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WINDSOR GARDENS CARE CTR INC 401(K) PLAN 401k Plan overview

Plan NameWINDSOR GARDENS CARE CTR INC 401(K) PLAN
Plan identification number 001

WINDSOR GARDENS CARE CTR INC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

WINDSOR GARDENS CARE CENTER INC has sponsored the creation of one or more 401k plans.

Company Name:WINDSOR GARDENS CARE CENTER INC
Employer identification number (EIN):223642132
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WINDSOR GARDENS CARE CTR INC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01JOAN ORSO
0012016-01-01JOAN ORSO
0012015-01-01
0012014-01-01EDWARD NEUMANN EDWARD NEWMANN2015-10-15
0012013-01-01EDWARD NEUMANN EDWARD NEWMANN2014-10-14
0012012-01-01EDWARD NEUMANN
0012011-01-01EDWARD NEUMANN
0012010-01-01EDWARD NEUMANN
0012009-01-01STEVEN GREENBAUM

Plan Statistics for WINDSOR GARDENS CARE CTR INC 401(K) PLAN

401k plan membership statisitcs for WINDSOR GARDENS CARE CTR INC 401(K) PLAN

Measure Date Value
2020: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01958
Total number of active participants reported on line 7a of the Form 55002020-01-011,178
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0158
Total of all active and inactive participants2020-01-011,236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-011,236
Number of participants with account balances2020-01-01158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,325
Total number of active participants reported on line 7a of the Form 55002019-01-01594
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0149
Total of all active and inactive participants2019-01-01644
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01644
Number of participants with account balances2019-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,223
Total number of active participants reported on line 7a of the Form 55002018-01-011,228
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-0140
Total of all active and inactive participants2018-01-011,269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,269
Number of participants with account balances2018-01-01145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,221
Total number of active participants reported on line 7a of the Form 55002017-01-011,103
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0141
Total of all active and inactive participants2017-01-011,145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,145
Number of participants with account balances2017-01-01137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,275
Total number of active participants reported on line 7a of the Form 55002016-01-011,100
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0149
Total of all active and inactive participants2016-01-011,149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,149
Number of participants with account balances2016-01-01145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,256
Total number of active participants reported on line 7a of the Form 55002015-01-011,167
Number of retired or separated participants receiving benefits2015-01-014
Number of other retired or separated participants entitled to future benefits2015-01-0147
Total of all active and inactive participants2015-01-011,218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,218
Number of participants with account balances2015-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,266
Total number of active participants reported on line 7a of the Form 55002014-01-011,187
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-0138
Total of all active and inactive participants2014-01-011,228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,228
Number of participants with account balances2014-01-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,002
Total number of active participants reported on line 7a of the Form 55002013-01-011,186
Number of retired or separated participants receiving benefits2013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-0137
Total of all active and inactive participants2013-01-011,226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,226
Number of participants with account balances2013-01-01126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,095
Total number of active participants reported on line 7a of the Form 55002012-01-01954
Number of retired or separated participants receiving benefits2012-01-014
Number of other retired or separated participants entitled to future benefits2012-01-0131
Total of all active and inactive participants2012-01-01989
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01989
Number of participants with account balances2012-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,134
Total number of active participants reported on line 7a of the Form 55002011-01-011,038
Number of retired or separated participants receiving benefits2011-01-013
Number of other retired or separated participants entitled to future benefits2011-01-0128
Total of all active and inactive participants2011-01-011,069
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,069
Number of participants with account balances2011-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,357
Total number of active participants reported on line 7a of the Form 55002010-01-011,392
Number of retired or separated participants receiving benefits2010-01-012
Number of other retired or separated participants entitled to future benefits2010-01-0121
Total of all active and inactive participants2010-01-011,415
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-011,415
Number of participants with account balances2010-01-0168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01460
Total number of active participants reported on line 7a of the Form 55002009-01-01313
Number of retired or separated participants receiving benefits2009-01-011
Number of other retired or separated participants entitled to future benefits2009-01-0114
Total of all active and inactive participants2009-01-01328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01328
Number of participants with account balances2009-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on WINDSOR GARDENS CARE CTR INC 401(K) PLAN

Measure Date Value
2020 : WINDSOR GARDENS CARE CTR INC 401(K) 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
Expenses. Interest paid2020-12-31$5,247
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$5,247
Total income from all sources (including contributions)2020-12-31$1,106,304
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$698,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$667,980
Value of total corrective distributions2020-12-31$7,289
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$558,791
Value of total assets at end of year2020-12-31$4,660,187
Value of total assets at beginning of year2020-12-31$4,252,851
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$18,452
Total interest from all sources2020-12-31$14,187
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Assets. Real estate other than employer real property at end of year2020-12-31$41,725
Assets. Real estate other than employer real property at beginning of year2020-12-31$68,116
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
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$453,353
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$105,438
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$237
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$407,336
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,660,187
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,252,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$3,966,520
Value of interest in pooled separate accounts at beginning of year2020-12-31$4,092,692
Interest on participant loans2020-12-31$3,937
Interest earned on other investments2020-12-31$10,250
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$651,942
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$91,806
Net investment gain/loss from pooled separate accounts2020-12-31$533,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$667,980
Contract administrator fees2020-12-31$18,452
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 name2020-12-31CHAIM CYWIAK, CPA
Accountancy firm EIN2020-12-31112626200
2019 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$1,281,604
Total income from all sources (including contributions)2019-12-31$1,281,604
Total of all expenses incurred2019-12-31$835,624
Total of all expenses incurred2019-12-31$835,624
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$784,158
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$784,158
Value of total corrective distributions2019-12-31$30,143
Value of total corrective distributions2019-12-31$30,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$568,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$568,792
Value of total assets at end of year2019-12-31$4,252,851
Value of total assets at end of year2019-12-31$4,252,851
Value of total assets at beginning of year2019-12-31$3,806,871
Value of total assets at beginning of year2019-12-31$3,806,871
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$21,323
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$21,323
Total interest from all sources2019-12-31$4,334
Total interest from all sources2019-12-31$4,334
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
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
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$499,729
Contributions received from participants2019-12-31$499,729
Participant contributions at end of year2019-12-31$68,116
Participant contributions at end of year2019-12-31$68,116
Participant contributions at beginning of year2019-12-31$61,266
Participant contributions at beginning of year2019-12-31$61,266
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$69,063
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$69,063
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$237
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$237
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$171
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$171
Administrative expenses (other) incurred2019-12-31$20,535
Administrative expenses (other) incurred2019-12-31$20,535
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$445,980
Value of net income/loss2019-12-31$445,980
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,252,851
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,252,851
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,806,871
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,806,871
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
Investment advisory and management fees2019-12-31$788
Investment advisory and management fees2019-12-31$788
Value of interest in pooled separate accounts at end of year2019-12-31$4,092,692
Value of interest in pooled separate accounts at end of year2019-12-31$4,092,692
Value of interest in pooled separate accounts at beginning of year2019-12-31$3,664,222
Value of interest in pooled separate accounts at beginning of year2019-12-31$3,664,222
Interest on participant loans2019-12-31$3,544
Interest on participant loans2019-12-31$3,544
Interest earned on other investments2019-12-31$790
Interest earned on other investments2019-12-31$790
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$91,806
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$91,806
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$81,212
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$81,212
Net investment gain/loss from pooled separate accounts2019-12-31$708,478
Net investment gain/loss from pooled separate accounts2019-12-31$708,478
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$784,158
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$784,158
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan 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 name2019-12-31CYWIAK & COMPANY
Accountancy firm name2019-12-31CYWIAK & COMPANY
Accountancy firm EIN2019-12-31112626200
Accountancy firm EIN2019-12-31112626200
2018 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$389,913
Total of all expenses incurred2018-12-31$330,788
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$226,218
Value of total corrective distributions2018-12-31$81,764
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$638,336
Value of total assets at end of year2018-12-31$3,806,871
Value of total assets at beginning of year2018-12-31$3,747,746
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$22,806
Total interest from all sources2018-12-31$3,602
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
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$493,221
Participant contributions at end of year2018-12-31$61,266
Participant contributions at beginning of year2018-12-31$37,632
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$145,115
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$171
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Administrative expenses (other) incurred2018-12-31$22,012
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$59,125
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,806,871
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,747,746
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
Investment advisory and management fees2018-12-31$794
Value of interest in pooled separate accounts at end of year2018-12-31$3,664,222
Value of interest in pooled separate accounts at beginning of year2018-12-31$3,610,834
Interest on participant loans2018-12-31$2,898
Interest earned on other investments2018-12-31$704
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$81,212
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$99,280
Net investment gain/loss from pooled separate accounts2018-12-31$-252,025
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$226,218
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CYWIAK & COMPANY
Accountancy firm EIN2018-12-31112626200
2017 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$1,037,717
Total of all expenses incurred2017-12-31$400,181
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$381,701
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$567,391
Value of total assets at end of year2017-12-31$3,747,746
Value of total assets at beginning of year2017-12-31$3,110,210
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$18,480
Total interest from all sources2017-12-31$2,903
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$250,000
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$475,877
Participant contributions at end of year2017-12-31$37,632
Participant contributions at beginning of year2017-12-31$44,214
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$91,514
Administrative expenses (other) incurred2017-12-31$17,794
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$637,536
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,747,746
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,110,210
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
Investment advisory and management fees2017-12-31$686
Value of interest in pooled separate accounts at end of year2017-12-31$3,610,834
Value of interest in pooled separate accounts at beginning of year2017-12-31$2,979,945
Interest on participant loans2017-12-31$2,054
Interest earned on other investments2017-12-31$849
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$99,280
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$86,051
Net investment gain/loss from pooled separate accounts2017-12-31$467,423
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$381,701
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CYWIAK & COMPANY
Accountancy firm EIN2017-12-31112626200
2016 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$699,949
Total of all expenses incurred2016-12-31$215,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$148,411
Expenses. Certain deemed distributions of participant loans2016-12-31$2
Value of total corrective distributions2016-12-31$58,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$546,790
Value of total assets at end of year2016-12-31$3,110,210
Value of total assets at beginning of year2016-12-31$2,625,572
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$8,068
Total interest from all sources2016-12-31$1,766
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$250,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
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$464,958
Participant contributions at end of year2016-12-31$44,214
Participant contributions at beginning of year2016-12-31$57,651
Participant contributions at beginning of year2016-12-31$185
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$81,832
Other income not declared elsewhere2016-12-31$398
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$484,638
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,110,210
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,625,572
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 pooled separate accounts at end of year2016-12-31$2,979,945
Value of interest in pooled separate accounts at beginning of year2016-12-31$2,567,736
Interest on participant loans2016-12-31$1,766
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$86,051
Net investment gain/loss from pooled separate accounts2016-12-31$150,995
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$148,411
Contract administrator fees2016-12-31$8,068
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
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 name2016-12-31CYWIAK & COMPANY
Accountancy firm EIN2016-12-31112626200
2015 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 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$411,138
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$111,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$74,226
Expenses. Certain deemed distributions of participant loans2015-12-31$0
Value of total corrective distributions2015-12-31$35,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$450,238
Value of total assets at end of year2015-12-31$2,625,572
Value of total assets at beginning of year2015-12-31$2,326,255
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,500
Total interest from all sources2015-12-31$1,278
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
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$250,000
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$447,232
Participant contributions at end of year2015-12-31$57,651
Participant contributions at beginning of year2015-12-31$13,773
Participant contributions at end of year2015-12-31$185
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$3,006
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$160
Administrative expenses (other) incurred2015-12-31$2,500
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$299,317
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,625,572
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,326,255
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 pooled separate accounts at end of year2015-12-31$2,567,736
Value of interest in pooled separate accounts at beginning of year2015-12-31$2,312,482
Interest on participant loans2015-12-31$1,278
Net investment gain/loss from pooled separate accounts2015-12-31$-40,378
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$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$74,066
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 name2015-12-31CYWIAK & COMPANY
Accountancy firm EIN2015-12-31112626200
2014 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$590,945
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$195,675
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$158,361
Expenses. Certain deemed distributions of participant loans2014-12-31$1,075
Value of total corrective distributions2014-12-31$34,239
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$513,198
Value of total assets at end of year2014-12-31$2,326,255
Value of total assets at beginning of year2014-12-31$1,930,985
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,000
Total interest from all sources2014-12-31$729
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
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$250,000
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$421,776
Participant contributions at end of year2014-12-31$13,773
Participant contributions at beginning of year2014-12-31$8,599
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$91,422
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$166
Administrative expenses (other) incurred2014-12-31$2,000
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$395,270
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,326,255
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,930,985
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 pooled separate accounts at end of year2014-12-31$2,312,482
Value of interest in pooled separate accounts at beginning of year2014-12-31$1,922,386
Income. Interest from loans (other than to participants)2014-12-31$729
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Net investment gain/loss from pooled separate accounts2014-12-31$77,018
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$158,195
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 name2014-12-31CYWIAK & COMPANY
Accountancy firm EIN2014-12-31112626200
2013 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$779,938
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$76,878
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$74,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$573,819
Value of total assets at end of year2013-12-31$1,930,985
Value of total assets at beginning of year2013-12-31$1,227,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,050
Total interest from all sources2013-12-31$1,080
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
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$250,000
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$412,541
Participant contributions at end of year2013-12-31$8,599
Participant contributions at beginning of year2013-12-31$1,737
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$161,278
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$106
Administrative expenses (other) incurred2013-12-31$2,050
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$703,060
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,930,985
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,227,925
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 pooled separate accounts at end of year2013-12-31$1,922,386
Value of interest in pooled separate accounts at beginning of year2013-12-31$1,226,188
Interest on participant loans2013-12-31$1,080
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from pooled separate accounts2013-12-31$205,039
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$74,722
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 name2013-12-31CYWIAK & COMPANY, LLP
Accountancy firm EIN2013-12-31112626200
2012 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$506,040
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$147,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$146,487
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$407,413
Value of total assets at end of year2012-12-31$1,227,925
Value of total assets at beginning of year2012-12-31$869,347
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$975
Total interest from all sources2012-12-31$28
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
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$250,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$329,426
Participant contributions at end of year2012-12-31$1,737
Participant contributions at beginning of year2012-12-31$6,600
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$4,923
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$77,987
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$392
Administrative expenses (other) incurred2012-12-31$975
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$358,578
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,227,925
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$869,347
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 pooled separate accounts at end of year2012-12-31$1,226,188
Value of interest in pooled separate accounts at beginning of year2012-12-31$653,660
Interest on participant loans2012-12-31$28
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$204,164
Net investment gain/loss from pooled separate accounts2012-12-31$98,599
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$146,095
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 name2012-12-31CYWIAK & COMPANY, LLP
Accountancy firm EIN2012-12-31112626200
2011 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$274,019
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$14,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$13,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$268,955
Value of total assets at end of year2011-12-31$869,347
Value of total assets at beginning of year2011-12-31$610,133
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,005
Total interest from all sources2011-12-31$4,618
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
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$250,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$199,671
Participant contributions at end of year2011-12-31$6,600
Participant contributions at beginning of year2011-12-31$8,200
Participant contributions at end of year2011-12-31$4,923
Participant contributions at beginning of year2011-12-31$2,266
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$69,284
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$5,267
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Administrative expenses (other) incurred2011-12-31$1,005
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
Income. Non cash contributions2011-12-31$0
Value of net income/loss2011-12-31$259,214
Value of net assets at end of year (total assets less liabilities)2011-12-31$869,347
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$610,133
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 pooled separate accounts at end of year2011-12-31$653,660
Value of interest in pooled separate accounts at beginning of year2011-12-31$491,766
Interest on participant loans2011-12-31$127
Interest earned on other investments2011-12-31$175
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$4,316
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$204,164
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$107,901
Net investment gain/loss from pooled separate accounts2011-12-31$446
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$8,533
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31CYWIAK & COMPANY,LLP
Accountancy firm EIN2011-12-31112626200
2010 : WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$23
Total income from all sources (including contributions)2010-12-31$262,781
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$40,064
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$39,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$208,053
Value of total assets at end of year2010-12-31$610,133
Value of total assets at beginning of year2010-12-31$387,439
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$735
Total interest from all sources2010-12-31$2,405
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
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$250,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$118,738
Participant contributions at end of year2010-12-31$8,200
Participant contributions at beginning of year2010-12-31$0
Participant contributions at end of year2010-12-31$2,266
Participant contributions at beginning of year2010-12-31$223
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$89,315
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$3,621
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$23
Administrative expenses (other) incurred2010-12-31$735
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$222,717
Value of net assets at end of year (total assets less liabilities)2010-12-31$610,133
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$387,416
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 pooled separate accounts at end of year2010-12-31$491,766
Value of interest in pooled separate accounts at beginning of year2010-12-31$311,129
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$2,405
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$107,901
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$76,087
Net investment gain/loss from pooled separate accounts2010-12-31$52,323
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$35,708
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31CYWIAK & COMPANY, LLP
Accountancy firm EIN2010-12-31112626200

Form 5500 Responses for WINDSOR GARDENS CARE CTR INC 401(K) PLAN

2020: WINDSOR GARDENS CARE CTR INC 401(K) 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 planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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: WINDSOR GARDENS CARE CTR INC 401(K) 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: WINDSOR GARDENS CARE CTR INC 401(K) 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: WINDSOR GARDENS CARE CTR INC 401(K) 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: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 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
2014: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
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: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
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: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
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: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: WINDSOR GARDENS CARE CTR INC 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number069916
Policy instance 1
Insurance contract or identification number069916
Number of Individuals Covered1236
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number807050
Policy instance 1
Insurance contract or identification number807050
Number of Individuals Covered157
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,073
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
Commission paid to Insurance BrokerUSD $1,073
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number807050
Policy instance 1
Insurance contract or identification number807050
Number of Individuals Covered145
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $13,858
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
Commission paid to Insurance BrokerUSD $13,858
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number807050
Policy instance 1
Insurance contract or identification number807050
Number of Individuals Covered137
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,586
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
Commission paid to Insurance BrokerUSD $9,586
Insurance broker organization code?3
Insurance broker namePARK AVENUE SECURITIES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberPHK155
Policy instance 1
Insurance contract or identification numberPHK155
Number of Individuals Covered135
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,024
Total amount of fees paid to insurance companyUSD $2,500
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
Commission paid to Insurance BrokerUSD $8,775
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameALTIGRO PENSION SERVICES, INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberPHK155
Policy instance 1
Insurance contract or identification numberPHK155
Number of Individuals Covered134
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,299
Total amount of fees paid to insurance companyUSD $2,000
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
Commission paid to Insurance BrokerUSD $1,013
Amount paid for insurance broker fees2000
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?5
Insurance broker nameALTIGRO BENEFIT SERVICES, INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberPHK155
Policy instance 1
Insurance contract or identification numberPHK155
Number of Individuals Covered131
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $8,182
Total amount of fees paid to insurance companyUSD $2,050
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?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
Commission paid to Insurance BrokerUSD $3,093
Amount paid for insurance broker fees2050
Additional information about fees paid to insurance brokerNA
Insurance broker organization code?5
Insurance broker nameALTIGRO BENEFIT SERVICES, INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberPHK155
Policy instance 1
Insurance contract or identification numberPHK155
Number of Individuals Covered127
Insurance policy start date2012-05-30
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $8,132
Total amount of fees paid to insurance companyUSD $975
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?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
Commission paid to Insurance BrokerUSD $5,641
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNA
Insurance broker organization code?3
Insurance broker nameALTIGRO PENSION SERVICES, INC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHK155
Policy instance 2
Insurance contract or identification numberPHK155
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-05-30
Total amount of commissions paid to insurance brokerUSD $3,206
Total amount of fees paid to insurance companyUSD $0
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?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
Commission paid to Insurance BrokerUSD $3,206
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNA
Insurance broker organization code?3
Insurance broker nameCETERA ADVISOR NETWORKS LLC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHK155
Policy instance 1
Insurance contract or identification numberPHK155
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,267
Total amount of fees paid to insurance companyUSD $0
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?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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHK155
Policy instance 1
Insurance contract or identification numberPHK155
Number of Individuals Covered72
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,621
Total amount of fees paid to insurance companyUSD $0
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?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

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