| Plan Name | QUEEN CITY HOSPICE RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | QUEEN CITY HOSPICE, LLC |
| Employer identification number (EIN): | 451802329 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
Additional information about QUEEN CITY HOSPICE, LLC
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 2011-04-14 |
| Company Identification Number: | 2013178 |
| Legal Registered Office Address: |
3250 WEST MARKET STREET SUITE 205 FAIRLAWN United States of America (USA) 44333 |
More information about QUEEN CITY HOSPICE, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2021-01-01 | ||||
| 001 | 2021-01-01 | ||||
| 001 | 2021-01-01 | ERICA PLESCO | |||
| 001 | 2020-01-01 | ||||
| 001 | 2020-01-01 | ||||
| 001 | 2019-01-01 | ||||
| 001 | 2018-01-01 | ||||
| 001 | 2017-01-01 | TONY S. IZQUIERDO | |||
| 001 | 2016-01-01 | TONY S. IZQUIERDO | |||
| 001 | 2016-01-01 | TONY S. IZQUIERDO | |||
| 001 | 2015-01-01 | TONY S. IZQUIERDO | |||
| 001 | 2015-01-01 | ||||
| 001 | 2014-01-01 | TONY S. IZQUIERDO | 2015-10-08 | ||
| 001 | 2013-01-01 | TONY S. IZQUIERDO | 2014-10-13 |
| Measure | Date | Value |
|---|---|---|
| 2021 : QUEEN CITY HOSPICE RETIREMENT PLAN 2021 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2021-04-27 | $0 |
| Total transfer of assets from this plan | 2021-04-27 | $1,524,364 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-27 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-27 | $0 |
| Total income from all sources (including contributions) | 2021-04-27 | $280,986 |
| Total loss/gain on sale of assets | 2021-04-27 | $0 |
| Total of all expenses incurred | 2021-04-27 | $62,068 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-04-27 | $56,576 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-04-27 | $174,335 |
| Value of total assets at end of year | 2021-04-27 | $0 |
| Value of total assets at beginning of year | 2021-04-27 | $1,305,446 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-04-27 | $5,492 |
| Total interest from all sources | 2021-04-27 | $218 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-04-27 | $1,365 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-04-27 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2021-04-27 | $0 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-04-27 | $1,365 |
| Was this plan covered by a fidelity bond | 2021-04-27 | Yes |
| Value of fidelity bond cover | 2021-04-27 | $50,000 |
| If this is an individual account plan, was there a blackout period | 2021-04-27 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2021-04-27 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-04-27 | No |
| Contributions received from participants | 2021-04-27 | $139,832 |
| Participant contributions at beginning of year | 2021-04-27 | $17,897 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2021-04-27 | $34,503 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-27 | No |
| Value of net income/loss | 2021-04-27 | $218,918 |
| Value of net assets at end of year (total assets less liabilities) | 2021-04-27 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-04-27 | $1,305,446 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-04-27 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-04-27 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-04-27 | No |
| Investment advisory and management fees | 2021-04-27 | $2,061 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-04-27 | $1,262,687 |
| Interest on participant loans | 2021-04-27 | $218 |
| Income. Interest from loans (other than to participants) | 2021-04-27 | $0 |
| Value of interest in common/collective trusts at beginning of year | 2021-04-27 | $24,862 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-04-27 | $104,874 |
| Net investment gain or loss from common/collective trusts | 2021-04-27 | $194 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-04-27 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-04-27 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-04-27 | No |
| Contributions received in cash from employer | 2021-04-27 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-04-27 | $56,576 |
| Contract administrator fees | 2021-04-27 | $3,431 |
| Did the plan have assets held for investment | 2021-04-27 | No |
| 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 | 2021-04-27 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-04-27 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2021-04-27 | Disclaimer |
| Accountancy firm name | 2021-04-27 | GBQ PARTNERS |
| Accountancy firm EIN | 2021-04-27 | 202122306 |
| 2020 : QUEEN CITY HOSPICE RETIREMENT 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 | $882,905 |
| Total loss/gain on sale of assets | 2020-12-31 | $0 |
| Total of all expenses incurred | 2020-12-31 | $28,418 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $23,505 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $696,164 |
| Value of total assets at end of year | 2020-12-31 | $1,305,446 |
| Value of total assets at beginning of year | 2020-12-31 | $450,959 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $4,913 |
| Total interest from all sources | 2020-12-31 | $1,009 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $14,459 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $14,459 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $50,000 |
| 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 | $449,867 |
| Participant contributions at end of year | 2020-12-31 | $17,897 |
| Participant contributions at beginning of year | 2020-12-31 | $3,058 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2020-12-31 | $246,297 |
| 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 | $854,487 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $1,305,446 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $450,959 |
| 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 | $3,890 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $1,262,687 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $357,502 |
| Interest on participant loans | 2020-12-31 | $1,009 |
| Income. Interest from loans (other than to participants) | 2020-12-31 | $0 |
| Value of interest in common/collective trusts at end of year | 2020-12-31 | $24,862 |
| Value of interest in common/collective trusts at beginning of year | 2020-12-31 | $9,711 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $59,407 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $59,407 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-12-31 | $170,726 |
| Net investment gain or loss from common/collective trusts | 2020-12-31 | $547 |
| 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 | No |
| 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 | $0 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $21,281 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $23,505 |
| Contract administrator fees | 2020-12-31 | $1,023 |
| 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 | GBQ PARTNERS |
| Accountancy firm EIN | 2020-12-31 | 202122306 |
| 2019 : QUEEN CITY HOSPICE RETIREMENT 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 | $374,606 |
| Total loss/gain on sale of assets | 2019-12-31 | $0 |
| Total of all expenses incurred | 2019-12-31 | $1,382 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $74 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $339,228 |
| Value of total assets at end of year | 2019-12-31 | $450,959 |
| Value of total assets at beginning of year | 2019-12-31 | $77,735 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $1,308 |
| Total interest from all sources | 2019-12-31 | $60 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $4,491 |
| 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 | $4,491 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $50,000 |
| 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 | $212,955 |
| Participant contributions at end of year | 2019-12-31 | $3,058 |
| Participant contributions at beginning of year | 2019-12-31 | $1,072 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2019-12-31 | $104,992 |
| 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 | $373,224 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $450,959 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $77,735 |
| 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 | $1,098 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $357,502 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $76,350 |
| Interest on participant loans | 2019-12-31 | $60 |
| Income. Interest from loans (other than to participants) | 2019-12-31 | $0 |
| Value of interest in common/collective trusts at end of year | 2019-12-31 | $9,711 |
| Value of interest in common/collective trusts at beginning of year | 2019-12-31 | $313 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $59,407 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $30,760 |
| Net investment gain or loss from common/collective trusts | 2019-12-31 | $67 |
| 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 | No |
| 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 | $21,281 |
| Employer contributions (assets) at end of year | 2019-12-31 | $21,281 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $74 |
| Contract administrator fees | 2019-12-31 | $210 |
| 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 | GBQ PARTNERS |
| Accountancy firm EIN | 2019-12-31 | 202122306 |
| 2018 : QUEEN CITY HOSPICE RETIREMENT 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 | $79,213 |
| Total loss/gain on sale of assets | 2018-12-31 | $0 |
| Total of all expenses incurred | 2018-12-31 | $1,478 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $1,116 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $84,576 |
| Value of total assets at end of year | 2018-12-31 | $77,735 |
| Value of total assets at beginning of year | 2018-12-31 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $362 |
| Total interest from all sources | 2018-12-31 | $7 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $1,033 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $1,033 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $50,000 |
| 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 | $71,165 |
| Participant contributions at end of year | 2018-12-31 | $1,072 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2018-12-31 | $13,411 |
| 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 |
| Value of net income/loss | 2018-12-31 | $77,735 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $77,735 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $0 |
| 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 | $152 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $76,350 |
| Interest on participant loans | 2018-12-31 | $7 |
| Income. Interest from loans (other than to participants) | 2018-12-31 | $0 |
| Value of interest in common/collective trusts at end of year | 2018-12-31 | $313 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-6,404 |
| Net investment gain or loss from common/collective trusts | 2018-12-31 | $1 |
| 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 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $1,116 |
| Contract administrator fees | 2018-12-31 | $210 |
| 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 | GBQ PARTNERS |
| Accountancy firm EIN | 2018-12-31 | 202122306 |
| 2017 : QUEEN CITY HOSPICE RETIREMENT 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 | $46,419 |
| Total loss/gain on sale of assets | 2017-12-31 | $0 |
| Total of all expenses incurred | 2017-12-31 | $622 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $79 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $33,224 |
| Value of total assets at end of year | 2017-12-31 | $111,147 |
| Value of total assets at beginning of year | 2017-12-31 | $65,350 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $543 |
| Total interest from all sources | 2017-12-31 | $121 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $25,000 |
| 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 | $33,224 |
| Participant contributions at end of year | 2017-12-31 | $282 |
| Participant contributions at beginning of year | 2017-12-31 | $134 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2017-12-31 | $0 |
| Administrative expenses (other) incurred | 2017-12-31 | $543 |
| 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 | $45,797 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $111,147 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $65,350 |
| 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 pooled separate accounts at end of year | 2017-12-31 | $107,030 |
| Value of interest in pooled separate accounts at beginning of year | 2017-12-31 | $62,994 |
| Interest earned on other investments | 2017-12-31 | $144 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $3,835 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $2,222 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $2,222 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $-23 |
| Net investment gain/loss from pooled separate accounts | 2017-12-31 | $13,074 |
| 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 | Yes |
| 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 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $79 |
| 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 | MCM CPAS & ADVISORS LLP |
| Accountancy firm EIN | 2017-12-31 | 271235638 |
| 2016 : QUEEN CITY HOSPICE RETIREMENT 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 | $41,991 |
| Total loss/gain on sale of assets | 2016-12-31 | $0 |
| Total of all expenses incurred | 2016-12-31 | $10,788 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $9,398 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $37,666 |
| Value of total assets at end of year | 2016-12-31 | $65,351 |
| Value of total assets at beginning of year | 2016-12-31 | $34,148 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $1,390 |
| Total interest from all sources | 2016-12-31 | $137 |
| 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 | No |
| 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 | $37,531 |
| Participant contributions at end of year | 2016-12-31 | $135 |
| Participant contributions at beginning of year | 2016-12-31 | $3,935 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2016-12-31 | $0 |
| Administrative expenses (other) incurred | 2016-12-31 | $1,390 |
| 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 | $31,203 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $65,351 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $34,148 |
| 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 pooled separate accounts at end of year | 2016-12-31 | $62,994 |
| Value of interest in pooled separate accounts at beginning of year | 2016-12-31 | $30,142 |
| Interest earned on other investments | 2016-12-31 | $146 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $2,222 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $71 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $71 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $-9 |
| Net investment gain/loss from pooled separate accounts | 2016-12-31 | $4,188 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | Yes |
| 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 | $135 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $9,398 |
| 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 | MCM |
| Accountancy firm EIN | 2016-12-31 | 112222222 |
| 2015 : QUEEN CITY HOSPICE RETIREMENT 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 | $8,632 |
| Total loss/gain on sale of assets | 2015-12-31 | $0 |
| Total of all expenses incurred | 2015-12-31 | $47,687 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $46,132 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $10,699 |
| Value of total assets at end of year | 2015-12-31 | $34,148 |
| Value of total assets at beginning of year | 2015-12-31 | $73,203 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $1,555 |
| Total interest from all sources | 2015-12-31 | $-1 |
| 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 |
| Was this plan covered by a fidelity bond | 2015-12-31 | No |
| 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 | $9,896 |
| Participant contributions at end of year | 2015-12-31 | $3,935 |
| Participant contributions at beginning of year | 2015-12-31 | $245 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2015-12-31 | $803 |
| Administrative expenses (other) incurred | 2015-12-31 | $1,555 |
| 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 | $-39,055 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $34,148 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $73,203 |
| 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 |
| Value of interest in pooled separate accounts at end of year | 2015-12-31 | $30,142 |
| Value of interest in pooled separate accounts at beginning of year | 2015-12-31 | $72,886 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $71 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $72 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $72 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $-1 |
| Net investment gain/loss from pooled separate accounts | 2015-12-31 | $-2,066 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| 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 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $46,132 |
| 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 | CPA |
| Accountancy firm EIN | 2015-12-31 | 123456789 |
| 2021: QUEEN CITY HOSPICE RETIREMENT 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 – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: QUEEN CITY HOSPICE RETIREMENT 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 – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: QUEEN CITY HOSPICE RETIREMENT 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 – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: QUEEN CITY HOSPICE RETIREMENT PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 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 – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: QUEEN CITY HOSPICE RETIREMENT PLAN 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 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 – Insurance | Yes |
| 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: QUEEN CITY HOSPICE RETIREMENT 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: QUEEN CITY HOSPICE RETIREMENT PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | Yes |
| 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 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 631174 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 631174 |
| Policy instance | 1 |