401k Plan data: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) plan

HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 401k Plan overview

Plan Name	HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B)
Plan identification number	001

HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations. Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

HARTFORD COMMUNITY MENTAL HEALTH CE TER, INC. has sponsored the creation of one or more 401k plans.

Company Name: HARTFORD COMMUNITY MENTAL HEALTH CE TER, INC.

Employer identification number (EIN): 060994703

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 JOSE ROBLES JOSE ROBLES 2017-06-30
001 2015-01-01 JOSIE ROBLES JOSIE ROBLES 2016-07-25
001 2014-01-01 JOSIE ROBLES JOSIE ROBLES 2015-07-06
001 2013-01-01 JOSIE ROBLES JOSIE ROBLES 2014-06-16

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	JOSE ROBLES	JOSE ROBLES	2017-06-30
001	2015-01-01	JOSIE ROBLES	JOSIE ROBLES	2016-07-25
001	2014-01-01	JOSIE ROBLES	JOSIE ROBLES	2015-07-06
001	2013-01-01	JOSIE ROBLES	JOSIE ROBLES	2014-06-16

Plan Statistics for HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B)

401k plan membership statisitcs for HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B)

Measure Date Value
2016: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2016 401k membership
Total participants, beginning-of-year 2016-01-01 69
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 25
Number of retired or separated participants receiving benefits 2016-01-01 4
Number of other retired or separated participants entitled to future benefits 2016-01-01 42
Total of all active and inactive participants 2016-01-01 71
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 71
Number of participants with account balances 2016-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3
2015: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2015 401k membership
Total participants, beginning-of-year 2015-01-01 70
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 25
Number of retired or separated participants receiving benefits 2015-01-01 4
Number of other retired or separated participants entitled to future benefits 2015-01-01 40
Total of all active and inactive participants 2015-01-01 69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 70
Number of participants with account balances 2015-01-01 69
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 5
2014: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2014 401k membership
Total participants, beginning-of-year 2014-01-01 64
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 26
Number of retired or separated participants receiving benefits 2014-01-01 5
Number of other retired or separated participants entitled to future benefits 2014-01-01 39
Total of all active and inactive participants 2014-01-01 70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 70
Number of participants with account balances 2014-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2
2013: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2013 401k membership
Total participants, beginning-of-year 2013-01-01 64
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 21
Number of retired or separated participants receiving benefits 2013-01-01 5
Number of other retired or separated participants entitled to future benefits 2013-01-01 38
Total of all active and inactive participants 2013-01-01 64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 64
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 7

Measure	Date	Value
2016: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2016 401k membership
Total participants, beginning-of-year	2016-01-01	69
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	25
Number of retired or separated participants receiving benefits	2016-01-01	4
Number of other retired or separated participants entitled to future benefits	2016-01-01	42
Total of all active and inactive participants	2016-01-01	71
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	71
Number of participants with account balances	2016-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3
2015: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2015 401k membership
Total participants, beginning-of-year	2015-01-01	70
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	25
Number of retired or separated participants receiving benefits	2015-01-01	4
Number of other retired or separated participants entitled to future benefits	2015-01-01	40
Total of all active and inactive participants	2015-01-01	69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	70
Number of participants with account balances	2015-01-01	69
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	5
2014: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2014 401k membership
Total participants, beginning-of-year	2014-01-01	64
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	26
Number of retired or separated participants receiving benefits	2014-01-01	5
Number of other retired or separated participants entitled to future benefits	2014-01-01	39
Total of all active and inactive participants	2014-01-01	70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	70
Number of participants with account balances	2014-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2
2013: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2013 401k membership
Total participants, beginning-of-year	2013-01-01	64
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	21
Number of retired or separated participants receiving benefits	2013-01-01	5
Number of other retired or separated participants entitled to future benefits	2013-01-01	38
Total of all active and inactive participants	2013-01-01	64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	64
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	7

Financial Data on HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B)

Measure	Date	Value
2016 : HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2016 401k financial data
Total income from all sources	2016-12-31	$104,141
Expenses. Total of all expenses incurred	2016-12-31	$2,534
Benefits paid (including direct rollovers)	2016-12-31	$1,346
Total plan assets at end of year	2016-12-31	$621,731
Total plan assets at beginning of year	2016-12-31	$520,124
Total contributions received or receivable from participants	2016-12-31	$37,828
Other income received	2016-12-31	$31,762
Net income (gross income less expenses)	2016-12-31	$101,607
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$621,731
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$520,124
Assets. Value of participant loans	2016-12-31	$5,359
Total contributions received or receivable from employer(s)	2016-12-31	$34,551
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$1,188
2015 : HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2015 401k financial data
Total income from all sources	2015-12-31	$81,574
Expenses. Total of all expenses incurred	2015-12-31	$15,435
Benefits paid (including direct rollovers)	2015-12-31	$12,386
Total plan assets at end of year	2015-12-31	$520,124
Total plan assets at beginning of year	2015-12-31	$453,985
Total contributions received or receivable from participants	2015-12-31	$44,605
Other income received	2015-12-31	$-3,574
Net income (gross income less expenses)	2015-12-31	$66,139
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$520,124
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$453,985
Assets. Value of participant loans	2015-12-31	$13,792
Total contributions received or receivable from employer(s)	2015-12-31	$40,543
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$3,049
2014 : HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2014 401k financial data
Total income from all sources	2014-12-31	$108,100
Expenses. Total of all expenses incurred	2014-12-31	$38,702
Benefits paid (including direct rollovers)	2014-12-31	$35,496
Total plan assets at end of year	2014-12-31	$453,985
Total plan assets at beginning of year	2014-12-31	$384,587
Total contributions received or receivable from participants	2014-12-31	$39,877
Contributions received from other sources (not participants or employers)	2014-12-31	$2,371
Other income received	2014-12-31	$27,872
Net income (gross income less expenses)	2014-12-31	$69,398
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$453,985
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$384,587
Assets. Value of participant loans	2014-12-31	$11,663
Total contributions received or receivable from employer(s)	2014-12-31	$37,980
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$3,206
2013 : HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 2013 401k financial data
Total income from all sources	2013-12-31	$129,863
Expenses. Total of all expenses incurred	2013-12-31	$91,820
Benefits paid (including direct rollovers)	2013-12-31	$89,101
Total plan assets at end of year	2013-12-31	$384,587
Total plan assets at beginning of year	2013-12-31	$346,544
Total contributions received or receivable from participants	2013-12-31	$33,799
Other income received	2013-12-31	$61,481
Net income (gross income less expenses)	2013-12-31	$38,043
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$384,587
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$346,544
Assets. Value of participant loans	2013-12-31	$3,287
Total contributions received or receivable from employer(s)	2013-12-31	$34,583
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,719

Form 5500 Responses for HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B)

2016: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HARTFORD BEHAVIORAL HEALTH 403(B) PLAN CENTER, INC. HARTFORD BEHAVIORAL HEALTH 403(B) 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HARTFORD COMMUNITY MENTAL HEALTH CE TER, INC.
Employer identification number (EIN):	060994703
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers