401k Plan data: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. plan

RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 401k Plan overview

Plan Name	RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC.
Plan identification number	001

RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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

CHILDRENS FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. has sponsored the creation of one or more 401k plans.

Company Name: CHILDRENS FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC.

Employer identification number (EIN): 042104791

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 KERRY SMITH
001 2013-01-01 AMINA EFSTRATIOS
001 2012-01-01 KRISTIN BURNS
001 2011-01-01 KRISTIN BURNS
001 2010-01-01 KRISTIN BURNS

Plan Statistics for RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC.

401k plan membership statisitcs for RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC.

Measure Date Value
2017: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2017 401k membership
Total participants, beginning-of-year 2017-01-01 258
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2016 401k membership
Total participants, beginning-of-year 2016-01-01 232
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 222
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 36
Total of all active and inactive participants 2016-01-01 258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 258
Number of participants with account balances 2016-01-01 90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3
2015: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 223
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 193
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 39
Total of all active and inactive participants 2015-01-01 232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 232
Number of participants with account balances 2015-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 7
2014: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 189
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 180
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 41
Total of all active and inactive participants 2014-01-01 223
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 223
Number of participants with account balances 2014-01-01 74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 11
2013: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 157
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 32
Total of all active and inactive participants 2013-01-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 189
Number of participants with account balances 2013-01-01 64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 152
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 34
Total of all active and inactive participants 2012-01-01 186
Total participants 2012-01-01 186
Number of participants with account balances 2012-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 143
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 30
Total of all active and inactive participants 2011-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 173
Number of participants with account balances 2011-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2010 401k membership
Total participants, beginning-of-year 2010-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 119
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 27
Total of all active and inactive participants 2010-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 146
Number of participants with account balances 2010-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 2

Measure	Date	Value
2017: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2017 401k membership
Total participants, beginning-of-year	2017-01-01	258
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2016 401k membership
Total participants, beginning-of-year	2016-01-01	232
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	222
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	36
Total of all active and inactive participants	2016-01-01	258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	258
Number of participants with account balances	2016-01-01	90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3
2015: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	223
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	193
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	39
Total of all active and inactive participants	2015-01-01	232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	232
Number of participants with account balances	2015-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	7
2014: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	189
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	180
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	41
Total of all active and inactive participants	2014-01-01	223
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	223
Number of participants with account balances	2014-01-01	74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	11
2013: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	157
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	32
Total of all active and inactive participants	2013-01-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	189
Number of participants with account balances	2013-01-01	64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	152
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	34
Total of all active and inactive participants	2012-01-01	186
Total participants	2012-01-01	186
Number of participants with account balances	2012-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	143
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	30
Total of all active and inactive participants	2011-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	173
Number of participants with account balances	2011-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2010 401k membership
Total participants, beginning-of-year	2010-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	119
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	27
Total of all active and inactive participants	2010-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	146
Number of participants with account balances	2010-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	2

Financial Data on RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC.

Measure	Date	Value
2017 : RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-05-31	$0
Total transfer of assets from this plan	2017-05-31	$1,167,125
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-05-31	$0
Total income from all sources (including contributions)	2017-05-31	$39,062
Total loss/gain on sale of assets	2017-05-31	$0
Total of all expenses incurred	2017-05-31	$32,785
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-05-31	$29,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-05-31	$0
Value of total assets at end of year	2017-05-31	$0
Value of total assets at beginning of year	2017-05-31	$1,160,848
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-05-31	$2,905
Total interest from all sources	2017-05-31	$360
Total dividends received (eg from common stock, registered investment company shares)	2017-05-31	$1,039
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-05-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-05-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-05-31	$1,039
Administrative expenses professional fees incurred	2017-05-31	$2,905
Was this plan covered by a fidelity bond	2017-05-31	Yes
Value of fidelity bond cover	2017-05-31	$125,000
If this is an individual account plan, was there a blackout period	2017-05-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-05-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-05-31	No
Participant contributions at end of year	2017-05-31	$0
Participant contributions at beginning of year	2017-05-31	$29,084
Participant contributions at end of year	2017-05-31	$0
Participant contributions at beginning of year	2017-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-05-31	No
Value of net income/loss	2017-05-31	$6,277
Value of net assets at end of year (total assets less liabilities)	2017-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-05-31	$1,160,848
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-05-31	No
Were any leases to which the plan was party in default or uncollectible	2017-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-05-31	$876,638
Value of interest in pooled separate accounts at end of year	2017-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-05-31	$191,712
Interest on participant loans	2017-05-31	$176
Interest earned on other investments	2017-05-31	$182
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-05-31	$57
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-05-31	$57
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-05-31	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-05-31	$20,881
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-05-31	$29,286
Net investment gain/loss from pooled separate accounts	2017-05-31	$8,377
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-05-31	No
Was there a failure to transmit to the plan any participant contributions	2017-05-31	No
Has the plan failed to provide any benefit when due under the plan	2017-05-31	No
Employer contributions (assets) at end of year	2017-05-31	$0
Employer contributions (assets) at beginning of year	2017-05-31	$42,476
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-05-31	$29,880
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-05-31	No
Did the plan have assets held for investment	2017-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-05-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-05-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-05-31	Disclaimer
Accountancy firm name	2017-05-31	ALEXANDER,ARONSON,FINNING & CO, PC
Accountancy firm EIN	2017-05-31	042571780
2016 : RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$0
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Expenses. Interest paid	2016-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$249,189
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$110,214
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$97,382
Expenses. Certain deemed distributions of participant loans	2016-12-31	$0
Value of total corrective distributions	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$186,113
Value of total assets at end of year	2016-12-31	$1,160,848
Value of total assets at beginning of year	2016-12-31	$1,021,873
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$12,832
Total income from rents	2016-12-31	$0
Total interest from all sources	2016-12-31	$1,611
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$52,050
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$52,050
Administrative expenses professional fees incurred	2016-12-31	$12,832
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$125,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$132,162
Participant contributions at end of year	2016-12-31	$29,084
Participant contributions at beginning of year	2016-12-31	$15,421
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$11,475
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$138,975
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,160,848
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,021,873
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$876,638
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$766,031
Value of interest in pooled separate accounts at end of year	2016-12-31	$191,712
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$182,588
Interest on participant loans	2016-12-31	$805
Income. Interest from loans (other than to participants)	2016-12-31	$0
Interest earned on other investments	2016-12-31	$803
Income. Interest from US Government securities	2016-12-31	$0
Income. Interest from corporate debt instruments	2016-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$57
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$4,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$4,652
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$20,881
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$20,077
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$-12,077
Net investment gain/loss from pooled separate accounts	2016-12-31	$21,492
Net investment gain or loss from common/collective trusts	2016-12-31	$0
Net gain/loss from 103.12 investment entities	2016-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$42,476
Employer contributions (assets) at end of year	2016-12-31	$42,476
Employer contributions (assets) at beginning of year	2016-12-31	$33,104
Income. Dividends from preferred stock	2016-12-31	$0
Income. Dividends from common stock	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$97,382
Contract administrator fees	2016-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Aggregate proceeds on sale of assets	2016-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	ALEXANDER,ARONSON,FINNING & CO, PC
Accountancy firm EIN	2016-12-31	042571780
2015 : RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,474
Total income from all sources (including contributions)	2015-12-31	$137,693
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$100,238
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$86,398
Expenses. Certain deemed distributions of participant loans	2015-12-31	$2,813
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$158,642
Value of total assets at end of year	2015-12-31	$1,021,873
Value of total assets at beginning of year	2015-12-31	$985,892
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$11,027
Total interest from all sources	2015-12-31	$1,474
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$47,994
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$47,994
Administrative expenses professional fees incurred	2015-12-31	$11,027
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$125,000
If this is an individual account plan, was there a blackout period	2015-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$110,904
Participant contributions at end of year	2015-12-31	$15,421
Participant contributions at beginning of year	2015-12-31	$13,139
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$4,225
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$14,634
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Liabilities. Value of operating payables at end of year	2015-12-31	$0
Liabilities. Value of operating payables at beginning of year	2015-12-31	$1,474
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$37,455
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,021,873
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$984,418
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$766,031
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$712,864
Value of interest in pooled separate accounts at end of year	2015-12-31	$182,588
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$200,826
Interest on participant loans	2015-12-31	$459
Income. Interest from loans (other than to participants)	2015-12-31	$0
Interest earned on other investments	2015-12-31	$1,015
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$4,652
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,602
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,602
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$20,077
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$28,126
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-65,483
Net investment gain/loss from pooled separate accounts	2015-12-31	$-4,934
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$33,104
Employer contributions (assets) at end of year	2015-12-31	$33,104
Employer contributions (assets) at beginning of year	2015-12-31	$25,110
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$86,398
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	Yes
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	KIRKLAND ALBRECHT&FREDERICKSON,LLC
Accountancy firm EIN	2015-12-31	043121055
2014 : RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,474
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$25
Total income from all sources (including contributions)	2014-12-31	$198,833
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$118,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$105,518
Expenses. Certain deemed distributions of participant loans	2014-12-31	$3,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$139,931
Value of total assets at end of year	2014-12-31	$985,892
Value of total assets at beginning of year	2014-12-31	$904,090
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$9,768
Total interest from all sources	2014-12-31	$1,504
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$39,308
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$39,308
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$90,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$87,225
Participant contributions at end of year	2014-12-31	$13,139
Participant contributions at beginning of year	2014-12-31	$9,669
Participant contributions at end of year	2014-12-31	$4,225
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$27,596
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$81
Liabilities. Value of operating payables at end of year	2014-12-31	$1,474
Liabilities. Value of operating payables at beginning of year	2014-12-31	$25
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$80,353
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$984,418
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$904,065
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$9,768
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$712,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$640,202
Value of interest in pooled separate accounts at end of year	2014-12-31	$200,826
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$200,466
Interest on participant loans	2014-12-31	$458
Interest earned on other investments	2014-12-31	$1,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,602
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$3
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$28,126
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$27,685
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$5,046
Net investment gain/loss from pooled separate accounts	2014-12-31	$13,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$25,110
Employer contributions (assets) at end of year	2014-12-31	$25,110
Employer contributions (assets) at beginning of year	2014-12-31	$25,984
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$105,518
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	Yes
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	KIRKLAND ALBRECHT&FREDERICKSON,LLC
Accountancy firm EIN	2014-12-31	043121055
2013 : RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$25
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$211,138
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$124,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$113,913
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$102,321
Value of total assets at end of year	2013-12-31	$904,090
Value of total assets at beginning of year	2013-12-31	$817,605
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$10,765
Total interest from all sources	2013-12-31	$1,341
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$22,957
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$22,957
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$90,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$65,634
Participant contributions at end of year	2013-12-31	$9,669
Participant contributions at beginning of year	2013-12-31	$5,925
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$10,703
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$81
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$144
Liabilities. Value of operating payables at end of year	2013-12-31	$25
Liabilities. Value of operating payables at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$86,460
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$904,065
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$817,605
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$10,765
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$640,202
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$608,954
Value of interest in pooled separate accounts at end of year	2013-12-31	$200,466
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$159,167
Interest on participant loans	2013-12-31	$313
Interest earned on other investments	2013-12-31	$1,028
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$3
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$4
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$4
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$27,685
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$27,257
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$33,915
Net investment gain/loss from pooled separate accounts	2013-12-31	$50,604
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$25,984
Employer contributions (assets) at end of year	2013-12-31	$25,984
Employer contributions (assets) at beginning of year	2013-12-31	$16,154
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$113,913
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	KIRKLAND ALBRECHT&FREDERICKSON,LLC
Accountancy firm EIN	2013-12-31	043121055
2012 : RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$169,050
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$117,599
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$110,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$90,944
Value of total assets at end of year	2012-12-31	$817,605
Value of total assets at beginning of year	2012-12-31	$766,154
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$7,346
Total interest from all sources	2012-12-31	$1,155
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$21,939
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$21,939
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$90,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$55,207
Participant contributions at end of year	2012-12-31	$5,925
Participant contributions at beginning of year	2012-12-31	$0
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$19,583
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$144
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$273
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$51,451
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$817,605
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$766,154
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$7,346
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$608,954
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$572,704
Value of interest in pooled separate accounts at end of year	2012-12-31	$159,167
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$148,763
Interest on participant loans	2012-12-31	$144
Interest earned on other investments	2012-12-31	$1,010
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$4
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,656
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$27,257
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$26,843
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$36,378
Net investment gain/loss from pooled separate accounts	2012-12-31	$18,634
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$16,154
Employer contributions (assets) at end of year	2012-12-31	$16,154
Employer contributions (assets) at beginning of year	2012-12-31	$15,915
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$110,253
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	KIRKLAND ALBRECHT&FREDERICKSON,LLC
Accountancy firm EIN	2012-12-31	043121055
2011 : RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$111,862
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$414,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$406,250
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$95,745
Value of total assets at end of year	2011-12-31	$766,154
Value of total assets at beginning of year	2011-12-31	$1,069,177
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$8,635
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$90,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$55,777
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$2,583
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$24,053
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$273
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$186
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$-303,023
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$766,154
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,069,177
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$8,635
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$572,704
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$868,731
Value of interest in pooled separate accounts at end of year	2011-12-31	$148,763
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$161,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,656
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$2
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$26,843
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$26,441
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$20,770
Net investment gain/loss from pooled separate accounts	2011-12-31	$-4,653
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$15,915
Employer contributions (assets) at end of year	2011-12-31	$15,915
Employer contributions (assets) at beginning of year	2011-12-31	$9,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$406,250
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	PARENT MCLAUGHLIN & NANGLE
Accountancy firm EIN	2011-12-31	042603383
2010 : RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$74,379
Total unrealized appreciation/depreciation of assets	2010-12-31	$74,379
Total transfer of assets to this plan	2010-12-31	$172,177
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$184,265
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$24,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$17,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$80,314
Value of total assets at end of year	2010-12-31	$1,069,177
Value of total assets at beginning of year	2010-12-31	$737,569
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$7,496
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$90,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$67,429
Participant contributions at end of year	2010-12-31	$2,583
Participant contributions at beginning of year	2010-12-31	$2,901
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$3,108
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$186
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$159,431
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,069,177
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$737,569
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$7,496
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$868,733
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$725,182
Value of interest in pooled separate accounts at end of year	2010-12-31	$161,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$26,441
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$28,597
Net investment gain/loss from pooled separate accounts	2010-12-31	$975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$9,777
Employer contributions (assets) at end of year	2010-12-31	$9,777
Employer contributions (assets) at beginning of year	2010-12-31	$9,334
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$17,338
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	PARENT MCLAUGHLIN & NANGLE
Accountancy firm EIN	2010-12-31	042603383

Form 5500 Responses for RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC.

2017: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: RETIREMENT PLAN OF THE CHILDREN'S FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC. 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85692-01

Policy instance

Insurance contract or identification number	85692-01
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-05-31
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Other information about contract	GROUP ANNUITY CONTRACT

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85692-01

Policy instance

Insurance contract or identification number	85692-01
Number of Individuals Covered	8
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Other information about contract	GROUP ANNUITY CONTRACT

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85692-01

Policy instance

Insurance contract or identification number	85692-01
Number of Individuals Covered	9
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Other information about contract	GROUP ANNUITY CONTRACT

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85692-01

Policy instance

Insurance contract or identification number	85692-01
Number of Individuals Covered	9
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Other information about contract	GROUP ANNUITY CONTRACT

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85692-01

Policy instance

Insurance contract or identification number	85692-01
Number of Individuals Covered	9
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Other information about contract	GROUP ANNUITY CONTRACT

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85692-01

Policy instance

Insurance contract or identification number	85692-01
Number of Individuals Covered	9
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Other information about contract	GROUP ANNUITY CONTRACT

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

85692-01

Policy instance

Insurance contract or identification number	85692-01
Number of Individuals Covered	9
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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
Other information about contract	GROUP ANNUITY CONTRACT

Potentially related plans

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Company Name:	CHILDRENS FRIEND AND FAMILY SERVICE SOCIETY OF THE NORTH SHORE, INC.
Employer identification number (EIN):	042104791
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers