401k Plan data: EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS plan

EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 401k Plan overview

Plan Name	EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS
Plan identification number	001

EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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

BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES, INC.

Employer identification number (EIN): 362603932

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 MATTHEW VITALIANO 2023-06-22
001 2021-01-01 MATTHEW VITALIANO 2022-05-27
001 2020-01-01 MATTHEW VITALIANO 2021-06-18
001 2019-01-01 MATTHEW VITALIANO 2020-06-30
001 2018-01-01 MATTHEW VITALIANO 2019-07-03
001 2010-01-01 MATTHEW VITALIANO
001 2009-01-01
001 2009-01-01 ANTHONY DIVITTORIO MATTHEW VITALIANO 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	MATTHEW VITALIANO	2023-06-22
001	2021-01-01	MATTHEW VITALIANO	2022-05-27
001	2020-01-01	MATTHEW VITALIANO	2021-06-18
001	2019-01-01	MATTHEW VITALIANO	2020-06-30
001	2018-01-01	MATTHEW VITALIANO	2019-07-03
001	2010-01-01	MATTHEW VITALIANO
001	2009-01-01
001	2009-01-01	ANTHONY DIVITTORIO		MATTHEW VITALIANO	2010-10-13

Plan Statistics for EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS

401k plan membership statisitcs for EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS

Measure Date Value
2010: EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 2010 401k membership
Total participants, beginning-of-year 2010-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 0
Number of participants with account balances 2010-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 2009 401k membership
Total participants, beginning-of-year 2009-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 96
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 25
Total of all active and inactive participants 2009-01-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 2
Total participants 2009-01-01 124
Number of participants with account balances 2009-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2010: EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 2010 401k membership
Total participants, beginning-of-year	2010-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	0
Number of participants with account balances	2010-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 2009 401k membership
Total participants, beginning-of-year	2009-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	96
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	25
Total of all active and inactive participants	2009-01-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	2
Total participants	2009-01-01	124
Number of participants with account balances	2009-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS

Measure	Date	Value
2010 : EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 2010 401k financial data
Total transfer of assets from this plan	2010-12-31	$1,873,636
Total income from all sources (including contributions)	2010-12-31	$70,267
Total of all expenses incurred	2010-12-31	$12,379
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$12,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$48,356
Value of total assets at end of year	2010-12-31	$0
Value of total assets at beginning of year	2010-12-31	$1,815,748
Total interest from all sources	2010-12-31	$18,186
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	Yes
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$12,379
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$57,888
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,815,748
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Income. Interest from corporate debt instruments	2010-12-31	$2,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,412,012
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,412,012
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$15,304
Net investment gain/loss from pooled separate accounts	2010-12-31	$3,725
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$48,356
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$72,461
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	2010-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$331,275
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Total transfer of assets from this plan	2010-04-01	$1,883,997
Total income from all sources (including contributions)	2010-04-01	$80,687
Total of all expenses incurred	2010-04-01	$12,438
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-04-01	$12,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-04-01	$58,775
Value of total assets at end of year	2010-04-01	$0
Value of total assets at beginning of year	2010-04-01	$1,815,748
Total interest from all sources	2010-04-01	$18,186
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-04-01	Yes
Was this plan covered by a fidelity bond	2010-04-01	No
If this is an individual account plan, was there a blackout period	2010-04-01	No
Were there any nonexempt tranactions with any party-in-interest	2010-04-01	No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-04-01	$12,438
Other income not declared elsewhere	2010-04-01	$3,726
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-04-01	No
Value of net income/loss	2010-04-01	$68,249
Value of net assets at end of year (total assets less liabilities)	2010-04-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2010-04-01	$1,815,748
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-04-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-04-01	No
Were any leases to which the plan was party in default or uncollectible	2010-04-01	No
Income. Interest from US Government securities	2010-04-01	$2,882
Income. Interest from corporate debt instruments	2010-04-01	$2,882
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-04-01	$1,412,012
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-04-01	$1,412,012
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-04-01	$15,304
Asset value of US Government securities at beginning of year	2010-04-01	$72,461
Net investment gain/loss from pooled separate accounts	2010-04-01	$3,726
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-04-01	No
Was there a failure to transmit to the plan any participant contributions	2010-04-01	No
Has the plan failed to provide any benefit when due under the plan	2010-04-01	No
Contributions received in cash from employer	2010-04-01	$58,775
Asset. Corporate debt instrument debt (other) at beginning of year	2010-04-01	$72,461
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-04-01	$331,275
Did the plan have assets held for investment	2010-04-01	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	2010-04-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-04-01	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-04-01	Yes
Opinion of an independent qualified public accountant for this plan	2010-04-01	Disclaimer
Accountancy firm name	2010-04-01	MULCAHY, PAURITSCH, SALVADOR, & CO.
Accountancy firm EIN	2010-04-01	363074623
2009 : EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 2009 401k financial data
Total unrealized appreciation/depreciation of assets	2009-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2009-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2009-12-31	$0
Total income from all sources (including contributions)	2009-12-31	$254,839
Total loss/gain on sale of assets	2009-12-31	$0
Total of all expenses incurred	2009-12-31	$130,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2009-12-31	$120,606
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2009-12-31	$137,788
Value of total assets at end of year	2009-12-31	$1,815,748
Value of total assets at beginning of year	2009-12-31	$1,691,032
Total of administrative expenses incurred including professional, contract, advisory and management fees	2009-12-31	$9,517
Total interest from all sources	2009-12-31	$45,797
Total dividends received (eg from common stock, registered investment company shares)	2009-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2009-12-31	No
Was this plan covered by a fidelity bond	2009-12-31	No
If this is an individual account plan, was there a blackout period	2009-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2009-12-31	No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2009-12-31	$33,966
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2009-12-31	No
Value of net income/loss	2009-12-31	$124,716
Value of net assets at end of year (total assets less liabilities)	2009-12-31	$1,815,748
Value of net assets at beginning of year (total assets less liabilities)	2009-12-31	$1,691,032
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2009-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2009-12-31	No
Were any leases to which the plan was party in default or uncollectible	2009-12-31	No
Income. Interest from corporate debt instruments	2009-12-31	$6,649
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2009-12-31	$1,412,012
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2009-12-31	$1,388,505
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2009-12-31	$1,388,505
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2009-12-31	$39,148
Net investment gain/loss from pooled separate accounts	2009-12-31	$71,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2009-12-31	No
Was there a failure to transmit to the plan any participant contributions	2009-12-31	No
Has the plan failed to provide any benefit when due under the plan	2009-12-31	No
Contributions received in cash from employer	2009-12-31	$137,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2009-12-31	$86,640
Asset. Corporate debt instrument debt (other) at end of year	2009-12-31	$72,461
Asset. Corporate debt instrument debt (other) at beginning of year	2009-12-31	$57,376
Contract administrator fees	2009-12-31	$9,517
Assets. Corporate common stocks other than exployer securities at end of year	2009-12-31	$331,275
Assets. Corporate common stocks other than exployer securities at beginning of year	2009-12-31	$245,151
Did the plan have assets held for investment	2009-12-31	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	2009-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2009-12-31	No

Form 5500 Responses for EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS

2010: EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	Yes
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes

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Company Name:	BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES, INC.
Employer identification number (EIN):	362603932
NAIC Classification:	611000