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Original filing (PDF)20251014202541NAL0007368578001
SUBURBAN ADULT SERVICES, INC.
Form 5500
FILING_RECEIVED
SUBURBAN ADULT SERVICES, INC. 401(K) PLAN
401(k) retirement plan
Active participants
482
Accounts w/ balance
654
Plan assets (EOY)
$30.3M
Net assets (EOY)
$30.3M
How this plan invests
This plan
42 pooled trusts
Schedule D
34 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
100
/ 100
Grade A
Top-tier plan health
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
100
Concentration risk
100
Total plan cost
100
Vendor stack
100
Participation health
100
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for SUBURBAN ADULT SERVICES, INC..
Plan sponsor
Name
SUBURBAN ADULT SERVICES, INC.
EIN
16-1115992
Address
960 WEST MAPLE COURT · ELMA, NY · 14059
Phone
(716) 805-1555
Industry
Health Care & Social Assistancesee all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
002
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-10-14
Pension benefit codes
2E · Profit-sharing
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
3D · Pre-approved plan (master / prototype / VS)
2F · ERISA section 404(c)
Audit & trust (Schedule H)
Auditor
EFPR GROUP, CPA'S, P.C.
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
3 rowsRecordkeeper
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| EMPOWER ANNUITY INS. CO. OF AMERICA | — | GREENWOOD VILLAGE, CO | RECORDKEEPER | $9K | — |
Advisor / Consultant
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| GLOBAL RETIREMENT PARTNERS LLC | — | SAN RAFEL, CA | INVESTMENT ADVISOR | $49K | — |
TPA / Administrator
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| PPS PENSION SERVICES, INC. | — | WILLIAMSVILLE, NY | CONTRACT ADMIN | $20K | — |
Investments
2 direct securities · 42 pooled funds· $30.2M(100% of reported assets)
Rows tagged as a trust or pooled fund hold many underlying securities. Their holdings are itemized on each fund’s own Form 5500.
Pooled Separate Account
$24.9M
42 holdings
Uncategorized
$5.4M
2 holdings
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| Empower Retirement Guaranteed investment contract | — | — | — | $4.7M | 15.5% | |
| BNY MELLON DYNAMIC VALUE FUND A BNY MELLON · EIN 90-0342299 / PN 000 | Pooled Separate Account | — | — | $2.4M | 7.9% | |
| MASSMUTUAL SEL TRP RETIRE 2030 M4 EMPOWER ANNUITY INSURANCE COMPANY · EIN 90-0342299 / PN 000 | Pooled Separate Account | — | — | $2.0M | 6.4% | |
| PIONEER FUNDAMENTAL GROWTH Y AMUNDI US · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $1.9M | 6.2% | |
| JPMORGAN US EQUITY R4 JPMORGAN · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $1.6M | 5.3% | |
| MASSMUTUAL SEL TRP RETIRE 2040 M4 EMPOWER ANNUITY INSURANCE COMPANY · EIN 90-0342299 / PN 000 | Pooled Separate Account | — | — | $1.5M | 5.0% | |
| MASSMUTUAL MID CAP GROWTH ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $1.4M | 4.5% | |
| MASSMUTUAL SEL TRP RETIRE 2050 M4 EMPOWER ANNUITY INSURANCE COMPANY · EIN 90-0342299 / PN 000 | Pooled Separate Account | — | — | $1.2M | 4.1% | |
| FIDELITY ADVISOR TOTAL BOND M FIDELITY INVESTMENTS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $1.2M | 3.8% | |
| MASSMUTUAL BLUE CHIP GROWTH ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $902K | 3.0% | |
| MASSMUTUAL SMALL CAP OPPS ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $867K | 2.9% | |
| VICTORY SYCAMORE ESTABLISHEDVALUE A VICTORY CAPITAL · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $804K | 2.7% | |
| MASSMUTUAL SEL TRP RETIRE 2060 M4 EMPOWER ANNUITY INSURANCE COMPANY · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $764K | 2.5% | |
| MASSMUTUAL EQUITY OPPORTS ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $745K | 2.5% | |
| AMERICAN CENTURY ULTRA INV AMERICAN CENTURY INVESTMENTS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $670K | 2.2% | |
| participants through 2037 | — | — | — | $662K | 2.2% | |
| BARON GROWTH RETAIL BARON CAPITAL GROUP INC · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $636K | 2.1% | |
| HARTFORD BALANCED INCOME R4 HARTFORD MUTUAL FUNDS · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $629K | 2.1% | |
| INVECSO GLOBAL OPPORTUNITIES Y INVESCO · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $530K | 1.7% | |
| MASSMUTUAL OVERSEAS SVC MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $521K | 1.7% | |
| FIDELITY ADVISOR STRATEGIC INCOME M FIDELITY INVESTMENTS · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $515K | 1.7% | |
| PRINCIPAL REALESTATESECURITIES INST PRINCIPAL FUNDS · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $512K | 1.7% | |
| INVESCO MAIN STREET MID CAP Y INVESCO · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $421K | 1.4% | |
| PUTNAM INT'L CAPITAL OPP Y FRANKLIN TEMPLETON INVESTMENTS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $411K | 1.4% | |
| CLEARBRIDGE APPRECIATION A FRANKLIN TEMPLETON INVESTMENTS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $395K | 1.3% | |
| MASSMUTUAL SEL TRP RETIRE 2020 M4 EMPOWER ANNUITY INSURANCE COMPANY · EIN 90-0342299 / PN 000 | Pooled Separate Account | — | — | $392K | 1.3% | |
| EMPOWER S&P MID CAP 400 INDEX INV EMPOWER FUNDS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $363K | 1.2% | |
| MM S&P 500 INDEX ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $353K | 1.2% | |
| CALVERT EQUITY A CALVERT-OE · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $300K | 1.0% | |
| MASSMUTUAL HIGH YIELD ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $282K | 0.9% | |
| DFA US TARGETED VALUE I DIMENSIONAL FUND ADVISORS · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $260K | 0.9% | |
| MASSMUTUAL SEL TRP RETIRE 2010 M4 EMPOWER ANNUITY INSURANCE COMPANU · EIN 90-0342299 / PN 000 | Pooled Separate Account | — | — | $259K | 0.9% | |
| EMPOWER INTERNATIONAL INDEX INV EMPOWER FUNDS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $112K | 0.4% | |
| EMPOWER S&P SMALLCAP 600 INDEX INV EMPOWER FUNDS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $103K | 0.3% | |
| MASSMUTUAL SEL TRP RETIRE 2045 M4 EMPOWER ANNUITY INSURANCE COMPANY · EIN 90-0342299 / PN 000 | Pooled Separate Account | — | — | $566 | <0.1% | |
| MFS INTERNATIONAL NEW DISCOVERY A MFS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% | |
| INVESCO REAL ESTATE Y INVESCO · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% | |
| MASSMUTUAL STRATEGIC BND ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% | |
| PIONEER STRATEGIC INCOME Y AMUNDI US · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% | |
| MASSMUTUAL MAIN STREET ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% | |
| AMERICAN CENTURY EQUITY GROWTH INV AMERICAN CENTURY INVESTMENTS · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% | |
| MASSMUTUAL INTERNATIONAL EQ ADM MASSMUTUAL · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% | |
| VICTORY SYCAMORE SMALL CO OPP A VICTORY CAPITAL · EIN 90-0779283 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% | |
| T. ROWE PRICE NEW HORIZONS T. ROWE PRICE · EIN 04-1590850 / PN 000 | Pooled Separate Account | — | — | $0 | <0.1% |