401k Plan data: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN plan

HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 401k Plan overview

Plan Name	HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN
Plan identification number	001

HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN Benefits

401k Plan Type

Defined 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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

HOSPICE BY THE SEA, INC. has sponsored the creation of one or more 401k plans.

Company Name: HOSPICE BY THE SEA, INC.

Employer identification number (EIN): 591952942

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about HOSPICE BY THE SEA, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1979-05-08

Company Identification Number: 747111

Legal Registered Office Address: 5300 EAST AVENUE

WEST PALM BEACH

33407

More information about HOSPICE BY THE SEA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-07-01 PEDRO HERRERA PEDRO HERRERA 2017-04-13
001 2014-07-01 PEDRO HERRERA PEDRO HERRERA 2016-04-18
001 2013-07-01 RICHARD CALCOTE RICHARD CALCOTE 2015-04-15
001 2012-07-01 ALEXANDER GIGUERE RICHARD CALCOTE 2014-04-15
001 2011-07-01 JACOB SPRUIT
001 2010-07-01 JACOB SPRUIT
001 2009-07-01 JACOB SPRUIT
001 2007-07-01 VICTORIA JOHNSTON

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-07-01	PEDRO HERRERA	PEDRO HERRERA	2017-04-13
001	2014-07-01	PEDRO HERRERA	PEDRO HERRERA	2016-04-18
001	2013-07-01	RICHARD CALCOTE	RICHARD CALCOTE	2015-04-15
001	2012-07-01	ALEXANDER GIGUERE	RICHARD CALCOTE	2014-04-15
001	2011-07-01	JACOB SPRUIT
001	2010-07-01	JACOB SPRUIT
001	2009-07-01	JACOB SPRUIT
001	2007-07-01	VICTORIA JOHNSTON

Plan Statistics for HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN

401k plan membership statisitcs for HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN

Measure Date Value
2015: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 491
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 0
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 0
Number of participants with account balances 2015-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 664
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 300
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 191
Total of all active and inactive participants 2014-07-01 491
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 491
Number of participants with account balances 2014-07-01 422
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 729
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 445
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 219
Total of all active and inactive participants 2013-07-01 664
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 664
Number of participants with account balances 2013-07-01 471
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 30
2012: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 794
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 531
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 196
Total of all active and inactive participants 2012-07-01 727
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 727
Number of participants with account balances 2012-07-01 476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 25
2011: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 584
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 632
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 160
Total of all active and inactive participants 2011-07-01 792
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 792
Number of participants with account balances 2011-07-01 434
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 13
2010: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 700
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 417
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 155
Total of all active and inactive participants 2010-07-01 572
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 572
Number of participants with account balances 2010-07-01 394
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 13
2009: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 678
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 536
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 158
Total of all active and inactive participants 2009-07-01 694
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 694
Number of participants with account balances 2009-07-01 355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 12

Measure	Date	Value
2015: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	491
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	0
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	0
Number of participants with account balances	2015-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	664
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	300
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	191
Total of all active and inactive participants	2014-07-01	491
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	491
Number of participants with account balances	2014-07-01	422
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	729
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	445
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	219
Total of all active and inactive participants	2013-07-01	664
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	664
Number of participants with account balances	2013-07-01	471
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	30
2012: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	794
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	531
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	196
Total of all active and inactive participants	2012-07-01	727
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	727
Number of participants with account balances	2012-07-01	476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	25
2011: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	584
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	632
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	160
Total of all active and inactive participants	2011-07-01	792
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	792
Number of participants with account balances	2011-07-01	434
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	13
2010: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	700
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	417
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	155
Total of all active and inactive participants	2010-07-01	572
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	572
Number of participants with account balances	2010-07-01	394
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	13
2009: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	678
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	536
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	158
Total of all active and inactive participants	2009-07-01	694
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	694
Number of participants with account balances	2009-07-01	355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	12

Financial Data on HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN

Measure	Date	Value
2016 : HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$249,796
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$12,824,689
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$12,784,214
Value of total assets at end of year	2016-06-30	$0
Value of total assets at beginning of year	2016-06-30	$12,574,893
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$40,475
Total interest from all sources	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-06-30	$0
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Participant contributions at end of year	2016-06-30	$0
Participant contributions at beginning of year	2016-06-30	$91,772
Liabilities. Value of operating payables at end of year	2016-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-12,574,893
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$12,574,893
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$5,871,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$6,039,273
Expenses. Payments to insurance carriers foe the provision of benefits	2016-06-30	$11,497,471
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$249,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Employer contributions (assets) at end of year	2016-06-30	$0
Employer contributions (assets) at beginning of year	2016-06-30	$572,055
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$1,286,743
Contract administrator fees	2016-06-30	$40,475
Did the plan have assets held for investment	2016-06-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	CROWE HORWATH, LLP
Accountancy firm EIN	2016-06-30	350921680
2015 : HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-06-30	$1,215,959
Total of all expenses incurred	2015-06-30	$1,272,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$1,258,760
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$726,102
Value of total assets at end of year	2015-06-30	$12,574,893
Value of total assets at beginning of year	2015-06-30	$12,631,858
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$14,164
Total interest from all sources	2015-06-30	$4,318
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$117,343
Participant contributions at end of year	2015-06-30	$91,772
Participant contributions at beginning of year	2015-06-30	$155,215
Participant contributions at beginning of year	2015-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$342
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$-56,965
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$12,574,893
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$12,631,858
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$5,871,793
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$6,338,870
Interest on participant loans	2015-06-30	$4,318
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$6,039,273
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$6,137,773
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$485,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$608,417
Employer contributions (assets) at end of year	2015-06-30	$572,055
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$1,258,760
Contract administrator fees	2015-06-30	$14,164
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	CROWE HORWATH, LLP
Accountancy firm EIN	2015-06-30	350921680
2014 : HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-06-30	$2,544,834
Total of all expenses incurred	2014-06-30	$1,372,779
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$1,310,643
Expenses. Certain deemed distributions of participant loans	2014-06-30	$57,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$1,245,986
Value of total assets at end of year	2014-06-30	$12,631,858
Value of total assets at beginning of year	2014-06-30	$11,459,803
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$4,505
Total interest from all sources	2014-06-30	$9,493
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$885,110
Participant contributions at end of year	2014-06-30	$155,215
Participant contributions at beginning of year	2014-06-30	$118,006
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$125,209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$1,172,055
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$12,631,858
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$11,459,803
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$6,338,870
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$5,819,803
Interest on participant loans	2014-06-30	$9,493
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$6,137,773
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$5,521,994
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$1,289,355
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$235,667
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$1,310,643
Contract administrator fees	2014-06-30	$4,505
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	CROWE HORWATH, LLP
Accountancy firm EIN	2014-06-30	350921680
2013 : HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-06-30	$2,565,264
Total of all expenses incurred	2013-06-30	$425,156
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$408,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$1,692,928
Value of total assets at end of year	2013-06-30	$11,459,803
Value of total assets at beginning of year	2013-06-30	$9,319,695
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$17,071
Total interest from all sources	2013-06-30	$7,982
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$894,152
Participant contributions at end of year	2013-06-30	$118,006
Participant contributions at beginning of year	2013-06-30	$118,322
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$375,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$2,140,108
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$11,459,803
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$9,319,695
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$5,819,803
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$4,961,118
Interest on participant loans	2013-06-30	$7,982
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$5,521,994
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$4,240,255
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$864,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$422,913
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$408,085
Contract administrator fees	2013-06-30	$17,071
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	CROWE HORWATH, LLP
Accountancy firm EIN	2013-06-30	350921680
2012 : HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$1,466,500
Total of all expenses incurred	2012-06-30	$780,085
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$719,499
Expenses. Certain deemed distributions of participant loans	2012-06-30	$46,916
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$1,415,725
Value of total assets at end of year	2012-06-30	$9,319,695
Value of total assets at beginning of year	2012-06-30	$8,633,280
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$13,670
Total interest from all sources	2012-06-30	$6,167
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$859,118
Participant contributions at end of year	2012-06-30	$118,322
Participant contributions at beginning of year	2012-06-30	$148,625
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$120,764
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Income. Non cash contributions	2012-06-30	$0
Value of net income/loss	2012-06-30	$686,415
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$9,319,695
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$8,633,280
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$4,961,118
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$5,020,761
Interest on participant loans	2012-06-30	$6,167
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$4,240,255
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$3,463,894
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$44,608
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$435,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$719,499
Contract administrator fees	2012-06-30	$13,670
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	CROWE HORWATH, LLP
Accountancy firm EIN	2012-06-30	350921680
2011 : HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$2,425,645
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$506,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$499,776
Expenses. Certain deemed distributions of participant loans	2011-06-30	$5,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$1,360,875
Value of total assets at end of year	2011-06-30	$8,633,280
Value of total assets at beginning of year	2011-06-30	$6,714,017
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$975
Total interest from all sources	2011-06-30	$6,825
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$500,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$743,127
Participant contributions at end of year	2011-06-30	$148,625
Participant contributions at beginning of year	2011-06-30	$142,782
Participant contributions at beginning of year	2011-06-30	$25,904
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$253,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$1,919,263
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$8,633,280
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$6,714,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$5,020,761
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$3,871,777
Interest on participant loans	2011-06-30	$6,825
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$3,463,894
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$2,660,768
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$1,057,945
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$364,352
Employer contributions (assets) at beginning of year	2011-06-30	$12,786
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$499,776
Contract administrator fees	2011-06-30	$975
Did the plan have assets held for investment	2011-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	CROWE HORWATH, LLP
Accountancy firm EIN	2011-06-30	350921680
2010 : HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN

2015: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	Yes
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes
2007: HOSPICE BY THE SEA, INC. 403(B) RETIREMENT PLAN 2007 form 5500 responses
2007-07-01	Type of plan entity	Single employer plan
2007-07-01	Submission has been amended	No
2007-07-01	This submission is the final filing	No
2007-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-07-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1035

Policy instance

Insurance contract or identification number	VE1035
Number of Individuals Covered	0
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $5,464
Total amount of fees paid to insurance company	USD $0
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 Broker	USD $5,464
Insurance broker organization code?	3
Insurance broker name	FRED SHERBINSKY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1047

Policy instance

Insurance contract or identification number	VE1047
Number of Individuals Covered	0
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $13,696
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $13,696
Insurance broker organization code?	3
Insurance broker name	FRED SHERBINSKY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1035

Policy instance

Insurance contract or identification number	VE1035
Number of Individuals Covered	458
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $16,698
Total amount of fees paid to insurance company	USD $0
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 Broker	USD $16,698
Insurance broker organization code?	3
Insurance broker name	FRED SHERBINSKY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1047

Policy instance

Insurance contract or identification number	VE1047
Number of Individuals Covered	393
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $5,167
Total amount of fees paid to insurance company	USD $0
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 Broker	USD $5,167
Insurance broker organization code?	3
Insurance broker name	FRED SHERBINSKY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1035

Policy instance

Insurance contract or identification number	VE1035
Number of Individuals Covered	498
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $40,511
Total amount of fees paid to insurance company	USD $0
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 Broker	USD $40,511
Insurance broker organization code?	3
Insurance broker name	FRED SHERBINSKY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1047

Policy instance

Insurance contract or identification number	VE1047
Number of Individuals Covered	422
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $5,637
Total amount of fees paid to insurance company	USD $0
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 Broker	USD $5,637
Insurance broker organization code?	3
Insurance broker name	FRED SHERBINSKY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1035

Policy instance

Insurance contract or identification number	VE1035
Number of Individuals Covered	480
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $40,210
Total amount of fees paid to insurance company	USD $0
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 Broker	USD $40,210
Insurance broker organization code?	3
Insurance broker name	FRED SHERBINSKY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1047

Policy instance

Insurance contract or identification number	VE1047
Number of Individuals Covered	399
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $21,668
Total amount of fees paid to insurance company	USD $0
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 Broker	USD $21,668
Insurance broker organization code?	3
Insurance broker name	FRED SHERBINSKY

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1035

Policy instance

Insurance contract or identification number	VE1035
Number of Individuals Covered	449
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $37,458
Total amount of fees paid to insurance company	USD $0
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

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1047

Policy instance

Insurance contract or identification number	VE1047
Number of Individuals Covered	362
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $15,786
Total amount of fees paid to insurance company	USD $0
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

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1047

Policy instance

Insurance contract or identification number	VE1047
Number of Individuals Covered	318
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $12,257
Total amount of fees paid to insurance company	USD $1,690
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

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VE1035

Policy instance

Insurance contract or identification number	VE1035
Number of Individuals Covered	410
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $31,125
Total amount of fees paid to insurance company	USD $5,791
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

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The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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See full terms and conditions

Company Name:	HOSPICE BY THE SEA, INC.
Employer identification number (EIN):	591952942
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1979-05-08
Company Identification Number:	747111
Legal Registered Office Address:	5300 EAST AVENUE WEST PALM BEACH 33407