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TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 401k Plan overview

Plan NameTAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC.
Plan identification number 001

TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CAROLINA HEALTH CENTERS, INC has sponsored the creation of one or more 401k plans.

Company Name:CAROLINA HEALTH CENTERS, INC
Employer identification number (EIN):570650154
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01KIMBERLY ANDERSON
0012023-01-01
0012023-01-01KIMBERLY ANDERSON
0012021-01-01
0012021-01-01KIMBERLY ANDERSON
0012020-01-01
0012019-01-01
0012018-01-01KIMBERLY ANDERSON KIMBERLY ANDERSON2019-05-15
0012017-01-01KIMBERLY ANDERSON KIMBERLY ANDERSON2018-07-25

Financial Data on TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC.

Measure Date Value
2023 : TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$3,525,552
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$578,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$568,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,529,353
Value of total assets at end of year2023-12-31$14,945,769
Value of total assets at beginning of year2023-12-31$11,998,590
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$10,057
Total interest from all sources2023-12-31$37,828
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$187,914
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$187,914
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$1,071,416
Participant contributions at end of year2023-12-31$447,954
Participant contributions at beginning of year2023-12-31$314,157
Participant contributions at end of year2023-12-31$68
Assets. Other investments not covered elsewhere at end of year2023-12-31$302,433
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$259,321
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$162,960
Other income not declared elsewhere2023-12-31$43,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$2,947,179
Value of net assets at end of year (total assets less liabilities)2023-12-31$14,945,769
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$11,998,590
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$13,554,792
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$10,992,209
Interest on participant loans2023-12-31$32,481
Interest earned on other investments2023-12-31$5,347
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$639,536
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$432,903
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$1,727,428
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$294,977
Employer contributions (assets) at end of year2023-12-31$986
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$568,316
Contract administrator fees2023-12-31$10,057
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Disclaimer
Accountancy firm name2023-12-31LOVE BAILEY & ASSOCIATES
Accountancy firm EIN2023-12-31274292646
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$3,525,552
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$578,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$568,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$1,529,353
Value of total assets at end of year2023-01-01$14,945,769
Value of total assets at beginning of year2023-01-01$11,998,590
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$10,057
Total interest from all sources2023-01-01$37,828
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$187,914
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$187,914
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$1,071,416
Participant contributions at end of year2023-01-01$447,954
Participant contributions at beginning of year2023-01-01$314,157
Participant contributions at end of year2023-01-01$68
Assets. Other investments not covered elsewhere at end of year2023-01-01$302,433
Assets. Other investments not covered elsewhere at beginning of year2023-01-01$259,321
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$162,960
Other income not declared elsewhere2023-01-01$43,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$2,947,179
Value of net assets at end of year (total assets less liabilities)2023-01-01$14,945,769
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$11,998,590
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$13,554,792
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$10,992,209
Interest on participant loans2023-01-01$32,481
Interest earned on other investments2023-01-01$5,347
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$639,536
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$432,903
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$1,727,428
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01Yes
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$294,977
Employer contributions (assets) at end of year2023-01-01$986
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$568,316
Contract administrator fees2023-01-01$10,057
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-013
Accountancy firm name2023-01-01LOVE BAILEY & ASSOCIATES
Accountancy firm EIN2023-01-01274292646
2022 : TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$-1,035,901
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$390,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$329,330
Expenses. Certain deemed distributions of participant loans2022-01-01$3,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,329,206
Value of total assets at end of year2022-01-01$11,998,590
Value of total assets at beginning of year2022-01-01$13,425,375
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$57,875
Total interest from all sources2022-01-01$16,243
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$138,945
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$138,945
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$999,143
Participant contributions at end of year2022-01-01$314,157
Participant contributions at beginning of year2022-01-01$213,630
Assets. Other investments not covered elsewhere at end of year2022-01-01$259,321
Assets. Other investments not covered elsewhere at beginning of year2022-01-01$308,938
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$50,452
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-01-01$1,265
Other income not declared elsewhere2022-01-01$36
Administrative expenses (other) incurred2022-01-01$49,617
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-1,426,785
Value of net assets at end of year (total assets less liabilities)2022-01-01$11,998,590
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$13,425,375
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$10,992,209
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$12,512,349
Interest on participant loans2022-01-01$12,460
Interest earned on other investments2022-01-01$3,783
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$432,903
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$390,458
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-2,520,331
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01Yes
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$279,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$328,065
Contract administrator fees2022-01-01$8,258
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-012
Accountancy firm name2022-01-01LOVE BAILEY & ASSOCIATES
2021 : TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$1,939
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$2,919,805
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$607,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$600,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,322,879
Value of total assets at end of year2021-12-31$13,425,370
Value of total assets at beginning of year2021-12-31$11,111,214
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$6,888
Total interest from all sources2021-12-31$13,104
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$186,573
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$186,573
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
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$980,053
Participant contributions at end of year2021-12-31$213,630
Participant contributions at beginning of year2021-12-31$229,766
Assets. Other investments not covered elsewhere at end of year2021-12-31$308,933
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$275,490
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$70,704
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$45,814
Other income not declared elsewhere2021-12-31$33,306
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$2,312,217
Value of net assets at end of year (total assets less liabilities)2021-12-31$13,425,370
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$11,111,214
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$12,512,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$10,248,040
Interest on participant loans2021-12-31$9,722
Interest earned on other investments2021-12-31$3,382
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$390,458
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$357,918
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$3,878
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,363,943
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 contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$272,122
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$551,008
Contract administrator fees2021-12-31$6,888
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
Accountancy firm name2021-12-31LOVE BAILEY & ASSOCIATES
Accountancy firm EIN2021-12-31274292646
2020 : TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$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
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,571,559
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$653,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$646,807
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Value of total corrective distributions2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,102,520
Value of total assets at end of year2020-12-31$11,111,214
Value of total assets at beginning of year2020-12-31$9,192,939
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$6,477
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$15,799
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$106,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$106,910
Administrative expenses professional fees incurred2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
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
Amount of non-exempt transactions with any party-in-interest2020-12-31$0
Contributions received from participants2020-12-31$848,070
Participant contributions at end of year2020-12-31$229,766
Participant contributions at beginning of year2020-12-31$194,932
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Assets. Other investments not covered elsewhere at end of year2020-12-31$275,490
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$245,698
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$66,092
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$94
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$30,905
Administrative expenses (other) incurred2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
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
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$1,918,275
Value of net assets at end of year (total assets less liabilities)2020-12-31$11,111,214
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,192,939
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2020-12-31$0
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2020-12-31$0
Investment advisory and management fees2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$10,248,040
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$8,539,811
Interest on participant loans2020-12-31$10,733
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$5,066
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$357,918
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$212,498
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,315,425
Net investment gain/loss from pooled separate accounts2020-12-31$0
Net investment gain or loss from common/collective trusts2020-12-31$0
Net gain/loss from 103.12 investment entities2020-12-31$0
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 contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$188,358
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$646,713
Contract administrator fees2020-12-31$6,477
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
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
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31LOVE BAILEY & ASSOCIATES
Accountancy firm EIN2020-12-31274292646
2019 : TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$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 income from all sources (including contributions)2019-12-31$2,906,678
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,267,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,260,896
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Value of total corrective distributions2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,264,539
Value of total assets at end of year2019-12-31$8,947,241
Value of total assets at beginning of year2019-12-31$7,308,025
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$6,566
Total income from rents2019-12-31$0
Total interest from all sources2019-12-31$11,796
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$108,399
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$108,399
Administrative expenses professional fees incurred2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
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
Amount of non-exempt transactions with any party-in-interest2019-12-31$0
Contributions received from participants2019-12-31$787,720
Participant contributions at end of year2019-12-31$194,932
Participant contributions at beginning of year2019-12-31$146,361
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$321,445
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$286
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Other income not declared elsewhere2019-12-31$5
Administrative expenses (other) incurred2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
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$1,639,216
Value of net assets at end of year (total assets less liabilities)2019-12-31$8,947,241
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,308,025
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2019-12-31$0
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2019-12-31$0
Investment advisory and management fees2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,539,811
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$7,087,428
Interest on participant loans2019-12-31$10,204
Income. Interest from loans (other than to participants)2019-12-31$0
Interest earned on other investments2019-12-31$1,592
Income. Interest from US Government securities2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$212,498
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$74,236
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,521,939
Net investment gain/loss from pooled separate accounts2019-12-31$0
Net investment gain or loss from common/collective trusts2019-12-31$0
Net gain/loss from 103.12 investment entities2019-12-31$0
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 contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$155,374
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Income. Dividends from preferred stock2019-12-31$0
Income. Dividends from common stock2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,260,610
Contract administrator fees2019-12-31$6,566
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
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
Accountancy firm name2019-12-31LOVE BAILEY & ASSOCIATES, LLC
Accountancy firm EIN2019-12-31274292646
2018 : TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$0
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets to this plan2018-12-31$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$501,673
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$553,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$550,010
Expenses. Certain deemed distributions of participant loans2018-12-31$0
Value of total corrective distributions2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$955,994
Value of total assets at end of year2018-12-31$7,308,025
Value of total assets at beginning of year2018-12-31$7,359,999
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,637
Total income from rents2018-12-31$0
Total interest from all sources2018-12-31$6,899
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$104,307
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$104,307
Administrative expenses professional fees incurred2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Amount of non-exempt transactions with any party-in-interest2018-12-31$0
Contributions received from participants2018-12-31$736,111
Participant contributions at end of year2018-12-31$146,361
Participant contributions at beginning of year2018-12-31$75,715
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$8,163
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Other income not declared elsewhere2018-12-31$6
Administrative expenses (other) incurred2018-12-31$0
Liabilities. Value of operating payables at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-51,974
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,308,025
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,359,999
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2018-12-31$0
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2018-12-31$0
Investment advisory and management fees2018-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$7,087,428
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$7,227,030
Interest on participant loans2018-12-31$6,208
Income. Interest from loans (other than to participants)2018-12-31$0
Interest earned on other investments2018-12-31$691
Income. Interest from US Government securities2018-12-31$0
Income. Interest from corporate debt instruments2018-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$74,236
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$57,254
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-565,533
Net investment gain/loss from pooled separate accounts2018-12-31$0
Net investment gain or loss from common/collective trusts2018-12-31$0
Net gain/loss from 103.12 investment entities2018-12-31$0
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 contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$211,720
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$0
Income. Dividends from preferred stock2018-12-31$0
Income. Dividends from common stock2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$550,010
Contract administrator fees2018-12-31$3,637
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$0
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
Aggregate proceeds on sale of assets2018-12-31$0
Aggregate carrying amount (costs) on sale of assets2018-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Qualified
Accountancy firm name2018-12-31LOVE BAILEY & ASSOCIATES, LLC
Accountancy firm EIN2018-12-31274292646
2017 : TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$0
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,974,892
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$730,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$725,924
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Value of total corrective distributions2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$879,637
Value of total assets at end of year2017-12-31$7,359,999
Value of total assets at beginning of year2017-12-31$6,115,539
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$4,508
Total income from rents2017-12-31$0
Total interest from all sources2017-12-31$4,122
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$99,307
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$99,307
Administrative expenses professional fees incurred2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Amount of non-exempt transactions with any party-in-interest2017-12-31$0
Contributions received from participants2017-12-31$655,474
Participant contributions at end of year2017-12-31$75,715
Participant contributions at beginning of year2017-12-31$57,548
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$21,340
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$29,215
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$1,948
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$1,901
Administrative expenses (other) incurred2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$0
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$1,244,460
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,359,999
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,115,539
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2017-12-31$0
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2017-12-31$0
Investment advisory and management fees2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$7,227,030
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,825,336
Interest on participant loans2017-12-31$2,779
Income. Interest from loans (other than to participants)2017-12-31$0
Interest earned on other investments2017-12-31$1,343
Income. Interest from US Government securities2017-12-31$0
Income. Interest from corporate debt instruments2017-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$57,254
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$204,926
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$989,925
Net investment gain/loss from pooled separate accounts2017-12-31$0
Net investment gain or loss from common/collective trusts2017-12-31$0
Net gain/loss from 103.12 investment entities2017-12-31$0
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$194,948
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$6,389
Income. Dividends from preferred stock2017-12-31$0
Income. Dividends from common stock2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$723,976
Contract administrator fees2017-12-31$4,508
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
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
Aggregate proceeds on sale of assets2017-12-31$0
Aggregate carrying amount (costs) on sale of assets2017-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$0
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 name2017-12-31ELLIOTT DAVIS, LLC
Accountancy firm EIN2017-12-31570381582

Form 5500 Responses for TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC.

2023: TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2021: TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: TAX DEFERRED ANNUITY PLAN FOR EMPLOYEES OF CAROLINA HEALTH CENTERS, INC. 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered359
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,080
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1

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