401k Plan data: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN plan

FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN
Plan identification number	002

FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

FAMILY CARE FOR CHILDREN & YOUTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: FAMILY CARE FOR CHILDREN & YOUTH, INC.

Employer identification number (EIN): 232720983

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 MARY STORER 2023-09-05
002 2021-01-01 MARY STORER 2022-07-26
002 2020-01-01 MARY STORER 2021-07-22 MARY STORER 2021-07-22
002 2019-01-01 MARY STORER 2020-07-27
002 2018-01-01 MARY STORER 2019-07-19
002 2017-01-01 MARY STORER 2019-07-19
002 2016-01-01 MARY STORER MARY STORER 2017-08-03
002 2015-01-01 MARY STORER MARY STORER 2016-07-22
002 2014-01-01 MARY STORER MARY STORER 2015-08-07
002 2012-01-01 MARY STORER
002 2011-01-01 MARY STORER
002 2009-01-01 TERESA STORER
002 2009-01-01 MARY STORER
002 2009-01-01 MARY STORER
002 2008-01-01 TERESA STORER
002 2007-01-01 TERESA STORER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	MARY STORER	2023-09-05
002	2021-01-01	MARY STORER	2022-07-26
002	2020-01-01	MARY STORER	2021-07-22	MARY STORER	2021-07-22
002	2019-01-01	MARY STORER	2020-07-27
002	2018-01-01	MARY STORER	2019-07-19
002	2017-01-01	MARY STORER	2019-07-19
002	2016-01-01	MARY STORER		MARY STORER	2017-08-03
002	2015-01-01	MARY STORER		MARY STORER	2016-07-22
002	2014-01-01	MARY STORER		MARY STORER	2015-08-07
002	2012-01-01	MARY STORER
002	2011-01-01	MARY STORER
002	2009-01-01	TERESA STORER
002	2009-01-01	MARY STORER
002	2009-01-01	MARY STORER
002	2008-01-01	TERESA STORER
002	2007-01-01	TERESA STORER

Plan Statistics for FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN

Measure Date Value
2016: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 53
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 33
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 18
Total of all active and inactive participants 2016-01-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 52
Number of participants with account balances 2016-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 32
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 21
Total of all active and inactive participants 2015-01-01 53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 53
Number of participants with account balances 2015-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 54
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 21
Total of all active and inactive participants 2014-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 21
Number of participants with account balances 2014-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2012: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 50
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 31
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 21
Total of all active and inactive participants 2012-01-01 52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 52
Number of participants with account balances 2012-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 57
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 27
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 23
Total of all active and inactive participants 2011-01-01 50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 50
Number of participants with account balances 2011-01-01 48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 34
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 29
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 29
Number of participants with account balances 2009-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 6

Measure	Date	Value
2016: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	53
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	33
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	18
Total of all active and inactive participants	2016-01-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	52
Number of participants with account balances	2016-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	32
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	21
Total of all active and inactive participants	2015-01-01	53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	53
Number of participants with account balances	2015-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	54
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	21
Total of all active and inactive participants	2014-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	21
Number of participants with account balances	2014-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2012: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	50
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	31
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	21
Total of all active and inactive participants	2012-01-01	52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	52
Number of participants with account balances	2012-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	57
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	27
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	23
Total of all active and inactive participants	2011-01-01	50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	50
Number of participants with account balances	2011-01-01	48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	34
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	29
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	29
Number of participants with account balances	2009-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	6

Financial Data on FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2016 : FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$28,894
Expenses. Total of all expenses incurred	2016-12-31	$5,380
Benefits paid (including direct rollovers)	2016-12-31	$5,380
Total plan assets at end of year	2016-12-31	$263,794
Total plan assets at beginning of year	2016-12-31	$240,280
Value of fidelity bond covering the plan	2016-12-31	$250,000
Other income received	2016-12-31	$13,050
Net income (gross income less expenses)	2016-12-31	$23,514
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$263,794
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$240,280
Total contributions received or receivable from employer(s)	2016-12-31	$15,844
2015 : FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$16,247
Expenses. Total of all expenses incurred	2015-12-31	$5,520
Benefits paid (including direct rollovers)	2015-12-31	$5,520
Total plan assets at end of year	2015-12-31	$240,280
Total plan assets at beginning of year	2015-12-31	$229,553
Value of fidelity bond covering the plan	2015-12-31	$250,000
Other income received	2015-12-31	$4,679
Net income (gross income less expenses)	2015-12-31	$10,727
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$240,280
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$229,553
Total contributions received or receivable from employer(s)	2015-12-31	$11,568
2014 : FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$26,074
Expenses. Total of all expenses incurred	2014-12-31	$13,324
Benefits paid (including direct rollovers)	2014-12-31	$13,324
Total plan assets at end of year	2014-12-31	$229,553
Total plan assets at beginning of year	2014-12-31	$216,803
Value of fidelity bond covering the plan	2014-12-31	$250,000
Other income received	2014-12-31	$14,027
Net income (gross income less expenses)	2014-12-31	$12,750
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$229,553
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$216,803
Total contributions received or receivable from employer(s)	2014-12-31	$12,047
2013 : FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$40,613
Expenses. Total of all expenses incurred	2013-12-31	$2,858
Benefits paid (including direct rollovers)	2013-12-31	$2,858
Total plan assets at end of year	2013-12-31	$216,803
Total plan assets at beginning of year	2013-12-31	$179,048
Value of fidelity bond covering the plan	2013-12-31	$250,000
Total contributions received or receivable from participants	2013-12-31	$12,016
Other income received	2013-12-31	$28,597
Net income (gross income less expenses)	2013-12-31	$37,755
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$216,803
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$179,048
2012 : FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$28,310
Expenses. Total of all expenses incurred	2012-12-31	$15,109
Benefits paid (including direct rollovers)	2012-12-31	$15,109
Total plan assets at end of year	2012-12-31	$179,048
Total plan assets at beginning of year	2012-12-31	$165,847
Value of fidelity bond covering the plan	2012-12-31	$250,000
Total contributions received or receivable from participants	2012-12-31	$9,715
Contributions received from other sources (not participants or employers)	2012-12-31	$1,677
Other income received	2012-12-31	$16,918
Net income (gross income less expenses)	2012-12-31	$13,201
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$179,048
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$165,847
2011 : FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$12,976
Expenses. Total of all expenses incurred	2011-12-31	$88,823
Benefits paid (including direct rollovers)	2011-12-31	$88,823
Total plan assets at end of year	2011-12-31	$165,847
Total plan assets at beginning of year	2011-12-31	$241,693
Value of fidelity bond covering the plan	2011-12-31	$250,000
Total contributions received or receivable from participants	2011-12-31	$9,934
Other income received	2011-12-31	$3,042
Net income (gross income less expenses)	2011-12-31	$-75,847
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$165,847
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$241,693
2010 : FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$43,231
Expenses. Total of all expenses incurred	2010-12-31	$1,586
Benefits paid (including direct rollovers)	2010-12-31	$1,586
Total plan assets at end of year	2010-12-31	$241,693
Total plan assets at beginning of year	2010-12-31	$200,048
Value of fidelity bond covering the plan	2010-12-31	$250,000
Total contributions received or receivable from participants	2010-12-31	$25,304
Other income received	2010-12-31	$17,927
Net income (gross income less expenses)	2010-12-31	$41,645
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$241,693
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$200,048

Form 5500 Responses for FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN

2016: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 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 benefit arrangement – Insurance	Yes
2015: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 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 benefit arrangement – Insurance	Yes
2014: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 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 benefit arrangement – Insurance	Yes
2012: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 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 benefit arrangement – Insurance	Yes
2011: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 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 benefit arrangement – Insurance	Yes
2009: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2007: FAMILY CARE FOR CHILDREN & YOUTH, INC. TAX DEFERRED ANNUITY PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

331331

Policy instance

Insurance contract or identification number	331331
Number of Individuals Covered	53
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?	No
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?	Yes
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

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Company Name:	FAMILY CARE FOR CHILDREN & YOUTH, INC.
Employer identification number (EIN):	232720983
NAIC Classification:	624100
NAIC Description:	Individual and Family Services