Clove Lakes Health Care And Rehabilitation Center, INC. 401(k) Plan

Form 5500 filing data for plan year 2024.

Plan Snapshot

  • Plan Sponsor: Clove Lakes Health Care And Rehabilitation Center, INC.
  • Sponsor EIN: 133954527
  • Sponsor Address: 25 FANNING STREET, STATEN ISLAND, NY, 10314
  • Plan Type: 401(k)
  • Total Participants: 274
  • Total Assets: $8.1M

Key Plan Design Features

  • Auto-Enrollment: Yes
  • Auto-Escalation: No
  • Allows Roth Contributions: No
  • Participant Loans: No
  • Participant-Directed Investments: Yes
  • ERISA Section 404(c) Fiduciary Safe Harbor: Yes

Plan Financials by Year

YearParticipantsTotal AssetsEmployer Contrib.Employee Contrib.
2024274$8.1M$83,734$344,334
2023152$7.7M$107,165$251,124
2022159$7.5M$112,898$220,528

Service Providers (Schedule C)

Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).

Provider Name Role Direct Compensation Indirect Compensation Total Fees
RICHARDS, MITCHELL & CROSS PAAuditor$0

Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

  • Total Service Provider Fees: $0

Historical Administrative Expenses

Breakdown of administrative expense categories reported on Form 5500 filings.

Year Total Admin Expenses Investment Mgmt Fees Contract Admin Fees IQPA Audit Fees Professional Fees
2024$52,238$52,238
2023$8,288$8,288
2022$7,276$7,276

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