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Form 5500 · Retirement plan · LITTLETON, NH

AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.

The filing calls this plan AMMONOOSUC COMMUNITY HEALTH SERVICES 403(B) PLAN.

AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. of LITTLETON, NH's retirement plan holds 2 insurance-company contracts (annuities or guaranteed-interest accounts), disclosed on Schedule A of its Form 5500. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.

Agent of record (Schedule A)
Contract year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 51-0137745 · plan 001 · plan year 2025, filed Sep 18, 2026

Participants at the start of the year
123
Contracts on file
2
Contract value
$637,907
Plan year end
December

Plan brief

Schedule A lists 2 insurance contracts held by the plan — annuities, guaranteed-interest accounts or similar funding vehicles. The largest number are with TALCOTT RESOLUTION LIFE INSURANCE COMPANY.

The contracts held $637,907 at the end of the plan year, as reported on Schedule A.

$1,884 in agent commissions is disclosed across the contracts; OSAIC WEALTH, INC is the agent of record.

A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.

The contract year ended in December.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
TALCOTT RESOLUTION LIFE INSURANCE COMPANYAnnuity / GIC7December$183,694$1,884
STANDARD INSURANCE COMPANYAnnuity / GIC132December$454,213$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.
EIN 51-0137745
COMMUNITY FINANCIAL SERVICES GROUP
Named on Schedule C · EIN 04-3626312
$25,610
paid directly by the plan
STANCORP FINANCIAL GROUP
Claims processing · Recordkeeping and information management · Custodian · EIN 93-1253576
$23,315
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

What the plan holds

Plan assets at year end
$9,081,749
Paid out in benefits
$349,144
Participants at the start of the year
123
Participants with account balances
113

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

Who runs the plan

RecordkeeperEIN 93-1253576
STANCORP FINANCIAL GROUP
Independent accountantEIN 99-4708358
BDMP ASSURANCE, LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

The recordkeeper and the accountant are named on Schedule C of this filing. The opinion and the fee are from Schedule H.

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