401k Plan data: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 plan

COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 401k Plan overview

Plan Name	COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4
Plan identification number	004

COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

COMMUNITY COUNSELING CENTER has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY COUNSELING CENTER

Employer identification number (EIN): 431344414

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Additional information about COMMUNITY COUNSELING CENTER

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 1990-04-05

Company Identification Number: 19901018045

Legal Registered Office Address: 714 E SAHARA AVE STE 101

LAS VEGAS
United States of America (USA)
89104

More information about COMMUNITY COUNSELING CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2022-01-01
004 2021-01-01
004 2020-01-01
004 2020-01-01
004 2019-01-01
004 2018-01-01
004 2018-01-01
004 2017-01-01
004 2017-01-01
004 2016-01-01
004 2016-01-01
004 2015-01-01
004 2015-01-01
004 2014-01-01 LONNIE R. LUSK 2015-10-12

Plan Statistics for COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4

401k plan membership statisitcs for COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4

Measure Date Value
2022: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2022 401k membership
Total participants, beginning-of-year 2022-01-01 455
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 432
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 51
Total of all active and inactive participants 2022-01-01 483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 483
Number of participants with account balances 2022-01-01 200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 3
2021: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2021 401k membership
Total participants, beginning-of-year 2021-01-01 472
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 398
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 52
Total of all active and inactive participants 2021-01-01 450
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 450
Number of participants with account balances 2021-01-01 186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 10
2020: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2020 401k membership
Total participants, beginning-of-year 2020-01-01 470
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 433
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 39
Total of all active and inactive participants 2020-01-01 472
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 472
Number of participants with account balances 2020-01-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 6

Measure	Date	Value
2022: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2022 401k membership
Total participants, beginning-of-year	2022-01-01	455
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	432
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	51
Total of all active and inactive participants	2022-01-01	483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	483
Number of participants with account balances	2022-01-01	200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	3
2021: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2021 401k membership
Total participants, beginning-of-year	2021-01-01	472
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	398
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	52
Total of all active and inactive participants	2021-01-01	450
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	450
Number of participants with account balances	2021-01-01	186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	10
2020: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2020 401k membership
Total participants, beginning-of-year	2020-01-01	470
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	433
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	39
Total of all active and inactive participants	2020-01-01	472
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	472
Number of participants with account balances	2020-01-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	6

Financial Data on COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4

Measure	Date	Value
2022 : COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-331,253
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$811,590
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$742,065
Expenses. Certain deemed distributions of participant loans	2022-12-31	$8,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$860,752
Value of total assets at end of year	2022-12-31	$6,913,341
Value of total assets at beginning of year	2022-12-31	$8,056,184
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$60,628
Total interest from all sources	2022-12-31	$1,367
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$713,661
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$713,661
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$427,284
Participant contributions at end of year	2022-12-31	$35,119
Participant contributions at beginning of year	2022-12-31	$34,458
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$77,828
Other income not declared elsewhere	2022-12-31	$33,502
Administrative expenses (other) incurred	2022-12-31	$60,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,142,843
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$6,913,341
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$8,056,184
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$6,239,305
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$7,349,150
Interest on participant loans	2022-12-31	$1,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$882
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$882
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$638,917
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$671,694
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,940,535
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$355,640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$742,065
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	VAN DE VEN, LLC
Accountancy firm EIN	2022-12-31	201980733
2021 : COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
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	$2,069,438
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$551,961
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$482,406
Expenses. Certain deemed distributions of participant loans	2021-12-31	$4,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$842,087
Value of total assets at end of year	2021-12-31	$8,056,184
Value of total assets at beginning of year	2021-12-31	$6,538,707
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$65,542
Total interest from all sources	2021-12-31	$30,103
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$367,161
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$367,161
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$440,175
Participant contributions at end of year	2021-12-31	$34,458
Participant contributions at beginning of year	2021-12-31	$35,453
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$48,351
Other income not declared elsewhere	2021-12-31	$32,765
Administrative expenses (other) incurred	2021-12-31	$65,542
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,517,477
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$8,056,184
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$6,538,707
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$7,349,150
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$5,883,799
Interest on participant loans	2021-12-31	$1,520
Interest earned on other investments	2021-12-31	$28,583
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$882
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$882
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$882
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$671,694
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$618,573
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$797,322
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$353,561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$482,406
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	VAN DE VEN, LLC
Accountancy firm EIN	2021-12-31	201980733
2020 : COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$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	$1,732,360
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,051,736
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,008,008
Expenses. Certain deemed distributions of participant loans	2020-12-31	$27,119
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$749,266
Value of total assets at end of year	2020-12-31	$6,565,826
Value of total assets at beginning of year	2020-12-31	$5,885,202
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$43,728
Total interest from all sources	2020-12-31	$29,481
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$287,048
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$287,048
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$406,707
Participant contributions at end of year	2020-12-31	$62,572
Participant contributions at beginning of year	2020-12-31	$35,650
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$34,089
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$18,937
Other income not declared elsewhere	2020-12-31	$26,152
Administrative expenses (other) incurred	2020-12-31	$43,728
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$680,624
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$6,565,826
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$5,885,202
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$5,883,799
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,796,498
Interest on participant loans	2020-12-31	$1,612
Interest earned on other investments	2020-12-31	$27,869
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$882
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$878
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$878
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$618,573
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$996,168
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$640,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$323,622
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$21,919
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,008,008
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	VAN DE VEN, LLC
Accountancy firm EIN	2020-12-31	201980733

Form 5500 Responses for COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4

2022: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: COMMUNITY COUNSELING CENTER RETIREMENT PLAN #4 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664479

Policy instance

Insurance contract or identification number	664479
Number of Individuals Covered	198
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $12,864
Total amount of fees paid to insurance company	USD $0
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	0
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?	Yes
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 $12,221
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6828

Policy instance

Insurance contract or identification number	VF6828
Number of Individuals Covered	4
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $14
Total amount of fees paid to insurance company	USD $0
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	0
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 $12
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664479

Policy instance

Insurance contract or identification number	664479
Number of Individuals Covered	182
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,080
Total amount of fees paid to insurance company	USD $27
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	0
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?	Yes
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 $1,043
Amount paid for insurance broker fees	27
Additional information about fees paid to insurance broker	SUPPLEMENTAL CASH AND ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6828

Policy instance

Insurance contract or identification number	VF6828
Number of Individuals Covered	4
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $18
Total amount of fees paid to insurance company	USD $0
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	0
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 $15
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664479

Policy instance

Insurance contract or identification number	664479
Number of Individuals Covered	169
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $12,185
Total amount of fees paid to insurance company	USD $0
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	0
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?	Yes
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 $11,969
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6828

Policy instance

Insurance contract or identification number	VF6828
Number of Individuals Covered	5
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $8
Total amount of fees paid to insurance company	USD $0
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	0
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 $7
Insurance broker organization code?	3

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Company Name:	COMMUNITY COUNSELING CENTER
Employer identification number (EIN):	431344414
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	1990-04-05
Company Identification Number:	19901018045
Legal Registered Office Address:	714 E SAHARA AVE STE 101 LAS VEGAS United States of America (USA) 89104