form5500lookup

Form 5500 · Retirement plan · ELMORA, PA

LIFESTYLE SUPPORT SERVICES, INC.

The filing calls this plan LIFESTYLE SUPPORT SERVICES 401(K) PLAN.

LIFESTYLE SUPPORT SERVICES, INC. of ELMORA, PA files a Form 5500 for its retirement plan. Schedule A discloses 1 annuity or guaranteed-interest contract held by the plan, written by STANDARD 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)
Not disclosed
Insurance company
STANDARD INSURANCE COMPANY
Contract year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 25-1808601 · plan 001 · plan year 2025, filed Mar 26, 2026

Participants at the start of the year
194
Contracts on file
1
Contract value
$173,856
Plan year end
June

Plan brief

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

The contracts held $173,856 at the end of the plan year, as reported on Schedule A.

The filing discloses no agent commission on these contracts.

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 June.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
STANDARD INSURANCE COMPANYAnnuity / GIC190June$173,856$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
LIFESTYLE SUPPORT SERVICES, INC.
EIN 25-1808601
STANCORP FINANCIAL GROUP
Claims processing · Recordkeeping and information management · Custodian · EIN 93-1253576
$39,022
paid directly by the plan
CAMBRIDGE INVESTMENT RESEARCH, INC.
Named on Schedule C · EIN 42-1445429
$17,945
paid directly by the plan
YOUNG, OAKES, BROWN & COMPANY, P.C.
Accounting and audit · EIN 25-1589048
$13,650
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.

Reported to OSHA

Reported to OSHA for 2025: 172 employees, 5 recordable cases, 506 days away from work.

EmployeesThe company's own average for the year
172
Hours worked
349,215
Recordable cases
5
Days away from work
506

Source: OSHA Injury Tracking Application establishment data, 2025.

What the plan holds

Plan assets at year end
$4,420,090
Paid out in benefits
$361,620
Participants at the start of the year
194
Participants with account balances
187

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

Who runs the plan

RecordkeeperEIN 93-1253576
STANCORP FINANCIAL GROUP
Independent accountantEIN 25-1589048
YOUNG, OAKES, BROWN & COMPANY, P.C.
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$13,650

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

The filing reports that employee contributions were not forwarded to the plan on time (line 4a).

Other plans filed by this employer

plan 502Insured benefit plan · 2 Schedule A contractsRenews ~Jul 1Group Life & Ad&DInsured benefit plan · 3 Schedule A contractsRenews ~Jul 1

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