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Form 5500 · Retirement plan · PONTE VEDRA BEACH, FL

LIFE CARE PASTORAL SERVICES

The filing calls this plan LIFE CARE PASTORAL SERVICES TAX SHELTERED ANNUITY PLAN.

LIFE CARE PASTORAL SERVICES of PONTE VEDRA BEACH, FL files a Form 5500 for its retirement plan. Schedule A discloses 1 annuity or guaranteed-interest contract held by the plan, written by PRINCIPAL LIFE INSURANCE COMPANY. 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 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 59-3480191 · plan 001 · plan year 2024, filed Oct 15, 2025

Participants at the start of the year
464
Contracts on file
1
Contract value
$264,568
Plan year end
December

Plan brief

Schedule A lists 1 insurance contract held by the plan — an annuity, a guaranteed-interest account or a similar funding vehicle, with PRINCIPAL LIFE INSURANCE COMPANY.

The contracts held $264,568 at the end of the plan year, as reported on Schedule A.

$540 in agent commissions is disclosed across the contracts; KESTRA INVESTMENT SERVICES LLC 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
PRINCIPAL LIFE INSURANCE COMPANYAnnuity / GIC516December$264,568$540

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
LIFE CARE PASTORAL SERVICES
EIN 59-3480191
PRINCIPAL LIFE INSURANCE COMPANY
Contract administrator · EIN 42-0127290
$21,782
paid directly by the plan
KESTRA INVESTMENT SERVICES LLC
OTHER SERVICES · EIN 74-2794194
$0
paid directly by the plan
WILSHIRE ADVISORS LLC
INVESTMENT ADVISORY · EIN 95-2755361
$0
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
$7,022,278
Paid out in benefits
$628,168
Participants at the start of the year
464
Participants with account balances
181

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

Who runs the plan

Independent accountantEIN 44-0160260
FORVIS MAZARS LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

From Schedule H of this filing.

We can name the recordkeeper and the auditor for large plans, the ones that file a Schedule C or a Schedule H. Smaller plans do not have to report either, so for most 401(k) plans in the country that information is not public anywhere.

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