401k Plan data: I C A D V 401(K) PLAN plan

I C A D V 401(K) PLAN 401k Plan overview

Plan Name	I C A D V 401(K) PLAN
Plan identification number	001

I C A D V 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

INDIANA COALITION AGAINST DOMESTIC VIOLENCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: INDIANA COALITION AGAINST DOMESTIC VIOLENCE, INC.

Employer identification number (EIN): 311009769

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan I C A D V 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-07-01
001 2021-07-01
001 2020-07-01 LAURA BERRY BERMAN 2021-08-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01 LAURA BERRY
001 2015-07-01 LAURA BERRY
001 2014-07-01 LAURA BERRY
001 2014-07-01 LAURA BERRY
001 2013-07-01 LAURA BERRY
001 2012-07-01 LAURA BERRY
001 2011-07-01 LAURA BERRY-BERMAN
001 2010-07-01 LAURA BERRY-BERMAN
001 2009-07-01 JAMES JULIAN

Plan Statistics for I C A D V 401(K) PLAN

401k plan membership statisitcs for I C A D V 401(K) PLAN

Measure Date Value
2022: I C A D V 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 22
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 17
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 7
Total of all active and inactive participants 2022-07-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-07-01 0
Total participants 2022-07-01 24
Number of participants with account balances 2022-07-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-07-01 0
2021: I C A D V 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 18
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 11
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 6
Total of all active and inactive participants 2021-07-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 17
Number of participants with account balances 2021-07-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: I C A D V 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 16
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 12
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 7
Total of all active and inactive participants 2020-07-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 19
Number of participants with account balances 2020-07-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: I C A D V 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 18
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 9
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 7
Total of all active and inactive participants 2019-07-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 16
Number of participants with account balances 2019-07-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: I C A D V 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 17
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 12
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 6
Total of all active and inactive participants 2018-07-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 18
Number of participants with account balances 2018-07-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: I C A D V 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 17
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 11
Number of retired or separated participants receiving benefits 2017-07-01 6
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 17
Number of participants with account balances 2017-07-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: I C A D V 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 10
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 12
Number of retired or separated participants receiving benefits 2016-07-01 2
Number of other retired or separated participants entitled to future benefits 2016-07-01 3
Total of all active and inactive participants 2016-07-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 17
Number of participants with account balances 2016-07-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: I C A D V 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 12
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 8
Number of retired or separated participants receiving benefits 2015-07-01 1
Number of other retired or separated participants entitled to future benefits 2015-07-01 1
Total of all active and inactive participants 2015-07-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 10
Number of participants with account balances 2015-07-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: I C A D V 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 12
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 10
Number of retired or separated participants receiving benefits 2014-07-01 2
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 12
Number of participants with account balances 2014-07-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: I C A D V 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 10
Number of retired or separated participants receiving benefits 2013-07-01 1
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 11
Number of participants with account balances 2013-07-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: I C A D V 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 7
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 1
Total of all active and inactive participants 2012-07-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 8
Number of participants with account balances 2012-07-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 1
2011: I C A D V 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 10
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 1
Total of all active and inactive participants 2011-07-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 11
Number of participants with account balances 2011-07-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2010: I C A D V 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 9
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 10
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 1
Total of all active and inactive participants 2010-07-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 11
Number of participants with account balances 2010-07-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: I C A D V 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 9
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 8
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 8
Number of participants with account balances 2009-07-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2022: I C A D V 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	22
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	17
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	7
Total of all active and inactive participants	2022-07-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-07-01	0
Total participants	2022-07-01	24
Number of participants with account balances	2022-07-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-07-01	0
2021: I C A D V 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	18
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	11
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	6
Total of all active and inactive participants	2021-07-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	17
Number of participants with account balances	2021-07-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: I C A D V 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	16
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	12
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	7
Total of all active and inactive participants	2020-07-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	19
Number of participants with account balances	2020-07-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: I C A D V 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	18
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	9
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	7
Total of all active and inactive participants	2019-07-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	16
Number of participants with account balances	2019-07-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: I C A D V 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	17
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	12
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	6
Total of all active and inactive participants	2018-07-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	18
Number of participants with account balances	2018-07-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: I C A D V 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	17
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	11
Number of retired or separated participants receiving benefits	2017-07-01	6
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	17
Number of participants with account balances	2017-07-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: I C A D V 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	10
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	12
Number of retired or separated participants receiving benefits	2016-07-01	2
Number of other retired or separated participants entitled to future benefits	2016-07-01	3
Total of all active and inactive participants	2016-07-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	17
Number of participants with account balances	2016-07-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: I C A D V 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	12
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	8
Number of retired or separated participants receiving benefits	2015-07-01	1
Number of other retired or separated participants entitled to future benefits	2015-07-01	1
Total of all active and inactive participants	2015-07-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	10
Number of participants with account balances	2015-07-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: I C A D V 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	12
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	10
Number of retired or separated participants receiving benefits	2014-07-01	2
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	12
Number of participants with account balances	2014-07-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: I C A D V 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	10
Number of retired or separated participants receiving benefits	2013-07-01	1
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	11
Number of participants with account balances	2013-07-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: I C A D V 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	7
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	1
Total of all active and inactive participants	2012-07-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	8
Number of participants with account balances	2012-07-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	1
2011: I C A D V 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	10
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	1
Total of all active and inactive participants	2011-07-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	11
Number of participants with account balances	2011-07-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2010: I C A D V 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	9
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	10
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	1
Total of all active and inactive participants	2010-07-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	11
Number of participants with account balances	2010-07-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: I C A D V 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	9
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	8
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	8
Number of participants with account balances	2009-07-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on I C A D V 401(K) PLAN

Measure	Date	Value
2023 : I C A D V 401(K) PLAN 2023 401k financial data
Total income from all sources	2023-06-30	$106,762
Expenses. Total of all expenses incurred	2023-06-30	$0
Benefits paid (including direct rollovers)	2023-06-30	$0
Total plan assets at end of year	2023-06-30	$765,115
Total plan assets at beginning of year	2023-06-30	$658,353
Value of fidelity bond covering the plan	2023-06-30	$100,000
Total contributions received or receivable from participants	2023-06-30	$23,180
Expenses. Other expenses not covered elsewhere	2023-06-30	$0
Contributions received from other sources (not participants or employers)	2023-06-30	$8,219
Other income received	2023-06-30	$50,862
Net income (gross income less expenses)	2023-06-30	$106,762
Net plan assets at end of year (total assets less liabilities)	2023-06-30	$765,115
Net plan assets at beginning of year (total assets less liabilities)	2023-06-30	$658,353
Assets. Value of participant loans	2023-06-30	$8,800
Total contributions received or receivable from employer(s)	2023-06-30	$24,501
Value of certain deemed distributions of participant loans	2023-06-30	$0
Value of corrective distributions	2023-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2023-06-30	$0
2022 : I C A D V 401(K) PLAN 2022 401k financial data
Transfers to/from the plan	2022-06-30	$0
Total plan liabilities at end of year	2022-06-30	$0
Total plan liabilities at beginning of year	2022-06-30	$0
Total income from all sources	2022-06-30	$-46,317
Expenses. Total of all expenses incurred	2022-06-30	$13,989
Benefits paid (including direct rollovers)	2022-06-30	$13,615
Total plan assets at end of year	2022-06-30	$658,353
Total plan assets at beginning of year	2022-06-30	$718,659
Value of fidelity bond covering the plan	2022-06-30	$80,000
Total contributions received or receivable from participants	2022-06-30	$24,425
Expenses. Other expenses not covered elsewhere	2022-06-30	$0
Contributions received from other sources (not participants or employers)	2022-06-30	$8,010
Other income received	2022-06-30	$-103,752
Noncash contributions received	2022-06-30	$0
Net income (gross income less expenses)	2022-06-30	$-60,306
Net plan assets at end of year (total assets less liabilities)	2022-06-30	$658,353
Net plan assets at beginning of year (total assets less liabilities)	2022-06-30	$718,659
Assets. Value of participant loans	2022-06-30	$16,360
Total contributions received or receivable from employer(s)	2022-06-30	$25,000
Value of certain deemed distributions of participant loans	2022-06-30	$0
Value of corrective distributions	2022-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-06-30	$374
2021 : I C A D V 401(K) PLAN 2021 401k financial data
Transfers to/from the plan	2021-06-30	$0
Total plan liabilities at end of year	2021-06-30	$0
Total plan liabilities at beginning of year	2021-06-30	$0
Total income from all sources	2021-06-30	$202,805
Expenses. Total of all expenses incurred	2021-06-30	$5,488
Benefits paid (including direct rollovers)	2021-06-30	$5,363
Total plan assets at end of year	2021-06-30	$718,659
Total plan assets at beginning of year	2021-06-30	$521,342
Value of fidelity bond covering the plan	2021-06-30	$80,000
Total contributions received or receivable from participants	2021-06-30	$22,202
Expenses. Other expenses not covered elsewhere	2021-06-30	$0
Contributions received from other sources (not participants or employers)	2021-06-30	$8,923
Other income received	2021-06-30	$141,680
Noncash contributions received	2021-06-30	$0
Net income (gross income less expenses)	2021-06-30	$197,317
Net plan assets at end of year (total assets less liabilities)	2021-06-30	$718,659
Net plan assets at beginning of year (total assets less liabilities)	2021-06-30	$521,342
Assets. Value of participant loans	2021-06-30	$30,326
Total contributions received or receivable from employer(s)	2021-06-30	$30,000
Value of certain deemed distributions of participant loans	2021-06-30	$0
Value of corrective distributions	2021-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-06-30	$125
2020 : I C A D V 401(K) PLAN 2020 401k financial data
Transfers to/from the plan	2020-06-30	$0
Total plan liabilities at end of year	2020-06-30	$0
Total plan liabilities at beginning of year	2020-06-30	$0
Total income from all sources	2020-06-30	$62,991
Expenses. Total of all expenses incurred	2020-06-30	$600
Benefits paid (including direct rollovers)	2020-06-30	$0
Total plan assets at end of year	2020-06-30	$521,342
Total plan assets at beginning of year	2020-06-30	$458,951
Value of fidelity bond covering the plan	2020-06-30	$70,000
Total contributions received or receivable from participants	2020-06-30	$18,469
Expenses. Other expenses not covered elsewhere	2020-06-30	$0
Contributions received from other sources (not participants or employers)	2020-06-30	$8,329
Other income received	2020-06-30	$20,200
Noncash contributions received	2020-06-30	$0
Net income (gross income less expenses)	2020-06-30	$62,391
Net plan assets at end of year (total assets less liabilities)	2020-06-30	$521,342
Net plan assets at beginning of year (total assets less liabilities)	2020-06-30	$458,951
Assets. Value of participant loans	2020-06-30	$45,968
Total contributions received or receivable from employer(s)	2020-06-30	$15,993
Value of certain deemed distributions of participant loans	2020-06-30	$0
Value of corrective distributions	2020-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-06-30	$600
2019 : I C A D V 401(K) PLAN 2019 401k financial data
Transfers to/from the plan	2019-06-30	$0
Total plan liabilities at end of year	2019-06-30	$0
Total plan liabilities at beginning of year	2019-06-30	$0
Total income from all sources	2019-06-30	$64,756
Expenses. Total of all expenses incurred	2019-06-30	$8,773
Benefits paid (including direct rollovers)	2019-06-30	$8,221
Total plan assets at end of year	2019-06-30	$458,951
Total plan assets at beginning of year	2019-06-30	$402,968
Value of fidelity bond covering the plan	2019-06-30	$40,000
Total contributions received or receivable from participants	2019-06-30	$17,558
Expenses. Other expenses not covered elsewhere	2019-06-30	$0
Contributions received from other sources (not participants or employers)	2019-06-30	$8,249
Other income received	2019-06-30	$21,182
Noncash contributions received	2019-06-30	$0
Net income (gross income less expenses)	2019-06-30	$55,983
Net plan assets at end of year (total assets less liabilities)	2019-06-30	$458,951
Net plan assets at beginning of year (total assets less liabilities)	2019-06-30	$402,968
Assets. Value of participant loans	2019-06-30	$29,511
Total contributions received or receivable from employer(s)	2019-06-30	$17,767
Value of certain deemed distributions of participant loans	2019-06-30	$0
Value of corrective distributions	2019-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-06-30	$552
2017 : I C A D V 401(K) PLAN 2017 401k financial data
Transfers to/from the plan	2017-06-30	$0
Total plan liabilities at end of year	2017-06-30	$0
Total plan liabilities at beginning of year	2017-06-30	$0
Total income from all sources	2017-06-30	$63,591
Expenses. Total of all expenses incurred	2017-06-30	$832
Benefits paid (including direct rollovers)	2017-06-30	$357
Total plan assets at end of year	2017-06-30	$348,267
Total plan assets at beginning of year	2017-06-30	$285,508
Value of fidelity bond covering the plan	2017-06-30	$35,000
Total contributions received or receivable from participants	2017-06-30	$23,026
Expenses. Other expenses not covered elsewhere	2017-06-30	$0
Contributions received from other sources (not participants or employers)	2017-06-30	$0
Other income received	2017-06-30	$28,565
Noncash contributions received	2017-06-30	$0
Net income (gross income less expenses)	2017-06-30	$62,759
Net plan assets at end of year (total assets less liabilities)	2017-06-30	$348,267
Net plan assets at beginning of year (total assets less liabilities)	2017-06-30	$285,508
Assets. Value of participant loans	2017-06-30	$25,185
Total contributions received or receivable from employer(s)	2017-06-30	$12,000
Value of certain deemed distributions of participant loans	2017-06-30	$0
Value of corrective distributions	2017-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-06-30	$475
2016 : I C A D V 401(K) PLAN 2016 401k financial data
Transfers to/from the plan	2016-06-30	$0
Total plan liabilities at end of year	2016-06-30	$0
Total plan liabilities at beginning of year	2016-06-30	$0
Total income from all sources	2016-06-30	$32,577
Expenses. Total of all expenses incurred	2016-06-30	$2,318
Benefits paid (including direct rollovers)	2016-06-30	$343
Total plan assets at end of year	2016-06-30	$285,508
Total plan assets at beginning of year	2016-06-30	$255,249
Value of fidelity bond covering the plan	2016-06-30	$30,000
Assets. Value of tangible personal property	2016-06-30	$0
Total contributions received or receivable from participants	2016-06-30	$16,519
Assets. Value of loans (other than to participants)	2016-06-30	$0
Expenses. Other expenses not covered elsewhere	2016-06-30	$0
Contributions received from other sources (not participants or employers)	2016-06-30	$8,200
Other income received	2016-06-30	$-2,142
Noncash contributions received	2016-06-30	$0
Net income (gross income less expenses)	2016-06-30	$30,259
Net plan assets at end of year (total assets less liabilities)	2016-06-30	$285,508
Net plan assets at beginning of year (total assets less liabilities)	2016-06-30	$255,249
Assets. Value of participant loans	2016-06-30	$32,928
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2016-06-30	$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year	2016-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2016-06-30	$0
Assets. Value of real-estate (other than employer real property)	2016-06-30	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2016-06-30	$0
Assets. Value of employer securities	2016-06-30	$0
Assets. Value of employer real property	2016-06-30	$0
Total contributions received or receivable from employer(s)	2016-06-30	$10,000
Value of certain deemed distributions of participant loans	2016-06-30	$0
Value of corrective distributions	2016-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-06-30	$1,975
2015 : I C A D V 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-06-30	$0
Total plan liabilities at end of year	2015-06-30	$0
Total plan liabilities at beginning of year	2015-06-30	$0
Total income from all sources	2015-06-30	$24,755
Expenses. Total of all expenses incurred	2015-06-30	$3,172
Benefits paid (including direct rollovers)	2015-06-30	$348
Total plan assets at end of year	2015-06-30	$255,249
Total plan assets at beginning of year	2015-06-30	$233,666
Value of fidelity bond covering the plan	2015-06-30	$25,000
Assets. Value of tangible personal property	2015-06-30	$0
Total contributions received or receivable from participants	2015-06-30	$14,264
Assets. Value of loans (other than to participants)	2015-06-30	$0
Expenses. Other expenses not covered elsewhere	2015-06-30	$0
Contributions received from other sources (not participants or employers)	2015-06-30	$0
Other income received	2015-06-30	$4,491
Noncash contributions received	2015-06-30	$0
Net income (gross income less expenses)	2015-06-30	$21,583
Net plan assets at end of year (total assets less liabilities)	2015-06-30	$255,249
Net plan assets at beginning of year (total assets less liabilities)	2015-06-30	$233,666
Assets. Value of participant loans	2015-06-30	$25,210
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2015-06-30	$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year	2015-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2015-06-30	$0
Assets. Value of real-estate (other than employer real property)	2015-06-30	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2015-06-30	$0
Assets. Value of employer securities	2015-06-30	$0
Assets. Value of employer real property	2015-06-30	$0
Total contributions received or receivable from employer(s)	2015-06-30	$6,000
Value of certain deemed distributions of participant loans	2015-06-30	$0
Value of corrective distributions	2015-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-06-30	$2,824
2014 : I C A D V 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-06-30	$0
Total plan liabilities at end of year	2014-06-30	$0
Total plan liabilities at beginning of year	2014-06-30	$0
Total income from all sources	2014-06-30	$45,548
Expenses. Total of all expenses incurred	2014-06-30	$2,058
Benefits paid (including direct rollovers)	2014-06-30	$0
Total plan assets at end of year	2014-06-30	$233,666
Total plan assets at beginning of year	2014-06-30	$190,176
Value of fidelity bond covering the plan	2014-06-30	$25,000
Assets. Value of tangible personal property	2014-06-30	$0
Total contributions received or receivable from participants	2014-06-30	$11,670
Assets. Value of loans (other than to participants)	2014-06-30	$0
Expenses. Other expenses not covered elsewhere	2014-06-30	$0
Contributions received from other sources (not participants or employers)	2014-06-30	$0
Other income received	2014-06-30	$28,878
Noncash contributions received	2014-06-30	$0
Net income (gross income less expenses)	2014-06-30	$43,490
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$233,666
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$190,176
Assets. Value of participant loans	2014-06-30	$28,060
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2014-06-30	$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year	2014-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2014-06-30	$0
Assets. Value of real-estate (other than employer real property)	2014-06-30	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2014-06-30	$0
Assets. Value of employer securities	2014-06-30	$0
Assets. Value of employer real property	2014-06-30	$0
Total contributions received or receivable from employer(s)	2014-06-30	$5,000
Value of certain deemed distributions of participant loans	2014-06-30	$0
Value of corrective distributions	2014-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-06-30	$2,058
2013 : I C A D V 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-06-30	$0
Total plan liabilities at end of year	2013-06-30	$0
Total plan liabilities at beginning of year	2013-06-30	$0
Total income from all sources	2013-06-30	$40,214
Expenses. Total of all expenses incurred	2013-06-30	$70,028
Benefits paid (including direct rollovers)	2013-06-30	$67,839
Total plan assets at end of year	2013-06-30	$190,176
Total plan assets at beginning of year	2013-06-30	$219,990
Value of fidelity bond covering the plan	2013-06-30	$20,000
Assets. Value of tangible personal property	2013-06-30	$0
Total contributions received or receivable from participants	2013-06-30	$13,584
Assets. Value of loans (other than to participants)	2013-06-30	$0
Expenses. Other expenses not covered elsewhere	2013-06-30	$0
Contributions received from other sources (not participants or employers)	2013-06-30	$0
Other income received	2013-06-30	$21,630
Noncash contributions received	2013-06-30	$0
Net income (gross income less expenses)	2013-06-30	$-29,814
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$190,176
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$219,990
Assets. Value of participant loans	2013-06-30	$35,119
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2013-06-30	$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year	2013-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2013-06-30	$0
Assets. Value of real-estate (other than employer real property)	2013-06-30	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2013-06-30	$0
Assets. Value of employer securities	2013-06-30	$0
Assets. Value of employer real property	2013-06-30	$0
Total contributions received or receivable from employer(s)	2013-06-30	$5,000
Value of certain deemed distributions of participant loans	2013-06-30	$0
Value of corrective distributions	2013-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$2,189
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2013-06-30	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
2012 : I C A D V 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-06-30	$0
Total plan liabilities at end of year	2012-06-30	$0
Total plan liabilities at beginning of year	2012-06-30	$0
Total income from all sources	2012-06-30	$17,117
Expenses. Total of all expenses incurred	2012-06-30	$13,397
Benefits paid (including direct rollovers)	2012-06-30	$10,700
Total plan assets at end of year	2012-06-30	$219,990
Total plan assets at beginning of year	2012-06-30	$216,270
Value of fidelity bond covering the plan	2012-06-30	$25,000
Assets. Value of tangible personal property	2012-06-30	$0
Total contributions received or receivable from participants	2012-06-30	$17,087
Assets. Value of loans (other than to participants)	2012-06-30	$0
Expenses. Other expenses not covered elsewhere	2012-06-30	$0
Contributions received from other sources (not participants or employers)	2012-06-30	$0
Other income received	2012-06-30	$30
Noncash contributions received	2012-06-30	$0
Net income (gross income less expenses)	2012-06-30	$3,720
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$219,990
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$216,270
Assets. Value of participant loans	2012-06-30	$39,918
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2012-06-30	$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year	2012-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2012-06-30	$0
Assets. Value of real-estate (other than employer real property)	2012-06-30	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2012-06-30	$0
Assets. Value of employer securities	2012-06-30	$0
Assets. Value of employer real property	2012-06-30	$0
Total contributions received or receivable from employer(s)	2012-06-30	$0
Value of certain deemed distributions of participant loans	2012-06-30	$0
Value of corrective distributions	2012-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$2,697
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2012-06-30	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
2011 : I C A D V 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-06-30	$0
Total plan liabilities at end of year	2011-06-30	$0
Total plan liabilities at beginning of year	2011-06-30	$0
Total income from all sources	2011-06-30	$111,375
Expenses. Total of all expenses incurred	2011-06-30	$10,783
Benefits paid (including direct rollovers)	2011-06-30	$8,600
Total plan assets at end of year	2011-06-30	$216,270
Total plan assets at beginning of year	2011-06-30	$115,678
Value of fidelity bond covering the plan	2011-06-30	$20,000
Assets. Value of tangible personal property	2011-06-30	$0
Total contributions received or receivable from participants	2011-06-30	$14,874
Assets. Value of loans (other than to participants)	2011-06-30	$0
Expenses. Other expenses not covered elsewhere	2011-06-30	$2,183
Contributions received from other sources (not participants or employers)	2011-06-30	$58,451
Other income received	2011-06-30	$28,050
Noncash contributions received	2011-06-30	$0
Net income (gross income less expenses)	2011-06-30	$100,592
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$216,270
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$115,678
Assets. Value of participant loans	2011-06-30	$1,306
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2011-06-30	$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year	2011-06-30	$0
Assets. Value of assets in partnership/joint-venture interests	2011-06-30	$0
Assets. Value of real-estate (other than employer real property)	2011-06-30	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2011-06-30	$0
Assets. Value of employer securities	2011-06-30	$0
Assets. Value of employer real property	2011-06-30	$0
Total contributions received or receivable from employer(s)	2011-06-30	$10,000
Value of certain deemed distributions of participant loans	2011-06-30	$0
Value of corrective distributions	2011-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$0

Form 5500 Responses for I C A D V 401(K) PLAN

2022: I C A D V 401(K) PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Submission has been amended	No
2022-07-01	This submission is the final filing	No
2022-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-07-01	Plan is a collectively bargained plan	No
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan funding arrangement – Trust	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement - Trust	Yes
2021: I C A D V 401(K) 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 funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: I C A D V 401(K) PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: I C A D V 401(K) PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: I C A D V 401(K) PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: I C A D V 401(K) PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: I C A D V 401(K) PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: I C A D V 401(K) 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 funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: I C A D V 401(K) PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: I C A D V 401(K) PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: I C A D V 401(K) PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: I C A D V 401(K) PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: I C A D V 401(K) PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: I C A D V 401(K) PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

814270

Policy instance

Insurance contract or identification number	814270
Number of Individuals Covered	16
Insurance policy start date	2022-07-01
Insurance policy end date	2023-06-30
Total amount of commissions paid to insurance broker	USD $1,736
Total amount of fees paid to insurance company	USD $2,054
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,736
Insurance broker organization code?	3
Amount paid for insurance broker fees	2054
Additional information about fees paid to insurance broker	TPA

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

814270

Policy instance

Insurance contract or identification number	814270
Number of Individuals Covered	16
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $1,779
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,779
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	TPA SERVICES

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E3860640

Policy instance

Insurance contract or identification number	E3860640
Number of Individuals Covered	5
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $321
Total amount of fees paid to insurance company	USD $21
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	0
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	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

814270

Policy instance

Insurance contract or identification number	814270
Number of Individuals Covered	19
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $1,474
Total amount of fees paid to insurance company	USD $1,658
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	0
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?	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,474
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	TPA SERVICES

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

814270

Policy instance

Insurance contract or identification number	814270
Number of Individuals Covered	16
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $11,040
Total amount of fees paid to insurance company	USD $1,303
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	0
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?	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,040
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	TPA SERVICES

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

814270

Policy instance

Insurance contract or identification number	814270
Number of Individuals Covered	15
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $880
Total amount of fees paid to insurance company	USD $246
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	0
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?	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	INDIANA COALITION AGAINST DOMESTIC VIOLENCE, INC.
Employer identification number (EIN):	311009769
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services