401k Plan data: HEARTLAND FAMILY SERVICE RETIREMENT PLAN plan

HEARTLAND FAMILY SERVICE RETIREMENT PLAN 401k Plan overview

Plan Name	HEARTLAND FAMILY SERVICE RETIREMENT PLAN
Plan identification number	003

HEARTLAND FAMILY SERVICE RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

HEARTLAND FAMILY SERVICE has sponsored the creation of one or more 401k plans.

Company Name: HEARTLAND FAMILY SERVICE

Employer identification number (EIN): 470390618

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEARTLAND FAMILY SERVICE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-05-15

Plan Statistics for HEARTLAND FAMILY SERVICE RETIREMENT PLAN

401k plan membership statisitcs for HEARTLAND FAMILY SERVICE RETIREMENT PLAN

Measure Date Value
2022: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 648
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 450
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 98
Total of all active and inactive participants 2022-01-01 548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 548
Number of participants with account balances 2022-01-01 293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 2
2021: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 587
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 575
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 71
Total of all active and inactive participants 2021-01-01 646
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 646
Number of participants with account balances 2021-01-01 265
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 5
2020: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 556
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 519
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 66
Total of all active and inactive participants 2020-01-01 585
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 585
Number of participants with account balances 2020-01-01 264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 5
2019: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 537
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 488
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 59
Total of all active and inactive participants 2019-01-01 547
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 547
Number of participants with account balances 2019-01-01 255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 6
2018: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-05-15 454
Total number of active participants reported on line 7a of the Form 5500 2018-05-15 483
Number of retired or separated participants receiving benefits 2018-05-15 0
Number of other retired or separated participants entitled to future benefits 2018-05-15 46
Total of all active and inactive participants 2018-05-15 529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-05-15 0
Total participants 2018-05-15 529
Number of participants with account balances 2018-05-15 249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-05-15 15

Measure	Date	Value
2022: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	648
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	450
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	98
Total of all active and inactive participants	2022-01-01	548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	548
Number of participants with account balances	2022-01-01	293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	2
2021: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	587
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	575
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	71
Total of all active and inactive participants	2021-01-01	646
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	646
Number of participants with account balances	2021-01-01	265
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	5
2020: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	556
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	519
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	66
Total of all active and inactive participants	2020-01-01	585
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	585
Number of participants with account balances	2020-01-01	264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	5
2019: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	537
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	488
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	59
Total of all active and inactive participants	2019-01-01	547
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	547
Number of participants with account balances	2019-01-01	255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	6
2018: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-05-15	454
Total number of active participants reported on line 7a of the Form 5500	2018-05-15	483
Number of retired or separated participants receiving benefits	2018-05-15	0
Number of other retired or separated participants entitled to future benefits	2018-05-15	46
Total of all active and inactive participants	2018-05-15	529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-05-15	0
Total participants	2018-05-15	529
Number of participants with account balances	2018-05-15	249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-05-15	15

Financial Data on HEARTLAND FAMILY SERVICE RETIREMENT PLAN

Measure	Date	Value
2022 : HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$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	$-469,266
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$925,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$918,995
Expenses. Certain deemed distributions of participant loans	2022-12-31	$2,153
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,303,143
Value of total assets at end of year	2022-12-31	$9,343,910
Value of total assets at beginning of year	2022-12-31	$10,738,499
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$4,175
Total interest from all sources	2022-12-31	$9,050
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$661,883
Participant contributions at end of year	2022-12-31	$164,153
Participant contributions at beginning of year	2022-12-31	$198,674
Participant contributions at end of year	2022-12-31	$36,506
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$22,540
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,394,589
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$9,343,910
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$10,738,499
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in pooled separate accounts at end of year	2022-12-31	$9,106,937
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$10,535,099
Interest on participant loans	2022-12-31	$8,965
Income. Interest from loans (other than to participants)	2022-12-31	$0
Interest earned on other investments	2022-12-31	$85
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$7,813
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$4,726
Net investment gain/loss from pooled separate accounts	2022-12-31	$-1,781,459
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$618,720
Employer contributions (assets) at end of year	2022-12-31	$28,501
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$918,995
Contract administrator fees	2022-12-31	$4,175
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2022-12-31	470574775
2021 : HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$2,526,099
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$999,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$994,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,321,776
Value of total assets at end of year	2021-12-31	$10,738,499
Value of total assets at beginning of year	2021-12-31	$9,211,640
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$4,600
Total interest from all sources	2021-12-31	$10,120
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$657,362
Participant contributions at end of year	2021-12-31	$198,674
Participant contributions at beginning of year	2021-12-31	$173,928
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$4,143
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,526,859
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$10,738,499
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$9,211,640
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in pooled separate accounts at end of year	2021-12-31	$10,535,099
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$8,977,739
Interest on participant loans	2021-12-31	$9,711
Income. Interest from loans (other than to participants)	2021-12-31	$0
Interest earned on other investments	2021-12-31	$409
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$4,726
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$59,973
Net investment gain/loss from pooled separate accounts	2021-12-31	$1,194,203
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$660,271
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$994,640
Contract administrator fees	2021-12-31	$4,600
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2021-12-31	470574775
2020 : HEARTLAND FAMILY SERVICE 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	$2,343,823
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,029,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,026,070
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,171,915
Value of total assets at end of year	2020-12-31	$9,211,640
Value of total assets at beginning of year	2020-12-31	$7,897,737
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$3,850
Total interest from all sources	2020-12-31	$10,175
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$597,439
Participant contributions at end of year	2020-12-31	$173,928
Participant contributions at beginning of year	2020-12-31	$207,719
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$32,757
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,313,903
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$9,211,640
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$7,897,737
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
Value of interest in pooled separate accounts at end of year	2020-12-31	$8,977,739
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$7,636,557
Interest on participant loans	2020-12-31	$9,830
Income. Interest from loans (other than to participants)	2020-12-31	$0
Interest earned on other investments	2020-12-31	$345
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$59,973
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$53,461
Net investment gain/loss from pooled separate accounts	2020-12-31	$1,161,733
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$541,719
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,026,070
Contract administrator fees	2020-12-31	$3,850
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	Unqualified
Accountancy firm name	2020-12-31	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2020-12-31	470574775
2019 : HEARTLAND FAMILY SERVICE 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	$2,646,056
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$539,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$534,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,352,488
Value of total assets at end of year	2019-12-31	$7,897,737
Value of total assets at beginning of year	2019-12-31	$5,791,584
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$5,350
Total interest from all sources	2019-12-31	$11,620
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$556,908
Participant contributions at end of year	2019-12-31	$207,719
Participant contributions at beginning of year	2019-12-31	$117,086
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$22,105
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$214,349
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	$2,106,153
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$7,897,737
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,791,584
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
Value of interest in pooled separate accounts at end of year	2019-12-31	$7,636,557
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$5,491,534
Interest on participant loans	2019-12-31	$8,854
Interest earned on other investments	2019-12-31	$2,766
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$53,461
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$137,554
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,281,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$581,231
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$23,305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$534,553
Contract administrator fees	2019-12-31	$5,350
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	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2019-12-31	470574775
2018 : HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$2,343,179
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	$3,791,161
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$342,756
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$338,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$4,285,029
Value of total assets at end of year	2018-12-31	$5,791,584
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	$3,800
Total interest from all sources	2018-12-31	$5,183
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
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	$358,325
Participant contributions at end of year	2018-12-31	$117,086
Participant contributions at end of year	2018-12-31	$22,105
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$3,610,050
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	$3,448,405
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,791,584
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
Value of interest in pooled separate accounts at end of year	2018-12-31	$5,491,534
Interest on participant loans	2018-12-31	$3,606
Income. Interest from loans (other than to participants)	2018-12-31	$0
Interest earned on other investments	2018-12-31	$1,577
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$137,554
Net investment gain/loss from pooled separate accounts	2018-12-31	$-499,051
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	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$316,654
Employer contributions (assets) at end of year	2018-12-31	$23,305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$338,956
Contract administrator fees	2018-12-31	$3,800
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	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2018-12-31	470574775

Form 5500 Responses for HEARTLAND FAMILY SERVICE RETIREMENT PLAN

2022: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: HEARTLAND FAMILY SERVICE 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	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: HEARTLAND FAMILY SERVICE 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 – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: HEARTLAND FAMILY SERVICE 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 – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HEARTLAND FAMILY SERVICE RETIREMENT PLAN 2018 form 5500 responses
2018-05-15	Type of plan entity	Single employer plan
2018-05-15	First time form 5500 has been submitted	Yes
2018-05-15	Submission has been amended	No
2018-05-15	This submission is the final filing	No
2018-05-15	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-05-15	Plan is a collectively bargained plan	No
2018-05-15	Plan funding arrangement – Insurance	Yes
2018-05-15	Plan funding arrangement – Trust	Yes
2018-05-15	Plan benefit arrangement – Insurance	Yes
2018-05-15	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

23956

Policy instance

Insurance contract or identification number	23956
Number of Individuals Covered	293
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $16,802
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	16802
Additional information about fees paid to insurance broker	SERVICE FEES
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

23956

Policy instance

Insurance contract or identification number	23956
Number of Individuals Covered	265
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $19,648
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	19648
Additional information about fees paid to insurance broker	SERVICE FEES
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

23956

Policy instance

Insurance contract or identification number	23956
Number of Individuals Covered	264
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $15,057
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	15057
Additional information about fees paid to insurance broker	SERVICE FEES
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

23956

Policy instance

Insurance contract or identification number	23956
Number of Individuals Covered	255
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $13,128
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	13128
Additional information about fees paid to insurance broker	SERV. FEES
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

23956

Policy instance

Insurance contract or identification number	23956
Number of Individuals Covered	249
Insurance policy start date	2018-03-14
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,160
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5160
Additional information about fees paid to insurance broker	SERV. FEES
Insurance broker organization code?	3

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Company Name:	HEARTLAND FAMILY SERVICE
Employer identification number (EIN):	470390618
NAIC Classification:	624100
NAIC Description:	Individual and Family Services