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| Plan Name | 403(B) THRIFT PLAN FOR EMPLOYEES OF IRENE STACY COMMUNITY MENTAL HEALTH CENTER |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | IRENE STACY COMMUNITY MENTAL HEALTH CENTER |
| Employer identification number (EIN): | 261069977 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2017-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2017: 403(B) THRIFT PLAN FOR EMPLOYEES OF IRENE STACY COMMUNITY MENTAL HEALTH CENTER 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 95 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 0 |
| Number of participants with account balances | 2017-01-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2017 : 403(B) THRIFT PLAN FOR EMPLOYEES OF IRENE STACY COMMUNITY MENTAL HEALTH CENTER 2017 401k financial data | ||
| Total income from all sources | 2017-08-31 | $66,266 |
| Expenses. Total of all expenses incurred | 2017-08-31 | $1,245,757 |
| Benefits paid (including direct rollovers) | 2017-08-31 | $1,210,923 |
| Total plan assets at end of year | 2017-08-31 | $0 |
| Total plan assets at beginning of year | 2017-08-31 | $1,179,491 |
| Expenses. Other expenses not covered elsewhere | 2017-08-31 | $34,834 |
| Other income received | 2017-08-31 | $51,863 |
| Net income (gross income less expenses) | 2017-08-31 | $-1,179,491 |
| Net plan assets at end of year (total assets less liabilities) | 2017-08-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-08-31 | $1,179,491 |
| Assets. Value of participant loans | 2017-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2017-08-31 | $14,403 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-08-31 | $0 |
| 2017: 403(B) THRIFT PLAN FOR EMPLOYEES OF IRENE STACY COMMUNITY MENTAL HEALTH CENTER 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | Yes |
| 2017-01-01 | This submission is the final filing | Yes |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-01-01 | Plan is a collectively bargained plan | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 050318-F | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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