401k Plan data: CHCB, INC. RETIREMENT PLAN plan

CHCB, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	CHCB, INC. RETIREMENT PLAN
Plan identification number	001

CHCB, INC. RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

COMMUNITY HEALTH CENTER OF BUFFALO, INC. has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY HEALTH CENTER OF BUFFALO, INC.

Employer identification number (EIN): 161566929

NAIC Classification: 621900

Additional information about COMMUNITY HEALTH CENTER OF BUFFALO, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1999-04-26

Company Identification Number: 2371209

Legal Registered Office Address: ATTN: CHIEF EXECUTIVE OFFICER
462 GRIDER STREET
BUFFALO
United States of America (USA)
14215

More information about COMMUNITY HEALTH CENTER OF BUFFALO, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHCB, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2019-01-01
001 2019-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 KATHLEEN DUKE-PURDUE
001 2016-01-01 KATHLEEN DUKE-PURDUE
001 2015-01-01 KATHLEEN DUKE-PURDUE
001 2014-01-01 KATHLEEN DUKE-PURDUE
001 2013-01-01 KATHLEEN DUKE-PURDUE
001 2012-01-01 KATHLEEN DUKE-PURDUE 2013-10-15
001 2011-01-01 KATHLEEN DUKE-PURDUE 2012-08-13
001 2010-01-01 KATHLEEN DUKE-PURDUE 2011-07-22

Plan Statistics for CHCB, INC. RETIREMENT PLAN

401k plan membership statisitcs for CHCB, INC. RETIREMENT PLAN

Measure Date Value
2022: CHCB, INC. RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 155
Number of retired or separated participants receiving benefits 2022-01-01 2
Number of other retired or separated participants entitled to future benefits 2022-01-01 22
Total of all active and inactive participants 2022-01-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 179
Number of participants with account balances 2022-01-01 75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CHCB, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 149
Number of retired or separated participants receiving benefits 2021-01-01 9
Number of other retired or separated participants entitled to future benefits 2021-01-01 49
Total of all active and inactive participants 2021-01-01 207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 207
Number of participants with account balances 2021-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CHCB, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 148
Number of retired or separated participants receiving benefits 2020-01-01 8
Number of other retired or separated participants entitled to future benefits 2020-01-01 45
Total of all active and inactive participants 2020-01-01 201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 201
Number of participants with account balances 2020-01-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CHCB, INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 130
Number of retired or separated participants receiving benefits 2019-01-01 8
Number of other retired or separated participants entitled to future benefits 2019-01-01 42
Total of all active and inactive participants 2019-01-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 180
Number of participants with account balances 2019-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CHCB, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 125
Number of retired or separated participants receiving benefits 2018-01-01 7
Number of other retired or separated participants entitled to future benefits 2018-01-01 41
Total of all active and inactive participants 2018-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 173
Number of participants with account balances 2018-01-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CHCB, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 149
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 112
Number of retired or separated participants receiving benefits 2017-01-01 7
Number of other retired or separated participants entitled to future benefits 2017-01-01 42
Total of all active and inactive participants 2017-01-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 161
Number of participants with account balances 2017-01-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CHCB, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 160
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 131
Number of retired or separated participants receiving benefits 2016-01-01 9
Number of other retired or separated participants entitled to future benefits 2016-01-01 45
Total of all active and inactive participants 2016-01-01 185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 185
Number of participants with account balances 2016-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CHCB, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 126
Number of retired or separated participants receiving benefits 2015-01-01 9
Number of other retired or separated participants entitled to future benefits 2015-01-01 35
Total of all active and inactive participants 2015-01-01 170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 170
Number of participants with account balances 2015-01-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CHCB, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 103
Number of retired or separated participants receiving benefits 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 37
Total of all active and inactive participants 2014-01-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 143
Number of participants with account balances 2014-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CHCB, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 85
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 41
Total of all active and inactive participants 2013-01-01 126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 126
Number of participants with account balances 2013-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2022: CHCB, INC. RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	155
Number of retired or separated participants receiving benefits	2022-01-01	2
Number of other retired or separated participants entitled to future benefits	2022-01-01	22
Total of all active and inactive participants	2022-01-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	179
Number of participants with account balances	2022-01-01	75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CHCB, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	149
Number of retired or separated participants receiving benefits	2021-01-01	9
Number of other retired or separated participants entitled to future benefits	2021-01-01	49
Total of all active and inactive participants	2021-01-01	207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	207
Number of participants with account balances	2021-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CHCB, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	148
Number of retired or separated participants receiving benefits	2020-01-01	8
Number of other retired or separated participants entitled to future benefits	2020-01-01	45
Total of all active and inactive participants	2020-01-01	201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	201
Number of participants with account balances	2020-01-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CHCB, INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	130
Number of retired or separated participants receiving benefits	2019-01-01	8
Number of other retired or separated participants entitled to future benefits	2019-01-01	42
Total of all active and inactive participants	2019-01-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	180
Number of participants with account balances	2019-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CHCB, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	125
Number of retired or separated participants receiving benefits	2018-01-01	7
Number of other retired or separated participants entitled to future benefits	2018-01-01	41
Total of all active and inactive participants	2018-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	173
Number of participants with account balances	2018-01-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CHCB, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	112
Number of retired or separated participants receiving benefits	2017-01-01	7
Number of other retired or separated participants entitled to future benefits	2017-01-01	42
Total of all active and inactive participants	2017-01-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	161
Number of participants with account balances	2017-01-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CHCB, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	160
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	131
Number of retired or separated participants receiving benefits	2016-01-01	9
Number of other retired or separated participants entitled to future benefits	2016-01-01	45
Total of all active and inactive participants	2016-01-01	185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	185
Number of participants with account balances	2016-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CHCB, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	126
Number of retired or separated participants receiving benefits	2015-01-01	9
Number of other retired or separated participants entitled to future benefits	2015-01-01	35
Total of all active and inactive participants	2015-01-01	170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	170
Number of participants with account balances	2015-01-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CHCB, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	103
Number of retired or separated participants receiving benefits	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	37
Total of all active and inactive participants	2014-01-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	143
Number of participants with account balances	2014-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CHCB, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	85
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	41
Total of all active and inactive participants	2013-01-01	126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	126
Number of participants with account balances	2013-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on CHCB, INC. RETIREMENT PLAN

Measure	Date	Value
2022 : CHCB, INC. RETIREMENT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$-472,097
Total unrealized appreciation/depreciation of assets	2022-12-31	$-472,097
Total income from all sources (including contributions)	2022-12-31	$20,081
Total of all expenses incurred	2022-12-31	$120,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$98,587
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$414,382
Value of total assets at end of year	2022-12-31	$2,845,590
Value of total assets at beginning of year	2022-12-31	$2,945,624
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$21,528
Total interest from all sources	2022-12-31	$1,186
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$76,610
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$76,610
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$385,000
If this is an individual account plan, was there a blackout period	2022-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$259,693
Participant contributions at end of year	2022-12-31	$29,034
Participant contributions at beginning of year	2022-12-31	$22,438
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$10,412
Total non interest bearing cash at end of year	2022-12-31	$37,403
Total non interest bearing cash at beginning of year	2022-12-31	$179
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-100,034
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,845,590
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,945,624
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$21,528
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,310,746
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,460,970
Income. Interest from loans (other than to participants)	2022-12-31	$1,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$468,407
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$431,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$431,269
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$144,277
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$30,768
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$98,587
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	Yes
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2022-12-31	161468002
2021 : CHCB, INC. RETIREMENT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$165,867
Total unrealized appreciation/depreciation of assets	2021-12-31	$165,867
Total income from all sources (including contributions)	2021-12-31	$585,468
Total of all expenses incurred	2021-12-31	$124,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$108,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$327,273
Value of total assets at end of year	2021-12-31	$2,945,624
Value of total assets at beginning of year	2021-12-31	$2,484,574
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$16,402
Total interest from all sources	2021-12-31	$690
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$91,638
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$91,638
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$385,000
If this is an individual account plan, was there a blackout period	2021-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$209,197
Participant contributions at end of year	2021-12-31	$22,438
Participant contributions at beginning of year	2021-12-31	$13,741
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$5,976
Administrative expenses (other) incurred	2021-12-31	$16,402
Total non interest bearing cash at end of year	2021-12-31	$179
Total non interest bearing cash at beginning of year	2021-12-31	$131
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$461,050
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,945,624
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,484,574
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,460,970
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,034,303
Interest on participant loans	2021-12-31	$690
Value of interest in common/collective trusts at beginning of year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$431,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$402,556
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$402,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$112,100
Employer contributions (assets) at end of year	2021-12-31	$30,768
Employer contributions (assets) at beginning of year	2021-12-31	$33,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$108,016
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-12-31	Yes
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2021-12-31	161468002
2020 : CHCB, INC. RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$251,488
Total unrealized appreciation/depreciation of assets	2020-12-31	$251,488
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$651,339
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$307,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$292,426
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$361,941
Value of total assets at end of year	2020-12-31	$2,484,574
Value of total assets at beginning of year	2020-12-31	$2,141,055
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$15,394
Total interest from all sources	2020-12-31	$1,088
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$36,822
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$36,822
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$225,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$229,988
Participant contributions at end of year	2020-12-31	$13,741
Participant contributions at beginning of year	2020-12-31	$41,103
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$10,856
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$4,927
Administrative expenses (other) incurred	2020-12-31	$15,394
Total non interest bearing cash at end of year	2020-12-31	$131
Total non interest bearing cash at beginning of year	2020-12-31	$163
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$343,519
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,484,574
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,141,055
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,034,303
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,055,241
Interest on participant loans	2020-12-31	$1,088
Value of interest in common/collective trusts at end of year	2020-12-31	$0
Value of interest in common/collective trusts at beginning of year	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$402,556
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$127,026
Employer contributions (assets) at end of year	2020-12-31	$33,843
Employer contributions (assets) at beginning of year	2020-12-31	$33,692
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$292,426
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2020-12-31	161468002
2019 : CHCB, INC. RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-12-31	$147,900
Unrealized appreciation/depreciation of real estate assets	2019-12-31	$147,900
Total unrealized appreciation/depreciation of assets	2019-12-31	$147,900
Total unrealized appreciation/depreciation of assets	2019-12-31	$147,900
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$633,923
Total income from all sources (including contributions)	2019-12-31	$633,923
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$245,259
Total of all expenses incurred	2019-12-31	$245,259
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$230,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$230,577
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$341,624
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$341,624
Value of total assets at end of year	2019-12-31	$2,139,905
Value of total assets at end of year	2019-12-31	$2,139,905
Value of total assets at beginning of year	2019-12-31	$1,751,241
Value of total assets at beginning of year	2019-12-31	$1,751,241
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$14,682
Total interest from all sources	2019-12-31	$2,259
Total interest from all sources	2019-12-31	$2,259
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$142,140
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$142,140
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$142,140
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$142,140
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$225,000
Value of fidelity bond cover	2019-12-31	$225,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$225,707
Contributions received from participants	2019-12-31	$225,707
Participant contributions at end of year	2019-12-31	$41,103
Participant contributions at end of year	2019-12-31	$41,103
Participant contributions at beginning of year	2019-12-31	$49,854
Participant contributions at beginning of year	2019-12-31	$49,854
Participant contributions at end of year	2019-12-31	$10,856
Participant contributions at end of year	2019-12-31	$10,856
Participant contributions at beginning of year	2019-12-31	$8,529
Participant contributions at beginning of year	2019-12-31	$8,529
Administrative expenses (other) incurred	2019-12-31	$14,682
Administrative expenses (other) incurred	2019-12-31	$14,682
Total non interest bearing cash at end of year	2019-12-31	$163
Total non interest bearing cash at end of year	2019-12-31	$163
Total non interest bearing cash at beginning of year	2019-12-31	$146
Total non interest bearing cash at beginning of year	2019-12-31	$146
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$388,664
Value of net income/loss	2019-12-31	$388,664
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,139,905
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,139,905
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,751,241
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,751,241
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,055,241
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,055,241
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,328,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,328,151
Interest on participant loans	2019-12-31	$2,259
Interest on participant loans	2019-12-31	$2,259
Value of interest in common/collective trusts at end of year	2019-12-31	$0
Value of interest in common/collective trusts at end of year	2019-12-31	$0
Value of interest in common/collective trusts at beginning of year	2019-12-31	$342,950
Value of interest in common/collective trusts at beginning of year	2019-12-31	$342,950
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$115,917
Contributions received in cash from employer	2019-12-31	$115,917
Employer contributions (assets) at end of year	2019-12-31	$32,542
Employer contributions (assets) at end of year	2019-12-31	$32,542
Employer contributions (assets) at beginning of year	2019-12-31	$21,611
Employer contributions (assets) at beginning of year	2019-12-31	$21,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$230,577
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$230,577
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm name	2019-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2019-12-31	161468002
Accountancy firm EIN	2019-12-31	161468002
2018 : CHCB, INC. RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-107,636
Total unrealized appreciation/depreciation of assets	2018-12-31	$-107,636
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$275,059
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$111,517
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$98,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$345,406
Value of total assets at end of year	2018-12-31	$1,751,241
Value of total assets at beginning of year	2018-12-31	$1,587,699
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$13,245
Total interest from all sources	2018-12-31	$2,487
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$34,802
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$34,802
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$225,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$212,103
Participant contributions at end of year	2018-12-31	$49,854
Participant contributions at beginning of year	2018-12-31	$53,253
Participant contributions at end of year	2018-12-31	$8,529
Participant contributions at beginning of year	2018-12-31	$7,481
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$49,000
Administrative expenses (other) incurred	2018-12-31	$13,245
Total non interest bearing cash at end of year	2018-12-31	$146
Total non interest bearing cash at beginning of year	2018-12-31	$171
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$163,542
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,751,241
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,587,699
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,328,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,202,378
Interest on participant loans	2018-12-31	$2,487
Value of interest in common/collective trusts at end of year	2018-12-31	$342,950
Value of interest in common/collective trusts at beginning of year	2018-12-31	$297,100
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$84,303
Employer contributions (assets) at end of year	2018-12-31	$21,611
Employer contributions (assets) at beginning of year	2018-12-31	$27,316
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$98,272
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2018-12-31	161468002
2017 : CHCB, INC. RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$424,141
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$24,943
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$13,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$269,078
Value of total assets at end of year	2017-12-31	$1,587,699
Value of total assets at beginning of year	2017-12-31	$1,188,501
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$11,535
Total interest from all sources	2017-12-31	$2,517
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$25,181
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$25,181
Administrative expenses professional fees incurred	2017-12-31	$11,535
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$225,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$177,870
Participant contributions at end of year	2017-12-31	$53,253
Participant contributions at beginning of year	2017-12-31	$15,796
Participant contributions at end of year	2017-12-31	$7,481
Participant contributions at beginning of year	2017-12-31	$5,242
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$5,002
Total non interest bearing cash at end of year	2017-12-31	$171
Total non interest bearing cash at beginning of year	2017-12-31	$99
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$399,198
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,587,699
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,188,501
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,202,378
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,149,885
Income. Interest from loans (other than to participants)	2017-12-31	$2,517
Value of interest in common/collective trusts at end of year	2017-12-31	$297,100
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$127,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$86,206
Employer contributions (assets) at end of year	2017-12-31	$27,316
Employer contributions (assets) at beginning of year	2017-12-31	$17,479
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$13,408
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2017-12-31	161468002
2016 : CHCB, INC. RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$243,875
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$18,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$7,850
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$187,243
Value of total assets at end of year	2016-12-31	$1,188,501
Value of total assets at beginning of year	2016-12-31	$963,211
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$10,735
Total interest from all sources	2016-12-31	$664
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$18,686
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$18,686
Administrative expenses professional fees incurred	2016-12-31	$10,735
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$225,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$123,659
Participant contributions at end of year	2016-12-31	$15,796
Participant contributions at beginning of year	2016-12-31	$11,231
Participant contributions at end of year	2016-12-31	$5,242
Participant contributions at beginning of year	2016-12-31	$4,198
Total non interest bearing cash at end of year	2016-12-31	$99
Total non interest bearing cash at beginning of year	2016-12-31	$85
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$225,290
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,188,501
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$963,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,149,885
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$930,888
Interest on participant loans	2016-12-31	$664
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$37,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$63,584
Employer contributions (assets) at end of year	2016-12-31	$17,479
Employer contributions (assets) at beginning of year	2016-12-31	$16,809
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$7,850
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2016-12-31	161468002
2015 : CHCB, INC. RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$190,157
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$160,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$149,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$189,061
Value of total assets at end of year	2015-12-31	$963,211
Value of total assets at beginning of year	2015-12-31	$933,764
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$11,049
Total interest from all sources	2015-12-31	$1,257
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$14,846
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$14,846
Administrative expenses professional fees incurred	2015-12-31	$11,049
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$100,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$125,201
Participant contributions at end of year	2015-12-31	$11,231
Participant contributions at beginning of year	2015-12-31	$15,004
Participant contributions at end of year	2015-12-31	$4,198
Participant contributions at beginning of year	2015-12-31	$4,810
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$85
Total non interest bearing cash at beginning of year	2015-12-31	$50
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$29,447
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$963,211
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$933,764
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$930,888
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$900,726
Income. Interest from loans (other than to participants)	2015-12-31	$1,257
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-15,007
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$63,860
Employer contributions (assets) at end of year	2015-12-31	$16,809
Employer contributions (assets) at beginning of year	2015-12-31	$13,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$149,661
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2015-12-31	161468002
2014 : CHCB, INC. RETIREMENT PLAN 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	$231,513
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$70,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$59,604
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$182,360
Value of total assets at end of year	2014-12-31	$933,764
Value of total assets at beginning of year	2014-12-31	$773,133
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$11,278
Total interest from all sources	2014-12-31	$174
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$14,056
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$14,056
Administrative expenses professional fees incurred	2014-12-31	$11,278
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$100,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$118,581
Participant contributions at end of year	2014-12-31	$15,004
Participant contributions at beginning of year	2014-12-31	$12,926
Participant contributions at end of year	2014-12-31	$4,810
Participant contributions at beginning of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Total non interest bearing cash at end of year	2014-12-31	$50
Total non interest bearing cash at beginning of year	2014-12-31	$52
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	$160,631
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$933,764
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$773,133
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	$900,726
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$745,586
Interest on participant loans	2014-12-31	$174
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$34,923
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	Yes
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	$63,779
Employer contributions (assets) at end of year	2014-12-31	$13,174
Employer contributions (assets) at beginning of year	2014-12-31	$14,569
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$59,604
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	CHIAMPOU TRAVIS BESAW KERSHNER
Accountancy firm EIN	2014-12-31	161468002
2013 : CHCB, INC. RETIREMENT PLAN 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	$278,128
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$25,169
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$15,823
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$189,334
Value of total assets at end of year	2013-12-31	$773,133
Value of total assets at beginning of year	2013-12-31	$520,174
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$9,346
Total interest from all sources	2013-12-31	$364
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$11,200
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$11,200
Administrative expenses professional fees incurred	2013-12-31	$9,346
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$50,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$120,209
Participant contributions at end of year	2013-12-31	$12,926
Participant contributions at beginning of year	2013-12-31	$4,027
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$3,628
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$5,386
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$0
Total non interest bearing cash at end of year	2013-12-31	$52
Total non interest bearing cash at beginning of year	2013-12-31	$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	2013-12-31	No
Value of net income/loss	2013-12-31	$252,959
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$773,133
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$520,174
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	$745,586
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$510,656
Interest on participant loans	2013-12-31	$364
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$77,230
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	Yes
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	$63,739
Employer contributions (assets) at end of year	2013-12-31	$14,569
Employer contributions (assets) at beginning of year	2013-12-31	$1,863
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$15,823
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	CHIAMPOU, TRAVIS, BESAW, KERSHNER
Accountancy firm EIN	2013-12-31	161468002

Form 5500 Responses for CHCB, INC. RETIREMENT PLAN

2022: CHCB, INC. RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CHCB, INC. RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CHCB, INC. RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CHCB, INC. RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CHCB, INC. RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CHCB, INC. RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CHCB, INC. RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CHCB, INC. RETIREMENT PLAN 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	No
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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CHCB, INC. RETIREMENT PLAN 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CHCB, INC. RETIREMENT PLAN 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	COMMUNITY HEALTH CENTER OF BUFFALO, INC.
Employer identification number (EIN):	161566929
NAIC Classification:	621900

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1999-04-26
Company Identification Number:	2371209
Legal Registered Office Address:	ATTN: CHIEF EXECUTIVE OFFICER 462 GRIDER STREET BUFFALO United States of America (USA) 14215