individuals Covered16
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number32958
Policy instance 2
Insurance contract or identification number32958
Number of Individuals Covered133
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number32958
Policy instance 2
Insurance contract or identification number32958
Number of Individuals Covered102
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INS CO (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberFA068945
Policy instance 1
Insurance contract or identification numberFA068945
Number of Individuals Covered17
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number32958
Policy instance 2
Insurance contract or identification number32958
Number of Individuals Covered116
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberFA068945
Policy instance 1
Insurance contract or identification numberFA068945
Number of Individuals Covered18
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberFA068945
Policy instance 1
Insurance contract or identification numberFA068945
Number of Individuals Covered18
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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