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SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 401k Plan overview

Plan NameSAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN
Plan identification number 002

SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

SAINT URSULA ACADEMY OF CINCINNATI, INC. has sponsored the creation of one or more 401k plans.

Company Name:SAINT URSULA ACADEMY OF CINCINNATI, INC.
Employer identification number (EIN):311414367
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01LELIA K. KRAMER2023-09-29
0022021-01-01LELIA K. KRAMER2022-10-03
0022020-01-01LELIA K. KRAMER2021-09-23
0022019-01-01LELIA K. KRAMER2020-10-08
0022018-01-01LELIA K. KRAMER2019-09-15
0022017-01-01
0022016-01-01LELIA K. KRAMER
0022015-01-01LELIA K. KRAMER
0022014-01-01LELIA K. KRAMER2015-05-19
0022013-01-01LELIA K KRAMER2014-10-08
0022012-01-01LELIA K KRAMER2013-05-28
0022011-01-01LELIA K KRAMER2012-10-15
0022010-01-01JUDITH WIMBERG2011-08-08

Plan Statistics for SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN

401k plan membership statisitcs for SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN

Measure Date Value
2022: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01127
Total number of active participants reported on line 7a of the Form 55002022-01-0190
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0144
Total of all active and inactive participants2022-01-01134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01134
Number of participants with account balances2022-01-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01123
Total number of active participants reported on line 7a of the Form 55002021-01-0188
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0139
Total of all active and inactive participants2021-01-01127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01127
Number of participants with account balances2021-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01126
Total number of active participants reported on line 7a of the Form 55002020-01-0189
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0132
Total of all active and inactive participants2020-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01121
Number of participants with account balances2020-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01127
Total number of active participants reported on line 7a of the Form 55002019-01-0187
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0138
Total of all active and inactive participants2019-01-01125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01125
Number of participants with account balances2019-01-01125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01117
Total number of active participants reported on line 7a of the Form 55002018-01-0196
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0130
Total of all active and inactive participants2018-01-01126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01126
Number of participants with account balances2018-01-01120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01113
Total number of active participants reported on line 7a of the Form 55002017-01-0193
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0124
Total of all active and inactive participants2017-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01117
Number of participants with account balances2017-01-01111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01123
Total number of active participants reported on line 7a of the Form 55002016-01-0189
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0124
Total of all active and inactive participants2016-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01113
Number of participants with account balances2016-01-01107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01122
Total number of active participants reported on line 7a of the Form 55002015-01-01110
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0113
Total of all active and inactive participants2015-01-01123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01123
Number of participants with account balances2015-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN

Measure Date Value
2022 : SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,692,954
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$772,244
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$735,429
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$696,610
Value of total assets at end of year2022-12-31$12,560,659
Value of total assets at beginning of year2022-12-31$15,025,857
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$36,815
Total interest from all sources2022-12-31$1,836
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$205,092
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$205,092
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$382,749
Participant contributions at end of year2022-12-31$31,060
Participant contributions at beginning of year2022-12-31$41,650
Other income not declared elsewhere2022-12-31$1,401
Administrative expenses (other) incurred2022-12-31$-1,158
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,465,198
Value of net assets at end of year (total assets less liabilities)2022-12-31$12,560,659
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$15,025,857
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$20,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$10,424,575
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$13,051,450
Value of interest in pooled separate accounts at end of year2022-12-31$250,264
Value of interest in pooled separate accounts at beginning of year2022-12-31$238,802
Interest on participant loans2022-12-31$1,836
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,854,760
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$1,693,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,615,718
Net investment gain/loss from pooled separate accounts2022-12-31$17,825
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$313,861
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$735,429
Contract administrator fees2022-12-31$17,973
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLARK SCHAEFER HACKETT
Accountancy firm EIN2022-12-31310800053
2021 : SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,518,338
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$267,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$227,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$741,189
Value of total assets at end of year2021-12-31$15,025,857
Value of total assets at beginning of year2021-12-31$12,775,300
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$39,953
Total interest from all sources2021-12-31$12,637
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$938,941
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$938,941
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$425,161
Participant contributions at end of year2021-12-31$41,650
Participant contributions at beginning of year2021-12-31$50,094
Participant contributions at beginning of year2021-12-31$0
Other income not declared elsewhere2021-12-31$48,295
Administrative expenses (other) incurred2021-12-31$1,538
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,250,557
Value of net assets at end of year (total assets less liabilities)2021-12-31$15,025,857
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$12,775,300
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$20,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$13,051,450
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$10,817,291
Value of interest in pooled separate accounts at end of year2021-12-31$238,802
Value of interest in pooled separate accounts at beginning of year2021-12-31$208,342
Interest on participant loans2021-12-31$2,794
Interest earned on other investments2021-12-31$9,843
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$1,693,955
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$1,699,573
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$740,594
Net investment gain/loss from pooled separate accounts2021-12-31$36,682
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$316,028
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$227,828
Contract administrator fees2021-12-31$18,415
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CLARK SCHAEFER HACKETT
Accountancy firm EIN2021-12-31310800053
2020 : SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
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$2,327,688
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$330,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$296,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$669,267
Value of total assets at end of year2020-12-31$12,775,300
Value of total assets at beginning of year2020-12-31$10,778,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$34,262
Total interest from all sources2020-12-31$18,080
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$165,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$165,061
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$380,225
Participant contributions at end of year2020-12-31$50,094
Participant contributions at beginning of year2020-12-31$43,896
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$46,187
Administrative expenses (other) incurred2020-12-31$941
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,996,808
Value of net assets at end of year (total assets less liabilities)2020-12-31$12,775,300
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,778,492
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$20,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$10,817,291
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$8,926,233
Value of interest in pooled separate accounts at end of year2020-12-31$208,342
Value of interest in pooled separate accounts at beginning of year2020-12-31$213,488
Interest on participant loans2020-12-31$2,844
Interest earned on other investments2020-12-31$15,236
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$1,699,573
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$1,594,875
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,430,874
Net investment gain/loss from pooled separate accounts2020-12-31$-1,781
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$289,042
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$296,618
Contract administrator fees2020-12-31$13,321
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CLARK SCHAEFER HACKETT
Accountancy firm EIN2020-12-31310800053
2019 : SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$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 income from all sources (including contributions)2019-12-31$2,349,631
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$369,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$341,313
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$647,663
Value of total assets at end of year2019-12-31$10,778,492
Value of total assets at beginning of year2019-12-31$8,798,090
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$27,916
Total interest from all sources2019-12-31$62,302
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$87,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$87,536
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$355,034
Participant contributions at end of year2019-12-31$43,896
Participant contributions at beginning of year2019-12-31$54,593
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$14,301
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$22,708
Other income not declared elsewhere2019-12-31$1,109
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,980,402
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,778,492
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,798,090
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$12,967
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,926,233
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,808,043
Value of interest in pooled separate accounts at end of year2019-12-31$213,488
Value of interest in pooled separate accounts at beginning of year2019-12-31$226,418
Interest on participant loans2019-12-31$2,937
Interest earned on other investments2019-12-31$59,365
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,594,875
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,684,601
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,539,671
Net investment gain/loss from pooled separate accounts2019-12-31$11,350
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$269,921
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$10,134
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$341,313
Contract administrator fees2019-12-31$14,949
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CLARK SCHAEFER HACKETT
Accountancy firm EIN2019-12-31310800053
2018 : SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
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$279,337
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$544,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$538,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$617,604
Value of total assets at end of year2018-12-31$8,798,090
Value of total assets at beginning of year2018-12-31$9,062,875
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$5,958
Total interest from all sources2018-12-31$68,065
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$324,794
Participant contributions at end of year2018-12-31$54,593
Participant contributions at end of year2018-12-31$14,301
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$16,678
Other income not declared elsewhere2018-12-31$16,745
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-264,785
Value of net assets at end of year (total assets less liabilities)2018-12-31$8,798,090
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$9,062,875
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,808,043
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$6,834,327
Value of interest in pooled separate accounts at end of year2018-12-31$226,418
Value of interest in pooled separate accounts at beginning of year2018-12-31$446,700
Interest earned on other investments2018-12-31$68,065
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,684,601
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,771,366
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-493,543
Net investment gain/loss from pooled separate accounts2018-12-31$70,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$276,132
Employer contributions (assets) at end of year2018-12-31$10,134
Employer contributions (assets) at beginning of year2018-12-31$10,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$538,164
Contract administrator fees2018-12-31$5,958
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CLARK SCHAEFER HACKETT
Accountancy firm EIN2018-12-31310800053
2017 : SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$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$1,755,989
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$601,306
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$601,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$561,364
Value of total assets at end of year2017-12-31$9,062,875
Value of total assets at beginning of year2017-12-31$7,908,192
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$12,663
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$275,690
Other income not declared elsewhere2017-12-31$48,304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,154,683
Value of net assets at end of year (total assets less liabilities)2017-12-31$9,062,875
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$7,908,192
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$6,834,327
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,861,877
Value of interest in pooled separate accounts at end of year2017-12-31$446,700
Value of interest in pooled separate accounts at beginning of year2017-12-31$388,040
Interest earned on other investments2017-12-31$12,663
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,771,366
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,647,550
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,116,018
Net investment gain/loss from pooled separate accounts2017-12-31$17,640
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$285,674
Employer contributions (assets) at end of year2017-12-31$10,482
Employer contributions (assets) at beginning of year2017-12-31$10,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$601,306
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLARK SCHAEFER HACKETT
Accountancy firm EIN2017-12-31310800053
2016 : SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$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$976,646
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$158,945
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$158,945
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$541,740
Value of total assets at end of year2016-12-31$7,908,192
Value of total assets at beginning of year2016-12-31$7,090,491
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31No
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$250,960
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$19,524
Other income not declared elsewhere2016-12-31$12,573
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$817,701
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,908,192
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,090,491
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$5,861,877
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$5,137,468
Value of interest in pooled separate accounts at end of year2016-12-31$388,040
Value of interest in pooled separate accounts at beginning of year2016-12-31$373,370
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,647,550
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,569,913
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$403,663
Net investment gain/loss from pooled separate accounts2016-12-31$18,670
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$271,256
Employer contributions (assets) at end of year2016-12-31$10,725
Employer contributions (assets) at beginning of year2016-12-31$9,740
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$158,945
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLARK SCHAEFER HACKETT
Accountancy firm EIN2016-12-31310800053
2015 : SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$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$576,209
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$312,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$312,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$492,887
Value of total assets at end of year2015-12-31$7,090,491
Value of total assets at beginning of year2015-12-31$6,826,655
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$0
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$12,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$12,439
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$233,954
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$3,004
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$263,836
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,090,491
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,826,655
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$5,137,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$5,014,539
Value of interest in pooled separate accounts at end of year2015-12-31$373,370
Value of interest in pooled separate accounts at beginning of year2015-12-31$318,608
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,569,913
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,493,508
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$43,710
Net investment gain/loss from pooled separate accounts2015-12-31$27,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$255,929
Employer contributions (assets) at end of year2015-12-31$9,740
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$312,373
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLARK SCHAEFER HACKETT
Accountancy firm EIN2015-12-31310800053

Form 5500 Responses for SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN

2022: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SAINT URSULA ACADEMY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number365564
Policy instance 1
Insurance contract or identification number365564
Number of Individuals Covered85
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number365564
Policy instance 1
Insurance contract or identification number365564
Number of Individuals Covered85
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number365564
Policy instance 1
Insurance contract or identification number365564
Number of Individuals Covered88
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number365564
Policy instance 1
Insurance contract or identification number365564
Number of Individuals Covered87
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number365564
Policy instance 1
Insurance contract or identification number365564
Number of Individuals Covered131
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number365564
Policy instance 1
Insurance contract or identification number365564
Number of Individuals Covered153
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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