401k Plan data: TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. plan

TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 401k Plan overview

Plan Name	TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC.
Plan identification number	001

TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

THE FAMILY HEALTH CENTERS OF GEORGIA, has sponsored the creation of one or more 401k plans.

Company Name: THE FAMILY HEALTH CENTERS OF GEORGIA,

Employer identification number (EIN): 581233448

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 WILLIAM T BLEDSOE 2024-10-14
001 2022-01-01 WILLIAM T BLEDSOE 2023-10-13
001 2021-01-01 WILLIAM T BLEDSOE 2022-10-12
001 2020-01-01 WILLIAM T BLEDSOE 2021-09-30
001 2019-01-01 WILLIAM T BLEDSOE 2020-10-14
001 2018-01-01 WILLIAM T BLEDSOE 2019-10-11
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 WILLIAM T BLEDSOE 2013-10-14
001 2011-01-01 WILLIAM T BLEDSOE 2012-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2023-01-01	WILLIAM T BLEDSOE	2024-10-14
001	2022-01-01	WILLIAM T BLEDSOE	2023-10-13
001	2021-01-01	WILLIAM T BLEDSOE	2022-10-12
001	2020-01-01	WILLIAM T BLEDSOE	2021-09-30
001	2019-01-01	WILLIAM T BLEDSOE	2020-10-14
001	2018-01-01	WILLIAM T BLEDSOE	2019-10-11
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	WILLIAM T BLEDSOE	2013-10-14
001	2011-01-01	WILLIAM T BLEDSOE	2012-10-15

Financial Data on TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC.

Measure	Date	Value
2023 : TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2023 401k financial data
Total income from all sources	2023-12-31	$730,028
Expenses. Total of all expenses incurred	2023-12-31	$64,016
Benefits paid (including direct rollovers)	2023-12-31	$59,167
Total plan assets at end of year	2023-12-31	$3,681,934
Total plan assets at beginning of year	2023-12-31	$3,015,922
Total contributions received or receivable from participants	2023-12-31	$350,888
Other income received	2023-12-31	$379,140
Net income (gross income less expenses)	2023-12-31	$666,012
Net plan assets at end of year (total assets less liabilities)	2023-12-31	$3,681,934
Net plan assets at beginning of year (total assets less liabilities)	2023-12-31	$3,015,922
Assets. Value of participant loans	2023-12-31	$80,570
Expenses. Administrative service providers (salaries,fees and commissions)	2023-12-31	$4,849
2022 : TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2022 401k financial data
Total income from all sources	2022-12-31	$-93,624
Expenses. Total of all expenses incurred	2022-12-31	$278,784
Benefits paid (including direct rollovers)	2022-12-31	$274,015
Total plan assets at end of year	2022-12-31	$3,015,922
Total plan assets at beginning of year	2022-12-31	$3,388,330
Total contributions received or receivable from participants	2022-12-31	$290,595
Other income received	2022-12-31	$-384,219
Net income (gross income less expenses)	2022-12-31	$-372,408
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$3,015,922
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$3,388,330
Assets. Value of participant loans	2022-12-31	$90,118
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$4,769
2021 : TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2021 401k financial data
Total income from all sources	2021-12-31	$589,931
Expenses. Total of all expenses incurred	2021-12-31	$177,062
Benefits paid (including direct rollovers)	2021-12-31	$171,919
Total plan assets at end of year	2021-12-31	$3,388,330
Total plan assets at beginning of year	2021-12-31	$2,975,461
Total contributions received or receivable from participants	2021-12-31	$283,556
Other income received	2021-12-31	$306,375
Net income (gross income less expenses)	2021-12-31	$412,869
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$3,388,330
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$2,975,461
Assets. Value of participant loans	2021-12-31	$118,161
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$5,143
2020 : TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2020 401k financial data
Total income from all sources	2020-12-31	$509,066
Expenses. Total of all expenses incurred	2020-12-31	$106,875
Benefits paid (including direct rollovers)	2020-12-31	$102,481
Total plan assets at end of year	2020-12-31	$2,975,461
Total plan assets at beginning of year	2020-12-31	$2,573,270
Total contributions received or receivable from participants	2020-12-31	$271,613
Other income received	2020-12-31	$237,453
Net income (gross income less expenses)	2020-12-31	$402,191
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$2,975,461
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$2,573,270
Assets. Value of participant loans	2020-12-31	$114,430
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$4,394
2019 : TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2019 401k financial data
Total income from all sources	2019-12-31	$571,571
Expenses. Total of all expenses incurred	2019-12-31	$163,411
Benefits paid (including direct rollovers)	2019-12-31	$159,234
Total plan assets at end of year	2019-12-31	$2,573,270
Total plan assets at beginning of year	2019-12-31	$2,165,110
Total contributions received or receivable from participants	2019-12-31	$280,733
Other income received	2019-12-31	$290,838
Net income (gross income less expenses)	2019-12-31	$408,160
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,573,270
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,165,110
Assets. Value of participant loans	2019-12-31	$106,104
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$4,177
2018 : TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2018 401k financial data
Total income from all sources	2018-12-31	$164,004
Expenses. Total of all expenses incurred	2018-12-31	$176,074
Benefits paid (including direct rollovers)	2018-12-31	$171,736
Total plan assets at end of year	2018-12-31	$2,165,110
Total plan assets at beginning of year	2018-12-31	$2,177,180
Total contributions received or receivable from participants	2018-12-31	$255,041
Other income received	2018-12-31	$-91,037
Net income (gross income less expenses)	2018-12-31	$-12,070
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,165,110
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,177,180
Assets. Value of participant loans	2018-12-31	$82,594
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$4,338
2017 : TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2017 401k financial data
Total income from all sources	2017-12-31	$493,317
Expenses. Total of all expenses incurred	2017-12-31	$117,208
Benefits paid (including direct rollovers)	2017-12-31	$113,356
Total plan assets at end of year	2017-12-31	$2,177,180
Total plan assets at beginning of year	2017-12-31	$1,801,071
Total contributions received or receivable from participants	2017-12-31	$306,972
Other income received	2017-12-31	$186,345
Net income (gross income less expenses)	2017-12-31	$376,109
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,177,180
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,801,071
Assets. Value of participant loans	2017-12-31	$107,791
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$3,852

Form 5500 Responses for TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC.

2023: TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
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: TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
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: TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
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
2019: TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: TAX DEFERRED ANNUITY PLAN OF FAMILY HEALTH CENTERS OF GEORGIA, INC. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

60080

Policy instance

Insurance contract or identification number	60080
Number of Individuals Covered	117
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

60080

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

60080

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

60080

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

60080

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

60080

Policy instance

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

60080

Policy instance

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Company Name:	THE FAMILY HEALTH CENTERS OF GEORGIA,
Employer identification number (EIN):	581233448
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)