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Form 5500 · Retirement plan · WOODSIDE, NY

MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.

The filing calls this plan TAX DEFERRED ANNUITY OF MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.

MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. of WOODSIDE, NY files a Form 5500 for its retirement plan. Schedule A discloses 1 annuity or guaranteed-interest contract held by the plan, written by MUTUAL OF AMERICA. 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)
Insurance company
Contract year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-2700062 · plan 002 · plan year 2025, filed Jun 9, 2026

Participants at the start of the year
136
Contracts on file
1
Contract value
$342,574
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 MUTUAL OF AMERICA.

The contracts held $342,574 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 December.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
MUTUAL OF AMERICAAnnuity / GIC61December$342,574$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
MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.
EIN 11-2700062

The plan administrator is from line 3a of the main form. We publish company names only.

What the plan holds

Plan assets at year end
$1,813,132
Paid out in benefits
$183,321
Participants at the start of the year
136
Participants with account balances
61

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

Who runs the plan

Independent accountantEIN 74-3216978
NAWROCKI SMITH 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.

Other plans filed by this employer

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