401k Plan data: 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC. plan

403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC. 401k Plan overview

Plan Name	403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC.
Plan identification number	002

403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

CRAWFORD HOUSE,INC. has sponsored the creation of one or more 401k plans.

Company Name: CRAWFORD HOUSE,INC.

Employer identification number (EIN): 222184975

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01
002 2013-01-01 THOMAS MARTIN 2014-07-22
002 2012-01-01 THOMAS MARTIN 2013-05-22
002 2010-01-01 LINDA LEYHANE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2014-01-01
002	2013-01-01	THOMAS MARTIN	2014-07-22
002	2012-01-01	THOMAS MARTIN	2013-05-22
002	2010-01-01	LINDA LEYHANE

Plan Statistics for 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC.

401k plan membership statisitcs for 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC.

Measure Date Value
2010: 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC. 2010 401k membership
Total participants, beginning-of-year 2010-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 9
Number of retired or separated participants receiving benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 15
Total participants 2010-01-01 15
Number of participants with account balances 2010-01-01 15

Measure	Date	Value
2010: 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC. 2010 401k membership
Total participants, beginning-of-year	2010-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	9
Number of retired or separated participants receiving benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	15
Total participants	2010-01-01	15
Number of participants with account balances	2010-01-01	15

Financial Data on 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC.

Measure	Date	Value
2010 : 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC. 2010 401k financial data
Total income from all sources	2010-12-31	$125,848
Expenses. Total of all expenses incurred	2010-12-31	$3,409
Benefits paid (including direct rollovers)	2010-12-31	$3,322
Total plan assets at end of year	2010-12-31	$270,916
Total plan assets at beginning of year	2010-12-31	$148,477
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$17,900
Contributions received from other sources (not participants or employers)	2010-12-31	$92,128
Other income received	2010-12-31	$8,614
Net income (gross income less expenses)	2010-12-31	$122,439
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$270,916
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$148,477
Total contributions received or receivable from employer(s)	2010-12-31	$7,206
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$87
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$7,206
Amount contributed by the employer to the plan for this plan year	2010-12-31	$7,206

Form 5500 Responses for 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC.

2010: 403(B) THRIFT PLAN OF CRAWFORD HOUSE, INC. 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052784-A

Policy instance

Insurance contract or identification number	052784-A
Number of Individuals Covered	15
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 $16
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	CRAWFORD HOUSE,INC.
Employer identification number (EIN):	222184975
NAIC Classification:	624100
NAIC Description:	Individual and Family Services