401k Plan data: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL plan

403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 401k Plan overview

Plan Name	403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL
Plan identification number	002

403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL Benefits

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

401k Sponsoring company profile

CHILDREN'S HEALTH COUNCIL, INC. has sponsored the creation of one or more 401k plans.

Company Name: CHILDREN'S HEALTH COUNCIL, INC.

Employer identification number (EIN): 941312311

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2011-01-01 CAROL ROCCUZZO CAROL ROCCUZZO 2012-10-15
002 2010-01-01 CAROL ROCCUZZO CAROL ROCCUZZO 2011-10-17
002 2009-01-01 CAROL ROCCUZZO CAROL ROCCUZZO 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2011-01-01	CAROL ROCCUZZO	CAROL ROCCUZZO	2012-10-15
002	2010-01-01	CAROL ROCCUZZO	CAROL ROCCUZZO	2011-10-17
002	2009-01-01	CAROL ROCCUZZO	CAROL ROCCUZZO	2010-10-15

Plan Statistics for 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL

401k plan membership statisitcs for 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL

Measure Date Value
2011: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 49
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 67
Total of all active and inactive participants 2011-01-01 116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 118
Number of participants with account balances 2011-01-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2010 401k membership
Total participants, beginning-of-year 2010-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 48
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 62
Total of all active and inactive participants 2010-01-01 110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 1
Total participants 2010-01-01 111
Number of participants with account balances 2010-01-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 51
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 43
Total of all active and inactive participants 2009-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 94
Number of participants with account balances 2009-01-01 940
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	49
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	67
Total of all active and inactive participants	2011-01-01	116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	118
Number of participants with account balances	2011-01-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2010 401k membership
Total participants, beginning-of-year	2010-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	48
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	62
Total of all active and inactive participants	2010-01-01	110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	1
Total participants	2010-01-01	111
Number of participants with account balances	2010-01-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	51
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	43
Total of all active and inactive participants	2009-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	94
Number of participants with account balances	2009-01-01	940
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL

Measure	Date	Value
2011 : 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2011 401k financial data
Total transfer of assets to this plan	2011-12-31	$371,993
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$299,532
Total of all expenses incurred	2011-12-31	$529,166
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$527,814
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$321,424
Value of total assets at end of year	2011-12-31	$3,307,673
Value of total assets at beginning of year	2011-12-31	$3,165,314
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,352
Total interest from all sources	2011-12-31	$7,131
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$244,443
Participant contributions at end of year	2011-12-31	$1,932
Participant contributions at beginning of year	2011-12-31	$3,000
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$76,981
Administrative expenses (other) incurred	2011-12-31	$1,352
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-229,634
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,307,673
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,165,314
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,866,219
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$2,875,905
Interest on participant loans	2011-12-31	$218
Interest earned on other investments	2011-12-31	$6,913
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$439,522
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$286,409
Net investment gain/loss from pooled separate accounts	2011-12-31	$-29,023
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Assets. Invements in employer securities at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$527,814
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	FRANK, RIMERMAN & CO. LLP
Accountancy firm EIN	2011-12-31	941341042
2010 : 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$660,870
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$266,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$265,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$289,006
Value of total assets at end of year	2010-12-31	$3,165,314
Value of total assets at beginning of year	2010-12-31	$2,770,893
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,436
Total interest from all sources	2010-12-31	$7,684
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$287,635
Participant contributions at end of year	2010-12-31	$3,000
Participant contributions at beginning of year	2010-12-31	$5,880
Total non interest bearing cash at beginning of year	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$394,421
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,165,314
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,770,893
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$2,875,905
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,507,720
Interest on participant loans	2010-12-31	$157
Interest earned on other investments	2010-12-31	$7,527
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$286,409
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$257,293
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$23,215
Net investment gain/loss from pooled separate accounts	2010-12-31	$364,180
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$241,798
Contract administrator fees	2010-12-31	$1,436
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	FRANK, RIMERMAN & CO. LLP
Accountancy firm EIN	2010-12-31	941341042
2009 : 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL

2011: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: 403(B) THRIFT PLAN OF CHILDRENS HEALTH COUNCIL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CHILDREN'S HEALTH COUNCIL, INC.
Employer identification number (EIN):	941312311
NAIC Classification:	624100
NAIC Description:	Individual and Family Services