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FORM 5500 DATA

A Very Special Place, Inc. Pension Plan

Overview

Plan Information

  • Plan Year07/01/2016 — 06/30/2017
  • Date of Plan01/01/1983
  • Net Assets as of 06/30/2017 $4,284,843
  • 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
  • Plan Benefit ArrangementInsurance

Participant Information as of 06/30/2017

  • Active (Eligible) Participants190
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits89
  • Subtotal279
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits1
  • Total280
  • Total number of participants as of 07/01/2016286
  • Number of participants with account balances233
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested11

Expenses

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

Sponsor Information

  • Address49 Cedar Grove Avenue
  • CityStaten Island
  • StateNY
  • Zip10306
  • Telephone(718) 987-1234
  • EIN13-3005006
  • Industry Code624100
  • Named AdministratorAnn Marie Hartnett

Audit Information

  • Audit StatusAudited
  • AuditorBdo USA, LLP
  • Auditor EIN13-5381590
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2C Money purchase A pension plan, other than a target benefit plan that requires a fixed percentage of compensation to be contributed to each eligible employee.
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.
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? No
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 $555,958
Contributions $349,176
Cash Contributions $349,176
Cash from Employers $349,176
Cash from Participants $0
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $206,782
Total Interest $26,671
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $0
Interest from Other Investments $26,671
Total Dividends $0
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $180,111
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $0
Other Income $0
Expenses $239,976
Total Benefit Payments $235,783
Directly to participants or beneficiaries, including direct rollovers $235,783
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $4,193
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $4,193
Net Income $315,982
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

06/30/2017 06/30/2016 Change YOY
Total Assets $4,284,843 $3,968,861 7.96%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $48,562 $26,692 81.93%
Employer Contributions $48,562 $26,692 81.93%
Participant Contributions $0 $0 0.0%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $0 $0 0.0%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $1,493,933 $1,319,043 13.26%
Value of funds held in insurance co. general account $2,742,348 $2,623,126 4.55%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 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 0.0%
Total Liabilities $0 $0 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 $4,284,843 $3,968,861 7.96%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Fidelity Management and Research Co
  • The Vanguard Group, Inc.
  • Deutsche Inv Mgmt Americas Inc.
  • Oppenheimer Funds, Inc.
  • American Century Inv Mgmt, Inc.
  • Calvert Investment Management, Inc.
  • Pimco
  • T. Rowe Price Associates, Inc.
  • Capital Research & Mgmt Company

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
Mutual of America Life Insurance Co Participant loan processing, Contract Administrator, Direct payment from the plan, Recordkeeping and information management (computing, tabulating, data processing, etc.), Custodial (other than securities), Claims processing Insurance Broker $4,193 $0 $4,193
Total $4,193 $0 $4,193

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

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Separate Account Funds Mutual of America DFE: Pooled Separate Account $1,493,933
Total $1,493,933

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Mutual of America Life Insurance Company 280
EIN 13-1614399
Industry Code 88668
Contract Number 052671-J
Contract Year 07/01/2016 — 06/30/2017
Value in General Account at Year End $2,742,348
Value in Separate Accounts at Year End $1,493,933
Insurance Fees and Commissions $1,044
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Queens Regional Office Forest Hills Tower Forest Hills, NY 11375 Insurance Agent or Broker $0 $1,044 PORTION OF INCENTIVE COMPENSATION PROGRAM
Allocated Funds
Type of Contract Unspecified
Basis of premium rates Per Contract - Disab Annuity Credit
Premiums paid to carrier $4,356
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 GUARANTEED INTEREST ACCT
Balance at the end of the previous year $2,623,126
Additions $364,812
Contributions Deposited during the year $215,382
Dividends and credits $0
Interest credited during the year $26,670
Transferred from separate account $99,672
Other $23,088
Total of Balance and Additions $2,987,938
Deductions $245,590
Disbursed from fund to pay benefits or purchase annuities during the year $242,208
Administration charge made by carrier $3,382
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $2,742,348