2023-08-08T09:25:13-05:00 2022-09-30 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2021-10-01 061268168 NATIONAL HEALTH CARE INC AND AFFILIATE VOLUNTARY EMPLOYEE BENEFIT ASSOC PLAN NATI 5167054800 20 EAST SUNRISE HIGHWAY VALLEY STREAM NY 11581 MARVIN OSTREICHER TRUSTEE 5167054800 2023-08-08 1 MARVIN OSTREICHER 999009999 LOUIS VERZELLA CPA P00360279 6106689400 2023-08-08 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARVIN OSTREICHER 20 EAST SUNRISE HIGHWAY VALLEY STREAM NY 11581 36060280 0 X N/A X 1989 CT VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION TO PROVIDE HEALTH BENEFITS FOR PARTICIPANTS. 2 2 0 0 0 0 0 0 37180096 36060280 0 0 0 0 37180096 36060280 0 0 45724318 42313218 0 0 0 0 0 75311 57275 45799629 42370493 -8619533 -6310213 826329 1585757 692023 7761664 134306 -6175907 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION TO PROVIDE HEALTH BENEFITS FOR PARTICIPANTS. 0 0 THE PLAN PROVIDES HEALTH AND OTHER BENEFITS TO ALL ELIGIBLE EMPLOYEES OF RIVERSIDE HEALTH CARE CENTER AND RELATED EMPLOYERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 2 2 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X IRA GEFFNER 5167054800 20 EAST SUNRISE HIGHWAY VALLEY STREAM NY 11581 X MARVIN OSTREICHER TRUSTEE 2.00 X 0 0 0 BARRY BOKOW TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 AMWINS CONNECT ADMINISTRATORS 6 NORTH PARK DR STE 310 HUNT VALLEY MD 21030 CONTRACT ADMINISTRATION 804564 EXPRESS SCRIPTS 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 CLAIMS ADMINISTRATOR 415931 IHP 6 NORTH PARK DR STE 310 HUNT VALLEY MD 21030 CONTRACT ADMINISTRATION 398353 HILB GROUP OF NEW ENGLAND LLC 2000 CHAPEL VIEW BLVD STE 240 CRANSTON RI 02920 INSURANCE BROKER 334720 SISCO BENEFITS 800 MAIN ST DUBUQUE IA 52001 CLAIMS ADMINISTRATOR 166810 7 EMPLOYER CONTRIBUTIONS 900099 25741185 25741185 EMPLOYEE CONTRIBUTIONS 900099 10114118 10114118 COBRA CONTRIBUTIONS 900099 204977 204977 36060280 36060280 36060280 0 0 42313218 8783 28750 5685 FEES MANDATED BY ACA 14057 42370493 405445 372339 420884 1213418 826329 1585757 283570 281764 408453 7479900 692023 7761664 X 134306 -6175907 134306 -6175907 826329 1585757 -6310213 0 X X 0 1 X 1 0 0 DUE TO PLAN SPONSOR 50353 DUE TO FACILITIES 7429547 7479900 X 36060280 0 36060280 0 36060280 42370493 0 42370493 0 42370493 PART X, LINE 2: THE PLAN'S ADMINISTRATOR AND THE PLAN'S COUNSEL BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. FORM 990, PART VI, SECTION A, LINE 2 MARVIN OSTREICHER AND BARRY BOKOW HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE NATIONAL HEALTH CARE INC. AND AFFILIATE VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION PLAN'S FORM 990 IS PREPARED BY IT'S INDEPENDENT PUBLIC ACCOUNTANT, WHO THEN FORWARDS A COPY TO THE TRUSTEES FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990. PART XII, LINE 2C: THE ORGANIZATIONS GOVERNING BODY IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS SELECTION OF THE INDEPENDENT ACCOUNTANT. BELAIR CARE CENTER BETHEL HEALTH & REHAB LLC BLOOMFIELD CNTR NURSG & REHAB CAMBRIDGE EAST NORTHPORT RESIDENTIAL HEBREW HOME FOR HEALTH & REHAB LUDLOWE CENTER MAPLEVIEW MARLBOROUGH MES DIAGNOSTICS LLC MILFORD NATIONAL HEALTH CARE ASSOC NOA DIAGNOSTIC OF CT LLC NOA DIAGNOSTICS OF NY LLC PINE HEIGHTS AT BRATTLEBORO PINES AT BRISTOL PINES AT CATSKILL PINES AT GLENS FALLS PINES AT POUGHKEEPSIE PINES AT RUTLAND PINES AT UTICA PREFERRED PROFESSIONAL SVC LLC REGENCY RIVERSIDE HEALTH CARE SANDS POINT CENTER FOR HEALTH TROY CROSSINGS LLC VILLAGE CREST CENTER VK ABINGTON LLC VK AUGUSTA LLC VK BANGOR LLC VK BATH LLC VK BREWER LLC VK DOVER LLC VK EAST BRIDGEWATER LLC VK KENNEBUNK LLC VK MARLBOROUGH LLC VK NATICK LLC VK NEWBURYPORT LLC VK NORWAY LLC VK WELLESLEY LLC VK YARMOUTH LLC WATERS EDGE WESTGATE CNTR HEALTH & REHAB L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0