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CAPITAL HOSPICE 403(B) RETIREMENT PLAN 401k Plan overview

Plan NameCAPITAL HOSPICE 403(B) RETIREMENT PLAN
Plan identification number 001

CAPITAL HOSPICE 403(B) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CAPITAL HOSPICE has sponsored the creation of one or more 401k plans.

Company Name:CAPITAL HOSPICE
Employer identification number (EIN):541920770
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about CAPITAL HOSPICE

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1998-11-19
Company Identification Number: 0511878
Legal Registered Office Address: 2900 TELESTAR COURT
1111 EAST MAIN STREET
FALLS CHURCH
United States of America (USA)
22042

More information about CAPITAL HOSPICE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITAL HOSPICE 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01
0012020-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01DAVID SCHWIND
0012016-01-01DAVID SCHWIND
0012015-01-01DAVID SCHWIND
0012014-01-01DAVID SCHWIND
0012013-01-01DAVID SCHWIND
0012012-01-01DAVID SCHWIND
0012011-01-01DAVID SCHWIND
0012010-01-01DAVID SCHWIND
0012009-01-01SHERRIE STOVER DAVID SCHWIND2010-10-01
0012009-01-01 DAVID SCHWIND2010-10-01
0012009-01-01SHERRIE STOVER DAVID SCHWIND2010-10-01
0012009-01-01SHERRIE STOVER DAVID SCHWIND2010-10-01

Plan Statistics for CAPITAL HOSPICE 403(B) RETIREMENT PLAN

401k plan membership statisitcs for CAPITAL HOSPICE 403(B) RETIREMENT PLAN

Measure Date Value
2021: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,263
Total number of active participants reported on line 7a of the Form 55002021-01-01692
Number of retired or separated participants receiving benefits2021-01-015
Number of other retired or separated participants entitled to future benefits2021-01-01391
Total of all active and inactive participants2021-01-011,088
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,088
Number of participants with account balances2021-01-01858
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0170
2020: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,264
Total number of active participants reported on line 7a of the Form 55002020-01-01917
Number of retired or separated participants receiving benefits2020-01-017
Number of other retired or separated participants entitled to future benefits2020-01-01339
Total of all active and inactive participants2020-01-011,263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-011,264
Number of participants with account balances2020-01-01944
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0120
2019: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,090
Total number of active participants reported on line 7a of the Form 55002019-01-01979
Number of retired or separated participants receiving benefits2019-01-019
Number of other retired or separated participants entitled to future benefits2019-01-01283
Total of all active and inactive participants2019-01-011,271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-012
Total participants2019-01-011,273
Number of participants with account balances2019-01-01922
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0110
2018: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,003
Total number of active participants reported on line 7a of the Form 55002018-01-01488
Number of retired or separated participants receiving benefits2018-01-0119
Number of other retired or separated participants entitled to future benefits2018-01-01371
Total of all active and inactive participants2018-01-01878
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-015
Total participants2018-01-01883
Number of participants with account balances2018-01-01883
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-017
2017: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01983
Total number of active participants reported on line 7a of the Form 55002017-01-01704
Number of retired or separated participants receiving benefits2017-01-0114
Number of other retired or separated participants entitled to future benefits2017-01-01282
Total of all active and inactive participants2017-01-011,000
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-013
Total participants2017-01-011,003
Number of participants with account balances2017-01-01834
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-018
2016: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01893
Total number of active participants reported on line 7a of the Form 55002016-01-01712
Number of retired or separated participants receiving benefits2016-01-0112
Number of other retired or separated participants entitled to future benefits2016-01-01257
Total of all active and inactive participants2016-01-01981
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-012
Total participants2016-01-01983
Number of participants with account balances2016-01-01798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0110
2015: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01893
Total number of active participants reported on line 7a of the Form 55002015-01-01679
Number of retired or separated participants receiving benefits2015-01-0110
Number of other retired or separated participants entitled to future benefits2015-01-01203
Total of all active and inactive participants2015-01-01892
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-01893
Number of participants with account balances2015-01-01728
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-015
2014: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01886
Total number of active participants reported on line 7a of the Form 55002014-01-01697
Number of retired or separated participants receiving benefits2014-01-0110
Number of other retired or separated participants entitled to future benefits2014-01-01184
Total of all active and inactive participants2014-01-01891
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-012
Total participants2014-01-01893
Number of participants with account balances2014-01-01681
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-015
2013: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01895
Total number of active participants reported on line 7a of the Form 55002013-01-01706
Number of retired or separated participants receiving benefits2013-01-014
Number of other retired or separated participants entitled to future benefits2013-01-01176
Total of all active and inactive participants2013-01-01886
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01886
Number of participants with account balances2013-01-01593
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0110
2012: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01818
Total number of active participants reported on line 7a of the Form 55002012-01-01691
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-01201
Total of all active and inactive participants2012-01-01895
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01895
Number of participants with account balances2012-01-01578
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-018
2011: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01762
Total number of active participants reported on line 7a of the Form 55002011-01-01645
Number of retired or separated participants receiving benefits2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-01169
Total of all active and inactive participants2011-01-01816
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-012
Total participants2011-01-01818
Number of participants with account balances2011-01-01527
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-014
2010: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01560
Total number of active participants reported on line 7a of the Form 55002010-01-01630
Number of retired or separated participants receiving benefits2010-01-011
Number of other retired or separated participants entitled to future benefits2010-01-01130
Total of all active and inactive participants2010-01-01761
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-011
Total participants2010-01-01762
Number of participants with account balances2010-01-01512
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-015
2009: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01482
Total number of active participants reported on line 7a of the Form 55002009-01-01552
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-018
Total of all active and inactive participants2009-01-01560
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01560
Number of participants with account balances2009-01-01487
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on CAPITAL HOSPICE 403(B) RETIREMENT PLAN

Measure Date Value
2021 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$9,695,519
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$9,383,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$9,150,003
Expenses. Certain deemed distributions of participant loans2021-12-31$42,358
Value of total corrective distributions2021-12-31$8,395
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,295,095
Value of total assets at end of year2021-12-31$47,589,836
Value of total assets at beginning of year2021-12-31$47,277,347
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$182,274
Total interest from all sources2021-12-31$226,802
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$503,481
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$503,481
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,900,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$3,755,988
Participant contributions at end of year2021-12-31$937,186
Participant contributions at beginning of year2021-12-31$1,042,634
Participant contributions at beginning of year2021-12-31$1,671
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$759,488
Other income not declared elsewhere2021-12-31$-32,906
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$312,489
Value of net assets at end of year (total assets less liabilities)2021-12-31$47,589,836
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$47,277,347
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$35,752,840
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$34,895,542
Value of interest in pooled separate accounts at end of year2021-12-31$342,993
Value of interest in pooled separate accounts at beginning of year2021-12-31$342,993
Interest on participant loans2021-12-31$50,957
Interest earned on other investments2021-12-31$175,845
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$10,556,817
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$10,994,095
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$3,703,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$779,619
Employer contributions (assets) at beginning of year2021-12-31$412
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$9,150,003
Contract administrator fees2021-12-31$182,274
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31GRASSI & CO
Accountancy firm EIN2021-12-31113266576
2020 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$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
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$11,512,432
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$4,757,878
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,597,969
Expenses. Certain deemed distributions of participant loans2020-12-31$-1,823
Value of total corrective distributions2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$6,356,120
Value of total assets at end of year2020-12-31$47,277,084
Value of total assets at beginning of year2020-12-31$40,522,530
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$161,732
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$244,525
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$443,116
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$443,116
Administrative expenses professional fees incurred2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,900,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Amount of non-exempt transactions with any party-in-interest2020-12-31$0
Contributions received from participants2020-12-31$3,918,616
Participant contributions at end of year2020-12-31$1,042,372
Participant contributions at beginning of year2020-12-31$1,097,362
Participant contributions at end of year2020-12-31$1,671
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$932,113
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$-17,313
Administrative expenses (other) incurred2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$6,754,554
Value of net assets at end of year (total assets less liabilities)2020-12-31$47,277,084
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$40,522,530
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2020-12-31$0
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2020-12-31$0
Investment advisory and management fees2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$34,895,543
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$28,988,010
Value of interest in pooled separate accounts at end of year2020-12-31$342,992
Value of interest in pooled separate accounts at beginning of year2020-12-31$403,949
Interest on participant loans2020-12-31$56,236
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$188,289
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$10,994,094
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$10,032,986
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$4,442,256
Net investment gain/loss from pooled separate accounts2020-12-31$43,728
Net investment gain or loss from common/collective trusts2020-12-31$0
Net gain/loss from 103.12 investment entities2020-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,505,391
Employer contributions (assets) at end of year2020-12-31$412
Employer contributions (assets) at beginning of year2020-12-31$223
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,597,969
Contract administrator fees2020-12-31$161,732
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
2019 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$0
Unrealized appreciation/depreciation of real estate assets2019-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$0
Total transfer of assets to this plan2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at 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 liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Expenses. Interest paid2019-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$0
Expenses. Interest paid2019-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$0
Total income from all sources (including contributions)2019-12-31$12,273,585
Total income from all sources (including contributions)2019-12-31$12,273,585
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$5,103,912
Total of all expenses incurred2019-12-31$5,103,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,827,072
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,827,072
Expenses. Certain deemed distributions of participant loans2019-12-31$118,441
Expenses. Certain deemed distributions of participant loans2019-12-31$118,441
Value of total corrective distributions2019-12-31$0
Value of total corrective distributions2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,048,673
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,048,673
Value of total assets at end of year2019-12-31$40,522,530
Value of total assets at end of year2019-12-31$40,522,530
Value of total assets at beginning of year2019-12-31$33,352,857
Value of total assets at beginning of year2019-12-31$33,352,857
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$158,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$158,399
Total income from rents2019-12-31$0
Total income from rents2019-12-31$0
Total interest from all sources2019-12-31$120,254
Total interest from all sources2019-12-31$120,254
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$443,023
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$443,023
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$443,023
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$443,023
Administrative expenses professional fees incurred2019-12-31$0
Administrative expenses professional fees incurred2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,900,000
Value of fidelity bond cover2019-12-31$1,900,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
If this is an individual account plan, was there a blackout period2019-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Amount of non-exempt transactions with any party-in-interest2019-12-31$0
Amount of non-exempt transactions with any party-in-interest2019-12-31$0
Contributions received from participants2019-12-31$2,928,424
Contributions received from participants2019-12-31$2,928,424
Participant contributions at end of year2019-12-31$1,097,362
Participant contributions at end of year2019-12-31$1,097,362
Participant contributions at beginning of year2019-12-31$931,399
Participant contributions at beginning of year2019-12-31$931,399
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$94,420
Participant contributions at beginning of year2019-12-31$94,420
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$442,755
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$442,755
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$901,456
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$901,456
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,673
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,673
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Other income not declared elsewhere2019-12-31$66,497
Other income not declared elsewhere2019-12-31$66,497
Administrative expenses (other) incurred2019-12-31$0
Administrative expenses (other) incurred2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Income. Non cash contributions2019-12-31$0
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$7,169,673
Value of net income/loss2019-12-31$7,169,673
Value of net assets at end of year (total assets less liabilities)2019-12-31$40,522,530
Value of net assets at end of year (total assets less liabilities)2019-12-31$40,522,530
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$33,352,857
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$33,352,857
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2019-12-31$0
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2019-12-31$0
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2019-12-31$0
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2019-12-31$0
Investment advisory and management fees2019-12-31$0
Investment advisory and management fees2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$28,988,010
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$28,988,010
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$29,321,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$29,321,199
Value of interest in pooled separate accounts at end of year2019-12-31$403,949
Value of interest in pooled separate accounts at end of year2019-12-31$403,949
Value of interest in pooled separate accounts at beginning of year2019-12-31$2,278,469
Value of interest in pooled separate accounts at beginning of year2019-12-31$2,278,469
Interest on participant loans2019-12-31$60,641
Interest on participant loans2019-12-31$60,641
Income. Interest from loans (other than to participants)2019-12-31$0
Income. Interest from loans (other than to participants)2019-12-31$0
Interest earned on other investments2019-12-31$59,613
Interest earned on other investments2019-12-31$59,613
Income. Interest from US Government securities2019-12-31$0
Income. Interest from US Government securities2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$10,032,986
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$10,032,986
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$244,251
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$244,251
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$6,560,798
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$6,560,798
Net investment gain/loss from pooled separate accounts2019-12-31$34,340
Net investment gain/loss from pooled separate accounts2019-12-31$34,340
Net investment gain or loss from common/collective trusts2019-12-31$0
Net investment gain or loss from common/collective trusts2019-12-31$0
Net gain/loss from 103.12 investment entities2019-12-31$0
Net gain/loss from 103.12 investment entities2019-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,218,793
Contributions received in cash from employer2019-12-31$1,218,793
Employer contributions (assets) at end of year2019-12-31$223
Employer contributions (assets) at end of year2019-12-31$223
Employer contributions (assets) at beginning of year2019-12-31$38,691
Employer contributions (assets) at beginning of year2019-12-31$38,691
Income. Dividends from preferred stock2019-12-31$0
Income. Dividends from preferred stock2019-12-31$0
Income. Dividends from common stock2019-12-31$0
Income. Dividends from common stock2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$4,827,072
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$4,827,072
Contract administrator fees2019-12-31$158,399
Contract administrator fees2019-12-31$158,399
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CROWE
Accountancy firm name2019-12-31CROWE
Accountancy firm EIN2019-12-31350921680
Accountancy firm EIN2019-12-31350921680
2018 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$2,374,496
Total of all expenses incurred2018-12-31$3,850,742
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,714,358
Expenses. Certain deemed distributions of participant loans2018-12-31$-9,674
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,896,300
Value of total assets at end of year2018-12-31$33,352,857
Value of total assets at beginning of year2018-12-31$34,829,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$146,058
Total interest from all sources2018-12-31$78,773
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$666,916
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$666,916
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,900,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,546,357
Participant contributions at end of year2018-12-31$931,399
Participant contributions at beginning of year2018-12-31$801,475
Participant contributions at end of year2018-12-31$94,420
Participant contributions at beginning of year2018-12-31$0
Assets. Other investments not covered elsewhere at end of year2018-12-31$442,755
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$428,599
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$269,817
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,673
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,821
Other income not declared elsewhere2018-12-31$-22,802
Administrative expenses (other) incurred2018-12-31$86,058
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,476,246
Value of net assets at end of year (total assets less liabilities)2018-12-31$33,352,857
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$34,829,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$60,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$29,321,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$31,021,806
Value of interest in pooled separate accounts at end of year2018-12-31$2,278,469
Value of interest in pooled separate accounts at beginning of year2018-12-31$1,851,399
Interest on participant loans2018-12-31$41,778
Interest earned on other investments2018-12-31$36,995
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$244,251
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$724,003
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,243,494
Net investment gain/loss from pooled separate accounts2018-12-31$-1,197
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,080,126
Employer contributions (assets) at end of year2018-12-31$38,691
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$3,714,358
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CROWE LLP
Accountancy firm EIN2018-12-31350921680
2017 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$8,623,646
Total of all expenses incurred2017-12-31$3,443,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$3,232,239
Expenses. Certain deemed distributions of participant loans2017-12-31$36,430
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,136,132
Value of total assets at end of year2017-12-31$34,829,103
Value of total assets at beginning of year2017-12-31$29,648,709
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$174,583
Total interest from all sources2017-12-31$92,110
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$610,864
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$610,864
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,900,000
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$2,525,982
Participant contributions at end of year2017-12-31$801,475
Participant contributions at beginning of year2017-12-31$737,008
Assets. Other investments not covered elsewhere at end of year2017-12-31$428,599
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$260,164
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$508,107
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,821
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$2,563
Other income not declared elsewhere2017-12-31$61,566
Administrative expenses (other) incurred2017-12-31$99,583
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$5,180,394
Value of net assets at end of year (total assets less liabilities)2017-12-31$34,829,103
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$29,648,709
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$75,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$31,021,806
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$26,076,888
Value of interest in pooled separate accounts at end of year2017-12-31$1,851,399
Value of interest in pooled separate accounts at beginning of year2017-12-31$2,181,742
Interest on participant loans2017-12-31$33,400
Interest earned on other investments2017-12-31$58,710
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$724,003
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$390,344
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$3,693,020
Net investment gain/loss from pooled separate accounts2017-12-31$29,954
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$1,102,043
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,232,239
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2017-12-31560747981
2016 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$5,378,138
Total of all expenses incurred2016-12-31$3,899,971
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,742,776
Expenses. Certain deemed distributions of participant loans2016-12-31$23,633
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,259,882
Value of total assets at end of year2016-12-31$29,648,709
Value of total assets at beginning of year2016-12-31$28,170,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$133,562
Total interest from all sources2016-12-31$36,441
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$392,799
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$392,799
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,900,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,254,292
Participant contributions at end of year2016-12-31$737,008
Participant contributions at beginning of year2016-12-31$692,646
Assets. Other investments not covered elsewhere at end of year2016-12-31$260,164
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$203,884
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$39,029
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$2,563
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$757
Other income not declared elsewhere2016-12-31$19,591
Administrative expenses (other) incurred2016-12-31$88,562
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$1,478,167
Value of net assets at end of year (total assets less liabilities)2016-12-31$29,648,709
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$28,170,542
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$45,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$26,076,888
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$24,950,493
Value of interest in pooled separate accounts at end of year2016-12-31$2,181,742
Value of interest in pooled separate accounts at beginning of year2016-12-31$2,048,063
Interest on participant loans2016-12-31$29,346
Interest earned on other investments2016-12-31$7,095
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$390,344
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$274,699
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,617,780
Net investment gain/loss from pooled separate accounts2016-12-31$51,645
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$966,561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$3,742,776
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2016-12-31560747981
2015 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$3,608,445
Total of all expenses incurred2015-12-31$3,427,157
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,398,538
Expenses. Certain deemed distributions of participant loans2015-12-31$-4,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,606,959
Value of total assets at end of year2015-12-31$28,170,542
Value of total assets at beginning of year2015-12-31$27,989,254
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$33,234
Total interest from all sources2015-12-31$29,890
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$330,373
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$330,373
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,900,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,453,484
Participant contributions at end of year2015-12-31$692,646
Participant contributions at beginning of year2015-12-31$484,169
Assets. Other investments not covered elsewhere at end of year2015-12-31$203,884
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$158,712
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$298,913
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$757
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$581
Other income not declared elsewhere2015-12-31$-1,731
Administrative expenses (other) incurred2015-12-31$33,234
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$181,288
Value of net assets at end of year (total assets less liabilities)2015-12-31$28,170,542
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$27,989,254
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$24,950,493
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$24,813,810
Value of interest in pooled separate accounts at end of year2015-12-31$2,048,063
Value of interest in pooled separate accounts at beginning of year2015-12-31$2,191,173
Interest on participant loans2015-12-31$22,749
Interest earned on other investments2015-12-31$7,141
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$274,699
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$340,809
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-370,951
Net investment gain/loss from pooled separate accounts2015-12-31$13,905
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$854,562
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,398,538
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2015-12-31560747981
2014 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$4,785,656
Total of all expenses incurred2014-12-31$2,679,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,660,926
Expenses. Certain deemed distributions of participant loans2014-12-31$13,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,512,843
Value of total assets at end of year2014-12-31$27,989,254
Value of total assets at beginning of year2014-12-31$25,882,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$5,007
Total interest from all sources2014-12-31$21,757
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$384,462
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$384,462
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,900,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,310,771
Participant contributions at end of year2014-12-31$484,169
Participant contributions at beginning of year2014-12-31$316,492
Assets. Other investments not covered elsewhere at end of year2014-12-31$158,712
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$26,759
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$310,735
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$581
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,133
Other income not declared elsewhere2014-12-31$7,271
Administrative expenses (other) incurred2014-12-31$5,007
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,106,413
Value of net assets at end of year (total assets less liabilities)2014-12-31$27,989,254
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$25,882,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$24,813,810
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$22,998,868
Value of interest in pooled separate accounts at end of year2014-12-31$2,191,173
Value of interest in pooled separate accounts at beginning of year2014-12-31$2,221,743
Interest on participant loans2014-12-31$14,386
Interest earned on other investments2014-12-31$7,371
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$340,809
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$317,846
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$837,425
Net investment gain/loss from pooled separate accounts2014-12-31$21,898
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$891,337
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,660,926
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2014-12-31560747981
2013 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$6,638,286
Total of all expenses incurred2013-12-31$3,454,941
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$3,423,355
Expenses. Certain deemed distributions of participant loans2013-12-31$28,723
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,096,764
Value of total assets at end of year2013-12-31$25,882,841
Value of total assets at beginning of year2013-12-31$22,699,496
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,863
Total interest from all sources2013-12-31$15,136
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$458,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$458,536
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,900,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,213,889
Participant contributions at end of year2013-12-31$316,492
Participant contributions at beginning of year2013-12-31$294,344
Assets. Other investments not covered elsewhere at end of year2013-12-31$26,759
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$24,864
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,133
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$2,083
Other income not declared elsewhere2013-12-31$1,872
Administrative expenses (other) incurred2013-12-31$2,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,183,345
Value of net assets at end of year (total assets less liabilities)2013-12-31$25,882,841
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$22,699,496
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$22,998,868
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$20,529,510
Value of interest in pooled separate accounts at end of year2013-12-31$2,221,743
Value of interest in pooled separate accounts at beginning of year2013-12-31$1,597,110
Interest on participant loans2013-12-31$8,121
Interest earned on other investments2013-12-31$7,015
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$317,846
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$276,449
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,942,755
Net investment gain/loss from pooled separate accounts2013-12-31$123,223
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$858,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,423,355
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31COHEN, RUTHERFORD & KNIGHT, PC
Accountancy firm EIN2013-12-31521202280
2012 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$5,263,973
Total of all expenses incurred2012-12-31$2,200,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,155,154
Expenses. Certain deemed distributions of participant loans2012-12-31$43,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$3,050,679
Value of total assets at end of year2012-12-31$22,699,496
Value of total assets at beginning of year2012-12-31$19,636,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,248
Total interest from all sources2012-12-31$12,370
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$417,603
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$417,603
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,900,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,066,956
Participant contributions at end of year2012-12-31$294,344
Participant contributions at beginning of year2012-12-31$218,145
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$196,587
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$2,083
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$2,067
Administrative expenses (other) incurred2012-12-31$2,248
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$3,063,375
Value of net assets at end of year (total assets less liabilities)2012-12-31$22,699,496
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$19,636,121
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$20,529,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$17,634,540
Value of interest in pooled separate accounts at end of year2012-12-31$1,597,110
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,523,032
Interest on participant loans2012-12-31$4,866
Interest earned on other investments2012-12-31$7,504
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$276,449
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$258,337
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,765,187
Net investment gain/loss from pooled separate accounts2012-12-31$18,134
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$787,136
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,155,154
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31COHEN, RUTHERFORD & KNIGHT, PC
Accountancy firm EIN2012-12-31521202280
2011 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$2,959,242
Total of all expenses incurred2011-12-31$2,185,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,164,887
Expenses. Certain deemed distributions of participant loans2011-12-31$20,071
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$3,006,646
Value of total assets at end of year2011-12-31$19,636,121
Value of total assets at beginning of year2011-12-31$18,862,699
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$862
Total interest from all sources2011-12-31$11,353
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$296,034
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$296,034
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,900,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,952,870
Participant contributions at end of year2011-12-31$218,145
Participant contributions at beginning of year2011-12-31$226,305
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$345,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$2,067
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,507
Administrative expenses (other) incurred2011-12-31$862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$773,422
Value of net assets at end of year (total assets less liabilities)2011-12-31$19,636,121
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$18,862,699
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$17,634,540
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$16,867,636
Value of interest in pooled separate accounts at end of year2011-12-31$1,523,032
Value of interest in pooled separate accounts at beginning of year2011-12-31$1,549,733
Interest on participant loans2011-12-31$3,921
Interest earned on other investments2011-12-31$7,432
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$258,337
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$217,518
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-360,499
Net investment gain/loss from pooled separate accounts2011-12-31$5,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$708,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,164,887
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31COHEN, RUTHERFORD & KNIGHT, PC
Accountancy firm EIN2011-12-31521202280
2010 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$4,454,408
Total of all expenses incurred2010-12-31$1,402,235
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,389,084
Expenses. Certain deemed distributions of participant loans2010-12-31$11,821
Value of total corrective distributions2010-12-31$435
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,517,589
Value of total assets at end of year2010-12-31$18,862,699
Value of total assets at beginning of year2010-12-31$15,810,526
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$895
Total interest from all sources2010-12-31$13,490
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$246,441
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$246,441
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,900,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,806,290
Participant contributions at end of year2010-12-31$226,305
Participant contributions at beginning of year2010-12-31$132,096
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$111,077
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,507
Administrative expenses (other) incurred2010-12-31$895
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$3,052,173
Value of net assets at end of year (total assets less liabilities)2010-12-31$18,862,699
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$15,810,526
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$16,867,636
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$13,806,940
Value of interest in pooled separate accounts at end of year2010-12-31$1,549,733
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,607,006
Interest on participant loans2010-12-31$6,400
Interest earned on other investments2010-12-31$7,090
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$217,518
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$264,484
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,613,803
Net investment gain/loss from pooled separate accounts2010-12-31$63,085
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$600,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,389,084
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31COHEN, RUTHERFORD & KNIGHT, PC
Accountancy firm EIN2010-12-31521202280
2009 : CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CAPITAL HOSPICE 403(B) RETIREMENT PLAN

2021: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CAPITAL HOSPICE 403(B) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number534180
Policy instance 3
Insurance contract or identification number534180
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number131614399
Policy instance 2
Insurance contract or identification number131614399
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered1088
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $22,559
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,559
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered1264
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $20,266
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,266
Amount paid for insurance broker fees0
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered1264
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered1264
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 4
Insurance contract or identification number015682-F
Number of Individuals Covered1273
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 3
Insurance contract or identification number93150-01
Number of Individuals Covered1273
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 2
Insurance contract or identification numberTA068985
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-09-24
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered1273
Insurance policy start date2019-09-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 1
Insurance contract or identification numberTA068985
Number of Individuals Covered857
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered20
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered6
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered20
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 1
Insurance contract or identification numberTA068985
Number of Individuals Covered810
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered8
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered8
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered23
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 1
Insurance contract or identification numberTA068985
Number of Individuals Covered697
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5,490
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,490
Insurance broker organization code?3
Insurance broker nameCAMMACK LARHETTE BROKERAGE
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered26
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered8
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 1
Insurance contract or identification numberTA068985
Number of Individuals Covered647
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $7,024
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,024
Insurance broker organization code?3
Insurance broker nameCAMMACK LARHETTE BROKERAGE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered7
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 1
Insurance contract or identification numberTA068985
Number of Individuals Covered558
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $6,520
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,520
Insurance broker organization code?3
Insurance broker nameCAMMACK LARHETTE BROKERAGE
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered28
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 1
Insurance contract or identification numberTA068985
Number of Individuals Covered578
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,075
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,075
Insurance broker organization code?3
Insurance broker nameCAMMACK LARHETTE BROKERAGE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered7
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered32
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered35
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 1
Insurance contract or identification numberTA068985
Number of Individuals Covered527
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,345
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered8
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number015682-F
Policy instance 3
Insurance contract or identification number015682-F
Number of Individuals Covered11
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number93150-01
Policy instance 2
Insurance contract or identification number93150-01
Number of Individuals Covered36
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA068985
Policy instance 1
Insurance contract or identification numberTA068985
Number of Individuals Covered502
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,400
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,400
Insurance broker organization code?3
Insurance broker nameCAMMACK LARHETTE BROKERAGE

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