401k Plan data: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION plan

EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 401k Plan overview

Plan Name	EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION
Plan identification number	001

EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

NEAR NORTH HEALTH SERVICE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: NEAR NORTH HEALTH SERVICE CORPORATION

Employer identification number (EIN): 363197647

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION

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 CUSH MVUDUDU
001 2016-07-01 WAHABI G. TIJANI WAHABI G. TIJANI 2018-02-14
001 2015-07-01 WAHABI TIJANI WAHABI TIJANI 2017-04-18
001 2014-07-01 WAHABI TIJANI WAHABI TIJANI 2017-01-18
001 2014-07-01 WAHABI TIJANI WAHABI TIJANI 2016-02-23
001 2014-07-01 WAHABI TIJANI WAHABI TIJANI 2016-08-31
001 2013-07-01 WAHABI G. TIJANI WAHABI G. TIJANI 2015-01-30
001 2012-07-01 WAHABI TIJANI WAHABI TIJANI 2014-01-30
001 2011-07-01 WAHABI TIJANI
001 2009-07-01 WAHABI TIJANI

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	CUSH MVUDUDU
001	2016-07-01	WAHABI G. TIJANI	WAHABI G. TIJANI	2018-02-14
001	2015-07-01	WAHABI TIJANI	WAHABI TIJANI	2017-04-18
001	2014-07-01	WAHABI TIJANI	WAHABI TIJANI	2017-01-18
001	2014-07-01	WAHABI TIJANI	WAHABI TIJANI	2016-02-23
001	2014-07-01	WAHABI TIJANI	WAHABI TIJANI	2016-08-31
001	2013-07-01	WAHABI G. TIJANI	WAHABI G. TIJANI	2015-01-30
001	2012-07-01	WAHABI TIJANI	WAHABI TIJANI	2014-01-30
001	2011-07-01	WAHABI TIJANI
001	2009-07-01	WAHABI TIJANI

Plan Statistics for EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION

401k plan membership statisitcs for EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION

Measure Date Value
2021: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2021 401k membership
Total participants, beginning-of-year 2021-07-01 322
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 268
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 171
Total of all active and inactive participants 2021-07-01 439
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 439
Number of participants with account balances 2021-07-01 328
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 24
2020: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2020 401k membership
Total participants, beginning-of-year 2020-07-01 329
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 189
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 132
Total of all active and inactive participants 2020-07-01 321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 1
Total participants 2020-07-01 322
Number of participants with account balances 2020-07-01 318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 51
2019: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2019 401k membership
Total participants, beginning-of-year 2019-07-01 310
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 213
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 115
Total of all active and inactive participants 2019-07-01 328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 1
Total participants 2019-07-01 329
Number of participants with account balances 2019-07-01 328
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 18
2018: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2018 401k membership
Total participants, beginning-of-year 2018-07-01 277
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 196
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 112
Total of all active and inactive participants 2018-07-01 308
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 2
Total participants 2018-07-01 310
Number of participants with account balances 2018-07-01 307
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 13
2017: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2017 401k membership
Total participants, beginning-of-year 2017-07-01 270
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 162
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 114
Total of all active and inactive participants 2017-07-01 276
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 1
Total participants 2017-07-01 277
Number of participants with account balances 2017-07-01 276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 23
2016: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2016 401k membership
Total participants, beginning-of-year 2016-07-01 225
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 161
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 108
Total of all active and inactive participants 2016-07-01 269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 1
Total participants 2016-07-01 270
Number of participants with account balances 2016-07-01 227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 40
2015: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2015 401k membership
Total participants, beginning-of-year 2015-07-01 224
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 153
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 72
Total of all active and inactive participants 2015-07-01 225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 225
Number of participants with account balances 2015-07-01 225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 63
2014: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2014 401k membership
Total participants, beginning-of-year 2014-07-01 218
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 152
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 72
Total of all active and inactive participants 2014-07-01 224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 224
Number of participants with account balances 2014-07-01 224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 45
2013: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2013 401k membership
Total participants, beginning-of-year 2013-07-01 207
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 176
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 41
Total of all active and inactive participants 2013-07-01 217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 1
Total participants 2013-07-01 218
Number of participants with account balances 2013-07-01 217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 19
2012: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2012 401k membership
Total participants, beginning-of-year 2012-07-01 198
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 148
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 59
Total of all active and inactive participants 2012-07-01 207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 207
Number of participants with account balances 2012-07-01 207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 34
2011: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2011 401k membership
Total participants, beginning-of-year 2011-07-01 192
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 166
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 32
Total of all active and inactive participants 2011-07-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 198
Number of participants with account balances 2011-07-01 198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 20
2009: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2009 401k membership
Total participants, beginning-of-year 2009-07-01 139
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 166
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 22
Total of all active and inactive participants 2009-07-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 188
Number of participants with account balances 2009-07-01 188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 10

Measure	Date	Value
2021: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2021 401k membership
Total participants, beginning-of-year	2021-07-01	322
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	268
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	171
Total of all active and inactive participants	2021-07-01	439
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	439
Number of participants with account balances	2021-07-01	328
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	24
2020: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2020 401k membership
Total participants, beginning-of-year	2020-07-01	329
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	189
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	132
Total of all active and inactive participants	2020-07-01	321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	1
Total participants	2020-07-01	322
Number of participants with account balances	2020-07-01	318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	51
2019: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2019 401k membership
Total participants, beginning-of-year	2019-07-01	310
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	213
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	115
Total of all active and inactive participants	2019-07-01	328
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	1
Total participants	2019-07-01	329
Number of participants with account balances	2019-07-01	328
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	18
2018: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2018 401k membership
Total participants, beginning-of-year	2018-07-01	277
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	196
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	112
Total of all active and inactive participants	2018-07-01	308
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	2
Total participants	2018-07-01	310
Number of participants with account balances	2018-07-01	307
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	13
2017: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2017 401k membership
Total participants, beginning-of-year	2017-07-01	270
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	162
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	114
Total of all active and inactive participants	2017-07-01	276
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	1
Total participants	2017-07-01	277
Number of participants with account balances	2017-07-01	276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	23
2016: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2016 401k membership
Total participants, beginning-of-year	2016-07-01	225
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	161
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	108
Total of all active and inactive participants	2016-07-01	269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	1
Total participants	2016-07-01	270
Number of participants with account balances	2016-07-01	227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	40
2015: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2015 401k membership
Total participants, beginning-of-year	2015-07-01	224
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	153
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	72
Total of all active and inactive participants	2015-07-01	225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	225
Number of participants with account balances	2015-07-01	225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	63
2014: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2014 401k membership
Total participants, beginning-of-year	2014-07-01	218
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	152
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	72
Total of all active and inactive participants	2014-07-01	224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	224
Number of participants with account balances	2014-07-01	224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	45
2013: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2013 401k membership
Total participants, beginning-of-year	2013-07-01	207
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	176
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	41
Total of all active and inactive participants	2013-07-01	217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	1
Total participants	2013-07-01	218
Number of participants with account balances	2013-07-01	217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	19
2012: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2012 401k membership
Total participants, beginning-of-year	2012-07-01	198
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	148
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	59
Total of all active and inactive participants	2012-07-01	207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	207
Number of participants with account balances	2012-07-01	207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	34
2011: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2011 401k membership
Total participants, beginning-of-year	2011-07-01	192
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	166
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	32
Total of all active and inactive participants	2011-07-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	198
Number of participants with account balances	2011-07-01	198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	20
2009: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2009 401k membership
Total participants, beginning-of-year	2009-07-01	139
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	166
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	22
Total of all active and inactive participants	2009-07-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	188
Number of participants with account balances	2009-07-01	188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	10

Financial Data on EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION

Measure	Date	Value
2022 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-06-30	$0
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total transfer of assets to this plan	2022-06-30	$0
Total transfer of assets from this plan	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-269,056
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$1,139,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$1,136,388
Expenses. Certain deemed distributions of participant loans	2022-06-30	$0
Value of total corrective distributions	2022-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$512,804
Value of total assets at end of year	2022-06-30	$5,528,217
Value of total assets at beginning of year	2022-06-30	$6,936,634
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$2,973
Total interest from all sources	2022-06-30	$8,174
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$0
Assets. Real estate other than employer real property at end of year	2022-06-30	$0
Assets. Real estate other than employer real property at beginning of year	2022-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-06-30	$0
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$0
Participant contributions at end of year	2022-06-30	$0
Participant contributions at beginning of year	2022-06-30	$0
Participant contributions at end of year	2022-06-30	$0
Participant contributions at beginning of year	2022-06-30	$0
Assets. Other investments not covered elsewhere at end of year	2022-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$0
Assets. Loans (other than to participants) at end of year	2022-06-30	$0
Assets. Loans (other than to participants) at beginning of year	2022-06-30	$0
Other income not declared elsewhere	2022-06-30	$0
Administrative expenses (other) incurred	2022-06-30	$2,973
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Income. Non cash contributions	2022-06-30	$0
Value of net income/loss	2022-06-30	$-1,408,417
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$5,528,217
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$6,936,634
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Assets. partnership/joint venture interests at end of year	2022-06-30	$0
Assets. partnership/joint venture interests at beginning of year	2022-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$4,200,375
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$5,567,880
Value of interest in pooled separate accounts at end of year	2022-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$0
Interest on participant loans	2022-06-30	$0
Income. Interest from loans (other than to participants)	2022-06-30	$0
Interest earned on other investments	2022-06-30	$8,174
Income. Interest from US Government securities	2022-06-30	$0
Income. Interest from corporate debt instruments	2022-06-30	$0
Value of interest in master investment trust accounts at end of year	2022-06-30	$0
Value of interest in master investment trust accounts at beginning of year	2022-06-30	$0
Value of interest in common/collective trusts at end of year	2022-06-30	$0
Value of interest in common/collective trusts at beginning of year	2022-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-06-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2022-06-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$1,327,842
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$1,368,754
Expenses. Payments to insurance carriers foe the provision of benefits	2022-06-30	$0
Asset value of US Government securities at end of year	2022-06-30	$0
Asset value of US Government securities at beginning of year	2022-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$0
Net investment gain/loss from pooled separate accounts	2022-06-30	$-790,034
Net investment gain or loss from common/collective trusts	2022-06-30	$0
Net gain/loss from 103.12 investment entities	2022-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$512,804
Employer contributions (assets) at end of year	2022-06-30	$0
Employer contributions (assets) at beginning of year	2022-06-30	$0
Income. Dividends from preferred stock	2022-06-30	$0
Income. Dividends from common stock	2022-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$1,136,388
Asset. Corporate debt instrument preferred debt at end of year	2022-06-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-06-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-06-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-06-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2022-06-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-06-30	$0
Did the plan have assets held for investment	2022-06-30	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	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Aggregate proceeds on sale of assets	2022-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2022-06-30	$0
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-06-30	410746749
2021 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$1,755,392
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$690,526
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$686,397
Expenses. Certain deemed distributions of participant loans	2021-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$375,855
Value of total assets at end of year	2021-06-30	$6,936,634
Value of total assets at beginning of year	2021-06-30	$5,871,768
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$4,129
Total interest from all sources	2021-06-30	$15,864
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$828
Other income not declared elsewhere	2021-06-30	$0
Administrative expenses (other) incurred	2021-06-30	$4,129
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	$1,064,866
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$6,936,634
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$5,871,768
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	$5,567,880
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$4,254,691
Interest on participant loans	2021-06-30	$0
Interest earned on other investments	2021-06-30	$15,864
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$1,368,754
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$1,617,077
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$0
Net investment gain/loss from pooled separate accounts	2021-06-30	$1,363,673
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
Contributions received in cash from employer	2021-06-30	$375,027
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$686,397
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	CLIFTONLARSENALLEN LLP
Accountancy firm EIN	2021-06-30	410746749
2020 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$699,465
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$178,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$174,695
Expenses. Certain deemed distributions of participant loans	2020-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$453,694
Value of total assets at end of year	2020-06-30	$5,871,768
Value of total assets at beginning of year	2020-06-30	$5,351,101
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$4,103
Total interest from all sources	2020-06-30	$21,631
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$1,000,000
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	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$66,043
Other income not declared elsewhere	2020-06-30	$0
Administrative expenses (other) incurred	2020-06-30	$4,103
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	$520,667
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$5,871,768
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$5,351,101
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	$4,254,691
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$3,794,536
Interest on participant loans	2020-06-30	$0
Interest earned on other investments	2020-06-30	$21,631
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$1,617,077
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$1,556,565
Expenses. Payments to insurance carriers foe the provision of benefits	2020-06-30	$0
Net investment gain/loss from pooled separate accounts	2020-06-30	$224,140
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
Contributions received in cash from employer	2020-06-30	$387,651
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$174,695
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-06-30	410746749
2019 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$594,641
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$166,853
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$163,025
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$357,543
Value of total assets at end of year	2019-06-30	$5,351,101
Value of total assets at beginning of year	2019-06-30	$4,923,313
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$3,828
Total interest from all sources	2019-06-30	$20,698
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$458
Other income not declared elsewhere	2019-06-30	$0
Administrative expenses (other) incurred	2019-06-30	$3,828
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	$427,788
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$5,351,101
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$4,923,313
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	$3,794,536
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$3,389,370
Interest on participant loans	2019-06-30	$0
Interest earned on other investments	2019-06-30	$20,698
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$1,556,565
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$1,529,101
Expenses. Payments to insurance carriers foe the provision of benefits	2019-06-30	$0
Net investment gain/loss from pooled separate accounts	2019-06-30	$216,400
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
Contributions received in cash from employer	2019-06-30	$357,085
Employer contributions (assets) at beginning of year	2019-06-30	$4,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$163,025
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-06-30	410746749
2018 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$663,864
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$150,506
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$146,922
Expenses. Certain deemed distributions of participant loans	2018-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$294,480
Value of total assets at end of year	2018-06-30	$4,923,313
Value of total assets at beginning of year	2018-06-30	$4,409,955
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$3,584
Total interest from all sources	2018-06-30	$14,535
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$1,000,000
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	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$0
Other income not declared elsewhere	2018-06-30	$412
Administrative expenses (other) incurred	2018-06-30	$3,584
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	$513,358
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$4,923,313
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$4,409,955
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	$3,389,370
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$2,976,063
Interest on participant loans	2018-06-30	$0
Interest earned on other investments	2018-06-30	$14,535
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$1,529,101
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$1,433,892
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$0
Net investment gain/loss from pooled separate accounts	2018-06-30	$354,437
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	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$294,480
Employer contributions (assets) at end of year	2018-06-30	$4,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$146,922
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-06-30	410746749
2017 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$681,089
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$188,080
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$184,695
Expenses. Certain deemed distributions of participant loans	2017-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$290,167
Value of total assets at end of year	2017-06-30	$4,409,955
Value of total assets at beginning of year	2017-06-30	$3,916,946
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$3,385
Total interest from all sources	2017-06-30	$13,697
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$0
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	$1,000,000
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	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$0
Other income not declared elsewhere	2017-06-30	$6
Administrative expenses (other) incurred	2017-06-30	$3,385
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	$493,009
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$4,409,955
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$3,916,946
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	$2,976,063
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$2,326,839
Interest on participant loans	2017-06-30	$0
Interest earned on other investments	2017-06-30	$13,697
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$1,433,892
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$1,473,774
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$0
Net investment gain/loss from pooled separate accounts	2017-06-30	$377,219
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	No
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	$290,167
Employer contributions (assets) at beginning of year	2017-06-30	$116,333
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$184,695
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2017-06-30	410746749
2016 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total transfer of assets from this plan	2016-06-30	$292,945
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$348,933
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$251,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$247,801
Expenses. Certain deemed distributions of participant loans	2016-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$372,527
Value of total assets at end of year	2016-06-30	$3,916,946
Value of total assets at beginning of year	2016-06-30	$4,111,965
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$3,206
Total interest from all sources	2016-06-30	$13,371
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
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	$50,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$142,736
Other income not declared elsewhere	2016-06-30	$0
Administrative expenses (other) incurred	2016-06-30	$3,206
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	$97,926
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$3,916,946
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$4,111,965
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	$2,326,839
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$2,667,649
Interest on participant loans	2016-06-30	$0
Interest earned on other investments	2016-06-30	$13,371
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$1,473,774
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$1,342,553
Expenses. Payments to insurance carriers foe the provision of benefits	2016-06-30	$0
Net investment gain/loss from pooled separate accounts	2016-06-30	$-36,965
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
Contributions received in cash from employer	2016-06-30	$229,791
Employer contributions (assets) at end of year	2016-06-30	$116,333
Employer contributions (assets) at beginning of year	2016-06-30	$101,763
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$247,801
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	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2016-06-30	410746749
2015 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$548,370
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$182,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$181,051
Expenses. Certain deemed distributions of participant loans	2015-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$412,183
Value of total assets at end of year	2015-06-30	$4,010,202
Value of total assets at beginning of year	2015-06-30	$3,644,283
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$1,400
Total interest from all sources	2015-06-30	$12,748
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	$1,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$91,978
Other income not declared elsewhere	2015-06-30	$1,901
Administrative expenses (other) incurred	2015-06-30	$1,400
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	$365,919
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$4,010,202
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$3,644,283
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	$2,667,649
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$2,443,321
Interest on participant loans	2015-06-30	$0
Interest earned on other investments	2015-06-30	$12,748
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$1,342,553
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$1,200,962
Expenses. Payments to insurance carriers foe the provision of benefits	2015-06-30	$0
Net investment gain/loss from pooled separate accounts	2015-06-30	$121,538
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
Contributions received in cash from employer	2015-06-30	$320,205
Employer contributions (assets) at end of year	2015-06-30	$101,763
Employer contributions (assets) at beginning of year	2015-06-30	$79,474
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$181,051
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	AUDIT AND CONSULTING SERVICES, LTD
Accountancy firm EIN	2015-06-30	364399760
2014 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$772,897
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$422,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$389,948
Expenses. Certain deemed distributions of participant loans	2014-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$329,673
Value of total assets at end of year	2014-06-30	$3,644,283
Value of total assets at beginning of year	2014-06-30	$3,294,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$32,848
Total interest from all sources	2014-06-30	$11,669
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$0
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	$1,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$0
Other income not declared elsewhere	2014-06-30	$12,500
Administrative expenses (other) incurred	2014-06-30	$32,848
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	$350,101
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$3,644,283
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$3,294,182
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$2,443,321
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$2,082,643
Interest on participant loans	2014-06-30	$0
Interest earned on other investments	2014-06-30	$11,669
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$1,200,962
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$1,211,539
Expenses. Payments to insurance carriers foe the provision of benefits	2014-06-30	$0
Net investment gain/loss from pooled separate accounts	2014-06-30	$419,055
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
Contributions received in cash from employer	2014-06-30	$329,673
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$389,948
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	AUDIT AND CONSULTING SERVICES, LTD
Accountancy firm EIN	2014-06-30	364399760
2013 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$659,158
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$417,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$346,698
Expenses. Certain deemed distributions of participant loans	2013-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$352,381
Value of total assets at end of year	2013-06-30	$3,294,182
Value of total assets at beginning of year	2013-06-30	$3,052,961
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$71,239
Total interest from all sources	2013-06-30	$16,276
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$0
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	$1,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$0
Other income not declared elsewhere	2013-06-30	$38,539
Administrative expenses (other) incurred	2013-06-30	$71,239
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$241,221
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$3,294,182
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$3,052,961
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$2,082,643
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$1,782,660
Interest on participant loans	2013-06-30	$0
Interest earned on other investments	2013-06-30	$16,276
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$1,211,539
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$1,270,301
Expenses. Payments to insurance carriers foe the provision of benefits	2013-06-30	$0
Net investment gain/loss from pooled separate accounts	2013-06-30	$251,962
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
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$352,381
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$346,698
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	AUDIT AND CONSULTING SERVICES, LTD
Accountancy firm EIN	2013-06-30	364399760
2012 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2012 401k financial data
Total income from all sources (including contributions)	2012-06-30	$426,523
Total of all expenses incurred	2012-06-30	$235,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$209,282
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$413,673
Value of total assets at end of year	2012-06-30	$3,052,961
Value of total assets at beginning of year	2012-06-30	$2,861,517
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$25,797
Total interest from all sources	2012-06-30	$23,235
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	$1,000,000
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
Funding deficiency by the employer to the plan for this plan year	2012-06-30	$0
Minimum employer required contribution for this plan year	2012-06-30	$410,717
Amount contributed by the employer to the plan for this plan year	2012-06-30	$410,717
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$2,956
Administrative expenses (other) incurred	2012-06-30	$25,797
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	$191,444
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$3,052,961
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$2,861,517
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$1,782,660
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$1,669,020
Interest earned on other investments	2012-06-30	$23,235
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$1,270,301
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$1,192,497
Net investment gain/loss from pooled separate accounts	2012-06-30	$-10,385
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	$410,717
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$209,282
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	AUDIT AND COUNSELING SERVICES, LTD
Accountancy firm EIN	2012-06-30	364399760
2011 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2011 401k financial data
Total income from all sources (including contributions)	2011-06-30	$775,669
Total of all expenses incurred	2011-06-30	$203,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$160,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$415,720
Value of total assets at end of year	2011-06-30	$2,861,517
Value of total assets at beginning of year	2011-06-30	$2,289,015
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$42,540
Total interest from all sources	2011-06-30	$25,548
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	Yes
Value of fidelity bond cover	2011-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	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
Funding deficiency by the employer to the plan for this plan year	2011-06-30	$0
Minimum employer required contribution for this plan year	2011-06-30	$160,627
Amount contributed by the employer to the plan for this plan year	2011-06-30	$160,627
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Administrative expenses (other) incurred	2011-06-30	$42,540
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	$572,502
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$2,861,517
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$2,289,015
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$1,669,020
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$1,190,702
Interest earned on other investments	2011-06-30	$25,548
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$1,192,497
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$1,098,313
Net investment gain/loss from pooled separate accounts	2011-06-30	$334,401
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	$415,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$160,627
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	AUDIT AND COUNSELING SERVICES, LTD
Accountancy firm EIN	2011-06-30	364399760
2010 : EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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
Funding deficiency by the employer to the plan for this plan year	2010-06-30	$0
Minimum employer required contribution for this plan year	2010-06-30	$384,849
Amount contributed by the employer to the plan for this plan year	2010-06-30	$384,849

Form 5500 Responses for EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION

2021: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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 – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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 – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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 – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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 benefit arrangement – Insurance	Yes
2016: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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
2015: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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
2014: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	Yes
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
2013: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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
2012: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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 benefit arrangement – Insurance	Yes
2011: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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
2009: EMPLOYEE BENEFITS PLAN OF NEAR NORTH HEALTH SERVICE CORPORATION 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

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	441
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Are there contracts with allocated funds for individual policies?	0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	322
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $529
Are there contracts with allocated funds for individual policies?	0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	529
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	329
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $565
Are there contracts with allocated funds for individual policies?	0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	565
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	310
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,866
Are there contracts with allocated funds for individual policies?	0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	1866
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	277
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 $1,347
Are there contracts with allocated funds for individual policies?	0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	225
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 $1,242
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	1242
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHICAGO REGIONAL OFFICE

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	224
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 $486
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	486
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHICAGO REGIONAL OFFICE

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	218
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 $499
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	499
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHICAGO REGIONAL OFFICE

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	207
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $564
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	172
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	RAFAEL

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	198
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,448
Contracts With Unallocated Funds Deposit Administration	1

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

Policy contract number

012352C

Policy instance

Insurance contract or identification number	012352C
Number of Individuals Covered	192
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $239
Contracts With Unallocated Funds Deposit Administration	1

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Company Name:	NEAR NORTH HEALTH SERVICE CORPORATION
Employer identification number (EIN):	363197647
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners