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BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 401k Plan overview

Plan NameBIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM
Plan identification number 001

BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

BIENVIVIR SENIOR HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name:BIENVIVIR SENIOR HEALTH SERVICES
Employer identification number (EIN):742457919
NAIC Classification:621491
NAIC Description:HMO Medical Centers

Additional information about BIENVIVIR SENIOR HEALTH SERVICES

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1986-11-06
Company Identification Number: 0101665301
Legal Registered Office Address: 2300 MCKINLEY AVE

EL PASO
United States of America (USA)
79930

More information about BIENVIVIR SENIOR HEALTH SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-04-01
0012021-04-01LUIS A. ORTIZ2023-01-13
0012020-04-01
0012019-04-01
0012018-04-01
0012017-04-01LUIS ORTIZ
0012016-04-01LUIS ORTIZ
0012015-04-01LUIS ORTIZ
0012014-04-01LUIS ORTIZ
0012013-04-01JOAQUIN GARCIA JOAQUIN GARCIA2015-01-15
0012012-04-01JOAQUIN GARCIA JOAQUIN GARCIA2014-01-13
0012011-04-01JOAQUIN GARCIA
0012009-04-01WILLIAM BOHLEN

Plan Statistics for BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM

401k plan membership statisitcs for BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM

Measure Date Value
2022: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2022 401k membership
Total participants, beginning-of-year2022-04-01725
Total number of active participants reported on line 7a of the Form 55002022-04-01467
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-01286
Total of all active and inactive participants2022-04-01753
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-04-010
Total participants2022-04-01753
Number of participants with account balances2022-04-01640
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-04-010
2021: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2021 401k membership
Total participants, beginning-of-year2021-04-01723
Total number of active participants reported on line 7a of the Form 55002021-04-01441
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-01278
Total of all active and inactive participants2021-04-01719
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-04-010
Total participants2021-04-01719
Number of participants with account balances2021-04-01603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-04-010
2020: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2020 401k membership
Total participants, beginning-of-year2020-04-01816
Total number of active participants reported on line 7a of the Form 55002020-04-01487
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-01226
Total of all active and inactive participants2020-04-01713
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-04-010
Total participants2020-04-01713
Number of participants with account balances2020-04-01580
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-04-010
2019: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2019 401k membership
Total participants, beginning-of-year2019-04-01775
Total number of active participants reported on line 7a of the Form 55002019-04-01588
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-01223
Total of all active and inactive participants2019-04-01811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-04-010
Total participants2019-04-01811
Number of participants with account balances2019-04-01626
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-04-010
2018: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2018 401k membership
Total participants, beginning-of-year2018-04-01744
Total number of active participants reported on line 7a of the Form 55002018-04-01571
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-01198
Total of all active and inactive participants2018-04-01769
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-04-010
Total participants2018-04-01769
Number of participants with account balances2018-04-01577
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-04-010
2017: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2017 401k membership
Total participants, beginning-of-year2017-04-01714
Total number of active participants reported on line 7a of the Form 55002017-04-01566
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-01176
Total of all active and inactive participants2017-04-01742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-01742
Number of participants with account balances2017-04-01540
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-04-010
2016: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2016 401k membership
Total participants, beginning-of-year2016-04-01693
Total number of active participants reported on line 7a of the Form 55002016-04-01549
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-01175
Total of all active and inactive participants2016-04-01724
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-01724
Number of participants with account balances2016-04-01513
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2015 401k membership
Total participants, beginning-of-year2015-04-01698
Total number of active participants reported on line 7a of the Form 55002015-04-01538
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-01156
Total of all active and inactive participants2015-04-01694
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-01694
Number of participants with account balances2015-04-01478
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010
2014: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2014 401k membership
Total participants, beginning-of-year2014-04-01690
Total number of active participants reported on line 7a of the Form 55002014-04-01537
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-01150
Total of all active and inactive participants2014-04-01687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-010
Total participants2014-04-01687
Number of participants with account balances2014-04-01424
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-010
2013: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2013 401k membership
Total participants, beginning-of-year2013-04-01662
Total number of active participants reported on line 7a of the Form 55002013-04-01545
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-01127
Total of all active and inactive participants2013-04-01672
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-01672
Number of participants with account balances2013-04-01391
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-010
2012: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2012 401k membership
Total participants, beginning-of-year2012-04-01564
Total number of active participants reported on line 7a of the Form 55002012-04-01556
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-0175
Total of all active and inactive participants2012-04-01631
Total participants2012-04-01631
Number of participants with account balances2012-04-01339
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-010
2011: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2011 401k membership
Total participants, beginning-of-year2011-04-01572
Total number of active participants reported on line 7a of the Form 55002011-04-01520
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-0139
Total of all active and inactive participants2011-04-01559
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-01559
Number of participants with account balances2011-04-01305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
2009: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2009 401k membership
Total participants, beginning-of-year2009-04-01403
Total number of active participants reported on line 7a of the Form 55002009-04-01452
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-0119
Total of all active and inactive participants2009-04-01471
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-01471
Number of participants with account balances2009-04-01208
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Financial Data on BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM

Measure Date Value
2023 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$501
Total income from all sources (including contributions)2023-03-31$574,588
Total of all expenses incurred2023-03-31$1,223,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$1,222,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$1,679,230
Value of total assets at end of year2023-03-31$14,189,700
Value of total assets at beginning of year2023-03-31$14,839,324
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$1,019
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Administrative expenses professional fees incurred2023-03-31$0
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$500,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$1,017,534
Income. Received or receivable in cash from other sources (including rollovers)2023-03-31$96,784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$-649,123
Value of net assets at end of year (total assets less liabilities)2023-03-31$14,189,700
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$14,838,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-03-31$14,189,700
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-03-31$14,839,324
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-03-31$-1,104,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$564,912
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$1,222,692
Contract administrator fees2023-03-31$1,019
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Liabilities. Value of acquisition indebtedness at end of year2023-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2023-03-31$501
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2023-03-31742014723
2022 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$501
Total income from all sources (including contributions)2022-03-31$1,873,782
Total of all expenses incurred2022-03-31$1,559,129
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$1,557,209
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$1,512,985
Value of total assets at end of year2022-03-31$14,839,324
Value of total assets at beginning of year2022-03-31$14,524,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$1,920
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$500,000
If this is an individual account plan, was there a blackout period2022-03-31No
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$964,113
Income. Received or receivable in cash from other sources (including rollovers)2022-03-31$18,145
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$314,653
Value of net assets at end of year (total assets less liabilities)2022-03-31$14,838,823
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$14,524,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Investment advisory and management fees2022-03-31$1,720
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-03-31$14,839,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-03-31$14,524,170
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-03-31$360,797
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$530,727
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-31$1,557,209
Contract administrator fees2022-03-31$200
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Liabilities. Value of acquisition indebtedness at end of year2022-03-31$501
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2022-03-31742014723
2021 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2021 401k financial data
Total income from all sources (including contributions)2021-03-31$5,365,505
Total of all expenses incurred2021-03-31$2,425,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$2,419,084
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$1,411,576
Value of total assets at end of year2021-03-31$14,524,170
Value of total assets at beginning of year2021-03-31$11,584,098
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$6,349
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$500,000
If this is an individual account plan, was there a blackout period2021-03-31No
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$909,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$2,940,072
Value of net assets at end of year (total assets less liabilities)2021-03-31$14,524,170
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$11,584,098
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Investment advisory and management fees2021-03-31$3,590
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-03-31$14,524,170
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-03-31$11,584,098
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-03-31$3,953,929
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$501,771
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-31$2,419,084
Contract administrator fees2021-03-31$2,759
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Disclaimer
Accountancy firm name2021-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2021-03-31742014723
2020 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2020 401k financial data
Total income from all sources (including contributions)2020-03-31$851,471
Total of all expenses incurred2020-03-31$698,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$691,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$1,911,276
Value of total assets at end of year2020-03-31$11,584,098
Value of total assets at beginning of year2020-03-31$11,431,402
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$7,108
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-03-31No
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$500,000
If this is an individual account plan, was there a blackout period2020-03-31No
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Contributions received from participants2020-03-31$985,818
Income. Received or receivable in cash from other sources (including rollovers)2020-03-31$400,149
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$152,696
Value of net assets at end of year (total assets less liabilities)2020-03-31$11,584,098
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$11,431,402
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Investment advisory and management fees2020-03-31$5,943
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-03-31$11,584,098
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-03-31$11,431,402
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-03-31$-1,059,805
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31No
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$525,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-03-31$691,667
Contract administrator fees2020-03-31$1,165
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31Yes
Opinion of an independent qualified public accountant for this plan2020-03-31Disclaimer
Accountancy firm name2020-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2020-03-31742014723
2019 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2019 401k financial data
Total income from all sources (including contributions)2019-03-31$1,776,749
Total of all expenses incurred2019-03-31$1,024,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-03-31$1,012,344
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-03-31$1,575,220
Value of total assets at end of year2019-03-31$11,431,402
Value of total assets at beginning of year2019-03-31$10,678,780
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-03-31$11,783
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-03-31No
Was this plan covered by a fidelity bond2019-03-31Yes
Value of fidelity bond cover2019-03-31$500,000
If this is an individual account plan, was there a blackout period2019-03-31No
Were there any nonexempt tranactions with any party-in-interest2019-03-31No
Contributions received from participants2019-03-31$906,759
Income. Received or receivable in cash from other sources (including rollovers)2019-03-31$173,022
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Value of net income/loss2019-03-31$752,622
Value of net assets at end of year (total assets less liabilities)2019-03-31$11,431,402
Value of net assets at beginning of year (total assets less liabilities)2019-03-31$10,678,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-03-31No
Were any leases to which the plan was party in default or uncollectible2019-03-31No
Investment advisory and management fees2019-03-31$7,629
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-03-31$11,431,402
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-03-31$10,678,780
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-03-31$201,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-03-31No
Was there a failure to transmit to the plan any participant contributions2019-03-31No
Has the plan failed to provide any benefit when due under the plan2019-03-31No
Contributions received in cash from employer2019-03-31$495,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-03-31$1,012,344
Contract administrator fees2019-03-31$4,154
Did the plan have assets held for investment2019-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-03-31Yes
Opinion of an independent qualified public accountant for this plan2019-03-31Disclaimer
Accountancy firm name2019-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2019-03-31742014723
2018 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2018 401k financial data
Total income from all sources (including contributions)2018-03-31$2,113,440
Total of all expenses incurred2018-03-31$645,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-03-31$634,951
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-03-31$1,265,168
Value of total assets at end of year2018-03-31$10,678,780
Value of total assets at beginning of year2018-03-31$9,210,597
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-03-31$10,306
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-03-31No
Was this plan covered by a fidelity bond2018-03-31Yes
Value of fidelity bond cover2018-03-31$500,000
If this is an individual account plan, was there a blackout period2018-03-31No
Were there any nonexempt tranactions with any party-in-interest2018-03-31No
Contributions received from participants2018-03-31$807,548
Income. Received or receivable in cash from other sources (including rollovers)2018-03-31$945
Administrative expenses (other) incurred2018-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Value of net income/loss2018-03-31$1,468,183
Value of net assets at end of year (total assets less liabilities)2018-03-31$10,678,780
Value of net assets at beginning of year (total assets less liabilities)2018-03-31$9,210,597
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-03-31No
Were any leases to which the plan was party in default or uncollectible2018-03-31No
Investment advisory and management fees2018-03-31$7,671
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-03-31$10,678,780
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-03-31$9,210,597
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-03-31$848,272
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-03-31No
Was there a failure to transmit to the plan any participant contributions2018-03-31No
Has the plan failed to provide any benefit when due under the plan2018-03-31No
Contributions received in cash from employer2018-03-31$456,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-03-31$634,951
Contract administrator fees2018-03-31$2,635
Did the plan have assets held for investment2018-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-03-31Yes
Opinion of an independent qualified public accountant for this plan2018-03-31Disclaimer
Accountancy firm name2018-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2018-03-31742014723
2017 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Total income from all sources (including contributions)2017-03-31$1,907,213
Total loss/gain on sale of assets2017-03-31$0
Total of all expenses incurred2017-03-31$334,488
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$322,873
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$1,193,028
Value of total assets at end of year2017-03-31$9,210,597
Value of total assets at beginning of year2017-03-31$7,637,872
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$11,615
Total interest from all sources2017-03-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31No
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$500,000
If this is an individual account plan, was there a blackout period2017-03-31No
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Contributions received from participants2017-03-31$760,260
Income. Received or receivable in cash from other sources (including rollovers)2017-03-31$24
Administrative expenses (other) incurred2017-03-31$2,706
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Value of net income/loss2017-03-31$1,572,725
Value of net assets at end of year (total assets less liabilities)2017-03-31$9,210,597
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$7,637,872
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Investment advisory and management fees2017-03-31$8,909
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-03-31$9,210,597
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-03-31$7,637,872
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-03-31$714,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31No
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Contributions received in cash from employer2017-03-31$432,744
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-03-31$322,873
Did the plan have assets held for investment2017-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31Yes
Opinion of an independent qualified public accountant for this plan2017-03-31Disclaimer
Accountancy firm name2017-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2017-03-31742014723
2016 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2016 401k financial data
Total income from all sources (including contributions)2016-03-31$814,231
Total of all expenses incurred2016-03-31$665,118
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$652,073
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$1,198,179
Value of total assets at end of year2016-03-31$7,637,872
Value of total assets at beginning of year2016-03-31$7,488,759
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$13,045
Total interest from all sources2016-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$500,000
If this is an individual account plan, was there a blackout period2016-03-31No
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Contributions received from participants2016-03-31$773,303
Participant contributions at beginning of year2016-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-03-31$0
Other income not declared elsewhere2016-03-31$0
Administrative expenses (other) incurred2016-03-31$2,665
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$149,113
Value of net assets at end of year (total assets less liabilities)2016-03-31$7,637,872
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$7,488,759
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Investment advisory and management fees2016-03-31$10,380
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-03-31$7,637,872
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-03-31$7,488,759
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-03-31$-383,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31No
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$424,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$652,073
Did the plan have assets held for investment2016-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31Yes
Opinion of an independent qualified public accountant for this plan2016-03-31Disclaimer
Accountancy firm name2016-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2016-03-31742014723
2015 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2015 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Total income from all sources (including contributions)2015-03-31$1,345,180
Total of all expenses incurred2015-03-31$399,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$380,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$1,087,250
Value of total assets at end of year2015-03-31$7,488,759
Value of total assets at beginning of year2015-03-31$6,543,447
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$19,793
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$500,000
If this is an individual account plan, was there a blackout period2015-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
Were there any nonexempt tranactions with any party-in-interest2015-03-31Yes
Amount of non-exempt transactions with any party-in-interest2015-03-31$2,193
Contributions received from participants2015-03-31$713,950
Participant contributions at end of year2015-03-31$0
Participant contributions at beginning of year2015-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-03-31$0
Administrative expenses (other) incurred2015-03-31$9,049
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Value of net income/loss2015-03-31$945,312
Value of net assets at end of year (total assets less liabilities)2015-03-31$7,488,759
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$6,543,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Investment advisory and management fees2015-03-31$10,744
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-03-31$7,488,759
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-03-31$6,543,447
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-03-31$257,930
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31No
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$373,300
Employer contributions (assets) at beginning of year2015-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$380,075
Did the plan have assets held for investment2015-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31Yes
Opinion of an independent qualified public accountant for this plan2015-03-31Disclaimer
Accountancy firm name2015-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2015-03-31742014723
2014 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-03-31$0
Total transfer of assets to this plan2014-03-31$0
Total transfer of assets from this plan2014-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total income from all sources (including contributions)2014-03-31$1,701,494
Total loss/gain on sale of assets2014-03-31$0
Total of all expenses incurred2014-03-31$328,762
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$308,822
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$1,104,940
Value of total assets at end of year2014-03-31$6,543,447
Value of total assets at beginning of year2014-03-31$5,170,715
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$19,940
Total interest from all sources2014-03-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$500,000
If this is an individual account plan, was there a blackout period2014-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$644,711
Participant contributions at beginning of year2014-03-31$0
Participant contributions at beginning of year2014-03-31$17,705
Income. Received or receivable in cash from other sources (including rollovers)2014-03-31$125,025
Administrative expenses (other) incurred2014-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Income. Non cash contributions2014-03-31$0
Value of net income/loss2014-03-31$1,372,732
Value of net assets at end of year (total assets less liabilities)2014-03-31$6,543,447
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$5,170,715
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Investment advisory and management fees2014-03-31$19,940
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-03-31$6,543,447
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-03-31$5,139,907
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-03-31$596,554
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$335,204
Employer contributions (assets) at beginning of year2014-03-31$13,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$308,822
Did the plan have assets held for investment2014-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31Yes
Opinion of an independent qualified public accountant for this plan2014-03-31Disclaimer
Accountancy firm name2014-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2014-03-31742014723
2013 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2013 401k financial data
Total income from all sources (including contributions)2013-03-31$1,317,571
Total of all expenses incurred2013-03-31$197,130
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$192,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$972,914
Value of total assets at end of year2013-03-31$5,170,715
Value of total assets at beginning of year2013-03-31$4,050,274
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$4,350
Total interest from all sources2013-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$500,000
If this is an individual account plan, was there a blackout period2013-03-31No
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$622,322
Participant contributions at end of year2013-03-31$0
Participant contributions at beginning of year2013-03-31$3,109
Participant contributions at end of year2013-03-31$17,705
Income. Received or receivable in cash from other sources (including rollovers)2013-03-31$38,707
Other income not declared elsewhere2013-03-31$0
Administrative expenses (other) incurred2013-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Value of net income/loss2013-03-31$1,120,441
Value of net assets at end of year (total assets less liabilities)2013-03-31$5,170,715
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$4,050,274
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Investment advisory and management fees2013-03-31$4,350
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-03-31$5,139,907
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-03-31$4,020,993
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-03-31$344,657
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31No
Was there a failure to transmit to the plan any participant contributions2013-03-31No
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$311,885
Employer contributions (assets) at end of year2013-03-31$13,103
Employer contributions (assets) at beginning of year2013-03-31$26,172
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$192,780
Did the plan have assets held for investment2013-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31Yes
Opinion of an independent qualified public accountant for this plan2013-03-31Disclaimer
Accountancy firm name2013-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2013-03-31742014723
2012 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-03-31$0
Total unrealized appreciation/depreciation of assets2012-03-31$0
Total transfer of assets to this plan2012-03-31$0
Total transfer of assets from this plan2012-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$2,759
Expenses. Interest paid2012-03-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-03-31$0
Total income from all sources (including contributions)2012-03-31$978,229
Total loss/gain on sale of assets2012-03-31$0
Total of all expenses incurred2012-03-31$294,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$285,901
Expenses. Certain deemed distributions of participant loans2012-03-31$0
Value of total corrective distributions2012-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$826,142
Value of total assets at end of year2012-03-31$4,050,274
Value of total assets at beginning of year2012-03-31$3,369,645
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$8,940
Total income from rents2012-03-31$0
Total interest from all sources2012-03-31$301
Total dividends received (eg from common stock, registered investment company shares)2012-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-03-31$0
Assets. Real estate other than employer real property at end of year2012-03-31$0
Assets. Real estate other than employer real property at beginning of year2012-03-31$0
Administrative expenses professional fees incurred2012-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-03-31$0
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$554,715
Participant contributions at end of year2012-03-31$3,109
Participant contributions at beginning of year2012-03-31$9,613
Participant contributions at end of year2012-03-31$0
Participant contributions at beginning of year2012-03-31$0
Assets. Other investments not covered elsewhere at end of year2012-03-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-03-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-03-31$0
Assets. Loans (other than to participants) at end of year2012-03-31$0
Assets. Loans (other than to participants) at beginning of year2012-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-03-31$2,759
Other income not declared elsewhere2012-03-31$0
Administrative expenses (other) incurred2012-03-31$0
Liabilities. Value of operating payables at end of year2012-03-31$0
Liabilities. Value of operating payables at beginning of year2012-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Income. Non cash contributions2012-03-31$0
Value of net income/loss2012-03-31$683,388
Value of net assets at end of year (total assets less liabilities)2012-03-31$4,050,274
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$3,366,886
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Assets. partnership/joint venture interests at end of year2012-03-31$0
Assets. partnership/joint venture interests at beginning of year2012-03-31$0
Investment advisory and management fees2012-03-31$8,940
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-03-31$4,020,993
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-03-31$3,295,032
Value of interest in pooled separate accounts at end of year2012-03-31$0
Value of interest in pooled separate accounts at beginning of year2012-03-31$0
Interest on participant loans2012-03-31$301
Income. Interest from loans (other than to participants)2012-03-31$0
Interest earned on other investments2012-03-31$0
Income. Interest from US Government securities2012-03-31$0
Income. Interest from corporate debt instruments2012-03-31$0
Value of interest in master investment trust accounts at end of year2012-03-31$0
Value of interest in master investment trust accounts at beginning of year2012-03-31$0
Value of interest in common/collective trusts at end of year2012-03-31$0
Value of interest in common/collective trusts at beginning of year2012-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-03-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-03-31$0
Assets. Value of investments in 103.12 investment entities at end of year2012-03-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2012-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-03-31$0
Asset value of US Government securities at end of year2012-03-31$0
Asset value of US Government securities at beginning of year2012-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-03-31$151,786
Net investment gain/loss from pooled separate accounts2012-03-31$0
Net investment gain or loss from common/collective trusts2012-03-31$0
Net gain/loss from 103.12 investment entities2012-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31No
Was there a failure to transmit to the plan any participant contributions2012-03-31No
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Assets. Invements in employer securities at end of year2012-03-31$0
Assets. Invements in employer securities at beginning of year2012-03-31$0
Assets. Value of employer real property at end of year2012-03-31$0
Assets. Value of employer real property at beginning of year2012-03-31$0
Contributions received in cash from employer2012-03-31$271,427
Employer contributions (assets) at end of year2012-03-31$26,172
Employer contributions (assets) at beginning of year2012-03-31$65,000
Income. Dividends from preferred stock2012-03-31$0
Income. Dividends from common stock2012-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$285,901
Asset. Corporate debt instrument preferred debt at end of year2012-03-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2012-03-31$0
Asset. Corporate debt instrument debt (other) at end of year2012-03-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2012-03-31$0
Contract administrator fees2012-03-31$0
Assets. Corporate common stocks other than exployer securities at end of year2012-03-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2012-03-31$0
Liabilities. Value of benefit claims payable at end of year2012-03-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-03-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2012-03-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-03-31$0
Did the plan have assets held for investment2012-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Aggregate proceeds on sale of assets2012-03-31$0
Aggregate carrying amount (costs) on sale of assets2012-03-31$0
Liabilities. Value of acquisition indebtedness at end of year2012-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31Yes
Opinion of an independent qualified public accountant for this plan2012-03-31Disclaimer
Accountancy firm name2012-03-31LAUTERBACH, BORSCHOW & COMPANY
Accountancy firm EIN2012-03-31742014723
2010 : BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$877,221
Total of all expenses incurred2010-12-31$157,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$149,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$603,280
Value of total assets at end of year2010-12-31$3,304,645
Value of total assets at beginning of year2010-12-31$2,585,092
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$8,123
Total interest from all sources2010-12-31$577
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$392,521
Participant contributions at end of year2010-12-31$9,613
Participant contributions at beginning of year2010-12-31$16,470
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$6,959
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$719,553
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,304,645
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,585,092
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
Investment advisory and management fees2010-12-31$8,123
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$3,295,032
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,568,622
Interest on participant loans2010-12-31$577
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$273,364
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$203,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$149,545
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)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31LAUTERBACK, BORSCHOW & COMPANY
Accountancy firm EIN2010-12-31742014723

Form 5500 Responses for BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM

2022: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement - TrustYes
2011: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2009: BIENVIVIR SENIOR HEALTH SERVICES EMPLOYER TDA PROGRAM 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered0
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 2
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered2
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $2,238
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $2,238
Additional information about fees paid to insurance brokerFINANCIAL ADVISOR
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 1
Insurance contract or identification numberVF7352
Number of Individuals Covered642
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $28,822
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $16,267
Additional information about fees paid to insurance brokerAGENCY
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered0
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 2
Insurance contract or identification numberVF7352
Number of Individuals Covered596
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 1
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered52
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $3,600
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $3,600
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 1
Insurance contract or identification numberVF7352
Number of Individuals Covered573
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $29,922
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $29,922
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 2
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered9
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered169
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $4,316
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $4,316
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered160
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $7,566
Total amount of fees paid to insurance companyUSD $4,799
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $7,566
Amount paid for insurance broker fees4799
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 2
Insurance contract or identification numberMULTIPLE
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 1
Insurance contract or identification numberVF7352
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $25,594
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $25,594
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered11
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 2
Insurance contract or identification numberVF7352
Number of Individuals Covered510
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $20,706
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $20,706
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 1
Insurance contract or identification numberMULTIPLE
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $8,081
Total amount of fees paid to insurance companyUSD $5,469
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $8,081
Amount paid for insurance broker fees5469
Additional information about fees paid to insurance brokerBROKERAGE FEES AND COMMISSIONS
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered13
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 2
Insurance contract or identification numberVF7352
Number of Individuals Covered464
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $13,560
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $13,560
Additional information about fees paid to insurance brokerBROKER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameFASI OF TX INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 1
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered267
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $10,284
Total amount of fees paid to insurance companyUSD $6,797
Are there contracts with allocated funds for individual policies?1
Commission paid to Insurance BrokerUSD $10,284
Amount paid for insurance broker fees6797
Additional information about fees paid to insurance brokerSALES AND BASE COMMISSIONS
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 1
Insurance contract or identification numberMULTIPLE
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $10,641
Total amount of fees paid to insurance companyUSD $9,080
Are there contracts with allocated funds for individual policies?Yes
Commission paid to Insurance BrokerUSD $10,641
Amount paid for insurance broker fees9080
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 2
Insurance contract or identification numberVF7352
Number of Individuals Covered413
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $10,904
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $10,904
Insurance broker organization code?3
Insurance broker nameBEAUMONT MARKETING OFFICE - VOYA
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 1
Insurance contract or identification numberVF7352
Number of Individuals Covered346
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $10,209
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Commission paid to Insurance BrokerUSD $10,209
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINVESTMENT ADVISOR
Insurance broker organization code?3
Insurance broker nameFASI OF TX, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 2
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered17
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $6
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Commission paid to Insurance BrokerUSD $6
Additional information about fees paid to insurance brokerINVESTMENT ADVISOR
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered317
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $11,368
Total amount of fees paid to insurance companyUSD $7,640
Are there contracts with allocated funds for individual policies?Yes
Commission paid to Insurance BrokerUSD $11,368
Amount paid for insurance broker fees7640
Additional information about fees paid to insurance brokerINVESTMENT ADVISOR
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 2
Insurance contract or identification numberVF7352
Number of Individuals Covered285
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $26,047
Total amount of fees paid to insurance companyUSD $0
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 $26,047
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerAGENT
Insurance broker organization code?3
Insurance broker nameFASI OF TX, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 1
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered318
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $9,385
Total amount of fees paid to insurance companyUSD $10,559
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,385
Amount paid for insurance broker fees10559
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 3
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered17
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $151
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $151
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 2
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered330
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $59,371
Total amount of fees paid to insurance companyUSD $10,596
Are there contracts with allocated funds for individual policies?Yes
Commission paid to Insurance BrokerUSD $59,371
Amount paid for insurance broker fees10596
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF7352
Policy instance 3
Insurance contract or identification numberVF7352
Number of Individuals Covered7
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $56
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $56
Additional information about fees paid to insurance brokerAGENT
Insurance broker organization code?3
Insurance broker nameFASI OF TX, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 1
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered21
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Commission paid to Insurance BrokerUSD $180
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
Insurance broker nameMILNER CARBALLO
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 2
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered21
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $1,119
Total amount of fees paid to insurance companyUSD $630
Are there contracts with allocated funds for individual policies?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberMULTIPLE
Policy instance 1
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered308
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $53,773
Total amount of fees paid to insurance companyUSD $8,288
Are there contracts with allocated funds for individual policies?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90425 )
Policy contract numberMULTIPLE
Policy instance 2
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered213
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $36,495
Total amount of fees paid to insurance companyUSD $7,853
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberMULTIPLE
Policy instance 1
Insurance contract or identification numberMULTIPLE
Number of Individuals Covered23
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $158
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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