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JAMES SQUARE 401(K) PLAN 401k Plan overview

Plan NameJAMES SQUARE 401(K) PLAN
Plan identification number 001

JAMES SQUARE 401(K) PLAN Benefits

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

401k Sponsoring company profile

RIVER MEADOWS, LLC has sponsored the creation of one or more 401k plans.

Company Name:RIVER MEADOWS, LLC
Employer identification number (EIN):473481602
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about RIVER MEADOWS, LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2013-06-11
Company Identification Number: 4416072
Legal Registered Office Address: 1745 58TH STREET
Onondaga
BROOKLYN
United States of America (USA)
11204

More information about RIVER MEADOWS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES SQUARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01DANIEL LEV
0012017-01-01DANIEL LEV
0012016-01-01JEFF KAGAN, ESQ.
0012015-10-01JEFF KAGAN, ESQ.

Plan Statistics for JAMES SQUARE 401(K) PLAN

401k plan membership statisitcs for JAMES SQUARE 401(K) PLAN

Measure Date Value
2017: JAMES SQUARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01331
Total number of active participants reported on line 7a of the Form 55002017-01-01423
Number of other retired or separated participants entitled to future benefits2017-01-0137
Total of all active and inactive participants2017-01-01460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01460
Number of participants with account balances2017-01-0178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: JAMES SQUARE 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01409
Total number of active participants reported on line 7a of the Form 55002016-01-01326
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-015
Total of all active and inactive participants2016-01-01331
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01331
Number of participants with account balances2016-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: JAMES SQUARE 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01369
Total number of active participants reported on line 7a of the Form 55002015-10-01347
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01347
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01347
Number of participants with account balances2015-10-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-010

Financial Data on JAMES SQUARE 401(K) PLAN

Measure Date Value
2017 : JAMES SQUARE 401(K) PLAN 2017 401k financial data
Total transfer of assets to this plan2017-12-31$913,190
Total income from all sources (including contributions)2017-12-31$659,213
Total of all expenses incurred2017-12-31$67,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$49,942
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$549,099
Value of total assets at end of year2017-12-31$1,554,474
Value of total assets at beginning of year2017-12-31$49,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$17,078
Total interest from all sources2017-12-31$422
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 year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$800
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$199,000
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$140,714
Participant contributions at end of year2017-12-31$16,293
Participant contributions at beginning of year2017-12-31$0
Participant contributions at end of year2017-12-31$11,366
Participant contributions at beginning of year2017-12-31$1,688
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$407,411
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$46
Total non interest bearing cash at end of year2017-12-31$216
Total non interest bearing cash at beginning of year2017-12-31$22
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$592,193
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,554,474
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$49,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$19
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$47,381
Value of interest in pooled separate accounts at end of year2017-12-31$1,526,599
Interest on participant loans2017-12-31$422
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$109,646
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
Contributions received in cash from employer2017-12-31$974
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$49,942
Contract administrator fees2017-12-31$16,259
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 name2017-12-31WALKER HEALTHCARE SERVICE GROUP
Accountancy firm EIN2017-12-31541643141
2016 : JAMES SQUARE 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$56,571
Total of all expenses incurred2016-12-31$18,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$17,939
Expenses. Certain deemed distributions of participant loans2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$53,259
Value of total assets at end of year2016-12-31$49,091
Value of total assets at beginning of year2016-12-31$11,232
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$773
Total interest from all sources2016-12-31$0
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 year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$0
Administrative expenses professional fees incurred2016-12-31$200
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$199,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$51,768
Participant contributions at end of year2016-12-31$0
Participant contributions at end of year2016-12-31$1,688
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,491
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$22
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$37,859
Value of net assets at end of year (total assets less liabilities)2016-12-31$49,091
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,232
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
Investment advisory and management fees2016-12-31$5
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$47,381
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$10,204
Interest on participant loans2016-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$3,312
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$0
Employer contributions (assets) at end of year2016-12-31$0
Employer contributions (assets) at beginning of year2016-12-31$1,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$17,939
Contract administrator fees2016-12-31$568
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 name2016-12-31WALKER HEALTHCARE SERVICE GROUP
Accountancy firm EIN2016-12-31541643141
2015 : JAMES SQUARE 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$11,232
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$11,260
Value of total assets at end of year2015-12-31$11,232
Value of total assets at beginning of year2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$199,000
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$7,043
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$3,189
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$11,232
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,232
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$10,204
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
Asset value of US Government securities at beginning of year2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-28
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,028
Employer contributions (assets) at end of year2015-12-31$1,028
Employer contributions (assets) at beginning of year2015-12-31$0
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

Form 5500 Responses for JAMES SQUARE 401(K) PLAN

2017: JAMES SQUARE 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: JAMES SQUARE 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: JAMES SQUARE 401(K) PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01First time form 5500 has been submittedYes
2015-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number801105
Policy instance 1
Insurance contract or identification number801105
Number of Individuals Covered90
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,543
Total amount of fees paid to insurance companyUSD $800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,721
Insurance broker organization code?4
Amount paid for insurance broker fees800
Insurance broker nameINTAC ACTUARIAL SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number801105
Policy instance 1
Insurance contract or identification number801105
Number of Individuals Covered18
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10
Commission paid to Insurance BrokerUSD $10
Insurance broker organization code?5
Insurance broker nameINTAC

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