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EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA
Plan identification number 001

EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

COMMUNITY ACTION OF SOUTHERN INDIAN A has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY ACTION OF SOUTHERN INDIAN A
Employer identification number (EIN):020591170
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MARILYN WARREN2023-10-13
0012021-01-01MARILYN WARREN2022-10-14
0012020-01-01PHIL ELLIS2021-10-15 PHIL ELLIS2021-10-15
0012019-01-01
0012018-01-01LETITA BAILEY2019-04-23
0012017-01-01LETITA BAILEY2018-05-02 LETITA BAILEY2018-05-02
0012016-01-01MARSHALL SUBLETT2017-04-11 MARSHALL SUBLETT2017-04-11
0012015-01-01MARSHALL SUBLETT2016-07-20 MARSHALL SUBLETT2016-07-20
0012014-01-01KENT HEFFELBOWER2015-06-16 KENT HEFFELBOWER2015-06-16
0012013-01-01DARLENE RICH2014-07-21 DARLENE RICH2014-07-21
0012012-01-01KIM BISINGER2013-05-09 KIM BISINGER2013-05-09
0012011-01-01KIM BISINGER2012-10-10 KIM BISINGER2012-10-10
0012010-01-01KIM BISINGER2011-08-18 KIM BISINGER2011-08-18

Plan Statistics for EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA

Measure Date Value
2020: EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA 2020 401k membership
Total participants, beginning-of-year2020-01-01111
Total number of active participants reported on line 7a of the Form 55002020-01-0196
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0125
Total of all active and inactive participants2020-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01122
Number of participants with account balances2020-01-01115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-016
2019: EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA 2019 401k membership
Total participants, beginning-of-year2019-01-0193
Total number of active participants reported on line 7a of the Form 55002019-01-0190
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0121
Total of all active and inactive participants2019-01-01111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01111
Number of participants with account balances2019-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA

Measure Date Value
2020 : EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA 2020 401k financial data
Total income from all sources2020-12-31$110,952
Expenses. Total of all expenses incurred2020-12-31$9,193
Benefits paid (including direct rollovers)2020-12-31$8,520
Total plan assets at end of year2020-12-31$481,872
Total plan assets at beginning of year2020-12-31$380,113
Value of fidelity bond covering the plan2020-12-31$250,000
Total contributions received or receivable from participants2020-12-31$43,846
Expenses. Other expenses not covered elsewhere2020-12-31$673
Other income received2020-12-31$41,598
Net income (gross income less expenses)2020-12-31$101,759
Net plan assets at end of year (total assets less liabilities)2020-12-31$481,872
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$380,113
Total contributions received or receivable from employer(s)2020-12-31$25,508
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$105,916
Expenses. Total of all expenses incurred2019-12-31$16,635
Benefits paid (including direct rollovers)2019-12-31$15,805
Total plan assets at end of year2019-12-31$372,729
Total plan assets at beginning of year2019-12-31$283,448
Value of fidelity bond covering the plan2019-12-31$250,000
Total contributions received or receivable from participants2019-12-31$41,696
Expenses. Other expenses not covered elsewhere2019-12-31$830
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$40,798
Net income (gross income less expenses)2019-12-31$89,281
Net plan assets at end of year (total assets less liabilities)2019-12-31$372,729
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$283,448
Total contributions received or receivable from employer(s)2019-12-31$23,422
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA

2020: EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: EMPLOYEE BENEFIT PLAN OF COMMUNITY ACTION OF SOUTHERN INDIANA 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055277J
Policy instance 1
Insurance contract or identification number055277J
Number of Individuals Covered119
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $90
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees90
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM.
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055277J
Policy instance 1
Insurance contract or identification number055277J
Number of Individuals Covered111
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $91
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees91
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3

Potentially related plans

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