401k Plan data: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN plan

NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 401k Plan overview

Plan Name	NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN
Plan identification number	001

NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

NATIVE AMERICAN YOUTH AND FAMILY CENTER has sponsored the creation of one or more 401k plans.

Company Name: NATIVE AMERICAN YOUTH AND FAMILY CENTER

Employer identification number (EIN): 931141536

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Additional information about NATIVE AMERICAN YOUTH AND FAMILY CENTER

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 1994-03-02

Company Identification Number: 38826285

Legal Registered Office Address: 5135 NE COLUMBIA BLVD

PORTLAND
United States of America (USA)
97218

More information about NATIVE AMERICAN YOUTH AND FAMILY CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 KAY PEDERY 2023-10-01
001 2021-01-01 BABTIST PAUL LUMLEY 2022-10-12
001 2020-07-01 BABTIST PAUL LUMLEY 2021-10-13
001 2020-07-01 BABTIST PAUL LUMLEY 2022-10-12
001 2019-07-01 BABTIST PAUL LUMLEY 2021-04-13
001 2018-07-01 BABTIST PAUL LUMLEY 2020-04-05
001 2017-07-01 BABTIST PAUL LUMLEY 2019-04-10 BABTIST PAUL LUMLEY 2019-04-10
001 2017-07-01 BABTIST PAUL LUMLEY 2019-04-10 BABTIST PAUL LUMLEY 2019-04-10
001 2016-07-01
001 2015-07-01 REY ESPANA 2017-01-05
001 2014-07-01 MATTHEW MORTON 2015-10-26
001 2013-07-01 JAMES SMITH 2014-12-10
001 2012-07-01 LYNN WARD 2013-09-17
001 2011-07-01 LYNN WARD 2012-08-28
001 2010-07-01 LYNN WARD 2011-12-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	KAY PEDERY	2023-10-01
001	2021-01-01	BABTIST PAUL LUMLEY	2022-10-12
001	2020-07-01	BABTIST PAUL LUMLEY	2021-10-13
001	2020-07-01	BABTIST PAUL LUMLEY	2022-10-12
001	2019-07-01	BABTIST PAUL LUMLEY	2021-04-13
001	2018-07-01	BABTIST PAUL LUMLEY	2020-04-05
001	2017-07-01	BABTIST PAUL LUMLEY	2019-04-10	BABTIST PAUL LUMLEY	2019-04-10
001	2017-07-01	BABTIST PAUL LUMLEY	2019-04-10	BABTIST PAUL LUMLEY	2019-04-10
001	2016-07-01
001	2015-07-01	REY ESPANA	2017-01-05
001	2014-07-01	MATTHEW MORTON	2015-10-26
001	2013-07-01	JAMES SMITH	2014-12-10
001	2012-07-01	LYNN WARD	2013-09-17
001	2011-07-01	LYNN WARD	2012-08-28
001	2010-07-01	LYNN WARD	2011-12-19

Plan Statistics for NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN

401k plan membership statisitcs for NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN

Measure Date Value
2022: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 125
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 39
Total of all active and inactive participants 2022-01-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 164
Number of participants with account balances 2022-01-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 3
2021: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 122
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 35
Total of all active and inactive participants 2021-01-01 157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 157
Number of participants with account balances 2021-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 1
2020: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 144
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 121
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 32
Total of all active and inactive participants 2020-07-01 153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 153
Number of participants with account balances 2020-07-01 86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 1
2019: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 147
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 107
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 37
Total of all active and inactive participants 2019-07-01 144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 144
Number of participants with account balances 2019-07-01 89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 4
2018: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 154
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 111
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 36
Total of all active and inactive participants 2018-07-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 147
Number of participants with account balances 2018-07-01 84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 8
2017: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 173
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 125
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 29
Total of all active and inactive participants 2017-07-01 154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 154
Number of participants with account balances 2017-07-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 9
2016: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 137
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 147
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 26
Total of all active and inactive participants 2016-07-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 173
Number of participants with account balances 2016-07-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 8

Measure	Date	Value
2022: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	125
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	39
Total of all active and inactive participants	2022-01-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	164
Number of participants with account balances	2022-01-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	3
2021: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	122
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	35
Total of all active and inactive participants	2021-01-01	157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	157
Number of participants with account balances	2021-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	1
2020: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	144
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	121
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	32
Total of all active and inactive participants	2020-07-01	153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	153
Number of participants with account balances	2020-07-01	86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	1
2019: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	147
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	107
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	37
Total of all active and inactive participants	2019-07-01	144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	144
Number of participants with account balances	2019-07-01	89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	4
2018: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	154
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	111
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	36
Total of all active and inactive participants	2018-07-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	147
Number of participants with account balances	2018-07-01	84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	8
2017: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	173
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	125
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	29
Total of all active and inactive participants	2017-07-01	154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	154
Number of participants with account balances	2017-07-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	9
2016: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	137
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	147
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	26
Total of all active and inactive participants	2016-07-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	173
Number of participants with account balances	2016-07-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	8

Financial Data on NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN

Measure	Date	Value
2022 : NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-78,721
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$230,411
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$191,187
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$472,332
Value of total assets at end of year	2022-12-31	$2,893,730
Value of total assets at beginning of year	2022-12-31	$3,202,862
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$39,224
Total interest from all sources	2022-12-31	$486
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$86,242
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$86,242
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$263,124
Participant contributions at end of year	2022-12-31	$9,299
Participant contributions at beginning of year	2022-12-31	$6,000
Participant contributions at end of year	2022-12-31	$11,796
Participant contributions at beginning of year	2022-12-31	$10,268
Total non interest bearing cash at end of year	2022-12-31	$13,502
Total non interest bearing cash at beginning of year	2022-12-31	$4
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-309,132
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,893,730
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,202,862
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,819,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$3,175,113
Interest on participant loans	2022-12-31	$276
Interest earned on other investments	2022-12-31	$210
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$28,432
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$962
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-637,781
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$209,208
Employer contributions (assets) at end of year	2022-12-31	$11,210
Employer contributions (assets) at beginning of year	2022-12-31	$10,515
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$191,187
Contract administrator fees	2022-12-31	$39,224
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MCDONALD JACOBS
Accountancy firm EIN	2022-12-31	930900579
2021 : NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$740,061
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$90,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$51,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$362,229
Value of total assets at end of year	2021-12-31	$3,202,862
Value of total assets at beginning of year	2021-12-31	$2,553,279
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$38,715
Total interest from all sources	2021-12-31	$2,177
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$93,413
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$93,413
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$198,105
Participant contributions at end of year	2021-12-31	$6,000
Participant contributions at beginning of year	2021-12-31	$1
Participant contributions at end of year	2021-12-31	$10,268
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$5,286
Total non interest bearing cash at end of year	2021-12-31	$4
Total non interest bearing cash at beginning of year	2021-12-31	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$649,583
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,202,862
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,553,279
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$3,175,113
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,551,781
Interest on participant loans	2021-12-31	$-1
Interest earned on other investments	2021-12-31	$2,178
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$962
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,495
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$282,242
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$158,838
Employer contributions (assets) at end of year	2021-12-31	$10,515
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$51,763
Contract administrator fees	2021-12-31	$38,715
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MCDONALD JACOBS
Accountancy firm EIN	2021-12-31	930900579
2020 : NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$546,923
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$120,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$103,241
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$142,794
Value of total assets at end of year	2020-12-31	$2,553,279
Value of total assets at beginning of year	2020-12-31	$2,127,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$17,585
Total interest from all sources	2020-12-31	$20
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$48,762
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$48,762
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$82,956
Participant contributions at end of year	2020-12-31	$1
Participant contributions at beginning of year	2020-12-31	$674
Total non interest bearing cash at end of year	2020-12-31	$2
Total non interest bearing cash at beginning of year	2020-12-31	$7
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$426,097
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,553,279
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,127,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,551,781
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,124,926
Interest on participant loans	2020-12-31	$5
Interest earned on other investments	2020-12-31	$15
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,495
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,575
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$355,347
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$59,838
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$103,241
Contract administrator fees	2020-12-31	$17,585
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MCDONALD JACOBS
Accountancy firm EIN	2020-12-31	930900579
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$307,813
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$101,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$68,587
Value of total corrective distributions	2020-06-30	$1,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$263,504
Value of total assets at end of year	2020-06-30	$2,127,182
Value of total assets at beginning of year	2020-06-30	$1,921,301
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$32,121
Total interest from all sources	2020-06-30	$191
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$67,461
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$67,461
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$158,310
Participant contributions at end of year	2020-06-30	$674
Participant contributions at beginning of year	2020-06-30	$3,604
Participant contributions at beginning of year	2020-06-30	$6,565
Total non interest bearing cash at end of year	2020-06-30	$7
Total non interest bearing cash at beginning of year	2020-06-30	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$205,881
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$2,127,182
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$1,921,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$2,124,926
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$1,901,852
Interest on participant loans	2020-06-30	$119
Interest earned on other investments	2020-06-30	$72
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$1,575
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$3,206
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$-23,343
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$105,194
Employer contributions (assets) at beginning of year	2020-06-30	$6,072
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$68,587
Contract administrator fees	2020-06-30	$32,121
Did the plan have assets held for investment	2020-06-30	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	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	MCDONALD JACOBS, P.C.
Accountancy firm EIN	2020-06-30	930900579
2019 : NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$352,466
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$128,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$99,341
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$250,048
Value of total assets at end of year	2019-06-30	$1,921,301
Value of total assets at beginning of year	2019-06-30	$1,696,937
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$28,761
Total interest from all sources	2019-06-30	$751
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$64,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$143,825
Participant contributions at end of year	2019-06-30	$3,604
Participant contributions at beginning of year	2019-06-30	$2,922
Participant contributions at end of year	2019-06-30	$6,565
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$4,456
Total non interest bearing cash at end of year	2019-06-30	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$224,364
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$1,921,301
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$1,696,937
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$1,901,852
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$1,654,989
Interest on participant loans	2019-06-30	$178
Interest earned on other investments	2019-06-30	$573
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$3,206
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$36,967
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$101,667
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$101,767
Employer contributions (assets) at end of year	2019-06-30	$6,072
Employer contributions (assets) at beginning of year	2019-06-30	$2,059
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$99,341
Contract administrator fees	2019-06-30	$28,761
Did the plan have assets held for investment	2019-06-30	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	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	GARY MCGEE & CO. LLP
Accountancy firm EIN	2019-06-30	274363029
2018 : NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$372,397
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$231,262
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$203,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$232,789
Value of total assets at end of year	2018-06-30	$1,696,937
Value of total assets at beginning of year	2018-06-30	$1,555,802
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$27,582
Total interest from all sources	2018-06-30	$944
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$64,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$123,966
Participant contributions at end of year	2018-06-30	$2,922
Participant contributions at beginning of year	2018-06-30	$3,233
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$7,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$141,135
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$1,696,937
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$1,555,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$1,654,989
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$1,518,976
Interest on participant loans	2018-06-30	$144
Interest earned on other investments	2018-06-30	$800
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$36,967
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$33,593
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$138,664
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$101,604
Employer contributions (assets) at end of year	2018-06-30	$2,059
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$203,680
Contract administrator fees	2018-06-30	$27,582
Did the plan have assets held for investment	2018-06-30	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	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	GARY MCGEE & CO. LLP
Accountancy firm EIN	2018-06-30	274363029
2017 : NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$2,535
Total income from all sources (including contributions)	2017-06-30	$638,063
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$229,307
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$202,084
Value of total corrective distributions	2017-06-30	$6,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$473,022
Value of total assets at end of year	2017-06-30	$1,555,802
Value of total assets at beginning of year	2017-06-30	$1,149,581
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$20,474
Total interest from all sources	2017-06-30	$770
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$64,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$94,678
Participant contributions at end of year	2017-06-30	$3,233
Participant contributions at beginning of year	2017-06-30	$10,847
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$299,334
Total non interest bearing cash at beginning of year	2017-06-30	$2,535
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$408,756
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$1,555,802
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$1,147,046
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$1,518,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$1,085,624
Interest on participant loans	2017-06-30	$403
Interest earned on other investments	2017-06-30	$367
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$33,593
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$50,575
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$164,271
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$79,010
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$202,084
Contract administrator fees	2017-06-30	$20,474
Liabilities. Value of benefit claims payable at beginning of year	2017-06-30	$2,535
Did the plan have assets held for investment	2017-06-30	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	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	GARY MCGEE & CO.
Accountancy firm EIN	2017-06-30	274366302

Form 5500 Responses for NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN

2022: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: NATIVE AMERICAN YOUTH AND FAMILY CENTER 401(K) PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

809131

Policy instance

Insurance contract or identification number	809131
Number of Individuals Covered	164
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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	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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

809131

Policy instance

Insurance contract or identification number	809131
Number of Individuals Covered	157
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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 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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

809131

Policy instance

Insurance contract or identification number	809131
Number of Individuals Covered	153
Insurance policy start date	2020-07-01
Insurance policy end date	2020-12-31
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	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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

809131

Policy instance

Insurance contract or identification number	809131
Number of Individuals Covered	144
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

809131

Policy instance

Insurance contract or identification number	809131
Number of Individuals Covered	147
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

809131

Policy instance

Insurance contract or identification number	809131
Number of Individuals Covered	154
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
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

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Company Name:	NATIVE AMERICAN YOUTH AND FAMILY CENTER
Employer identification number (EIN):	931141536
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	1994-03-02
Company Identification Number:	38826285
Legal Registered Office Address:	5135 NE COLUMBIA BLVD PORTLAND United States of America (USA) 97218