401k Plan data: COASTAL COMMUNITY ACTION plan

COASTAL COMMUNITY ACTION 401k Plan overview

Plan Name	COASTAL COMMUNITY ACTION
Plan identification number	508

COASTAL COMMUNITY ACTION Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

COASTAL COMMUNITY ACTION, INC. has sponsored the creation of one or more 401k plans.

Company Name: COASTAL COMMUNITY ACTION, INC.

Employer identification number (EIN): 566075606

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COASTAL COMMUNITY ACTION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
508 2018-01-01 KEITH FIASCHETTI KEITH FIASCHETTI 2019-07-25
508 2016-01-01 PAULS DICKSON PAULS DICKSON 2017-08-04
508 2015-01-01 KENNETH HUNT
508 2014-01-01 KENNETH HUNT
508 2013-01-01 KENNETH HUNT
508 2011-01-01 DAWN KOFFARNUS
508 2009-01-01 ANGELA MILLER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
508	2018-01-01	KEITH FIASCHETTI	KEITH FIASCHETTI	2019-07-25
508	2016-01-01	PAULS DICKSON	PAULS DICKSON	2017-08-04
508	2015-01-01	KENNETH HUNT
508	2014-01-01	KENNETH HUNT
508	2013-01-01	KENNETH HUNT
508	2011-01-01	DAWN KOFFARNUS
508	2009-01-01	ANGELA MILLER

Plan Statistics for COASTAL COMMUNITY ACTION

401k plan membership statisitcs for COASTAL COMMUNITY ACTION

Measure Date Value
2018: COASTAL COMMUNITY ACTION 2018 401k membership
Total participants, beginning-of-year 2018-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 204
Number of retired or separated participants receiving benefits 2018-01-01 4
Total of all active and inactive participants 2018-01-01 208
Total participants 2018-01-01 208
2016: COASTAL COMMUNITY ACTION 2016 401k membership
Total participants, beginning-of-year 2016-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 223
Total of all active and inactive participants 2016-01-01 223
Total participants 2016-01-01 223
2015: COASTAL COMMUNITY ACTION 2015 401k membership
Total participants, beginning-of-year 2015-01-01 205
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 238
Total of all active and inactive participants 2015-01-01 238
Total participants 2015-01-01 238
2014: COASTAL COMMUNITY ACTION 2014 401k membership
Total participants, beginning-of-year 2014-01-01 184
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 205
Number of retired or separated participants receiving benefits 2014-01-01 19
Total of all active and inactive participants 2014-01-01 224
Total participants 2014-01-01 224
2013: COASTAL COMMUNITY ACTION 2013 401k membership
Total participants, beginning-of-year 2013-01-01 184
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 165
Number of retired or separated participants receiving benefits 2013-01-01 19
Total of all active and inactive participants 2013-01-01 184
Total participants 2013-01-01 184
2011: COASTAL COMMUNITY ACTION 2011 401k membership
Total participants, beginning-of-year 2011-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 245
Total of all active and inactive participants 2011-01-01 245
Total participants 2011-01-01 245
2009: COASTAL COMMUNITY ACTION 2009 401k membership
Total participants, beginning-of-year 2009-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 161
Number of retired or separated participants receiving benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 165
Total participants 2009-01-01 165

Measure	Date	Value
2018: COASTAL COMMUNITY ACTION 2018 401k membership
Total participants, beginning-of-year	2018-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	204
Number of retired or separated participants receiving benefits	2018-01-01	4
Total of all active and inactive participants	2018-01-01	208
Total participants	2018-01-01	208
2016: COASTAL COMMUNITY ACTION 2016 401k membership
Total participants, beginning-of-year	2016-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	223
Total of all active and inactive participants	2016-01-01	223
Total participants	2016-01-01	223
2015: COASTAL COMMUNITY ACTION 2015 401k membership
Total participants, beginning-of-year	2015-01-01	205
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	238
Total of all active and inactive participants	2015-01-01	238
Total participants	2015-01-01	238
2014: COASTAL COMMUNITY ACTION 2014 401k membership
Total participants, beginning-of-year	2014-01-01	184
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	205
Number of retired or separated participants receiving benefits	2014-01-01	19
Total of all active and inactive participants	2014-01-01	224
Total participants	2014-01-01	224
2013: COASTAL COMMUNITY ACTION 2013 401k membership
Total participants, beginning-of-year	2013-01-01	184
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	165
Number of retired or separated participants receiving benefits	2013-01-01	19
Total of all active and inactive participants	2013-01-01	184
Total participants	2013-01-01	184
2011: COASTAL COMMUNITY ACTION 2011 401k membership
Total participants, beginning-of-year	2011-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	245
Total of all active and inactive participants	2011-01-01	245
Total participants	2011-01-01	245
2009: COASTAL COMMUNITY ACTION 2009 401k membership
Total participants, beginning-of-year	2009-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	161
Number of retired or separated participants receiving benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	165
Total participants	2009-01-01	165

Form 5500 Responses for COASTAL COMMUNITY ACTION

2018: COASTAL COMMUNITY ACTION 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2016: COASTAL COMMUNITY ACTION 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	First time form 5500 has been submitted	Yes
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: COASTAL COMMUNITY ACTION 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: COASTAL COMMUNITY ACTION 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: COASTAL COMMUNITY ACTION 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2011: COASTAL COMMUNITY ACTION 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: COASTAL COMMUNITY ACTION 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05914764
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05914764
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05914764
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00474955
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05591540
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05591540
Policy instance	1

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Company Name:	COASTAL COMMUNITY ACTION, INC.
Employer identification number (EIN):	566075606
NAIC Classification:	624100
NAIC Description:	Individual and Family Services