401k Plan data: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. plan

403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 401k Plan overview

Plan Name	403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC.
Plan identification number	004

403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. Benefits

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

401k Sponsoring company profile

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 CHILDREN'S HEALTH COUNCIL, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2015-01-01
004 2014-01-01 ANDRES SIERRA
004 2013-01-01 CAROL ROCCUZZO
004 2012-01-01 CAROL ROCCUZZO CAROL ROCCUZZO 2013-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2015-01-01
004	2014-01-01	ANDRES SIERRA
004	2013-01-01	CAROL ROCCUZZO
004	2012-01-01	CAROL ROCCUZZO	CAROL ROCCUZZO	2013-10-15

Plan Statistics for 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC.

401k plan membership statisitcs for 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC.

Measure Date Value
2015: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 54
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 45
Total of all active and inactive participants 2014-01-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 100
Number of participants with account balances 2014-01-01 100
2013: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 135
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 50
Total of all active and inactive participants 2013-01-01 185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 186
Number of participants with account balances 2013-01-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 52
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 62
Total of all active and inactive participants 2012-01-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 115
Number of participants with account balances 2012-01-01 115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2015: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	54
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	45
Total of all active and inactive participants	2014-01-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	100
Number of participants with account balances	2014-01-01	100
2013: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	135
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	50
Total of all active and inactive participants	2013-01-01	185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	186
Number of participants with account balances	2013-01-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	52
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	62
Total of all active and inactive participants	2012-01-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	115
Number of participants with account balances	2012-01-01	115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC.

Measure	Date	Value
2014 : 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$603,231
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$439,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$438,726
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$319,859
Value of total assets at end of year	2014-12-31	$4,356,484
Value of total assets at beginning of year	2014-12-31	$4,193,096
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,117
Total interest from all sources	2014-12-31	$3,831
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$219,859
Administrative expenses (other) incurred	2014-12-31	$1,117
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$163,388
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,356,484
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,193,096
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$4,002,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,864,968
Interest earned on other investments	2014-12-31	$3,831
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$354,144
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$328,128
Net investment gain/loss from pooled separate accounts	2014-12-31	$279,541
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$100,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$438,726
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FRANK, RIMERMAN & CO. LLP
Accountancy firm EIN	2014-12-31	941341042
2013 : 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$913,659
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$124,041
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$122,861
Expenses. Certain deemed distributions of participant loans	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$190,797
Value of total assets at end of year	2013-12-31	$4,193,096
Value of total assets at beginning of year	2013-12-31	$3,403,478
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,180
Total interest from all sources	2013-12-31	$3,781
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$180,114
Participant contributions at beginning of year	2013-12-31	$1,372
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$10,683
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$1,180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$789,618
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,193,096
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,403,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$3,864,968
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,052,638
Interest on participant loans	2013-12-31	$39
Interest earned on other investments	2013-12-31	$3,742
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$328,128
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$349,468
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from pooled separate accounts	2013-12-31	$719,081
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$122,861
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	FRANK, RIMERMAN & CO. LLP
Accountancy firm EIN	2013-12-31	941341042
2012 : 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$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	$597,938
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$502,133
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$500,914
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$228,726
Value of total assets at end of year	2012-12-31	$3,403,478
Value of total assets at beginning of year	2012-12-31	$3,307,673
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,219
Total interest from all sources	2012-12-31	$6,292
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$193,143
Participant contributions at end of year	2012-12-31	$1,372
Participant contributions at beginning of year	2012-12-31	$1,932
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$35,583
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$1,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$95,805
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,403,478
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,307,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,052,638
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,866,219
Interest on participant loans	2012-12-31	$84
Interest earned on other investments	2012-12-31	$6,208
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$349,468
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$439,522
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from pooled separate accounts	2012-12-31	$362,920
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$500,914
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	FRANK. RIMERMAN AND CO. LLP
Accountancy firm EIN	2012-12-31	941341042

Form 5500 Responses for 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC.

2015: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: 403(B) THRIFT PLAN OF CHILDREN'S HEALTH COUNCIL, INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	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