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Visiting Nurse Association of Ridgefield, Inc.

Plan Rating

Overview Financials Service Providers Investments Insurance Information

FORM 5500 DATA

RVNA 403(b) Plan

Plan Rating

Overview Financials Service Providers Investments Insurance Information

Overview

Plan Information

Plan Year01/01/2019 — 12/31/2019
Date of Plan07/01/1984
Net Assets as of 12/31/2019 $6,545,552
Plan Number1
Plan Type Single Employer
Is the plan collectively bargained? No
Did the plan file for an extension of time or the DFVC Program?Yes
Plan Funding ArrangementInsurance Trust
Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2019

Active (Eligible) Participants287
Retired or separated participants receiving benefits0
Other retired or separated participants entitled to future benefits26
Subtotal313
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Total313
Total number of participants as of 01/01/2019287
Number of participants with account balances80
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Expenses

Total Benefit Payments$0
Corrective Distributions$0
Administrative Service Providers$0
Other Expenses$0
Total Expenses$0
Total Transfers$0

Sponsor Information

Address27 Governor Street
CityRidgefield
StateCT
Zip06877
Telephone(203) 438-5555
EIN06-0646613
Industry Code621610

Audit Information

Audit StatusAudited
AuditorPeach & Mcpherson, CPA
Auditor EIN06-1190201
Audit Opinion Disclaimer
Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code	Benefit	Description
2F	ERISA section 404(c) Plan	This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G	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.
2K	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 contributions 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.
2L	Code section 403(b)(1) arrangement	A 403(b) plan, also known as a tax-sheltered annuity (TSA) plan, is a retirement plan for certain employees of public schools, employees of certain tax-exempt organizations, and certain ministers.
2M	Code section 403(b)(7) accounts	A 403(b)(7) plan is a tax-deferred retirement plan often available to employees of public schools or non-profit organizations.
2T	Participant-directed Account	Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3D	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.

Questions and Answers

Question	Answer	Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102?	No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance.	No
Were any leases to which the plan was a party in default or classified during the year as uncollectible?	No
Were there any nonexempt transactions with any party-in-interest?	No
Was this plan covered by a fidelity bond?	Yes	$500,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty?	No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser?	No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser?	No
Did the plan have assets held for investment?	Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets?	No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC?	No
Has the plan failed to provide any benefit when due under the plan?	No
If this is an individual account plan, was there a blackout period?	No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3?	No

Financials

Income and Expense Statement

Income

$1,808,691

Contributions

$704,684

Cash Contributions

$704,684

	Cash from Employers	$172,161
	Cash from Participants	$371,437
	Others (including rollovers)	$161,086

Noncash Contributions

Total Earnings on Investments

$1,098,485

Total Interest

$4,781

	Interest-Bearing Cash	$0
	U.S. Government Securities	$0
	Corporate Debt Instruments	$0
	Loans (other than to participants)	$0
	Participant Loans	$1,899
	Interest from Other Investments	$2,882

Total Dividends

$267,164

	Preferred Stock	$0
	Common Stock	$0

Rents

Net gain (loss) on sale of assets

	Aggregate Proceeds	$0
	Aggregate Carrying Amount	$0

Total Unrealized Appreciation (depreciation) of assets

	Real Estate	$0
	Other	$0

Net investment gain (loss) from common/collective trusts

Net investment gain (loss) from pooled separate accounts

$8,548

Net investment gain (loss) from master trust investment accounts

Net investment gain (loss) from 103-12 investment entities

Net investment gain (loss) from registered investment companies

$817,992

Other Income

$5,522

Expenses

$487,332

Total Benefit Payments

$487,102

	Directly to participants or beneficiaries, including direct rollovers	$487,102
	To insurance carriers for the provision of benefits	$0
	Other Benefit Payment Fees	$0

Corrective Distributions

Certain deemed distributions of participant loans

Interest expense

Total Administrative Expenses

$230

	Professional Fees	$0
	Contract Administrator Fees	$0
	Investment Advisory and management fees	$0
	Other Administrative Fees	$230

Net Income

$1,321,359

	Transfers of Assets to this Plan	$0
	Transfers of Assets from this Plan	$0

Asset and Liability Statement

12/31/2019

12/31/2018

Change YOY

Total Assets

$6,545,552

$5,224,193

25.29%

Total noninterest-bearing cash

0.0%

Receivables

0.0%

Employer Contributions	$0	$0	0.0%
Participant Contributions	$0	$0	0.0%
Other Contributions	$0	$0	0.0%

General Investments

0.0%

Interest-bearing cash

0.0%

U.S. Government Securities

0.0%

Corporate Debt Instruments

0.0%

	Preferred		$0	$0	0.0%
	All Other		$0	$0	0.0%

Corporate Stocks

0.0%

	Preferred		$0	$0	0.0%
	Common		$0	$0	0.0%

Partnership/joint venture interests

0.0%

Real estate (other than employer real property)

0.0%

Loans (other than to participants)

0.0%

Participants Loans

$129,614

$46,163

180.77%

Value of interest in common/collective trusts

0.0%

Value of interest in pooled separate accounts

$45,399

$32,299

40.56%

Value of interest in master trust investment accounts

0.0%

Value of interest in 103-12 investment entities

0.0%

Value of interest in registered investment companies

$6,305,772

$5,034,467

25.25%

Value of funds held in insurance co. general account

$64,767

$111,264

-41.79%

Other Investments

0.0%

Employer-related Investments

0.0%

	Employer Securities		$0	$0	0.0%
	Employer Real Property		$0	$0	0.0%

Buildings and other property used in plan operation

0.0%

Total Liabilities

0.0%

Benefit Claims Payable (1)	$0	$0	0.0%
Operating Payables (1)	$0	$0	0.0%
Acquisition Indebtedness (1)	$0	$0	0.0%
Other liabilities (1)	$0	$0	0.0%

Net Assets

$6,545,552

$5,224,193

25.29%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

Voya Retirement Insurance and Annui

Other Service Providers Receiving Direct or Indirect Compensation

Name	Nature of Service	Relationship to Plan Sponsor	Direct Compensation Paid by Plan	Indirect Compensation Paid by Plan	Total Compensation
Capital Research and Management Co	Recordkeeping fees	Recordkeeper	$480	$0	$480
Total			$480	$0	$480

Indirect Compensation

There are no service providers with indirect compensation listed for this plan.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Name of Investment	Investment Manager	Type of Investment	Dollar Value
Map Contract Separate Account D	Voya Retirement Insurance and Annuity Co	DFE: Pooled Separate Account	$45,399
Total			$45,399

Insurance Information

Insurance Carrier Summary

Persons Covered

Voya Retirement Insurance and Annuity Co

EIN

71-0284708

Industry Code

86509

Contract Number

VF 6704

Contract Year

01/01/2019 â€” 12/31/2019

Value in General Account at Year End

$64,767

Value in Separate Accounts at Year End

$45,399

Insurance Fees and Commissions

$140

Persons Receiving Commissions and Fees

Agent/Broker	Organization Code	Commissions Paid	Fees Paid	Purpose of Fees Paid
Infinex Investments Inc. 538 Preston Ave. Meriden, CT 06450	Insurance Agent or Broker	$140	$0

Allocated Funds

	Type of Contract	Unspecified
	Basis of premium rates
	Premiums paid to carrier	$0
	Premiums due but unpaid at the end of the year	$0
	If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount	$0
	Specify the nature of the costs

Unallocated Funds

Type of Contract

GROUP PENSION FUNDING

Balance at the end of the previous year

$111,264

Additions

$2,883

	Contributions Deposited during the year	$0
	Dividends and credits	$0
	Interest credited during the year	$2,883
	Transferred from separate account	$0
	Other	$0

Total of Balance and Additions

$114,147

Deductions

$49,380

	Disbursed from fund to pay benefits or purchase annuities during the year	$49,380
	Administration charge made by carrier	$0
	Transferred to Separate Account	$0
	Other	$0

Balance at the end of the current year

$64,767

Visiting Nurse Association of Ridgefield, Inc.

RVNA 403(b) Plan

Form 5500 Year:

Overview

Plan Information

Participant Information as of 12/31/2019

Expenses

Sponsor Information

Audit Information

Benefits Provided Under the Plan

Questions and Answers

Financials

Income and Expense Statement

Asset and Liability Statement

Service Providers

Persons Receiving Only Eligible Indirect Compensation

Other Service Providers Receiving Direct or Indirect Compensation

Indirect Compensation

Service Providers Who Fail or Refuse to Provide Information

Termination Information on Accountants and Enrolled Actuaries

Investments

Investments

Insurance Information

Insurance Information