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SALUS HEALTHCARE, LLC 401K PLAN 401k Plan overview

Plan NameSALUS HEALTHCARE, LLC 401K PLAN
Plan identification number 001

SALUS HEALTHCARE, LLC 401K 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.
  • Plan covering Self-Employed individuals.
  • 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

SALUS HEALTHCARE LLC has sponsored the creation of one or more 401k plans.

Company Name:SALUS HEALTHCARE LLC
Employer identification number (EIN):320117305
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about SALUS HEALTHCARE LLC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: 200414310125

More information about SALUS HEALTHCARE LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SALUS HEALTHCARE, LLC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01TYSON MANNING
0012016-01-01TYSON MANNING
0012015-01-01TYSON MANNING
0012014-01-01TYSON MANNING
0012013-01-01TYSON MANNING
0012012-01-01TYSON MANNING TYSON MANNING2013-10-14
0012011-01-01TYSON MANNING
0012009-01-01TYSON MANNING

Plan Statistics for SALUS HEALTHCARE, LLC 401K PLAN

401k plan membership statisitcs for SALUS HEALTHCARE, LLC 401K PLAN

Measure Date Value
2022: SALUS HEALTHCARE, LLC 401K PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01711
Total number of active participants reported on line 7a of the Form 55002022-01-01556
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-0111
Total of all active and inactive participants2022-01-01568
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01568
Number of participants with account balances2022-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: SALUS HEALTHCARE, LLC 401K PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01690
Total number of active participants reported on line 7a of the Form 55002021-01-01690
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-0120
Total of all active and inactive participants2021-01-01711
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01711
Number of participants with account balances2021-01-0191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: SALUS HEALTHCARE, LLC 401K PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01700
Total number of active participants reported on line 7a of the Form 55002020-01-01589
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0125
Total of all active and inactive participants2020-01-01614
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01614
Number of participants with account balances2020-01-0177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SALUS HEALTHCARE, LLC 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,157
Total number of active participants reported on line 7a of the Form 55002019-01-01669
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-0127
Total of all active and inactive participants2019-01-01698
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01698
Number of participants with account balances2019-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SALUS HEALTHCARE, LLC 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,508
Total number of active participants reported on line 7a of the Form 55002018-01-011,128
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0127
Total of all active and inactive participants2018-01-011,157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,157
Number of participants with account balances2018-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SALUS HEALTHCARE, LLC 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,491
Total number of active participants reported on line 7a of the Form 55002017-01-011,487
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0120
Total of all active and inactive participants2017-01-011,508
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,508
Number of participants with account balances2017-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SALUS HEALTHCARE, LLC 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,631
Total number of active participants reported on line 7a of the Form 55002016-01-011,487
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-011,491
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,491
Number of participants with account balances2016-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SALUS HEALTHCARE, LLC 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01947
Total number of active participants reported on line 7a of the Form 55002015-01-011,624
Number of other retired or separated participants entitled to future benefits2015-01-014
Total of all active and inactive participants2015-01-011,628
Total participants2015-01-011,628
Number of participants with account balances2015-01-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: SALUS HEALTHCARE, LLC 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01842
Total number of active participants reported on line 7a of the Form 55002014-01-011,413
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-011,416
Total participants2014-01-011,416
Number of participants with account balances2014-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: SALUS HEALTHCARE, LLC 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01795
Total number of active participants reported on line 7a of the Form 55002013-01-011,331
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-011,334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,334
Number of participants with account balances2013-01-0113
2012: SALUS HEALTHCARE, LLC 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01716
Total number of active participants reported on line 7a of the Form 55002012-01-011,192
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-011,197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,197
Number of participants with account balances2012-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: SALUS HEALTHCARE, LLC 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01669
Total number of active participants reported on line 7a of the Form 55002011-01-011,058
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-011,060
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,060
Number of participants with account balances2011-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: SALUS HEALTHCARE, LLC 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01381
Total number of active participants reported on line 7a of the Form 55002009-01-01636
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-01638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01638
Number of participants with account balances2009-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SALUS HEALTHCARE, LLC 401K PLAN

Measure Date Value
2022 : SALUS HEALTHCARE, LLC 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$106,912
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$411,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$320,464
Expenses. Certain deemed distributions of participant loans2022-12-31$3,911
Value of total corrective distributions2022-12-31$63,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$473,518
Value of total assets at end of year2022-12-31$2,162,174
Value of total assets at beginning of year2022-12-31$2,466,999
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$23,898
Total interest from all sources2022-12-31$3,692
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$57,113
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$57,113
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$246,700
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$463,306
Participant contributions at end of year2022-12-31$78,040
Participant contributions at beginning of year2022-12-31$48,012
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$10,212
Total non interest bearing cash at end of year2022-12-31$254
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-304,825
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,162,174
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,466,999
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$8,396
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,994,005
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$0
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Interest on participant loans2022-12-31$3,692
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$89,875
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$59,475
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$59,475
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$2,359,512
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-427,411
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$320,464
Contract administrator fees2022-12-31$15,502
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31DBB MCKENNON
Accountancy firm EIN2022-12-31203685188
2021 : SALUS HEALTHCARE, LLC 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$788,423
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$222,612
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$197,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$559,834
Value of total assets at end of year2021-12-31$2,466,999
Value of total assets at beginning of year2021-12-31$1,901,188
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$24,708
Total interest from all sources2021-12-31$2,457
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$314,786
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$314,786
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$120,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$493,627
Participant contributions at end of year2021-12-31$48,012
Participant contributions at beginning of year2021-12-31$49,425
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$66,207
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$565,811
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,466,999
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,901,188
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$10,347
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest in pooled separate accounts at beginning of year2021-12-31$1,581,429
Interest on participant loans2021-12-31$2,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$59,475
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$2,359,512
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$270,332
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-88,654
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$197,904
Contract administrator fees2021-12-31$14,361
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31DBB MCKENNON
Accountancy firm EIN2021-12-31203685188
2020 : SALUS HEALTHCARE, LLC 401K PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$491,154
Total of all expenses incurred2020-12-31$207,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$115,570
Value of total corrective distributions2020-12-31$78,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$347,775
Value of total assets at end of year2020-12-31$1,901,188
Value of total assets at beginning of year2020-12-31$1,617,300
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$12,827
Total interest from all sources2020-12-31$6,422
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$120,000
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$347,775
Participant contributions at end of year2020-12-31$49,425
Participant contributions at beginning of year2020-12-31$12,442
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$2
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$2
Administrative expenses (other) incurred2020-12-31$5,212
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$283,888
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,901,188
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,617,300
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
Investment advisory and management fees2020-12-31$7,615
Value of interest in pooled separate accounts at end of year2020-12-31$1,581,429
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,320,172
Interest on participant loans2020-12-31$1,997
Interest earned on other investments2020-12-31$4,425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$270,332
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$284,684
Net investment gain/loss from pooled separate accounts2020-12-31$136,957
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$115,570
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
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 name2020-12-31DBB MCKENNON
Accountancy firm EIN2020-12-31203685188
2019 : SALUS HEALTHCARE, LLC 401K PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$553,335
Total of all expenses incurred2019-12-31$114,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$86,377
Value of total corrective distributions2019-12-31$17,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$324,727
Value of total assets at end of year2019-12-31$1,617,300
Value of total assets at beginning of year2019-12-31$1,178,024
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$10,515
Total interest from all sources2019-12-31$5,246
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$120,000
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
Contributions received from participants2019-12-31$324,727
Participant contributions at end of year2019-12-31$12,442
Participant contributions at beginning of year2019-12-31$16,759
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$2
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Administrative expenses (other) incurred2019-12-31$3,950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$439,276
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,617,300
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,178,024
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$6,565
Value of interest in pooled separate accounts at end of year2019-12-31$1,320,172
Value of interest in pooled separate accounts at beginning of year2019-12-31$916,199
Interest on participant loans2019-12-31$1,078
Interest earned on other investments2019-12-31$4,168
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$284,684
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$245,066
Net investment gain/loss from pooled separate accounts2019-12-31$223,362
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$86,377
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 hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DBB MCKENNON
Accountancy firm EIN2019-12-31203685188
2018 : SALUS HEALTHCARE, LLC 401K PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$216,819
Total of all expenses incurred2018-12-31$53,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$32,513
Value of total corrective distributions2018-12-31$12,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$290,355
Value of total assets at end of year2018-12-31$1,178,024
Value of total assets at beginning of year2018-12-31$1,014,864
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$8,820
Total interest from all sources2018-12-31$3,980
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$120,000
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$267,779
Participant contributions at end of year2018-12-31$16,759
Participant contributions at beginning of year2018-12-31$18,568
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$22,576
Administrative expenses (other) incurred2018-12-31$3,381
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$163,160
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,178,024
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,014,864
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$5,439
Value of interest in pooled separate accounts at end of year2018-12-31$916,199
Value of interest in pooled separate accounts at beginning of year2018-12-31$749,951
Interest on participant loans2018-12-31$806
Interest earned on other investments2018-12-31$3,174
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$245,066
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$246,345
Net investment gain/loss from pooled separate accounts2018-12-31$-77,516
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$32,513
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 name2018-12-31DBB MCKENNON
Accountancy firm EIN2018-12-31203685188
2017 : SALUS HEALTHCARE, LLC 401K PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$354,615
Total of all expenses incurred2017-12-31$45,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$20,878
Expenses. Certain deemed distributions of participant loans2017-12-31$13,756
Value of total corrective distributions2017-12-31$3,703
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$255,178
Value of total assets at end of year2017-12-31$1,014,864
Value of total assets at beginning of year2017-12-31$705,629
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$7,043
Total interest from all sources2017-12-31$3,451
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$60,000
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$221,244
Participant contributions at end of year2017-12-31$18,568
Participant contributions at beginning of year2017-12-31$14,016
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$33,934
Administrative expenses (other) incurred2017-12-31$7,043
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$309,235
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,014,864
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$705,629
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$749,951
Value of interest in pooled separate accounts at beginning of year2017-12-31$494,724
Interest on participant loans2017-12-31$943
Interest earned on other investments2017-12-31$2,508
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$246,345
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$196,889
Net investment gain/loss from pooled separate accounts2017-12-31$95,986
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$20,878
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 name2017-12-31DBB MCKENNON
Accountancy firm EIN2017-12-31203685188
2016 : SALUS HEALTHCARE, LLC 401K PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$349,756
Total of all expenses incurred2016-12-31$281,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$268,537
Value of total corrective distributions2016-12-31$5,678
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$288,055
Value of total assets at end of year2016-12-31$705,629
Value of total assets at beginning of year2016-12-31$637,683
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$7,595
Total interest from all sources2016-12-31$2,513
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$60,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$196,849
Participant contributions at end of year2016-12-31$14,016
Participant contributions at beginning of year2016-12-31$14,741
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$91,206
Administrative expenses (other) incurred2016-12-31$7,595
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$67,946
Value of net assets at end of year (total assets less liabilities)2016-12-31$705,629
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$637,683
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$494,724
Value of interest in pooled separate accounts at beginning of year2016-12-31$475,345
Interest on participant loans2016-12-31$312
Interest earned on other investments2016-12-31$2,201
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$196,889
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$147,597
Net investment gain/loss from pooled separate accounts2016-12-31$59,188
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$268,537
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
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 name2016-12-31DDB MCKENNON
Accountancy firm EIN2016-12-31203685188
2015 : SALUS HEALTHCARE, LLC 401K PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$115,902
Total of all expenses incurred2015-12-31$223,936
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$217,319
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$120,996
Value of total assets at end of year2015-12-31$637,683
Value of total assets at beginning of year2015-12-31$745,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$6,617
Total interest from all sources2015-12-31$61
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$100
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$60,000
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$120,996
Participant contributions at end of year2015-12-31$14,741
Other income not declared elsewhere2015-12-31$1,753
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-108,034
Value of net assets at end of year (total assets less liabilities)2015-12-31$637,683
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$745,717
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
Investment advisory and management fees2015-12-31$6,517
Value of interest in pooled separate accounts at end of year2015-12-31$475,345
Value of interest in pooled separate accounts at beginning of year2015-12-31$623,897
Interest on participant loans2015-12-31$61
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$147,597
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$121,820
Net investment gain/loss from pooled separate accounts2015-12-31$-6,908
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$217,319
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 name2015-12-31DBB MCKENNON
Accountancy firm EIN2015-12-31203685188
2014 : SALUS HEALTHCARE, LLC 401K PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$199,697
Total of all expenses incurred2014-12-31$13,691
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$4,608
Value of total corrective distributions2014-12-31$2,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$157,329
Value of total assets at end of year2014-12-31$745,717
Value of total assets at beginning of year2014-12-31$559,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$6,597
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$6,597
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$60,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$90,765
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$66,564
Other income not declared elsewhere2014-12-31$1,170
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$186,006
Value of net assets at end of year (total assets less liabilities)2014-12-31$745,717
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$559,711
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$623,897
Value of interest in pooled separate accounts at beginning of year2014-12-31$485,280
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$121,820
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$74,431
Net investment gain/loss from pooled separate accounts2014-12-31$41,198
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$4,608
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 name2014-12-31DBB MCKENNON
Accountancy firm EIN2014-12-31203685188
2013 : SALUS HEALTHCARE, LLC 401K PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$175,273
Total of all expenses incurred2013-12-31$26,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$16,459
Value of total corrective distributions2013-12-31$3,459
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$83,542
Value of total assets at end of year2013-12-31$559,711
Value of total assets at beginning of year2013-12-31$410,554
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$6,198
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$374
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$60,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$83,542
Other income not declared elsewhere2013-12-31$884
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$149,157
Value of net assets at end of year (total assets less liabilities)2013-12-31$559,711
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$410,554
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
Investment advisory and management fees2013-12-31$5,824
Value of interest in pooled separate accounts at end of year2013-12-31$485,280
Value of interest in pooled separate accounts at beginning of year2013-12-31$359,993
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$74,431
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$50,561
Net investment gain/loss from pooled separate accounts2013-12-31$90,847
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$16,459
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 name2013-12-31DBB MCKENNON
Accountancy firm EIN2013-12-31203685188
2012 : SALUS HEALTHCARE, LLC 401K 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$118,949
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$13,473
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$0
Value of total corrective distributions2012-12-31$8,820
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$77,052
Value of total assets at end of year2012-12-31$410,554
Value of total assets at beginning of year2012-12-31$305,078
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$4,653
Total interest from all sources2012-12-31$0
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$50,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$77,052
Other income not declared elsewhere2012-12-31$1,273
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$105,476
Value of net assets at end of year (total assets less liabilities)2012-12-31$410,554
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$305,078
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
Investment advisory and management fees2012-12-31$4,653
Value of interest in pooled separate accounts at end of year2012-12-31$359,993
Value of interest in pooled separate accounts at beginning of year2012-12-31$228,859
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$50,561
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$76,219
Net investment gain/loss from pooled separate accounts2012-12-31$40,624
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
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 name2012-12-31DBB MCKENNON
Accountancy firm EIN2012-12-31203685188
2011 : SALUS HEALTHCARE, LLC 401K 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$59,356
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$5,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,908
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$71,064
Value of total assets at end of year2011-12-31$305,078
Value of total assets at beginning of year2011-12-31$251,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,703
Total interest from all sources2011-12-31$0
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$20,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$71,064
Other income not declared elsewhere2011-12-31$1,814
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$53,745
Value of net assets at end of year (total assets less liabilities)2011-12-31$305,078
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$251,333
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
Investment advisory and management fees2011-12-31$3,703
Value of interest in pooled separate accounts at end of year2011-12-31$228,859
Value of interest in pooled separate accounts at beginning of year2011-12-31$170,325
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$76,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$81,008
Net investment gain/loss from pooled separate accounts2011-12-31$-13,522
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,908
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 name2011-12-31DBB MCKENNON
Accountancy firm EIN2011-12-31203685188
2010 : SALUS HEALTHCARE, LLC 401K 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$0
Total income from all sources (including contributions)2010-12-31$78,169
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$3,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$0
Value of total corrective distributions2010-12-31$345
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$54,110
Value of total assets at end of year2010-12-31$251,333
Value of total assets at beginning of year2010-12-31$176,430
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,921
Total interest from all sources2010-12-31$0
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 bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$54,110
Other income not declared elsewhere2010-12-31$2,086
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$74,903
Value of net assets at end of year (total assets less liabilities)2010-12-31$251,333
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$176,430
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
Investment advisory and management fees2010-12-31$2,921
Value of interest in pooled separate accounts at end of year2010-12-31$170,325
Value of interest in pooled separate accounts at beginning of year2010-12-31$107,730
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$81,008
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$68,700
Net investment gain/loss from pooled separate accounts2010-12-31$21,973
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
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 name2010-12-31DBB MCKENNON
Accountancy firm EIN2010-12-31203685188
2009 : SALUS HEALTHCARE, LLC 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for SALUS HEALTHCARE, LLC 401K PLAN

2022: SALUS HEALTHCARE, LLC 401K PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SALUS HEALTHCARE, LLC 401K PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SALUS HEALTHCARE, LLC 401K PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: SALUS HEALTHCARE, LLC 401K 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: SALUS HEALTHCARE, LLC 401K 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: SALUS HEALTHCARE, LLC 401K 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: SALUS HEALTHCARE, LLC 401K 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: SALUS HEALTHCARE, LLC 401K PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SALUS HEALTHCARE, LLC 401K PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SALUS HEALTHCARE, LLC 401K PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SALUS HEALTHCARE, LLC 401K 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: SALUS HEALTHCARE, LLC 401K 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
2009: SALUS HEALTHCARE, LLC 401K 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

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388
Policy instance 1
Insurance contract or identification number998388
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388
Policy instance 1
Insurance contract or identification number998388
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388
Policy instance 1
Insurance contract or identification number998388
Number of Individuals Covered77
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388
Policy instance 1
Insurance contract or identification number998388
Number of Individuals Covered74
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388
Policy instance 1
Insurance contract or identification number998388
Number of Individuals Covered72
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388
Policy instance 1
Insurance contract or identification number998388
Number of Individuals Covered55
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,946
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 $2,946
Insurance broker organization code?3
Insurance broker nameJILL B SHEA
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388-000
Policy instance 1
Insurance contract or identification number998388-000
Number of Individuals Covered35
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,252
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 $2,252
Insurance broker organization code?3
Insurance broker nameJILL B SHEA
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388-000
Policy instance 1
Insurance contract or identification number998388-000
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,120
Insurance broker organization code?3
Insurance broker nameJILL B SHEA
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388-000
Policy instance 1
Insurance contract or identification number998388-000
Number of Individuals Covered13
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,585
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 $1,585
Insurance broker organization code?3
Insurance broker nameJILL B SHEA
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388-000
Policy instance 1
Insurance contract or identification number998388-000
Number of Individuals Covered12
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,261
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,261
Insurance broker organization code?3
Insurance broker nameJILL B SHEA
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388-000
Policy instance 1
Insurance contract or identification number998388-000
Number of Individuals Covered11
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,064
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number998388-000
Policy instance 1
Insurance contract or identification number998388-000
Number of Individuals Covered11
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $788
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?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 $788
Insurance broker organization code?3
Insurance broker nameDEREK C MOORE

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