401k Plan data: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN plan

LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 401k Plan overview

Plan Name	LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN
Plan identification number	001

LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

LOS ANGELES CHRISTIAN HEALTH CENTERS has sponsored the creation of one or more 401k plans.

Company Name: LOS ANGELES CHRISTIAN HEALTH CENTERS

Employer identification number (EIN): 954315734

NAIC Classification: 624200

Additional information about LOS ANGELES CHRISTIAN HEALTH CENTERS

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C1675751

More information about LOS ANGELES CHRISTIAN HEALTH CENTERS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01 MARIA PELAYO
001 2017-07-01
001 2016-07-01 ALBERT OCAMPO ALBERT OCAMPO 2018-03-13
001 2015-07-01 ALBERT OCAMPO ALBERT OCAMPO 2017-04-13
001 2014-07-01 STEVEN MEJIA 2016-04-28
001 2014-07-01 DR. LISA ABDISHOO 2015-11-13 DR. LISA ABDISHOO 2015-11-13
001 2013-07-01 LISA ABDISHOO 2015-01-13
001 2012-07-01 LISA ABDISHOO 2013-12-09
001 2011-07-01 LISA ABDISHOO 2012-12-03
001 2010-07-01 JAYA EGAN 2011-12-30
001 2010-04-01 MIKE STILL 2011-03-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-07-01
001	2020-07-01
001	2019-07-01
001	2018-07-01
001	2017-07-01	MARIA PELAYO
001	2017-07-01
001	2016-07-01	ALBERT OCAMPO		ALBERT OCAMPO	2018-03-13
001	2015-07-01	ALBERT OCAMPO		ALBERT OCAMPO	2017-04-13
001	2014-07-01	STEVEN MEJIA	2016-04-28
001	2014-07-01	DR. LISA ABDISHOO	2015-11-13	DR. LISA ABDISHOO	2015-11-13
001	2013-07-01	LISA ABDISHOO	2015-01-13
001	2012-07-01	LISA ABDISHOO	2013-12-09
001	2011-07-01	LISA ABDISHOO	2012-12-03
001	2010-07-01	JAYA EGAN	2011-12-30
001	2010-04-01	MIKE STILL	2011-03-29

Plan Statistics for LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN

401k plan membership statisitcs for LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN

Measure Date Value
2021: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 266
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 246
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 55
Total of all active and inactive participants 2021-07-01 301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 301
Number of participants with account balances 2021-07-01 281
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 4
2020: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 254
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 216
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 50
Total of all active and inactive participants 2020-07-01 266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 266
Number of participants with account balances 2020-07-01 250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 4
2019: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 222
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 203
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 51
Total of all active and inactive participants 2019-07-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 254
Number of participants with account balances 2019-07-01 240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 7
2018: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 194
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 156
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 66
Total of all active and inactive participants 2018-07-01 222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 222
Number of participants with account balances 2018-07-01 210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 15
2017: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 181
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 49
Total of all active and inactive participants 2017-07-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 49
Number of participants with account balances 2017-07-01 187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 27
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 145
2016: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 141
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 141
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 40
Total of all active and inactive participants 2016-07-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 181
Number of participants with account balances 2016-07-01 170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 10
2015: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 121
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 121
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 20
Total of all active and inactive participants 2015-07-01 141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 141
Number of participants with account balances 2015-07-01 136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 15

Measure	Date	Value
2021: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	266
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	246
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	55
Total of all active and inactive participants	2021-07-01	301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	301
Number of participants with account balances	2021-07-01	281
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	4
2020: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	254
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	216
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	50
Total of all active and inactive participants	2020-07-01	266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	266
Number of participants with account balances	2020-07-01	250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	4
2019: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	222
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	203
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	51
Total of all active and inactive participants	2019-07-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	254
Number of participants with account balances	2019-07-01	240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	7
2018: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	194
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	156
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	66
Total of all active and inactive participants	2018-07-01	222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	222
Number of participants with account balances	2018-07-01	210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	15
2017: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	181
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	49
Total of all active and inactive participants	2017-07-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	49
Number of participants with account balances	2017-07-01	187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	27
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	145
2016: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	141
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	141
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	40
Total of all active and inactive participants	2016-07-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	181
Number of participants with account balances	2016-07-01	170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	10
2015: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	121
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	121
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	20
Total of all active and inactive participants	2015-07-01	141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	141
Number of participants with account balances	2015-07-01	136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	15

Financial Data on LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN

Measure	Date	Value
2022 : LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$257,723
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$151,625
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$149,499
Expenses. Certain deemed distributions of participant loans	2022-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$1,031,322
Value of total assets at end of year	2022-06-30	$5,796,284
Value of total assets at beginning of year	2022-06-30	$5,690,186
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$2,126
Total interest from all sources	2022-06-30	$4,482
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$500,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$661,472
Participant contributions at end of year	2022-06-30	$88,537
Participant contributions at beginning of year	2022-06-30	$52,729
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$128,866
Other income not declared elsewhere	2022-06-30	$0
Administrative expenses (other) incurred	2022-06-30	$2,126
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$106,098
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$5,796,284
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$5,690,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$4,889,842
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$4,983,090
Interest on participant loans	2022-06-30	$0
Interest earned on other investments	2022-06-30	$4,482
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$817,905
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$654,367
Expenses. Payments to insurance carriers foe the provision of benefits	2022-06-30	$0
Net investment gain/loss from pooled separate accounts	2022-06-30	$-778,081
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$240,984
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$149,499
Did the plan have assets held for investment	2022-06-30	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	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	VASQUEZ AND COMPANY, LLP
Accountancy firm EIN	2022-06-30	330700332
2021 : LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$1,981,806
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$368,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$366,545
Expenses. Certain deemed distributions of participant loans	2021-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$776,920
Value of total assets at end of year	2021-06-30	$5,690,186
Value of total assets at beginning of year	2021-06-30	$4,076,991
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$2,066
Total interest from all sources	2021-06-30	$6,719
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$500,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$567,315
Participant contributions at end of year	2021-06-30	$52,729
Participant contributions at beginning of year	2021-06-30	$57,763
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$2,703
Other income not declared elsewhere	2021-06-30	$0
Administrative expenses (other) incurred	2021-06-30	$2,066
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$1,613,195
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$5,690,186
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$4,076,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$4,983,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$3,432,919
Interest on participant loans	2021-06-30	$0
Interest earned on other investments	2021-06-30	$6,719
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$654,367
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$586,309
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$0
Net investment gain/loss from pooled separate accounts	2021-06-30	$1,198,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$206,902
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$366,545
Did the plan have assets held for investment	2021-06-30	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	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	VASQUEZ AND COMPANY, LLP
Accountancy firm EIN	2021-06-30	330700332
2020 : LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2020 401k financial data
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	$776,270
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$249,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$247,298
Expenses. Certain deemed distributions of participant loans	2020-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$734,189
Value of total assets at end of year	2020-06-30	$4,076,991
Value of total assets at beginning of year	2020-06-30	$3,550,022
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$2,003
Total interest from all sources	2020-06-30	$4,004
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
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	$531,305
Participant contributions at end of year	2020-06-30	$57,763
Participant contributions at beginning of year	2020-06-30	$31,619
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$1,476
Other income not declared elsewhere	2020-06-30	$21
Administrative expenses (other) incurred	2020-06-30	$2,003
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	$526,969
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$4,076,991
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$3,550,022
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	$3,432,919
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$3,395,567
Interest on participant loans	2020-06-30	$0
Interest earned on other investments	2020-06-30	$4,004
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$586,309
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$122,836
Expenses. Payments to insurance carriers foe the provision of benefits	2020-06-30	$0
Net investment gain/loss from pooled separate accounts	2020-06-30	$38,056
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	No
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	$201,408
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$247,298
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	VASQUEZ AND COM., LLP
Accountancy firm EIN	2020-06-30	330700332
2019 : LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) 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	$880,171
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$65,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$63,998
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$733,553
Value of total assets at end of year	2019-06-30	$3,550,022
Value of total assets at beginning of year	2019-06-30	$2,735,715
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$1,866
Total interest from all sources	2019-06-30	$1,917
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	$500,000
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	$496,486
Participant contributions at end of year	2019-06-30	$31,619
Participant contributions at beginning of year	2019-06-30	$23,420
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$58,098
Other income not declared elsewhere	2019-06-30	$0
Administrative expenses (other) incurred	2019-06-30	$1,866
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	$814,307
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$3,550,022
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$2,735,715
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	$3,395,567
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$2,622,914
Interest on participant loans	2019-06-30	$0
Interest earned on other investments	2019-06-30	$1,917
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$122,836
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$89,381
Expenses. Payments to insurance carriers foe the provision of benefits	2019-06-30	$0
Net investment gain/loss from pooled separate accounts	2019-06-30	$144,701
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	$178,969
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$63,998
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	VASQUEZ & COM., LLP
Accountancy firm EIN	2019-06-30	330700332
2018 : LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) 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	$778,902
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$262,943
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$261,137
Expenses. Certain deemed distributions of participant loans	2018-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$590,163
Value of total assets at end of year	2018-06-30	$2,735,715
Value of total assets at beginning of year	2018-06-30	$2,219,756
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$1,806
Total interest from all sources	2018-06-30	$1,032
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	$500,000
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	$419,514
Participant contributions at end of year	2018-06-30	$23,420
Participant contributions at beginning of year	2018-06-30	$14,803
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$14,853
Other income not declared elsewhere	2018-06-30	$0
Administrative expenses (other) incurred	2018-06-30	$1,806
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	$515,959
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$2,735,715
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$2,219,756
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	$2,622,914
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$2,120,282
Interest on participant loans	2018-06-30	$0
Interest earned on other investments	2018-06-30	$1,032
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$89,381
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$84,671
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$0
Net investment gain/loss from pooled separate accounts	2018-06-30	$187,707
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	$155,796
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$261,137
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	VASQUEZ & COM., LLP
Accountancy firm EIN	2018-06-30	330700332
2017 : LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) 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	$0
Total income from all sources (including contributions)	2017-06-30	$793,358
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$205,291
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$203,970
Expenses. Certain deemed distributions of participant loans	2017-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$585,687
Value of total assets at end of year	2017-06-30	$2,219,756
Value of total assets at beginning of year	2017-06-30	$1,631,689
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$1,321
Total interest from all sources	2017-06-30	$793
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	$500,000
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	$378,411
Participant contributions at end of year	2017-06-30	$14,803
Participant contributions at beginning of year	2017-06-30	$3,856
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$54,724
Other income not declared elsewhere	2017-06-30	$0
Administrative expenses (other) incurred	2017-06-30	$1,321
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	$588,067
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$2,219,756
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$1,631,689
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	$2,120,282
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$1,563,090
Interest on participant loans	2017-06-30	$0
Interest earned on other investments	2017-06-30	$793
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$84,671
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$64,743
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$0
Net investment gain/loss from pooled separate accounts	2017-06-30	$206,878
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	$152,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$203,970
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	VASQUEZ & COM., LLP
Accountancy firm EIN	2017-06-30	330700332
2016 : LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$484,941
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$10,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$9,444
Expenses. Certain deemed distributions of participant loans	2016-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$468,883
Value of total assets at end of year	2016-06-30	$1,631,689
Value of total assets at beginning of year	2016-06-30	$1,156,869
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$677
Total interest from all sources	2016-06-30	$604
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$330,214
Participant contributions at end of year	2016-06-30	$3,856
Participant contributions at beginning of year	2016-06-30	$3,113
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$12,665
Other income not declared elsewhere	2016-06-30	$0
Administrative expenses (other) incurred	2016-06-30	$677
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$474,820
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$1,631,689
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$1,156,869
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$1,563,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$1,106,161
Interest on participant loans	2016-06-30	$0
Interest earned on other investments	2016-06-30	$604
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$64,743
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$47,595
Expenses. Payments to insurance carriers foe the provision of benefits	2016-06-30	$0
Net investment gain/loss from pooled separate accounts	2016-06-30	$15,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$126,004
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$9,444
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	VASQUEZ & COM., LLP
Accountancy firm EIN	2016-06-30	330700332

Form 5500 Responses for LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN

2021: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) 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)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) 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 benefit arrangement – Insurance	Yes
2018: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) 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 benefit arrangement – Insurance	Yes
2017: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) 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 benefit arrangement – Insurance	Yes
2016: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) 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 benefit arrangement – Insurance	Yes
2015: LOS ANGELES CHRISTIAN HEALTH CENTERS 403(B) PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059471D

Policy instance

Insurance contract or identification number	059471D
Number of Individuals Covered	301
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,357
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	2357
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059471D

Policy instance

Insurance contract or identification number	059471D
Number of Individuals Covered	266
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,357
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	2357
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059471D

Policy instance

Insurance contract or identification number	059471D
Number of Individuals Covered	254
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 $2,138
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	2138
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059471D

Policy instance

Insurance contract or identification number	059471D
Number of Individuals Covered	222
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 $2,357
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	2357
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059471D

Policy instance

Insurance contract or identification number	059471D
Number of Individuals Covered	200
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 $1,300
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

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

059471D

Policy instance

Insurance contract or identification number	059471D
Number of Individuals Covered	136
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	LOS ANGELES CHRISTIAN HEALTH CENTERS
Employer identification number (EIN):	954315734
NAIC Classification:	624200

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C1675751