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BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 401k Plan overview

Plan NameBOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN
Plan identification number 002

BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX has sponsored the creation of one or more 401k plans.

Company Name:BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX
Employer identification number (EIN):860107639
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022019-01-01
0022018-01-01DALE WANEK
0022017-01-01DALE WANEK
0022016-01-01DALE WANEK
0022015-01-01DALE WANEK
0022014-01-01DALE WANEK
0022013-01-01DALE WANEK
0022012-01-01DALE WANEK

Plan Statistics for BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN

401k plan membership statisitcs for BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN

Measure Date Value
2019: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01206
Total number of active participants reported on line 7a of the Form 55002019-01-01217
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0116
Total of all active and inactive participants2019-01-01233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01233
Number of participants with account balances2019-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01195
Total number of active participants reported on line 7a of the Form 55002018-01-01192
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0114
Total of all active and inactive participants2018-01-01206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01206
Number of participants with account balances2018-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01200
Total number of active participants reported on line 7a of the Form 55002017-01-01181
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0111
Total of all active and inactive participants2017-01-01192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01192
Number of participants with account balances2017-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01230
Total number of active participants reported on line 7a of the Form 55002016-01-01190
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0110
Total of all active and inactive participants2016-01-01200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01200
Number of participants with account balances2016-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01186
Total number of active participants reported on line 7a of the Form 55002015-01-01202
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-017
Total of all active and inactive participants2015-01-01209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01209
Number of participants with account balances2015-01-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01176
Total number of active participants reported on line 7a of the Form 55002014-01-01178
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-015
Total of all active and inactive participants2014-01-01183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01183
Number of participants with account balances2014-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01190
Total number of active participants reported on line 7a of the Form 55002013-01-01169
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-01173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01173
Number of participants with account balances2013-01-0141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01165
Total number of active participants reported on line 7a of the Form 55002012-01-01160
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-017
Total of all active and inactive participants2012-01-01167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01167
Number of participants with account balances2012-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN

Measure Date Value
2019 : BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$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$535,542
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$135,958
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$128,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$268,357
Value of total assets at end of year2019-12-31$1,552,261
Value of total assets at beginning of year2019-12-31$1,152,677
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$7,423
Total interest from all sources2019-12-31$329
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$300,000
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
Contributions received from participants2019-12-31$114,724
Participant contributions at end of year2019-12-31$4,262
Participant contributions at beginning of year2019-12-31$0
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$153,633
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 end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) 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$399,584
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,552,261
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,152,677
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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$4,101
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,542,242
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,145,362
Value of interest in pooled separate accounts at end of year2019-12-31$155
Value of interest in pooled separate accounts at beginning of year2019-12-31$147
Interest on participant loans2019-12-31$94
Interest earned on other investments2019-12-31$235
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$5,602
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$7,168
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$266,848
Net investment gain/loss from pooled separate accounts2019-12-31$8
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 contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$128,535
Contract administrator fees2019-12-31$3,322
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
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 name2019-12-31KIMBERLIN COMPANY, PLLC
Accountancy firm EIN2019-12-31455497718
2018 : BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$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$54,555
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$91,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$84,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$136,522
Value of total assets at end of year2018-12-31$1,152,677
Value of total assets at beginning of year2018-12-31$1,189,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$6,751
Total interest from all sources2018-12-31$243
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$300,000
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
Contributions received from participants2018-12-31$136,522
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$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 end of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) 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$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-36,519
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,152,677
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,189,196
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
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$3,824
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,145,362
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,181,577
Value of interest in pooled separate accounts at end of year2018-12-31$147
Value of interest in pooled separate accounts at beginning of year2018-12-31$140
Interest earned on other investments2018-12-31$243
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$7,168
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$7,479
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-82,217
Net investment gain/loss from pooled separate accounts2018-12-31$7
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$84,323
Contract administrator fees2018-12-31$2,927
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31KIMBERLIN COMPANY, PLLC
Accountancy firm EIN2018-12-31455497718
2017 : BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$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$336,650
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$802,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$794,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$118,725
Value of total assets at end of year2017-12-31$1,189,196
Value of total assets at beginning of year2017-12-31$1,654,952
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$8,083
Total interest from all sources2017-12-31$243
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$300,000
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
Contributions received from participants2017-12-31$118,725
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$0
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 end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) 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$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-465,756
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,189,196
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,654,952
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
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$4,254
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,181,577
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,647,582
Value of interest in pooled separate accounts at end of year2017-12-31$140
Value of interest in pooled separate accounts at beginning of year2017-12-31$134
Interest earned on other investments2017-12-31$243
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$7,479
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$7,236
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$217,676
Net investment gain/loss from pooled separate accounts2017-12-31$6
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 contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$794,323
Contract administrator fees2017-12-31$3,829
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
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 name2017-12-31KIMBERLIN COMPANY, PLLC
Accountancy firm EIN2017-12-31455497718
2016 : BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
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$281,547
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$272,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$263,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$150,736
Value of total assets at end of year2016-12-31$1,654,952
Value of total assets at beginning of year2016-12-31$1,646,069
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$8,966
Total interest from all sources2016-12-31$269
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$300,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$150,736
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$8,883
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,654,952
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,646,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$5,231
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,647,582
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,638,974
Value of interest in pooled separate accounts at end of year2016-12-31$134
Value of interest in pooled separate accounts at beginning of year2016-12-31$127
Interest earned on other investments2016-12-31$269
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$7,236
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$6,968
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$130,536
Net investment gain/loss from pooled separate accounts2016-12-31$6
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$263,698
Contract administrator fees2016-12-31$3,735
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31KIMBERLIN COMPANY, PLLC
Accountancy firm EIN2016-12-31455497718
2015 : BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$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$147,075
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$286,300
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$275,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$173,255
Value of total assets at end of year2015-12-31$1,646,069
Value of total assets at beginning of year2015-12-31$1,785,294
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$11,234
Total interest from all sources2015-12-31$222
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 year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$300,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$154,587
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$18,668
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-139,225
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,646,069
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,785,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$7,296
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,638,974
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,778,431
Value of interest in pooled separate accounts at end of year2015-12-31$127
Value of interest in pooled separate accounts at beginning of year2015-12-31$118
Interest earned on other investments2015-12-31$222
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$6,968
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$6,745
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-26,412
Net investment gain/loss from pooled separate accounts2015-12-31$10
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$275,066
Contract administrator fees2015-12-31$3,938
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31RUSS KIMBERLIN, CPA PLLC
Accountancy firm EIN2015-12-31455497718
2014 : BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$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$4,760
Total income from all sources (including contributions)2014-12-31$252,831
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$35,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$23,614
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$135,839
Value of total assets at end of year2014-12-31$1,785,294
Value of total assets at beginning of year2014-12-31$1,572,888
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$12,051
Total interest from all sources2014-12-31$228
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$300,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$135,839
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$4,761
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$4,760
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$4,760
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$217,166
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,785,294
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,568,128
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$7,989
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,778,431
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,556,745
Value of interest in pooled separate accounts at end of year2014-12-31$118
Value of interest in pooled separate accounts at beginning of year2014-12-31$105
Interest earned on other investments2014-12-31$228
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$6,745
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$6,517
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$116,751
Net investment gain/loss from pooled separate accounts2014-12-31$13
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$23,614
Contract administrator fees2014-12-31$4,062
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31RUSS KIMBERLIN, CPA PLLC
Accountancy firm EIN2014-12-31455497718
2013 : BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$4,760
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$390,237
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$31,485
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$21,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$129,168
Value of total assets at end of year2013-12-31$1,572,888
Value of total assets at beginning of year2013-12-31$1,209,376
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$9,524
Total interest from all sources2013-12-31$236
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$300,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$129,168
Participant contributions at end of year2013-12-31$4,761
Participant contributions at beginning of year2013-12-31$5,010
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$13,889
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$4,760
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Total non interest bearing cash at end of year2013-12-31$4,760
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$358,752
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,568,128
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,209,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$6,326
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,556,745
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,182,055
Value of interest in pooled separate accounts at end of year2013-12-31$105
Value of interest in pooled separate accounts at beginning of year2013-12-31$947
Interest earned on other investments2013-12-31$236
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$6,517
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$7,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$260,808
Net investment gain/loss from pooled separate accounts2013-12-31$25
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$21,961
Contract administrator fees2013-12-31$3,198
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31RUSS KIMBERLIN, CPA PLLC
Accountancy firm EIN2013-12-31455497718
2012 : BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$326,428
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$56,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$54,630
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$223,721
Value of total assets at end of year2012-12-31$1,209,376
Value of total assets at beginning of year2012-12-31$939,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,288
Total interest from all sources2012-12-31$5,803
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$180,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$98,403
Participant contributions at end of year2012-12-31$5,010
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$125,318
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$13,889
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Administrative expenses (other) incurred2012-12-31$30
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$269,510
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,209,376
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$939,866
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$1,661
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,182,055
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$658,240
Value of interest in pooled separate accounts at end of year2012-12-31$947
Value of interest in pooled separate accounts at beginning of year2012-12-31$32,597
Interest earned on other investments2012-12-31$5,803
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$7,475
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$249,029
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$94,457
Net investment gain/loss from pooled separate accounts2012-12-31$2,447
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$54,630
Contract administrator fees2012-12-31$597
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31RUSS KIMBERLIN, CPA PLLC
Accountancy firm EIN2012-12-31455497718

Form 5500 Responses for BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN

2019: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
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: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
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: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
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
2016: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BOYS & GIRLS CLUBS OF METROPOLITAN PHOENIX 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number358780
Policy instance 1
Insurance contract or identification number358780
Number of Individuals Covered5
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number358780
Policy instance 1
Insurance contract or identification number358780
Number of Individuals Covered6
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number358780
Policy instance 1
Insurance contract or identification number358780
Number of Individuals Covered6
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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

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