401k Plan data: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN plan

COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 401k Plan overview

Plan Name	COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN
Plan identification number	001

COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 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

COMMUNITY BLOOD CENTERS OF THE CARO has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY BLOOD CENTERS OF THE CARO

Employer identification number (EIN): 760724244

NAIC Classification: 621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2019-01-01
001 2018-01-01 JULIA GWYNETTE
001 2017-01-01 JULIA GWYNETTE
001 2016-01-01 JULIA GWYNETTE
001 2015-01-01 JULIA GWYNETTE
001 2014-01-01 JULIA GWYNETTE
001 2013-01-01 JULIA GWYNETTE

Plan Statistics for COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN

401k plan membership statisitcs for COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN

Measure Date Value
2019: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 280
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 235
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 166
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 109
Total of all active and inactive participants 2018-01-01 276
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 276
Number of participants with account balances 2018-01-01 237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 202
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 164
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 72
Total of all active and inactive participants 2017-01-01 236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 236
Number of participants with account balances 2017-01-01 207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 167
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 35
Total of all active and inactive participants 2016-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 202
Number of participants with account balances 2016-01-01 181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 148
Number of other retired or separated participants entitled to future benefits 2015-01-01 14
Total of all active and inactive participants 2015-01-01 162
Total participants 2015-01-01 162
Number of participants with account balances 2015-01-01 74
2014: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 147
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 8
Total of all active and inactive participants 2014-01-01 155
Total participants 2014-01-01 155
Number of participants with account balances 2014-01-01 79
2013: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 133
Number of other retired or separated participants entitled to future benefits 2013-01-01 9
Total of all active and inactive participants 2013-01-01 142
Total participants 2013-01-01 142
Number of participants with account balances 2013-01-01 69

Measure	Date	Value
2019: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	280
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	235
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	166
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	109
Total of all active and inactive participants	2018-01-01	276
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	276
Number of participants with account balances	2018-01-01	237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	202
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	164
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	72
Total of all active and inactive participants	2017-01-01	236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	236
Number of participants with account balances	2017-01-01	207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	167
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	35
Total of all active and inactive participants	2016-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	202
Number of participants with account balances	2016-01-01	181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	148
Number of other retired or separated participants entitled to future benefits	2015-01-01	14
Total of all active and inactive participants	2015-01-01	162
Total participants	2015-01-01	162
Number of participants with account balances	2015-01-01	74
2014: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	147
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	8
Total of all active and inactive participants	2014-01-01	155
Total participants	2014-01-01	155
Number of participants with account balances	2014-01-01	79
2013: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	133
Number of other retired or separated participants entitled to future benefits	2013-01-01	9
Total of all active and inactive participants	2013-01-01	142
Total participants	2013-01-01	142
Number of participants with account balances	2013-01-01	69

Financial Data on COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN

Measure	Date	Value
2019 : COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-08-31	$0
Total transfer of assets from this plan	2019-08-31	$3,580,223
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-08-31	$0
Total income from all sources (including contributions)	2019-08-31	$766,884
Total loss/gain on sale of assets	2019-08-31	$0
Total of all expenses incurred	2019-08-31	$271,475
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-08-31	$268,844
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-08-31	$300,473
Value of total assets at end of year	2019-08-31	$0
Value of total assets at beginning of year	2019-08-31	$3,084,814
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-08-31	$2,631
Total interest from all sources	2019-08-31	$1,323
Total dividends received (eg from common stock, registered investment company shares)	2019-08-31	$4,883
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-08-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-08-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2019-08-31	$4,883
Administrative expenses professional fees incurred	2019-08-31	$2,631
Was this plan covered by a fidelity bond	2019-08-31	Yes
Value of fidelity bond cover	2019-08-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-08-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-08-31	No
Contributions received from participants	2019-08-31	$172,090
Participant contributions at end of year	2019-08-31	$0
Participant contributions at beginning of year	2019-08-31	$46,910
Income. Received or receivable in cash from other sources (including rollovers)	2019-08-31	$38,715
Total non interest bearing cash at end of year	2019-08-31	$0
Total non interest bearing cash at beginning of year	2019-08-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-08-31	No
Value of net income/loss	2019-08-31	$495,409
Value of net assets at end of year (total assets less liabilities)	2019-08-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-08-31	$3,084,814
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-08-31	No
Were any leases to which the plan was party in default or uncollectible	2019-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-08-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-08-31	$2,715,291
Value of interest in pooled separate accounts at end of year	2019-08-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-08-31	$213,968
Interest on participant loans	2019-08-31	$1,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-08-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-08-31	$11,199
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-08-31	$11,199
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-08-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-08-31	$97,446
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-08-31	$431,419
Net investment gain/loss from pooled separate accounts	2019-08-31	$28,786
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-08-31	No
Was there a failure to transmit to the plan any participant contributions	2019-08-31	No
Has the plan failed to provide any benefit when due under the plan	2019-08-31	No
Contributions received in cash from employer	2019-08-31	$89,668
Employer contributions (assets) at end of year	2019-08-31	$0
Employer contributions (assets) at beginning of year	2019-08-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-08-31	$268,844
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-08-31	Yes
Did the plan have assets held for investment	2019-08-31	No
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	2019-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-08-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-08-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-08-31	Disclaimer
Accountancy firm name	2019-08-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-08-31	410746749
2018 : COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$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	$554,035
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$268,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$265,096
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$764,901
Value of total assets at end of year	2018-12-31	$3,084,814
Value of total assets at beginning of year	2018-12-31	$2,799,390
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$3,515
Total interest from all sources	2018-12-31	$1,892
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$68,380
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$68,380
Administrative expenses professional fees incurred	2018-12-31	$3,515
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$280,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$344,025
Participant contributions at end of year	2018-12-31	$46,910
Participant contributions at beginning of year	2018-12-31	$25,081
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$244,740
Other income not declared elsewhere	2018-12-31	$891
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$285,424
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$3,084,814
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,799,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,715,291
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,408,059
Value of interest in pooled separate accounts at end of year	2018-12-31	$213,968
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$252,536
Interest on participant loans	2018-12-31	$1,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$11,199
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$3,094
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$3,094
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$97,446
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$109,963
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-263,091
Net investment gain/loss from pooled separate accounts	2018-12-31	$-18,938
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$176,136
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$657
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$265,096
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-12-31	410746749
2017 : COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$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	$6,294
Total income from all sources (including contributions)	2017-12-31	$982,928
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$267,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$264,872
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$580,786
Value of total assets at end of year	2017-12-31	$2,799,390
Value of total assets at beginning of year	2017-12-31	$2,090,097
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,469
Total interest from all sources	2017-12-31	$1,083
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$48,900
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$48,900
Administrative expenses professional fees incurred	2017-12-31	$2,469
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$208,400
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$360,232
Participant contributions at end of year	2017-12-31	$25,081
Participant contributions at beginning of year	2017-12-31	$20,748
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$22,722
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$6,294
Other income not declared elsewhere	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$38
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$715,587
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,799,390
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$2,083,803
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,408,059
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,612,635
Value of interest in pooled separate accounts at end of year	2017-12-31	$252,536
Interest on participant loans	2017-12-31	$1,083
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$3,094
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$2,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$2,321
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$109,963
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$454,355
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$352,159
Net investment gain/loss from pooled separate accounts	2017-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$197,832
Employer contributions (assets) at end of year	2017-12-31	$657
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$264,872
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2017-12-31	410746749
2016 : COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$6,294
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$669,424
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$466,807
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$465,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$523,898
Value of total assets at end of year	2016-12-31	$2,090,097
Value of total assets at beginning of year	2016-12-31	$1,881,186
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$1,321
Total interest from all sources	2016-12-31	$261
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$36,125
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$36,125
Administrative expenses professional fees incurred	2016-12-31	$1,321
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$188,200
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$325,021
Participant contributions at end of year	2016-12-31	$20,748
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$34,145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$6,294
Total non interest bearing cash at end of year	2016-12-31	$38
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$202,617
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$2,083,803
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,881,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,612,635
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,639,090
Interest on participant loans	2016-12-31	$261
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$2,321
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$454,355
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$242,096
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$109,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$164,732
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$465,486
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2016-12-31	410746749
2015 : COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$310,625
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$199,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$199,520
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$341,910
Value of total assets at end of year	2015-12-31	$1,881,186
Value of total assets at beginning of year	2015-12-31	$1,770,081
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$0
Total interest from all sources	2015-12-31	$5,400
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$188,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$227,700
Other income not declared elsewhere	2015-12-31	$-361
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$111,105
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,881,186
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,770,081
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,639,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,557,142
Interest earned on other investments	2015-12-31	$5,400
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$242,096
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$212,939
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-36,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$114,210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$199,520
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2015-12-31	410746749
2014 : COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$368,065
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$93,662
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$93,662
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$292,753
Value of total assets at end of year	2014-12-31	$1,770,081
Value of total assets at beginning of year	2014-12-31	$1,495,678
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$4,614
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$177,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$196,824
Other income not declared elsewhere	2014-12-31	$-561
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$274,403
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,770,081
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,495,678
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$1,557,142
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,248,268
Income. Interest from loans (other than to participants)	2014-12-31	$4,614
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$212,939
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$247,410
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$71,259
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$95,929
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$93,662
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2014-12-31	410746749
2013 : COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$466,659
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$62,016
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$62,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$256,362
Value of total assets at end of year	2013-12-31	$1,495,678
Value of total assets at beginning of year	2013-12-31	$1,091,035
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$5,245
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$150,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$150,577
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$22,089
Other income not declared elsewhere	2013-12-31	$922
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$404,643
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,495,678
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,091,035
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$1,248,268
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$877,315
Income. Interest from loans (other than to participants)	2013-12-31	$5,245
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$247,410
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$213,720
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$204,130
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$83,696
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$62,016
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2013-12-31	410746749

Form 5500 Responses for COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN

2019: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	Yes
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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
2017: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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: COMMUNITY BLOOD CENTERS OF THE CAROLINAS 403B PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

66324

Policy instance

Insurance contract or identification number	66324
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-08-31
Total amount of commissions paid to insurance broker	USD $0
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	1
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

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

Policy contract number

66324

Policy instance

Insurance contract or identification number	66324
Number of Individuals Covered	30
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
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

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

Policy contract number

66324

Policy instance

Insurance contract or identification number	66324
Number of Individuals Covered	32
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
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

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

Policy contract number

66324

Policy instance

Insurance contract or identification number	66324
Number of Individuals Covered	74
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,438
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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	1
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 $1,421
Insurance broker organization code?	3
Insurance broker name	SCHULTZ, MICHAEL J

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

Policy contract number

66324

Policy instance

Insurance contract or identification number	66324
Number of Individuals Covered	79
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,340
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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	1
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 $3,940
Insurance broker organization code?	3
Insurance broker name	SCHULTZ, MICHAEL J

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

Policy contract number

66324

Policy instance

Insurance contract or identification number	66324
Number of Individuals Covered	69
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,736
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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	1
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 $3,351
Insurance broker organization code?	3
Insurance broker name	PHILBRICK, RONALD

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Company Name:	COMMUNITY BLOOD CENTERS OF THE CARO
Employer identification number (EIN):	760724244
NAIC Classification:	621900