401k Plan data: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN plan

SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 401k Plan overview

Plan Name	SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN
Plan identification number	001

SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

SOUTH BAY FAMILY HEALTH CARE has sponsored the creation of one or more 401k plans.

Company Name: SOUTH BAY FAMILY HEALTH CARE

Employer identification number (EIN): 237049937

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01 DIANA CONCANNON DIANA CONCANNON 2019-03-12
001 2016-07-01 DIANA CONCANNON DIANA CONCANNON 2018-04-06
001 2015-07-01 DIANA CONCANNON DIANA CONCANNON 2017-04-13
001 2014-07-01 DIANA CONCANNON DIANA CONCANNON 2016-04-15
001 2013-07-01 DIANA CONCANNON DIANA CONCANNON 2015-04-13
001 2012-07-01 DIANA CONCANNON DIANA CONCANNON 2014-04-11
001 2011-07-01 DIANA CONCANNON DIANA CONCANNON 2013-04-10
001 2010-07-01 DIANA CONCANNON DIANA CONCANNON 2012-04-06
001 2009-07-01 DIANA CONCANNON DIANA CONCANNON 2011-04-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2021-07-01
001	2020-07-01
001	2019-07-01
001	2018-07-01
001	2017-07-01	DIANA CONCANNON	DIANA CONCANNON	2019-03-12
001	2016-07-01	DIANA CONCANNON	DIANA CONCANNON	2018-04-06
001	2015-07-01	DIANA CONCANNON	DIANA CONCANNON	2017-04-13
001	2014-07-01	DIANA CONCANNON	DIANA CONCANNON	2016-04-15
001	2013-07-01	DIANA CONCANNON	DIANA CONCANNON	2015-04-13
001	2012-07-01	DIANA CONCANNON	DIANA CONCANNON	2014-04-11
001	2011-07-01	DIANA CONCANNON	DIANA CONCANNON	2013-04-10
001	2010-07-01	DIANA CONCANNON	DIANA CONCANNON	2012-04-06
001	2009-07-01	DIANA CONCANNON	DIANA CONCANNON	2011-04-14

Plan Statistics for SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN

401k plan membership statisitcs for SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN

Measure Date Value
2021: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 214
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 0
Number of retired or separated participants receiving benefits 2021-07-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 0
Number of participants with account balances 2021-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 211
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 133
Number of retired or separated participants receiving benefits 2020-07-01 2
Number of other retired or separated participants entitled to future benefits 2020-07-01 78
Total of all active and inactive participants 2020-07-01 213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 1
Total participants 2020-07-01 214
Number of participants with account balances 2020-07-01 193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 197
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 128
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 83
Total of all active and inactive participants 2019-07-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 1
Total participants 2019-07-01 212
Number of participants with account balances 2019-07-01 193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 177
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 120
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 77
Total of all active and inactive participants 2018-07-01 197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 197
Number of participants with account balances 2018-07-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 178
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 115
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 62
Total of all active and inactive participants 2017-07-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 177
Number of participants with account balances 2017-07-01 143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 171
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 115
Number of retired or separated participants receiving benefits 2016-07-01 63
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 178
Number of participants with account balances 2016-07-01 138
2015: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 166
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 120
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 51
Total of all active and inactive participants 2015-07-01 171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 171
Number of participants with account balances 2015-07-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 195
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 124
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 41
Total of all active and inactive participants 2014-07-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 165
Number of participants with account balances 2014-07-01 131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 171
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 159
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 36
Total of all active and inactive participants 2013-07-01 195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 195
Number of participants with account balances 2013-07-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 109
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 135
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 36
Total of all active and inactive participants 2012-07-01 171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 171
Number of participants with account balances 2012-07-01 110
2011: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 141
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 96
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 13
Total of all active and inactive participants 2011-07-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 109
Number of participants with account balances 2011-07-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2010: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 135
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 90
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 51
Total of all active and inactive participants 2010-07-01 141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 141
Number of participants with account balances 2010-07-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 125
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 82
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 53
Total of all active and inactive participants 2009-07-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 135
Number of participants with account balances 2009-07-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2021: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	214
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	0
Number of retired or separated participants receiving benefits	2021-07-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	0
Number of participants with account balances	2021-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	211
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	133
Number of retired or separated participants receiving benefits	2020-07-01	2
Number of other retired or separated participants entitled to future benefits	2020-07-01	78
Total of all active and inactive participants	2020-07-01	213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	1
Total participants	2020-07-01	214
Number of participants with account balances	2020-07-01	193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	197
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	128
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	83
Total of all active and inactive participants	2019-07-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	1
Total participants	2019-07-01	212
Number of participants with account balances	2019-07-01	193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	177
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	120
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	77
Total of all active and inactive participants	2018-07-01	197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	197
Number of participants with account balances	2018-07-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	178
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	115
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	62
Total of all active and inactive participants	2017-07-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	177
Number of participants with account balances	2017-07-01	143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	171
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	115
Number of retired or separated participants receiving benefits	2016-07-01	63
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	178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	178
Number of participants with account balances	2016-07-01	138
2015: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	166
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	120
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	51
Total of all active and inactive participants	2015-07-01	171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	171
Number of participants with account balances	2015-07-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	195
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	124
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	41
Total of all active and inactive participants	2014-07-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	165
Number of participants with account balances	2014-07-01	131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	171
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	159
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	36
Total of all active and inactive participants	2013-07-01	195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	195
Number of participants with account balances	2013-07-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	109
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	135
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	36
Total of all active and inactive participants	2012-07-01	171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	171
Number of participants with account balances	2012-07-01	110
2011: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	141
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	96
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	13
Total of all active and inactive participants	2011-07-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	109
Number of participants with account balances	2011-07-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2010: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	135
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	90
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	51
Total of all active and inactive participants	2010-07-01	141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	141
Number of participants with account balances	2010-07-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	125
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	82
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	53
Total of all active and inactive participants	2009-07-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	135
Number of participants with account balances	2009-07-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN

Measure	Date	Value
2022 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-04-01	$118,471
Total of all expenses incurred	2022-04-01	$2,787,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-04-01	$2,777,242
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-04-01	$88,755
Value of total assets at end of year	2022-04-01	$0
Value of total assets at beginning of year	2022-04-01	$2,669,372
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-04-01	$10,601
Total interest from all sources	2022-04-01	$1,242
Total dividends received (eg from common stock, registered investment company shares)	2022-04-01	$88,924
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-04-01	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2022-04-01	$0
Total dividends received from registered investment company shares (eg mutual funds)	2022-04-01	$88,924
Was this plan covered by a fidelity bond	2022-04-01	Yes
Value of fidelity bond cover	2022-04-01	$500,000
If this is an individual account plan, was there a blackout period	2022-04-01	No
Were there any nonexempt tranactions with any party-in-interest	2022-04-01	No
Contributions received from participants	2022-04-01	$88,755
Participant contributions at end of year	2022-04-01	$0
Participant contributions at beginning of year	2022-04-01	$45,633
Participant contributions at end of year	2022-04-01	$0
Participant contributions at beginning of year	2022-04-01	$0
Administrative expenses (other) incurred	2022-04-01	$10,601
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-04-01	No
Value of net income/loss	2022-04-01	$-2,669,372
Value of net assets at end of year (total assets less liabilities)	2022-04-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2022-04-01	$2,669,372
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-04-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-04-01	No
Were any leases to which the plan was party in default or uncollectible	2022-04-01	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-04-01	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-04-01	$2,623,739
Interest on participant loans	2022-04-01	$1,242
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-04-01	$-60,450
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-04-01	No
Was there a failure to transmit to the plan any participant contributions	2022-04-01	No
Has the plan failed to provide any benefit when due under the plan	2022-04-01	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-04-01	$2,777,242
Did the plan have assets held for investment	2022-04-01	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	2022-04-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-04-01	Yes
Opinion of an independent qualified public accountant for this plan	2022-04-01	Disclaimer
Accountancy firm name	2022-04-01	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2022-04-01	200545687
2021 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-06-30	$782,961
Total of all expenses incurred	2021-06-30	$78,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$71,541
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$241,075
Value of total assets at end of year	2021-06-30	$2,669,372
Value of total assets at beginning of year	2021-06-30	$1,964,802
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$6,850
Total interest from all sources	2021-06-30	$3,049
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$75,661
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-06-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$75,661
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$500,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$241,075
Participant contributions at end of year	2021-06-30	$45,633
Participant contributions at beginning of year	2021-06-30	$57,292
Participant contributions at beginning of year	2021-06-30	$0
Administrative expenses (other) incurred	2021-06-30	$6,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$704,570
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$2,669,372
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$1,964,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$2,623,739
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$1,907,510
Interest on participant loans	2021-06-30	$3,049
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$463,176
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$71,541
Did the plan have assets held for investment	2021-06-30	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	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2021-06-30	200545687
2020 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-06-30	$350,959
Total of all expenses incurred	2020-06-30	$305,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$297,557
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$224,947
Value of total assets at end of year	2020-06-30	$1,964,802
Value of total assets at beginning of year	2020-06-30	$1,919,639
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$8,239
Total interest from all sources	2020-06-30	$3,856
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$70,786
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$70,786
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$219,206
Participant contributions at end of year	2020-06-30	$57,292
Participant contributions at beginning of year	2020-06-30	$70,541
Participant contributions at end of year	2020-06-30	$0
Participant contributions at beginning of year	2020-06-30	$157,437
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$5,741
Other income not declared elsewhere	2020-06-30	$5,006
Administrative expenses (other) incurred	2020-06-30	$8,239
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$45,163
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$1,964,802
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$1,919,639
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$1,907,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$1,691,661
Interest on participant loans	2020-06-30	$3,856
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$46,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$297,557
Did the plan have assets held for investment	2020-06-30	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	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2020-06-30	200545687
2019 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-06-30	$285,109
Total of all expenses incurred	2019-06-30	$47,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$45,385
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$193,442
Value of total assets at end of year	2019-06-30	$1,919,639
Value of total assets at beginning of year	2019-06-30	$1,681,980
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$2,065
Total interest from all sources	2019-06-30	$3,427
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$62,100
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$62,100
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$250,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$170,605
Participant contributions at end of year	2019-06-30	$70,541
Participant contributions at beginning of year	2019-06-30	$54,993
Participant contributions at end of year	2019-06-30	$157,437
Participant contributions at beginning of year	2019-06-30	$132,885
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$22,837
Administrative expenses (other) incurred	2019-06-30	$2,065
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$237,659
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$1,919,639
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$1,681,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$1,691,661
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$1,494,102
Interest on participant loans	2019-06-30	$3,427
Interest earned on other investments	2019-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$26,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$45,385
Did the plan have assets held for investment	2019-06-30	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	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2019-06-30	200545687
2018 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2018 401k financial data
Expenses. Interest paid	2018-06-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$281,916
Total of all expenses incurred	2018-06-30	$57,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$59,469
Expenses. Certain deemed distributions of participant loans	2018-06-30	$-4,279
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$143,750
Value of total assets at end of year	2018-06-30	$1,681,980
Value of total assets at beginning of year	2018-06-30	$1,457,119
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$1,865
Total interest from all sources	2018-06-30	$4,163
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$32,416
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$32,416
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$250,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$143,750
Participant contributions at end of year	2018-06-30	$54,993
Participant contributions at beginning of year	2018-06-30	$71,018
Participant contributions at end of year	2018-06-30	$132,885
Participant contributions at beginning of year	2018-06-30	$90,299
Administrative expenses (other) incurred	2018-06-30	$1,865
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$224,861
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$1,681,980
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$1,457,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$1,494,102
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$1,241,896
Interest on participant loans	2018-06-30	$2,645
Interest earned on other investments	2018-06-30	$822
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-06-30	$696
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$53,906
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$101,587
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$59,469
Did the plan have assets held for investment	2018-06-30	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	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2018-06-30	200545687
2017 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-06-30	$258,915
Total of all expenses incurred	2017-06-30	$167,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$94,073
Expenses. Certain deemed distributions of participant loans	2017-06-30	$71,357
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$101,421
Value of total assets at end of year	2017-06-30	$1,457,119
Value of total assets at beginning of year	2017-06-30	$1,365,801
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$2,167
Total interest from all sources	2017-06-30	$8,433
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$250,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$101,221
Participant contributions at end of year	2017-06-30	$71,018
Participant contributions at beginning of year	2017-06-30	$129,024
Participant contributions at end of year	2017-06-30	$90,299
Participant contributions at beginning of year	2017-06-30	$76,903
Administrative expenses (other) incurred	2017-06-30	$2,167
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$91,318
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$1,457,119
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$1,365,801
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$1,241,896
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$1,065,050
Interest on participant loans	2017-06-30	$6,649
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-06-30	$1,784
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$53,906
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$94,824
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$149,061
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$200
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$94,073
Did the plan have assets held for investment	2017-06-30	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	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2017-06-30	200545687
2016 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-06-30	$102,553
Total of all expenses incurred	2016-06-30	$108,177
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$106,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$84,891
Value of total assets at end of year	2016-06-30	$1,365,801
Value of total assets at beginning of year	2016-06-30	$1,371,425
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$1,403
Total interest from all sources	2016-06-30	$9,473
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$250,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$83,424
Participant contributions at end of year	2016-06-30	$129,024
Participant contributions at beginning of year	2016-06-30	$140,465
Participant contributions at end of year	2016-06-30	$76,903
Participant contributions at beginning of year	2016-06-30	$96,420
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$1,467
Administrative expenses (other) incurred	2016-06-30	$1,403
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-5,624
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$1,365,801
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$1,371,425
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$1,065,050
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$970,493
Interest on participant loans	2016-06-30	$6,011
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-30	$3,462
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$94,824
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$164,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$8,189
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$106,774
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2016-06-30	200545687
2015 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-06-30	$221,841
Total of all expenses incurred	2015-06-30	$85,725
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$83,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$184,585
Value of total assets at end of year	2015-06-30	$1,371,425
Value of total assets at beginning of year	2015-06-30	$1,235,309
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$2,500
Total interest from all sources	2015-06-30	$8,765
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$250,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$104,585
Participant contributions at end of year	2015-06-30	$140,465
Participant contributions at beginning of year	2015-06-30	$78,991
Participant contributions at end of year	2015-06-30	$96,420
Participant contributions at beginning of year	2015-06-30	$106,779
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$80,000
Administrative expenses (other) incurred	2015-06-30	$2,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$136,116
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$1,371,425
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$1,235,309
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$970,493
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$844,315
Interest on participant loans	2015-06-30	$4,076
Interest earned on other investments	2015-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-06-30	$4,689
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$164,047
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$205,224
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$28,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$83,225
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2015-06-30	200545687
2014 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-06-30	$378,882
Total of all expenses incurred	2014-06-30	$83,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$81,176
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$224,006
Value of total assets at end of year	2014-06-30	$1,235,309
Value of total assets at beginning of year	2014-06-30	$939,460
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$1,857
Total interest from all sources	2014-06-30	$9,678
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$250,000
If this is an individual account plan, was there a blackout period	2014-06-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$224,006
Participant contributions at end of year	2014-06-30	$78,991
Participant contributions at beginning of year	2014-06-30	$68,135
Participant contributions at end of year	2014-06-30	$106,779
Participant contributions at beginning of year	2014-06-30	$1,342
Other income not declared elsewhere	2014-06-30	$1,656
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$295,849
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$1,235,309
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$939,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Investment advisory and management fees	2014-06-30	$1,857
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$844,315
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$570,284
Interest on participant loans	2014-06-30	$2,879
Interest earned on other investments	2014-06-30	$6,799
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$205,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$299,699
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$143,542
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Employer contributions (assets) at beginning of year	2014-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$81,176
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	2014-06-30	Yes
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2014-06-30	200545687
2013 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-06-30	$119,717
Total of all expenses incurred	2013-06-30	$43,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$42,444
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$39,421
Value of total assets at end of year	2013-06-30	$939,460
Value of total assets at beginning of year	2013-06-30	$863,166
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$979
Total interest from all sources	2013-06-30	$10,357
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$160,500
If this is an individual account plan, was there a blackout period	2013-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$39,421
Participant contributions at end of year	2013-06-30	$68,135
Participant contributions at beginning of year	2013-06-30	$39,671
Participant contributions at end of year	2013-06-30	$1,342
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$0
Administrative expenses (other) incurred	2013-06-30	$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	2013-06-30	No
Income. Non cash contributions	2013-06-30	$0
Value of net income/loss	2013-06-30	$76,294
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$939,460
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$863,166
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Investment advisory and management fees	2013-06-30	$979
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$570,284
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$500,786
Interest on participant loans	2013-06-30	$2,365
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-06-30	$7,992
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$299,699
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$309,349
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$69,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Employer contributions (assets) at end of year	2013-06-30	$0
Employer contributions (assets) at beginning of year	2013-06-30	$13,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$42,444
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	LAWRENCE R. MITCHELL & COMPANY
Accountancy firm EIN	2013-06-30	200545687
2012 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$93,330
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$69,011
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$68,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$96,735
Value of total assets at end of year	2012-06-30	$863,166
Value of total assets at beginning of year	2012-06-30	$838,847
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$287
Total interest from all sources	2012-06-30	$9,896
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$160,500
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Participant contributions at end of year	2012-06-30	$39,671
Participant contributions at beginning of year	2012-06-30	$34,771
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$486
Administrative expenses (other) incurred	2012-06-30	$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	2012-06-30	No
Value of net income/loss	2012-06-30	$24,319
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$863,166
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$838,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Investment advisory and management fees	2012-06-30	$287
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$500,786
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$487,753
Interest on participant loans	2012-06-30	$1,593
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-06-30	$8,303
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$309,349
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$290,891
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-13,301
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$96,249
Employer contributions (assets) at end of year	2012-06-30	$13,360
Employer contributions (assets) at beginning of year	2012-06-30	$25,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$68,724
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	LAWRENCE R. MITCHELL & COMPANY,CPAS
Accountancy firm EIN	2012-06-30	200545687
2011 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$187,864
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$63,324
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$62,670
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$90,995
Value of total assets at end of year	2011-06-30	$838,847
Value of total assets at beginning of year	2011-06-30	$714,307
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$654
Total interest from all sources	2011-06-30	$10,015
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Participant contributions at end of year	2011-06-30	$34,771
Participant contributions at beginning of year	2011-06-30	$24,076
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$124,540
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$838,847
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$714,307
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Investment advisory and management fees	2011-06-30	$654
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$487,753
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$410,733
Value of interest in pooled separate accounts at end of year	2011-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$0
Interest on participant loans	2011-06-30	$1,010
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$9,005
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$290,891
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$268,465
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$86,854
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$90,995
Employer contributions (assets) at end of year	2011-06-30	$25,432
Employer contributions (assets) at beginning of year	2011-06-30	$11,033
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$62,670
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	LAWRENCE R. MITCHELL & COMPANY,CPAS
Accountancy firm EIN	2011-06-30	200545687
2010 : SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN

2021: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	Yes
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT 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 funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: SOUTH BAY FAMILY HEALTHCARE CENTER RETIREMENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

61562

Policy instance

Insurance contract or identification number	61562
Number of Individuals Covered	0
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

61562

Policy instance

Insurance contract or identification number	61562
Number of Individuals Covered	35
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

61562

Policy instance

Insurance contract or identification number	61562
Number of Individuals Covered	36
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

61562

Policy instance

Insurance contract or identification number	61562
Number of Individuals Covered	36
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,496
Contracts With Unallocated Funds Deposit Administration	1
Amount paid for insurance broker fees	3386
Insurance broker organization code?	3
Insurance broker name	UNASSIGNED

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

61562

Policy instance

Insurance contract or identification number	61562
Number of Individuals Covered	110
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $1,075
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

61562

Policy instance

Insurance contract or identification number	61562
Number of Individuals Covered	105
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $1,107
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?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

61562

Policy instance

Insurance contract or identification number	61562
Number of Individuals Covered	129
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $818
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?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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

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Company Name:	SOUTH BAY FAMILY HEALTH CARE
Employer identification number (EIN):	237049937
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners