401k Plan data: CLEARBROOK PENSION SAVINGS PLAN plan

CLEARBROOK PENSION SAVINGS PLAN 401k Plan overview

Plan Name	CLEARBROOK PENSION SAVINGS PLAN
Plan identification number	002

CLEARBROOK PENSION SAVINGS PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1. Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

CLEARBOOK has sponsored the creation of one or more 401k plans.

Company Name: CLEARBOOK

Employer identification number (EIN): 362420176

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLEARBROOK PENSION SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-07-01
002 2020-07-01
002 2019-07-01
002 2018-07-01
002 2017-07-01 ROSA BAEZ-LOPEZ
002 2016-07-01 ROSA BAEZ-LOPEZ
002 2015-07-01 ROSA BAEZ-LOPEZ CLEARBROOK 2017-04-17
002 2014-07-01 ROSA BAEZ-LOPEZ
002 2013-07-01 ROSA BAEZ-LOPEZ
002 2012-07-01 ROSA BAEZ-LOPEZ
002 2011-07-01 ROSA BAEZ-LOPEZ
002 2009-07-01 ROSA BAEZ-LOPEZ
002 2008-07-01 ROSA BAEZ-LOPEZ
002 2006-07-01 ROSA BAEZ-LOPEZ
002 2005-07-01 ROSA BAEZ-LOPEZ
002 2004-07-01 ROSA BAEZ-LOPEZ
002 2002-07-01 ROSA BAEZ-LOPEZ
002 2001-07-01 ROSA BAEZ-LOPEZ
002 2000-07-01 ROSA BAEZ-LOPEZ
002 1998-07-01 ROSA BAEZ-LOPEZ

Plan Statistics for CLEARBROOK PENSION SAVINGS PLAN

401k plan membership statisitcs for CLEARBROOK PENSION SAVINGS PLAN

Measure Date Value
2021: CLEARBROOK PENSION SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 1,612
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 847
Number of retired or separated participants receiving benefits 2021-07-01 10
Number of other retired or separated participants entitled to future benefits 2021-07-01 499
Total of all active and inactive participants 2021-07-01 1,356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 1,356
Number of participants with account balances 2021-07-01 998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: CLEARBROOK PENSION SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 1,431
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 1,108
Number of retired or separated participants receiving benefits 2020-07-01 43
Number of other retired or separated participants entitled to future benefits 2020-07-01 458
Total of all active and inactive participants 2020-07-01 1,609
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 3
Total participants 2020-07-01 1,612
Number of participants with account balances 2020-07-01 966
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 2
2019: CLEARBROOK PENSION SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 1,364
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 991
Number of other retired or separated participants entitled to future benefits 2019-07-01 440
Total of all active and inactive participants 2019-07-01 1,431
Total participants 2019-07-01 1,431
Number of participants with account balances 2019-07-01 917
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: CLEARBROOK PENSION SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 1,356
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 969
Number of other retired or separated participants entitled to future benefits 2018-07-01 408
Total of all active and inactive participants 2018-07-01 1,377
Total participants 2018-07-01 1,377
Number of participants with account balances 2018-07-01 873
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: CLEARBROOK PENSION SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 1,344
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 993
Number of other retired or separated participants entitled to future benefits 2017-07-01 389
Total of all active and inactive participants 2017-07-01 1,382
Total participants 2017-07-01 1,382
Number of participants with account balances 2017-07-01 823
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: CLEARBROOK PENSION SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 1,329
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 1,023
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 338
Total of all active and inactive participants 2016-07-01 1,361
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 1,361
Number of participants with account balances 2016-07-01 784
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: CLEARBROOK PENSION SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 1,013
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 749
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 308
Total of all active and inactive participants 2015-07-01 1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 1,057
Number of participants with account balances 2015-07-01 728
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: CLEARBROOK PENSION SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 1,224
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 787
Number of other retired or separated participants entitled to future benefits 2014-07-01 273
Total of all active and inactive participants 2014-07-01 1,060
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 1,060
Number of participants with account balances 2014-07-01 816
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: CLEARBROOK PENSION SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 993
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 925
Number of other retired or separated participants entitled to future benefits 2013-07-01 229
Total of all active and inactive participants 2013-07-01 1,154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 1,154
Number of participants with account balances 2013-07-01 680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: CLEARBROOK PENSION SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 939
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 879
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 212
Total of all active and inactive participants 2012-07-01 1,091
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 1,091
Number of participants with account balances 2012-07-01 597
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: CLEARBROOK PENSION SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 493
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 561
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 202
Total of all active and inactive participants 2011-07-01 763
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 763
Number of participants with account balances 2011-07-01 511
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: CLEARBROOK PENSION SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 434
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 362
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 157
Total of all active and inactive participants 2009-07-01 519
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 519
Number of participants with account balances 2009-07-01 439
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2021: CLEARBROOK PENSION SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	1,612
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	847
Number of retired or separated participants receiving benefits	2021-07-01	10
Number of other retired or separated participants entitled to future benefits	2021-07-01	499
Total of all active and inactive participants	2021-07-01	1,356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	1,356
Number of participants with account balances	2021-07-01	998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: CLEARBROOK PENSION SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	1,431
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	1,108
Number of retired or separated participants receiving benefits	2020-07-01	43
Number of other retired or separated participants entitled to future benefits	2020-07-01	458
Total of all active and inactive participants	2020-07-01	1,609
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	3
Total participants	2020-07-01	1,612
Number of participants with account balances	2020-07-01	966
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	2
2019: CLEARBROOK PENSION SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	1,364
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	991
Number of other retired or separated participants entitled to future benefits	2019-07-01	440
Total of all active and inactive participants	2019-07-01	1,431
Total participants	2019-07-01	1,431
Number of participants with account balances	2019-07-01	917
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: CLEARBROOK PENSION SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	1,356
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	969
Number of other retired or separated participants entitled to future benefits	2018-07-01	408
Total of all active and inactive participants	2018-07-01	1,377
Total participants	2018-07-01	1,377
Number of participants with account balances	2018-07-01	873
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: CLEARBROOK PENSION SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	1,344
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	993
Number of other retired or separated participants entitled to future benefits	2017-07-01	389
Total of all active and inactive participants	2017-07-01	1,382
Total participants	2017-07-01	1,382
Number of participants with account balances	2017-07-01	823
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: CLEARBROOK PENSION SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	1,329
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	1,023
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	338
Total of all active and inactive participants	2016-07-01	1,361
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	1,361
Number of participants with account balances	2016-07-01	784
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: CLEARBROOK PENSION SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	1,013
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	749
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	308
Total of all active and inactive participants	2015-07-01	1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	1,057
Number of participants with account balances	2015-07-01	728
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: CLEARBROOK PENSION SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	1,224
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	787
Number of other retired or separated participants entitled to future benefits	2014-07-01	273
Total of all active and inactive participants	2014-07-01	1,060
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	1,060
Number of participants with account balances	2014-07-01	816
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: CLEARBROOK PENSION SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	993
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	925
Number of other retired or separated participants entitled to future benefits	2013-07-01	229
Total of all active and inactive participants	2013-07-01	1,154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	1,154
Number of participants with account balances	2013-07-01	680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: CLEARBROOK PENSION SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	939
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	879
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	212
Total of all active and inactive participants	2012-07-01	1,091
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	1,091
Number of participants with account balances	2012-07-01	597
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: CLEARBROOK PENSION SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	493
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	561
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	202
Total of all active and inactive participants	2011-07-01	763
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	763
Number of participants with account balances	2011-07-01	511
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: CLEARBROOK PENSION SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	434
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	362
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	157
Total of all active and inactive participants	2009-07-01	519
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	519
Number of participants with account balances	2009-07-01	439
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on CLEARBROOK PENSION SAVINGS PLAN

Measure	Date	Value
2022 : CLEARBROOK PENSION SAVINGS PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-06-30	$-649,355
Total of all expenses incurred	2022-06-30	$1,978,791
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$1,875,050
Expenses. Certain deemed distributions of participant loans	2022-06-30	$24,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$1,908,524
Value of total assets at end of year	2022-06-30	$20,144,230
Value of total assets at beginning of year	2022-06-30	$22,772,376
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$79,624
Total interest from all sources	2022-06-30	$73,509
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$486,221
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$486,221
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$700,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$1,092,362
Participant contributions at end of year	2022-06-30	$189,497
Participant contributions at beginning of year	2022-06-30	$252,342
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$12,079
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-2,628,146
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$20,144,230
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$22,772,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$15,055,105
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$17,978,739
Interest on participant loans	2022-06-30	$10,334
Interest earned on other investments	2022-06-30	$63,175
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$4,105,542
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$3,830,019
Expenses. Payments to insurance carriers foe the provision of benefits	2022-06-30	$115,839
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-3,117,609
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$804,083
Employer contributions (assets) at end of year	2022-06-30	$794,086
Employer contributions (assets) at beginning of year	2022-06-30	$711,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$1,759,211
Contract administrator fees	2022-06-30	$79,624
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Disclaimer
Accountancy firm name	2022-06-30	DUGAN & LOPATKA CPAS
Accountancy firm EIN	2022-06-30	362886485
2021 : CLEARBROOK PENSION SAVINGS PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-06-30	$6,064,369
Total of all expenses incurred	2021-06-30	$1,998,110
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$1,926,432
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$1,629,616
Value of total assets at end of year	2021-06-30	$22,772,376
Value of total assets at beginning of year	2021-06-30	$18,706,117
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$71,678
Total interest from all sources	2021-06-30	$126,168
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$340,868
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$340,868
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$700,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$918,340
Participant contributions at end of year	2021-06-30	$252,342
Participant contributions at beginning of year	2021-06-30	$293,564
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$4,066,259
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$22,772,376
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$18,706,117
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$17,978,739
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$13,714,080
Interest on participant loans	2021-06-30	$12,812
Interest earned on other investments	2021-06-30	$113,356
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$3,830,019
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$4,057,659
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$503,873
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$3,967,717
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$711,276
Employer contributions (assets) at end of year	2021-06-30	$711,276
Employer contributions (assets) at beginning of year	2021-06-30	$640,814
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$1,422,559
Contract administrator fees	2021-06-30	$71,678
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	DUGAN & LOPATKA CPAS
Accountancy firm EIN	2021-06-30	362886485
2020 : CLEARBROOK PENSION SAVINGS PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-06-30	$1,930,146
Total of all expenses incurred	2020-06-30	$1,441,752
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$1,379,334
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$1,489,838
Value of total assets at end of year	2020-06-30	$18,706,117
Value of total assets at beginning of year	2020-06-30	$18,217,723
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$62,418
Total interest from all sources	2020-06-30	$88,859
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$338,778
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$338,778
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$700,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$844,948
Participant contributions at end of year	2020-06-30	$293,564
Participant contributions at beginning of year	2020-06-30	$208,082
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$4,076
Administrative expenses (other) incurred	2020-06-30	$19
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$488,394
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$18,706,117
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$18,217,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$13,714,080
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$13,486,576
Interest on participant loans	2020-06-30	$15,994
Interest earned on other investments	2020-06-30	$72,865
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$4,057,659
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$3,927,051
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$12,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$640,814
Employer contributions (assets) at end of year	2020-06-30	$640,814
Employer contributions (assets) at beginning of year	2020-06-30	$596,014
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$1,379,334
Contract administrator fees	2020-06-30	$62,399
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	DUGAN & LOPATKA CPAS
Accountancy firm EIN	2020-06-30	362886485
2019 : CLEARBROOK PENSION SAVINGS PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-06-30	$2,432,551
Total of all expenses incurred	2019-06-30	$1,358,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$1,296,942
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Value of total corrective distributions	2019-06-30	$1,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$1,463,400
Value of total assets at end of year	2019-06-30	$18,217,723
Value of total assets at beginning of year	2019-06-30	$17,143,324
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$59,721
Total interest from all sources	2019-06-30	$91,607
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$374,836
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$374,836
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$866,416
Participant contributions at end of year	2019-06-30	$208,082
Participant contributions at beginning of year	2019-06-30	$197,177
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$970
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$1,074,399
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$18,217,723
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$17,143,324
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$13,486,576
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$12,067,420
Interest on participant loans	2019-06-30	$15,496
Interest earned on other investments	2019-06-30	$76,111
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$3,927,051
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$4,350,956
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$502,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$596,014
Employer contributions (assets) at end of year	2019-06-30	$596,014
Employer contributions (assets) at beginning of year	2019-06-30	$527,771
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$1,296,942
Contract administrator fees	2019-06-30	$59,721
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	DUGAN & LOPATKA, CPAS
Accountancy firm EIN	2019-06-30	362886485
2018 : CLEARBROOK PENSION SAVINGS PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-06-30	$2,562,977
Total of all expenses incurred	2018-06-30	$2,083,590
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$2,040,746
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$1,322,463
Value of total assets at end of year	2018-06-30	$17,143,324
Value of total assets at beginning of year	2018-06-30	$16,663,937
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$42,844
Total interest from all sources	2018-06-30	$82,762
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$314,988
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$314,988
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$791,873
Participant contributions at end of year	2018-06-30	$197,177
Participant contributions at beginning of year	2018-06-30	$167,773
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$2,819
Administrative expenses (other) incurred	2018-06-30	$-804
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$479,387
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$17,143,324
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$16,663,937
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$12,067,420
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$11,909,148
Interest on participant loans	2018-06-30	$12,254
Interest earned on other investments	2018-06-30	$70,508
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$4,350,956
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$4,058,860
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$842,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$527,771
Employer contributions (assets) at end of year	2018-06-30	$527,771
Employer contributions (assets) at beginning of year	2018-06-30	$528,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$2,040,746
Contract administrator fees	2018-06-30	$43,648
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	PLANTE MORAN
Accountancy firm EIN	2018-06-30	363468829
2017 : CLEARBROOK PENSION SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$2,876,850
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$1,738,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$1,713,682
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$1,223,238
Value of total assets at end of year	2017-06-30	$16,663,937
Value of total assets at beginning of year	2017-06-30	$15,525,190
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$24,421
Total interest from all sources	2017-06-30	$87,504
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$324,091
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$324,091
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$693,189
Participant contributions at end of year	2017-06-30	$167,773
Participant contributions at beginning of year	2017-06-30	$180,470
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$1,893
Administrative expenses (other) incurred	2017-06-30	$-149
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$1,138,747
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$16,663,937
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$15,525,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$11,909,148
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$10,638,796
Interest on participant loans	2017-06-30	$6,687
Interest earned on other investments	2017-06-30	$80,817
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$4,058,860
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$4,206,536
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$1,242,017
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$528,156
Employer contributions (assets) at end of year	2017-06-30	$528,156
Employer contributions (assets) at beginning of year	2017-06-30	$499,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$1,713,682
Contract administrator fees	2017-06-30	$24,570
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	PLANTE MORAN
Accountancy firm EIN	2017-06-30	363468829
2016 : CLEARBROOK PENSION SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$1,239,828
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$1,393,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$1,365,840
Value of total corrective distributions	2016-06-30	$3,713
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$1,164,146
Value of total assets at end of year	2016-06-30	$15,525,190
Value of total assets at beginning of year	2016-06-30	$15,678,394
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$23,479
Total interest from all sources	2016-06-30	$82,909
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$386,177
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$386,177
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$648,936
Participant contributions at end of year	2016-06-30	$180,470
Participant contributions at beginning of year	2016-06-30	$171,814
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$15,822
Administrative expenses (other) incurred	2016-06-30	$275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-153,204
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$15,525,190
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$15,678,394
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$10,638,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$10,571,563
Interest on participant loans	2016-06-30	$12,464
Interest earned on other investments	2016-06-30	$70,445
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$4,206,536
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$4,487,978
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-393,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$499,388
Employer contributions (assets) at end of year	2016-06-30	$499,388
Employer contributions (assets) at beginning of year	2016-06-30	$447,039
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$1,365,840
Contract administrator fees	2016-06-30	$23,204
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	PLANTE MORAN
Accountancy firm EIN	2016-06-30	363468829
2015 : CLEARBROOK PENSION SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$1,639,838
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$805,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$783,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$1,085,938
Value of total assets at end of year	2015-06-30	$15,678,394
Value of total assets at beginning of year	2015-06-30	$14,844,418
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$22,007
Total interest from all sources	2015-06-30	$92,874
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$423,020
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$423,020
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$638,899
Participant contributions at end of year	2015-06-30	$171,814
Participant contributions at beginning of year	2015-06-30	$87,721
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$447,039
Administrative expenses (other) incurred	2015-06-30	$935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$833,976
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$15,678,394
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$14,844,418
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$10,571,563
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$9,965,151
Interest on participant loans	2015-06-30	$3,520
Interest earned on other investments	2015-06-30	$89,354
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$4,487,978
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$4,393,281
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$38,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Employer contributions (assets) at end of year	2015-06-30	$447,039
Employer contributions (assets) at beginning of year	2015-06-30	$398,265
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$783,855
Contract administrator fees	2015-06-30	$21,072
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	PLANTE MORAN
Accountancy firm EIN	2015-06-30	363468829
2014 : CLEARBROOK PENSION SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$3,095,529
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$1,108,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$1,087,945
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$965,648
Value of total assets at end of year	2014-06-30	$14,844,418
Value of total assets at beginning of year	2014-06-30	$12,857,473
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$20,639
Total interest from all sources	2014-06-30	$92,604
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$278,867
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$278,867
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$533,815
Participant contributions at end of year	2014-06-30	$87,721
Participant contributions at beginning of year	2014-06-30	$0
Administrative expenses (other) incurred	2014-06-30	$1,964
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$1,986,945
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$14,844,418
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$12,857,473
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$9,965,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$8,479,498
Interest on participant loans	2014-06-30	$12,144
Interest earned on other investments	2014-06-30	$80,460
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$4,393,281
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$4,000,416
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$1,758,410
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$431,833
Employer contributions (assets) at end of year	2014-06-30	$398,265
Employer contributions (assets) at beginning of year	2014-06-30	$377,559
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$1,087,945
Contract administrator fees	2014-06-30	$18,675
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	PLANTE MORAN
Accountancy firm EIN	2014-06-30	363468829
2013 : CLEARBROOK PENSION SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total transfer of assets to this plan	2013-06-30	$7,328,478
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$153,556
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$25,466
Total income from all sources (including contributions)	2013-06-30	$2,231,878
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$197,231
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$180,405
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$949,282
Value of total assets at end of year	2013-06-30	$13,011,029
Value of total assets at beginning of year	2013-06-30	$3,519,814
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$16,826
Total interest from all sources	2013-06-30	$88,565
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$135,479
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$135,479
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$594,737
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-06-30	$153,556
Administrative expenses (other) incurred	2013-06-30	$2,248
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$2,034,647
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$12,857,473
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$3,494,348
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$8,479,498
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$1,827,313
Interest on participant loans	2013-06-30	$11,682
Interest earned on other investments	2013-06-30	$76,883
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$4,153,972
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$1,326,043
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$1,058,552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$354,545
Employer contributions (assets) at end of year	2013-06-30	$377,559
Employer contributions (assets) at beginning of year	2013-06-30	$366,458
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$180,405
Contract administrator fees	2013-06-30	$14,578
Liabilities. Value of benefit claims payable at beginning of year	2013-06-30	$25,466
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	PLANTE MORAN
Accountancy firm EIN	2013-06-30	363468829
2012 : CLEARBROOK PENSION SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$25,466
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$22,755
Total income from all sources (including contributions)	2012-06-30	$392,512
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$155,368
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$145,221
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$364,059
Value of total assets at end of year	2012-06-30	$3,519,814
Value of total assets at beginning of year	2012-06-30	$3,279,959
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$10,147
Total interest from all sources	2012-06-30	$38,737
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Administrative expenses (other) incurred	2012-06-30	$3,722
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$237,144
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$3,494,348
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$3,257,204
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$1,827,313
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$1,706,832
Interest on participant loans	2012-06-30	$1,916
Interest earned on other investments	2012-06-30	$36,821
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$1,326,043
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$1,225,856
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-10,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$364,059
Employer contributions (assets) at end of year	2012-06-30	$366,458
Employer contributions (assets) at beginning of year	2012-06-30	$347,271
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$145,221
Contract administrator fees	2012-06-30	$6,425
Liabilities. Value of benefit claims payable at end of year	2012-06-30	$25,466
Liabilities. Value of benefit claims payable at beginning of year	2012-06-30	$22,755
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	BLACKMAN KALLICK, LLP
Accountancy firm EIN	2012-06-30	363468829
2011 : CLEARBROOK PENSION SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$22,755
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$11,745
Total income from all sources (including contributions)	2011-06-30	$738,496
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$219,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$210,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$351,785
Value of total assets at end of year	2011-06-30	$3,279,959
Value of total assets at beginning of year	2011-06-30	$2,749,626
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$8,177
Total interest from all sources	2011-06-30	$38,723
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Administrative expenses (other) incurred	2011-06-30	$3,880
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$519,323
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$3,257,204
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$2,737,881
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$1,706,832
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$1,371,989
Interest on participant loans	2011-06-30	$1,535
Interest earned on other investments	2011-06-30	$37,188
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$1,225,856
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$1,182,093
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$347,988
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$351,785
Employer contributions (assets) at end of year	2011-06-30	$347,271
Employer contributions (assets) at beginning of year	2011-06-30	$195,544
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$210,996
Contract administrator fees	2011-06-30	$4,297
Liabilities. Value of benefit claims payable at end of year	2011-06-30	$22,755
Liabilities. Value of benefit claims payable at beginning of year	2011-06-30	$11,745
Did the plan have assets held for investment	2011-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	BLACKMAN KALLICK, LLP
Accountancy firm EIN	2011-06-30	363468829
2010 : CLEARBROOK PENSION SAVINGS PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-06-30	$503,724
Total of all expenses incurred	2010-06-30	$131,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-06-30	$114,855
Expenses. Certain deemed distributions of participant loans	2010-06-30	$9,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-06-30	$315,861
Value of total assets at end of year	2010-06-30	$2,737,884
Value of total assets at beginning of year	2010-06-30	$2,365,985
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-06-30	$7,362
Total interest from all sources	2010-06-30	$36,513
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-06-30	No
Was this plan covered by a fidelity bond	2010-06-30	Yes
Value of fidelity bond cover	2010-06-30	$7,000,000
If this is an individual account plan, was there a blackout period	2010-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2010-06-30	No
Participant contributions at end of year	2010-06-30	$25,208
Participant contributions at beginning of year	2010-06-30	$12,748
Administrative expenses (other) incurred	2010-06-30	$2,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-06-30	No
Value of net income/loss	2010-06-30	$371,899
Value of net assets at end of year (total assets less liabilities)	2010-06-30	$2,737,884
Value of net assets at beginning of year (total assets less liabilities)	2010-06-30	$2,365,985
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-06-30	No
Were any leases to which the plan was party in default or uncollectible	2010-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-06-30	$1,371,991
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-06-30	$1,128,704
Interest on participant loans	2010-06-30	$846
Interest earned on other investments	2010-06-30	$35,667
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-06-30	$1,145,141
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-06-30	$1,059,624
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-06-30	$151,350
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-06-30	No
Was there a failure to transmit to the plan any participant contributions	2010-06-30	No
Has the plan failed to provide any benefit when due under the plan	2010-06-30	No
Contributions received in cash from employer	2010-06-30	$315,861
Employer contributions (assets) at end of year	2010-06-30	$195,544
Employer contributions (assets) at beginning of year	2010-06-30	$164,909
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-06-30	$114,855
Contract administrator fees	2010-06-30	$4,840
Did the plan have assets held for investment	2010-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2010-06-30	Disclaimer
Accountancy firm name	2010-06-30	BLACKMAN KALLICK, LLP
Accountancy firm EIN	2010-06-30	363468829

Form 5500 Responses for CLEARBROOK PENSION SAVINGS PLAN

2021: CLEARBROOK PENSION SAVINGS PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
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: CLEARBROOK PENSION SAVINGS PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
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: CLEARBROOK PENSION SAVINGS PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
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: CLEARBROOK PENSION SAVINGS PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
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: CLEARBROOK PENSION SAVINGS PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
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: CLEARBROOK PENSION SAVINGS PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: CLEARBROOK PENSION SAVINGS PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: CLEARBROOK PENSION SAVINGS 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 benefit arrangement – Insurance	Yes
2013: CLEARBROOK PENSION SAVINGS 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 benefit arrangement – Insurance	Yes
2012: CLEARBROOK PENSION SAVINGS PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes
2011: CLEARBROOK PENSION SAVINGS 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 benefit arrangement – Insurance	Yes
2009: CLEARBROOK PENSION SAVINGS PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes
2008: CLEARBROOK PENSION SAVINGS PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	Submission has been amended	No
2008-07-01	This submission is the final filing	No
2008-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-07-01	Plan is a collectively bargained plan	No
2006: CLEARBROOK PENSION SAVINGS PLAN 2006 form 5500 responses
2006-07-01	Type of plan entity	Single employer plan
2006-07-01	Submission has been amended	No
2006-07-01	This submission is the final filing	No
2006-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-07-01	Plan is a collectively bargained plan	No
2005: CLEARBROOK PENSION SAVINGS PLAN 2005 form 5500 responses
2005-07-01	Type of plan entity	Single employer plan
2005-07-01	Submission has been amended	No
2005-07-01	This submission is the final filing	No
2005-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-07-01	Plan is a collectively bargained plan	No
2004: CLEARBROOK PENSION SAVINGS PLAN 2004 form 5500 responses
2004-07-01	Type of plan entity	Single employer plan
2004-07-01	Submission has been amended	No
2004-07-01	This submission is the final filing	No
2004-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-07-01	Plan is a collectively bargained plan	No
2002: CLEARBROOK PENSION SAVINGS PLAN 2002 form 5500 responses
2002-07-01	Type of plan entity	Single employer plan
2002-07-01	Submission has been amended	No
2002-07-01	This submission is the final filing	No
2002-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2002-07-01	Plan is a collectively bargained plan	No
2001: CLEARBROOK PENSION SAVINGS PLAN 2001 form 5500 responses
2001-07-01	Type of plan entity	Single employer plan
2001-07-01	Submission has been amended	No
2001-07-01	This submission is the final filing	No
2001-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2001-07-01	Plan is a collectively bargained plan	No
2000: CLEARBROOK PENSION SAVINGS PLAN 2000 form 5500 responses
2000-07-01	Type of plan entity	Single employer plan
2000-07-01	Submission has been amended	No
2000-07-01	This submission is the final filing	No
2000-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2000-07-01	Plan is a collectively bargained plan	No
1998: CLEARBROOK PENSION SAVINGS PLAN 1998 form 5500 responses
1998-07-01	Type of plan entity	Single employer plan
1998-07-01	First time form 5500 has been submitted	Yes
1998-07-01	Submission has been amended	No
1998-07-01	This submission is the final filing	No
1998-07-01	This return/report is a short plan year return/report (less than 12 months)	No
1998-07-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	858
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	235
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $309
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $187
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	807
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	244
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $338
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $185
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	256
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $280
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $166
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	754
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	269
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $299
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $82
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	706
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	651
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	277
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $364
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	545
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other welfare benefits provided	SUPPLEMENTAL AND DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $19,911

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	296
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $373
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $296
Insurance broker organization code?	3
Insurance broker name	VALLE, JIMMY

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	313
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $793
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $460
Insurance broker organization code?	3
Insurance broker name	WHITE, JOHN J

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	494
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	339
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $1,009
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $296
Insurance broker organization code?	3
Insurance broker name	WILCOX, CURTIS J

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	426
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	362
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	371
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $573
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $329
Insurance broker organization code?	3
Insurance broker name	WILCOX, CURTIS J

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	512
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $6,353
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

58297

Policy instance

Insurance contract or identification number	58297
Number of Individuals Covered	493
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $9,860
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CLEARBOOK
Employer identification number (EIN):	362420176
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities