401k Plan data: COMMON GROUND EMPLOYEE BENEFIT PLAN plan

COMMON GROUND EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	COMMON GROUND EMPLOYEE BENEFIT PLAN
Plan identification number	510

COMMON GROUND EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

BREAKING GROUND COMMUNITY HOUSING DEVELOPMENT FUND CORPORATION, INC has sponsored the creation of one or more 401k plans.

Company Name: BREAKING GROUND COMMUNITY HOUSING DEVELOPMENT FUND CORPORATION, INC

Employer identification number (EIN): 113048002

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMON GROUND EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2022-07-01 PAMELA ROBINSON 2024-02-06
510 2021-07-01 PAMELA ROBINSON 2023-01-20
510 2020-07-01 TOBY SHERMAN 2022-01-12
510 2019-07-01 TOBY SHERMAN 2021-01-28
510 2017-07-01
510 2016-07-01
510 2014-07-01 TOBY SHERMAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
510	2022-07-01	PAMELA ROBINSON	2024-02-06
510	2021-07-01	PAMELA ROBINSON	2023-01-20
510	2020-07-01	TOBY SHERMAN	2022-01-12
510	2019-07-01	TOBY SHERMAN	2021-01-28
510	2017-07-01
510	2016-07-01
510	2014-07-01	TOBY SHERMAN

Plan Statistics for COMMON GROUND EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for COMMON GROUND EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: COMMON GROUND EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 666
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 658
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 0
Total of all active and inactive participants 2022-07-01 658
Number of employers contributing to the scheme 2022-07-01 0
2021: COMMON GROUND EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 557
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 664
Number of retired or separated participants receiving benefits 2021-07-01 2
Number of other retired or separated participants entitled to future benefits 2021-07-01 0
Total of all active and inactive participants 2021-07-01 666
Number of employers contributing to the scheme 2021-07-01 0
2020: COMMON GROUND EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 559
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 557
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 557
Number of employers contributing to the scheme 2020-07-01 0
2019: COMMON GROUND EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 575
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 559
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 559
Number of employers contributing to the scheme 2019-07-01 0
2017: COMMON GROUND EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 520
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 551
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 551
Number of employers contributing to the scheme 2017-07-01 0
2016: COMMON GROUND EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 437
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 520
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 520
2014: COMMON GROUND EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 292
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 108
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 108

Measure	Date	Value
2022: COMMON GROUND EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	666
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	658
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	0
Total of all active and inactive participants	2022-07-01	658
Number of employers contributing to the scheme	2022-07-01	0
2021: COMMON GROUND EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	557
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	664
Number of retired or separated participants receiving benefits	2021-07-01	2
Number of other retired or separated participants entitled to future benefits	2021-07-01	0
Total of all active and inactive participants	2021-07-01	666
Number of employers contributing to the scheme	2021-07-01	0
2020: COMMON GROUND EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	559
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	557
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	557
Number of employers contributing to the scheme	2020-07-01	0
2019: COMMON GROUND EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	575
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	559
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	559
Number of employers contributing to the scheme	2019-07-01	0
2017: COMMON GROUND EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	520
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	551
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	551
Number of employers contributing to the scheme	2017-07-01	0
2016: COMMON GROUND EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	437
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	520
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	520
2014: COMMON GROUND EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	292
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	108
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	108

Form 5500 Responses for COMMON GROUND EMPLOYEE BENEFIT PLAN

2022: COMMON GROUND EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: COMMON GROUND EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: COMMON GROUND EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: COMMON GROUND EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: COMMON GROUND EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: COMMON GROUND EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2014: COMMON GROUND EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	First time form 5500 has been submitted	Yes
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	636582
Policy instance	4
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	0636582
Policy instance	3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	940766
Policy instance	2
ALLSTATE (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number	4000
Policy instance	1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	169505
Policy instance	3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	940766
Policy instance	2
ALLSTATE (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number	4000
Policy instance	1
CIGNA LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 64548 )
Policy contract number	FLY960410
Policy instance	4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	169505
Policy instance	3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	940766
Policy instance	2
ALLSTATE (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number	4000
Policy instance	1

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Company Name:	BREAKING GROUND COMMUNITY HOUSING DEVELOPMENT FUND CORPORATION, INC
Employer identification number (EIN):	113048002
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations