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EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC
Plan identification number 001

EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

COMMUNITY CARE CENTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY CARE CENTERS, INC.
Employer identification number (EIN):431306463
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about COMMUNITY CARE CENTERS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1992-12-22
Company Identification Number: P92000013620
Legal Registered Office Address: 14411 COMMERCE WAT

MIAMI LAKES

33016

More information about COMMUNITY CARE CENTERS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01CHRISTINA GIARDINA
0012016-01-01JAMES G. GIARDINA
0012015-01-01JAMES G. GIARDINA
0012014-01-01JAMES G. GIARDINA
0012013-01-01JAMES G. GIARDINA
0012012-01-01JAMES G. GIARDINA
0012011-01-01JAMES G. GIARDINA
0012009-01-01JAMES G GIARDINA

Plan Statistics for EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC

Measure Date Value
2021: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2021 401k membership
Total participants, beginning-of-year2021-01-01193
Total number of active participants reported on line 7a of the Form 55002021-01-01164
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0183
Total of all active and inactive participants2021-01-01247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-012
Total participants2021-01-01249
Number of participants with account balances2021-01-01231
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2020 401k membership
Total participants, beginning-of-year2020-01-01208
Total number of active participants reported on line 7a of the Form 55002020-01-01146
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0145
Total of all active and inactive participants2020-01-01191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-012
Total participants2020-01-01193
Number of participants with account balances2020-01-01175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2019 401k membership
Total participants, beginning-of-year2019-01-01220
Total number of active participants reported on line 7a of the Form 55002019-01-01165
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0141
Total of all active and inactive participants2019-01-01206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-012
Total participants2019-01-01208
Number of participants with account balances2019-01-01192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-013
2018: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2018 401k membership
Total participants, beginning-of-year2018-01-01236
Total number of active participants reported on line 7a of the Form 55002018-01-01180
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0139
Total of all active and inactive participants2018-01-01219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01220
Number of participants with account balances2018-01-01204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012
2017: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2017 401k membership
Total participants, beginning-of-year2017-01-01252
Total number of active participants reported on line 7a of the Form 55002017-01-01190
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0146
Total of all active and inactive participants2017-01-01236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01236
Number of participants with account balances2017-01-01224
2016: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2016 401k membership
Total participants, beginning-of-year2016-01-01274
Total number of active participants reported on line 7a of the Form 55002016-01-01202
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0149
Total of all active and inactive participants2016-01-01251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01252
Number of participants with account balances2016-01-01239
2015: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2015 401k membership
Total participants, beginning-of-year2015-01-01268
Total number of active participants reported on line 7a of the Form 55002015-01-01225
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0149
Total of all active and inactive participants2015-01-01274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01274
Number of participants with account balances2015-01-01277
2014: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2014 401k membership
Total participants, beginning-of-year2014-01-01254
Total number of active participants reported on line 7a of the Form 55002014-01-01217
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0148
Total of all active and inactive participants2014-01-01265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-013
Total participants2014-01-01268
Number of participants with account balances2014-01-01268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0113
2013: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2013 401k membership
Total participants, beginning-of-year2013-01-01245
Total number of active participants reported on line 7a of the Form 55002013-01-01221
Number of other retired or separated participants entitled to future benefits2013-01-0130
Total of all active and inactive participants2013-01-01251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-013
Total participants2013-01-01254
Number of participants with account balances2013-01-01253
2012: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2012 401k membership
Total participants, beginning-of-year2012-01-01227
Total number of active participants reported on line 7a of the Form 55002012-01-01212
Number of other retired or separated participants entitled to future benefits2012-01-0131
Total of all active and inactive participants2012-01-01243
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-012
Total participants2012-01-01245
Number of participants with account balances2012-01-01245
2011: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2011 401k membership
Total participants, beginning-of-year2011-01-01201
Total number of active participants reported on line 7a of the Form 55002011-01-01195
Number of other retired or separated participants entitled to future benefits2011-01-0130
Total of all active and inactive participants2011-01-01225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-012
Total participants2011-01-01227
Number of participants with account balances2011-01-01227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-019
2009: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2009 401k membership
Total participants, beginning-of-year2009-01-01154
Total number of active participants reported on line 7a of the Form 55002009-01-01162
Number of other retired or separated participants entitled to future benefits2009-01-0131
Total of all active and inactive participants2009-01-01193
Total participants2009-01-01193
Number of participants with account balances2009-01-01193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-015

Financial Data on EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC

Measure Date Value
2021 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$505,287
Total of all expenses incurred2021-12-31$704,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$701,926
Expenses. Certain deemed distributions of participant loans2021-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$161,777
Value of total assets at end of year2021-12-31$2,463,877
Value of total assets at beginning of year2021-12-31$2,662,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,128
Total interest from all sources2021-12-31$4,790
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$103,361
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$26,556
Other income not declared elsewhere2021-12-31$0
Administrative expenses (other) incurred2021-12-31$2,128
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-198,767
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,463,877
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,662,644
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,980,279
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,177,660
Interest on participant loans2021-12-31$0
Interest earned on other investments2021-12-31$4,790
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$483,598
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$484,984
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Net investment gain/loss from pooled separate accounts2021-12-31$338,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$31,860
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$701,926
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
2020 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$629,999
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$917,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$914,901
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$236,092
Value of total assets at end of year2020-12-31$2,662,644
Value of total assets at beginning of year2020-12-31$2,949,948
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,402
Total interest from all sources2020-12-31$3,823
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$250,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$183,739
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Other income not declared elsewhere2020-12-31$0
Administrative expenses (other) incurred2020-12-31$2,402
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-287,304
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,662,644
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,949,948
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,177,660
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,630,886
Interest on participant loans2020-12-31$0
Interest earned on other investments2020-12-31$3,823
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$484,984
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$319,062
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from pooled separate accounts2020-12-31$390,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$52,353
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$914,901
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31A.C. EVANS LLC
Accountancy firm EIN2020-12-31263421158
2019 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$681,872
Total income from all sources (including contributions)2019-12-31$681,872
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$418,301
Total of all expenses incurred2019-12-31$418,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$415,760
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$415,760
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$97,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$97,346
Value of total assets at end of year2019-12-31$2,949,948
Value of total assets at end of year2019-12-31$2,949,948
Value of total assets at beginning of year2019-12-31$2,686,377
Value of total assets at beginning of year2019-12-31$2,686,377
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,541
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,541
Total interest from all sources2019-12-31$5,249
Total interest from all sources2019-12-31$5,249
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$250,000
Value of fidelity bond cover2019-12-31$250,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$77,802
Contributions received from participants2019-12-31$77,802
Participant contributions at end of year2019-12-31$89,027
Participant contributions at beginning of year2019-12-31$15,418
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Other income not declared elsewhere2019-12-31$0
Other income not declared elsewhere2019-12-31$0
Administrative expenses (other) incurred2019-12-31$2,541
Administrative expenses (other) incurred2019-12-31$2,541
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$263,571
Value of net income/loss2019-12-31$263,571
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,949,948
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,949,948
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,686,377
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,686,377
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,630,886
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,630,886
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,386,594
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,386,594
Interest on participant loans2019-12-31$0
Interest on participant loans2019-12-31$0
Interest earned on other investments2019-12-31$5,249
Interest earned on other investments2019-12-31$5,249
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$319,062
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$319,062
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$299,783
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$299,783
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from pooled separate accounts2019-12-31$579,277
Net investment gain/loss from pooled separate accounts2019-12-31$579,277
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$19,544
Contributions received in cash from employer2019-12-31$19,544
Employer contributions (assets) at end of year2019-12-31$25,800
Employer contributions (assets) at beginning of year2019-12-31$4,027
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$415,760
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$415,760
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31A.C. EVANS LLC
Accountancy firm EIN2019-12-31263421158
2018 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$58,766
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$462,274
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$459,482
Expenses. Certain deemed distributions of participant loans2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$225,208
Value of total assets at end of year2018-12-31$2,705,912
Value of total assets at beginning of year2018-12-31$3,109,420
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,792
Total interest from all sources2018-12-31$3,414
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$250,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$176,220
Participant contributions at end of year2018-12-31$15,478
Participant contributions at beginning of year2018-12-31$15,241
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,366
Other income not declared elsewhere2018-12-31$0
Administrative expenses (other) incurred2018-12-31$2,792
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-403,508
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,705,912
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,109,420
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,386,594
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,689,615
Interest on participant loans2018-12-31$0
Interest earned on other investments2018-12-31$3,414
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$3,414
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$299,783
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$400,411
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from pooled separate accounts2018-12-31$-169,856
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$47,622
Employer contributions (assets) at end of year2018-12-31$4,057
Employer contributions (assets) at beginning of year2018-12-31$4,153
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$459,482
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31SEAVER & FORCK CPAS
Accountancy firm EIN2018-12-31261136632
2017 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$642,464
Total of all expenses incurred2017-12-31$259,511
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$256,475
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$239,106
Value of total assets at end of year2017-12-31$3,109,420
Value of total assets at beginning of year2017-12-31$2,726,467
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,036
Total interest from all sources2017-12-31$3,884
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$250,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$183,271
Participant contributions at end of year2017-12-31$15,241
Participant contributions at beginning of year2017-12-31$15,734
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$4,824
Administrative expenses (other) incurred2017-12-31$3,036
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$382,953
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,109,420
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,726,467
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,689,615
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,312,271
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3,884
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$400,411
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$393,922
Net investment gain/loss from pooled separate accounts2017-12-31$399,474
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$51,011
Employer contributions (assets) at end of year2017-12-31$4,153
Employer contributions (assets) at beginning of year2017-12-31$4,540
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$256,475
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31SEAVER & FORCK CPAS
Accountancy firm EIN2017-12-31261136632
2016 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$448,994
Total of all expenses incurred2016-12-31$199,845
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$196,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$263,051
Value of total assets at end of year2016-12-31$2,726,467
Value of total assets at beginning of year2016-12-31$2,477,318
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,253
Total interest from all sources2016-12-31$3,873
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$250,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$200,229
Participant contributions at end of year2016-12-31$15,734
Participant contributions at beginning of year2016-12-31$18,581
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$5,313
Administrative expenses (other) incurred2016-12-31$3,253
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$249,149
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,726,467
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,477,318
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,312,271
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,066,339
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$3,873
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$393,922
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$387,418
Net investment gain/loss from pooled separate accounts2016-12-31$182,070
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$57,509
Employer contributions (assets) at end of year2016-12-31$4,540
Employer contributions (assets) at beginning of year2016-12-31$4,980
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$196,592
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31SEAVER & FORCK CPAS
Accountancy firm EIN2016-12-31261136632
2015 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$297,466
Total of all expenses incurred2015-12-31$559,708
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$555,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$283,064
Value of total assets at end of year2015-12-31$2,477,318
Value of total assets at beginning of year2015-12-31$2,739,560
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,109
Total interest from all sources2015-12-31$3,239
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$200,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$210,887
Participant contributions at end of year2015-12-31$18,581
Participant contributions at beginning of year2015-12-31$9,381
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$11,817
Administrative expenses (other) incurred2015-12-31$4,109
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-262,242
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,477,318
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,739,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,066,339
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,388,520
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$3,239
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$387,418
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$339,086
Net investment gain/loss from pooled separate accounts2015-12-31$11,163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$60,360
Employer contributions (assets) at end of year2015-12-31$4,980
Employer contributions (assets) at beginning of year2015-12-31$2,573
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$555,599
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31SEAVER & FORCK CPAS
Accountancy firm EIN2015-12-31261136632
2014 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$498,718
Total of all expenses incurred2014-12-31$234,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$229,886
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$333,680
Value of total assets at end of year2014-12-31$2,739,560
Value of total assets at beginning of year2014-12-31$2,474,947
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$4,219
Total interest from all sources2014-12-31$3,362
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$200,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$237,490
Participant contributions at end of year2014-12-31$9,381
Participant contributions at beginning of year2014-12-31$9,637
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$32,460
Administrative expenses (other) incurred2014-12-31$4,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$264,613
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,739,560
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,474,947
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$2,388,520
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,135,252
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$3,362
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$339,086
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$328,018
Net investment gain/loss from pooled separate accounts2014-12-31$161,676
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$63,730
Employer contributions (assets) at end of year2014-12-31$2,573
Employer contributions (assets) at beginning of year2014-12-31$2,040
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$229,886
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31SEAVER & FORCK CPAS
Accountancy firm EIN2014-12-31261136632
2013 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$710,981
Total of all expenses incurred2013-12-31$300,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$296,125
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$319,050
Value of total assets at end of year2013-12-31$2,474,947
Value of total assets at beginning of year2013-12-31$2,063,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,879
Total interest from all sources2013-12-31$4,135
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$200,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$234,354
Participant contributions at end of year2013-12-31$9,637
Participant contributions at beginning of year2013-12-31$10,221
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$24,820
Administrative expenses (other) incurred2013-12-31$3,879
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$410,977
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,474,947
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,063,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,135,252
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,528,866
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$4,135
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$328,018
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$522,793
Net investment gain/loss from pooled separate accounts2013-12-31$387,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$59,876
Employer contributions (assets) at end of year2013-12-31$2,040
Employer contributions (assets) at beginning of year2013-12-31$2,090
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$296,125
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31SEAVER & FORCK CPAS
Accountancy firm EIN2013-12-31261136632
2012 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$871,062
Total of all expenses incurred2012-12-31$327,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$323,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$708,441
Value of total assets at end of year2012-12-31$2,063,970
Value of total assets at beginning of year2012-12-31$1,520,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$3,867
Total interest from all sources2012-12-31$8,640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$200,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$320,787
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$268,331
Participant contributions at end of year2012-12-31$10,221
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$379,073
Administrative expenses (other) incurred2012-12-31$3,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$543,789
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,063,970
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,520,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,528,866
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,078,958
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$8,640
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$522,793
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$441,223
Net investment gain/loss from pooled separate accounts2012-12-31$153,981
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$61,037
Employer contributions (assets) at end of year2012-12-31$2,090
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$323,406
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31SEAVER & FORCK CPAS
Accountancy firm EIN2012-12-31261136632
2011 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$271,905
Total of all expenses incurred2011-12-31$196,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$193,751
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$293,063
Value of total assets at end of year2011-12-31$1,520,181
Value of total assets at beginning of year2011-12-31$1,445,268
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,241
Total interest from all sources2011-12-31$7,997
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$25,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$192,772
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$230,338
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$17,095
Administrative expenses (other) incurred2011-12-31$3,241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$74,913
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,520,181
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,445,268
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,078,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,132,815
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$7,997
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$441,223
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$312,453
Net investment gain/loss from pooled separate accounts2011-12-31$-29,155
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$45,630
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$193,751
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31SEAVER & FORCK CPA'S
Accountancy firm EIN2011-12-31261136632
2010 : EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$414,207
Total of all expenses incurred2010-12-31$114,625
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$111,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$264,465
Value of total assets at end of year2010-12-31$1,445,268
Value of total assets at beginning of year2010-12-31$1,145,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,119
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$192,631
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$31,572
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$299,582
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,445,268
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,145,686
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,132,815
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$809,427
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$312,453
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$336,259
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$149,742
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$40,262
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$111,506
Contract administrator fees2010-12-31$3,119
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31SEAVER & FORCK, CPAS
Accountancy firm EIN2010-12-31261136632

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC

2021: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: EMPLOYEE BENEFIT PLAN OF COMMUNITY CARE CENTERS, INC 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number909814
Policy instance 1
Insurance contract or identification number909814
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $81
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 planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Amount paid for insurance broker fees81
Additional information about fees paid to insurance brokerINCENTIVE COMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055086C
Policy instance 1
Insurance contract or identification number055086C
Number of Individuals Covered249
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $146
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 planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $0
Amount paid for insurance broker fees146
Additional information about fees paid to insurance brokerPORTION 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 number055086C
Policy instance 1
Insurance contract or identification number055086C
Number of Individuals Covered193
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $146
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 planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $0
Amount paid for insurance broker fees146
Additional information about fees paid to insurance brokerPORTION 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 number055086C
Policy instance 1
Insurance contract or identification number055086C
Number of Individuals Covered208
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $199
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 planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $0
Amount paid for insurance broker fees199
Additional information about fees paid to insurance brokerPORTION 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 number055086C
Policy instance 1
Insurance contract or identification number055086C
Number of Individuals Covered220
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $315
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 planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $0
Amount paid for insurance broker fees315
Additional information about fees paid to insurance brokerPORTION 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 number055086-C
Policy instance 1
Insurance contract or identification number055086-C
Number of Individuals Covered220
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $315
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees315
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055086-C
Policy instance 1
Insurance contract or identification number055086-C
Number of Individuals Covered252
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $840
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees840
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameMUTUAL OF AMERICA LIFE INSURANCE CO
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055086-C
Policy instance 1
Insurance contract or identification number055086-C
Number of Individuals Covered277
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $846
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees846
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameMUTUAL OF AMERICA LIFE INSURANCE CO
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055086-C
Policy instance 1
Insurance contract or identification number055086-C
Number of Individuals Covered268
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of fees paid to insurance companyUSD $1,098
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1098
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameST LOUIS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055086-C
Policy instance 1
Insurance contract or identification number055086-C
Number of Individuals Covered245
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameST LOUIS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055086-C
Policy instance 1
Insurance contract or identification number055086-C
Number of Individuals Covered245
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of fees paid to insurance companyUSD $189
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees52
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker nameRYAN GILL
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number055086-C
Policy instance 1
Insurance contract or identification number055086-C
Number of Individuals Covered227
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $359
Contracts With Unallocated Funds Deposit Administration1
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 number055086-C
Policy instance 1
Insurance contract or identification number055086-C
Number of Individuals Covered201
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of fees paid to insurance companyUSD $268
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees18
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameRALPH JOEST

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