401k Plan data: HUMANGOOD EAST 401(K) PLAN plan

HUMANGOOD EAST 401(K) PLAN 401k Plan overview

Plan Name	HUMANGOOD EAST 401(K) PLAN
Plan identification number	010

HUMANGOOD EAST 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HUMANGOOD EAST has sponsored the creation of one or more 401k plans.

Company Name: HUMANGOOD EAST

Employer identification number (EIN): 232828862

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

Additional information about HUMANGOOD EAST

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE

Incorporation Date:

Company Identification Number: 2667565

More information about HUMANGOOD EAST

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUMANGOOD EAST 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
010 2021-01-01
010 2020-01-01
010 2019-01-01
010 2018-01-01
010 2017-01-01 MICHELLE BRYK
010 2016-01-01 MICHELLE BRYK
010 2015-01-01 MICHELLE BRYK

Plan Statistics for HUMANGOOD EAST 401(K) PLAN

401k plan membership statisitcs for HUMANGOOD EAST 401(K) PLAN

Measure Date Value
2021: HUMANGOOD EAST 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 679
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: HUMANGOOD EAST 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 679
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 616
Number of retired or separated participants receiving benefits 2020-01-01 4
Number of other retired or separated participants entitled to future benefits 2020-01-01 62
Total of all active and inactive participants 2020-01-01 682
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 682
Number of participants with account balances 2020-01-01 581
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 81
2019: HUMANGOOD EAST 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 916
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 639
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 36
Total of all active and inactive participants 2019-01-01 675
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 675
Number of participants with account balances 2019-01-01 603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: HUMANGOOD EAST 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 993
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 818
Number of retired or separated participants receiving benefits 2018-01-01 98
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 916
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 916
Number of participants with account balances 2018-01-01 733
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: HUMANGOOD EAST 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 813
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 870
Number of retired or separated participants receiving benefits 2017-01-01 123
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 993
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 993
Number of participants with account balances 2017-01-01 703
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 70
2016: HUMANGOOD EAST 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 789
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 23
Total of all active and inactive participants 2016-01-01 812
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 813
Number of participants with account balances 2016-01-01 524
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 18
2015: HUMANGOOD EAST 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 287
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 325
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 8
Total of all active and inactive participants 2015-01-01 333
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 333
Number of participants with account balances 2015-01-01 311

Measure	Date	Value
2021: HUMANGOOD EAST 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	679
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: HUMANGOOD EAST 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	679
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	616
Number of retired or separated participants receiving benefits	2020-01-01	4
Number of other retired or separated participants entitled to future benefits	2020-01-01	62
Total of all active and inactive participants	2020-01-01	682
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	682
Number of participants with account balances	2020-01-01	581
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	81
2019: HUMANGOOD EAST 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	916
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	639
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	36
Total of all active and inactive participants	2019-01-01	675
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	675
Number of participants with account balances	2019-01-01	603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: HUMANGOOD EAST 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	993
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	818
Number of retired or separated participants receiving benefits	2018-01-01	98
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	916
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	916
Number of participants with account balances	2018-01-01	733
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: HUMANGOOD EAST 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	813
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	870
Number of retired or separated participants receiving benefits	2017-01-01	123
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	993
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	993
Number of participants with account balances	2017-01-01	703
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	70
2016: HUMANGOOD EAST 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	789
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	23
Total of all active and inactive participants	2016-01-01	812
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	813
Number of participants with account balances	2016-01-01	524
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	18
2015: HUMANGOOD EAST 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	287
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	325
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	8
Total of all active and inactive participants	2015-01-01	333
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	333
Number of participants with account balances	2015-01-01	311

Financial Data on HUMANGOOD EAST 401(K) PLAN

Measure	Date	Value
2021 : HUMANGOOD EAST 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-03-31	$0
Total transfer of assets from this plan	2021-03-31	$11,799,037
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-03-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-03-31	$0
Total income from all sources (including contributions)	2021-03-31	$202,921
Total loss/gain on sale of assets	2021-03-31	$0
Total of all expenses incurred	2021-03-31	$255,237
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-03-31	$241,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-03-31	$752
Value of total assets at end of year	2021-03-31	$0
Value of total assets at beginning of year	2021-03-31	$11,851,353
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-03-31	$13,890
Total interest from all sources	2021-03-31	$1,990
Total dividends received (eg from common stock, registered investment company shares)	2021-03-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-03-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-03-31	$0
Was this plan covered by a fidelity bond	2021-03-31	Yes
Value of fidelity bond cover	2021-03-31	$500,000
If this is an individual account plan, was there a blackout period	2021-03-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-03-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-03-31	No
Participant contributions at end of year	2021-03-31	$0
Participant contributions at beginning of year	2021-03-31	$208,794
Income. Received or receivable in cash from other sources (including rollovers)	2021-03-31	$752
Other income not declared elsewhere	2021-03-31	$64,624
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-03-31	No
Value of net income/loss	2021-03-31	$-52,316
Value of net assets at end of year (total assets less liabilities)	2021-03-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-03-31	$11,851,353
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-03-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-03-31	No
Were any leases to which the plan was party in default or uncollectible	2021-03-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-03-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-03-31	$10,029,498
Value of interest in pooled separate accounts at end of year	2021-03-31	$0
Value of interest in pooled separate accounts at beginning of year	2021-03-31	$226,608
Interest on participant loans	2021-03-31	$1,990
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-03-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-03-31	$825,443
Net investment gain/loss from pooled separate accounts	2021-03-31	$135,555
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-03-31	No
Was there a failure to transmit to the plan any participant contributions	2021-03-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-03-31	No
Contributions received in cash from employer	2021-03-31	$0
Employer contributions (assets) at end of year	2021-03-31	$0
Employer contributions (assets) at beginning of year	2021-03-31	$561,010
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-03-31	$241,347
Contract administrator fees	2021-03-31	$13,890
Did the plan have assets held for investment	2021-03-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-03-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-03-31	Yes
Opinion of an independent qualified public accountant for this plan	2021-03-31	Disclaimer
Accountancy firm name	2021-03-31	BAKER TILLY, US LLP
Accountancy firm EIN	2021-03-31	390859910
2020 : HUMANGOOD EAST 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$3,176,234
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,852,762
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,772,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,739,835
Value of total assets at end of year	2020-12-31	$11,851,353
Value of total assets at beginning of year	2020-12-31	$10,527,881
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$79,800
Total interest from all sources	2020-12-31	$13,382
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 year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,091,143
Participant contributions at end of year	2020-12-31	$208,794
Participant contributions at beginning of year	2020-12-31	$207,997
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$87,555
Other income not declared elsewhere	2020-12-31	$12,857
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,323,472
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$11,851,353
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$10,527,881
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$68,500
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$10,029,498
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$9,103,890
Value of interest in pooled separate accounts at end of year	2020-12-31	$226,608
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$0
Interest on participant loans	2020-12-31	$13,382
Value of interest in common/collective trusts at end of year	2020-12-31	$0
Value of interest in common/collective trusts at beginning of year	2020-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$825,443
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$699,133
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,357,216
Net investment gain/loss from pooled separate accounts	2020-12-31	$52,944
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$561,137
Employer contributions (assets) at end of year	2020-12-31	$561,010
Employer contributions (assets) at beginning of year	2020-12-31	$516,861
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,772,962
Contract administrator fees	2020-12-31	$11,300
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BAKER TILLY US, LLP
Accountancy firm EIN	2020-12-31	390859910
2019 : HUMANGOOD EAST 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$3,705,954
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,385,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,297,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,024,246
Value of total assets at end of year	2019-12-31	$10,527,881
Value of total assets at beginning of year	2019-12-31	$9,207,488
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$87,602
Total interest from all sources	2019-12-31	$14,609
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$233,311
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$233,311
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,140,453
Participant contributions at end of year	2019-12-31	$207,997
Participant contributions at beginning of year	2019-12-31	$260,418
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$305,955
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,320,393
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$10,527,881
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$9,207,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$66,374
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$9,103,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$7,560,922
Interest on participant loans	2019-12-31	$14,609
Value of interest in common/collective trusts at end of year	2019-12-31	$0
Value of interest in common/collective trusts at beginning of year	2019-12-31	$175,584
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$699,133
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$575,357
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,433,788
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$577,838
Employer contributions (assets) at end of year	2019-12-31	$516,861
Employer contributions (assets) at beginning of year	2019-12-31	$635,207
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,297,959
Contract administrator fees	2019-12-31	$21,228
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2019-12-31	390859910
2018 : HUMANGOOD EAST 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$2,169,393
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$604,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$524,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,623,073
Value of total assets at end of year	2018-12-31	$9,207,488
Value of total assets at beginning of year	2018-12-31	$7,642,619
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$79,986
Total interest from all sources	2018-12-31	$257,625
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,187,153
Participant contributions at end of year	2018-12-31	$260,418
Participant contributions at beginning of year	2018-12-31	$160,805
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$41,240
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$800,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Income. Non cash contributions	2018-12-31	$0
Value of net income/loss	2018-12-31	$1,564,869
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$9,207,488
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,642,619
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$66,455
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$7,560,922
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$6,330,322
Interest on participant loans	2018-12-31	$13,228
Interest earned on other investments	2018-12-31	$244,397
Value of interest in common/collective trusts at end of year	2018-12-31	$175,584
Value of interest in common/collective trusts at beginning of year	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$575,357
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$533,629
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-711,305
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$635,207
Employer contributions (assets) at end of year	2018-12-31	$635,207
Employer contributions (assets) at beginning of year	2018-12-31	$576,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$524,538
Contract administrator fees	2018-12-31	$13,531
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2018-12-31	390859910
2017 : HUMANGOOD EAST 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,912,129
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$726,760
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$656,218
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,101,367
Value of total assets at end of year	2017-12-31	$7,642,619
Value of total assets at beginning of year	2017-12-31	$5,457,250
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$70,542
Total interest from all sources	2017-12-31	$7,145
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,018,492
Participant contributions at end of year	2017-12-31	$160,805
Participant contributions at beginning of year	2017-12-31	$122,444
Participant contributions at end of year	2017-12-31	$41,240
Participant contributions at beginning of year	2017-12-31	$31,244
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$506,252
Other income not declared elsewhere	2017-12-31	$179,931
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$2,185,369
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,642,619
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$5,457,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$6,330,322
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,233,791
Interest on participant loans	2017-12-31	$7,145
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$533,629
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$576,862
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$623,686
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$576,623
Employer contributions (assets) at end of year	2017-12-31	$576,623
Employer contributions (assets) at beginning of year	2017-12-31	$492,909
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$656,218
Contract administrator fees	2017-12-31	$70,542
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2017-12-31	390859910
2016 : HUMANGOOD EAST 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$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	$3,204,347
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,008,180
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$948,306
Expenses. Certain deemed distributions of participant loans	2016-12-31	$976
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,862,977
Value of total assets at end of year	2016-12-31	$5,457,250
Value of total assets at beginning of year	2016-12-31	$3,261,083
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$58,898
Total interest from all sources	2016-12-31	$5,197
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$758,726
Participant contributions at end of year	2016-12-31	$122,444
Participant contributions at beginning of year	2016-12-31	$82,597
Participant contributions at end of year	2016-12-31	$31,244
Participant contributions at beginning of year	2016-12-31	$22,207
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$1,611,342
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$2,196,167
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$5,457,250
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,261,083
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$4,233,791
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,169,245
Interest on participant loans	2016-12-31	$5,197
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$576,862
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$388,788
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$336,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$492,909
Employer contributions (assets) at end of year	2016-12-31	$492,909
Employer contributions (assets) at beginning of year	2016-12-31	$598,246
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$948,306
Contract administrator fees	2016-12-31	$58,898
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BAKER TILLY
Accountancy firm EIN	2016-12-31	390859910
2015 : HUMANGOOD EAST 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$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	$3,568,103
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$307,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$279,333
Value of total corrective distributions	2015-12-31	$1,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,651,503
Value of total assets at end of year	2015-12-31	$3,261,083
Value of total assets at beginning of year	2015-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$26,143
Total interest from all sources	2015-12-31	$1,779
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 year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$500
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$100,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$532,669
Participant contributions at end of year	2015-12-31	$82,597
Participant contributions at beginning of year	2015-12-31	$0
Participant contributions at end of year	2015-12-31	$22,207
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$2,520,588
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$3,261,083
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,261,083
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$21,578
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,169,245
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$0
Interest on participant loans	2015-12-31	$1,779
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$388,788
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-85,179
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$598,246
Employer contributions (assets) at end of year	2015-12-31	$598,246
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$279,333
Contract administrator fees	2015-12-31	$4,065
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BAKER TILLY
Accountancy firm EIN	2015-12-31	390859910

Form 5500 Responses for HUMANGOOD EAST 401(K) PLAN

2021: HUMANGOOD EAST 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: HUMANGOOD EAST 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: HUMANGOOD EAST 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HUMANGOOD EAST 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HUMANGOOD EAST 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HUMANGOOD EAST 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HUMANGOOD EAST 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61563-1

Policy instance

Insurance contract or identification number	MR 61563-1
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-03-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61563-1

Policy instance

Insurance contract or identification number	MR 61563-1
Number of Individuals Covered	616
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61563-1

Policy instance

Insurance contract or identification number	MR 61563-1
Number of Individuals Covered	639
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61563-1

Policy instance

Insurance contract or identification number	MR 61563-1
Number of Individuals Covered	993
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61563-1

Policy instance

Insurance contract or identification number	MR 61563-1
Number of Individuals Covered	703
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61563-1

Policy instance

Insurance contract or identification number	MR 61563-1
Number of Individuals Covered	311
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $504
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $504
Insurance broker organization code?	4
Insurance broker name	AXA NETWORK LLC

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Company Name:	HUMANGOOD EAST
Employer identification number (EIN):	232828862
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number:	2667565