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CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 401k Plan overview

Plan NameCHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN
Plan identification number 001

CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

CHILDRENS HOPE ALLIANCE has sponsored the creation of one or more 401k plans.

Company Name:CHILDRENS HOPE ALLIANCE
Employer identification number (EIN):383672492
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-10-01
0012020-10-01
0012019-10-01
0012019-10-01
0012018-10-01
0012018-10-01
0012018-10-01
0012017-10-01
0012016-10-01BECKY TOTHEROW
0012015-10-01BECKY TOTHEROW
0012014-10-01BECKY TOTHEROW
0012014-10-01BECKY TOTHEROW

Plan Statistics for CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN

401k plan membership statisitcs for CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN

Measure Date Value
2021: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01221
Total number of active participants reported on line 7a of the Form 55002021-10-01182
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-010
Total participants2021-10-01182
Number of participants with account balances2021-10-01161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-010
2020: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01310
Total number of active participants reported on line 7a of the Form 55002020-10-01172
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-01122
Total of all active and inactive participants2020-10-01294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-01294
Number of participants with account balances2020-10-01211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-010
2019: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01302
Total number of active participants reported on line 7a of the Form 55002019-10-01274
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-0126
Total of all active and inactive participants2019-10-01300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-01300
Number of participants with account balances2019-10-01295
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-010
2018: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01543
Total number of active participants reported on line 7a of the Form 55002018-10-01285
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-0117
Total of all active and inactive participants2018-10-01302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01302
Number of participants with account balances2018-10-01285
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-0117
2017: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01533
Total number of active participants reported on line 7a of the Form 55002017-10-01292
Number of other retired or separated participants entitled to future benefits2017-10-01251
Total of all active and inactive participants2017-10-01543
Total participants2017-10-01543
Number of participants with account balances2017-10-01393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-019
2016: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01529
Total number of active participants reported on line 7a of the Form 55002016-10-01307
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-01226
Total of all active and inactive participants2016-10-01533
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-01533
Number of participants with account balances2016-10-01395
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-0114
2015: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01549
Total number of active participants reported on line 7a of the Form 55002015-10-01308
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-01221
Total of all active and inactive participants2015-10-01529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01529
Number of participants with account balances2015-10-01388
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-0124
2014: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01385
Total number of active participants reported on line 7a of the Form 55002014-10-01330
Number of retired or separated participants receiving benefits2014-10-012
Number of other retired or separated participants entitled to future benefits2014-10-01217
Total of all active and inactive participants2014-10-01549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-01549
Number of participants with account balances2014-10-01382
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-0115

Financial Data on CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN

Measure Date Value
2022 : CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total income from all sources (including contributions)2022-09-30$-101,195
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$1,620,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$1,499,918
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$971,460
Value of total assets at end of year2022-09-30$6,553,896
Value of total assets at beginning of year2022-09-30$8,275,646
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$120,637
Total interest from all sources2022-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$112,638
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$112,638
Administrative expenses professional fees incurred2022-09-30$56,250
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$561,442
Participant contributions at end of year2022-09-30$139,177
Participant contributions at beginning of year2022-09-30$158,031
Income. Received or receivable in cash from other sources (including rollovers)2022-09-30$138,363
Other income not declared elsewhere2022-09-30$7,729
Administrative expenses (other) incurred2022-09-30$64,387
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-1,721,750
Value of net assets at end of year (total assets less liabilities)2022-09-30$6,553,896
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$8,275,646
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$5,007,577
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$6,888,104
Value of interest in pooled separate accounts at end of year2022-09-30$1,147,480
Value of interest in pooled separate accounts at beginning of year2022-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$259,662
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$1,159,428
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-1,193,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$271,655
Employer contributions (assets) at beginning of year2022-09-30$70,083
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$1,499,918
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
2021 : CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total income from all sources (including contributions)2021-09-30$2,231,666
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$1,212,693
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$1,148,399
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$912,949
Value of total assets at end of year2021-09-30$8,275,646
Value of total assets at beginning of year2021-09-30$7,256,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$64,294
Total interest from all sources2021-09-30$8,715
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$121,300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-09-30$121,300
Administrative expenses professional fees incurred2021-09-30$9,093
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
If this is an individual account plan, was there a blackout period2021-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$480,377
Participant contributions at end of year2021-09-30$158,031
Participant contributions at beginning of year2021-09-30$157,386
Income. Received or receivable in cash from other sources (including rollovers)2021-09-30$182,103
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$1,018,973
Value of net assets at end of year (total assets less liabilities)2021-09-30$8,275,646
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$7,256,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$6,888,104
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$5,816,153
Interest on participant loans2021-09-30$8,409
Interest earned on other investments2021-09-30$306
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-09-30$1,159,428
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-09-30$1,205,987
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$1,188,702
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$250,469
Employer contributions (assets) at end of year2021-09-30$70,083
Employer contributions (assets) at beginning of year2021-09-30$77,147
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$1,148,399
Contract administrator fees2021-09-30$55,201
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Disclaimer
Accountancy firm name2021-09-30ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN2021-09-30454771754
2020 : CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total income from all sources (including contributions)2020-09-30$1,112,721
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$892,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$834,743
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$706,005
Value of total assets at end of year2020-09-30$7,256,673
Value of total assets at beginning of year2020-09-30$7,035,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$57,292
Total interest from all sources2020-09-30$10,106
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$138,140
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$138,140
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$441,448
Participant contributions at end of year2020-09-30$157,386
Participant contributions at beginning of year2020-09-30$158,289
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$9,456
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$220,686
Value of net assets at end of year (total assets less liabilities)2020-09-30$7,256,673
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$7,035,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$5,816,153
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$5,569,259
Interest on participant loans2020-09-30$10,106
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-09-30$1,205,987
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-09-30$1,229,968
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$234,097
Net gain/loss from 103.12 investment entities2020-09-30$24,373
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$255,101
Employer contributions (assets) at end of year2020-09-30$77,147
Employer contributions (assets) at beginning of year2020-09-30$78,471
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$834,743
Contract administrator fees2020-09-30$57,292
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN2020-09-30454771754
2019 : CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$839,441
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$695,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$615,432
Expenses. Certain deemed distributions of participant loans2019-09-30$27,028
Value of total corrective distributions2019-09-30$2,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$593,604
Value of total assets at end of year2019-09-30$7,035,987
Value of total assets at beginning of year2019-09-30$6,892,179
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$50,566
Total interest from all sources2019-09-30$36,211
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$122,226
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$122,226
Administrative expenses professional fees incurred2019-09-30$167
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$360,564
Participant contributions at end of year2019-09-30$158,289
Participant contributions at beginning of year2019-09-30$161,763
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$1,108
Other income not declared elsewhere2019-09-30$0
Administrative expenses (other) incurred2019-09-30$50,330
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$143,808
Value of net assets at end of year (total assets less liabilities)2019-09-30$7,035,987
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$6,892,179
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Investment advisory and management fees2019-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$5,569,259
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$5,335,829
Interest on participant loans2019-09-30$6,335
Interest earned on other investments2019-09-30$29,876
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$1,229,968
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$1,250,375
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$85,306
Net investment gain/loss from pooled separate accounts2019-09-30$2,094
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$231,932
Employer contributions (assets) at end of year2019-09-30$78,471
Employer contributions (assets) at beginning of year2019-09-30$144,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$615,432
Contract administrator fees2019-09-30$69
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-09-30No
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN2019-09-30454771754
2018 : CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Expenses. Interest paid2018-09-30$1,377
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-09-30$1,377
Total income from all sources (including contributions)2018-09-30$1,035,343
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$705,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$646,844
Value of total corrective distributions2018-09-30$4,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$624,110
Value of total assets at end of year2018-09-30$6,892,179
Value of total assets at beginning of year2018-09-30$6,562,076
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$52,959
Total interest from all sources2018-09-30$32,717
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$122,295
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$122,295
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$359,411
Participant contributions at end of year2018-09-30$161,763
Participant contributions at beginning of year2018-09-30$82,746
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$4,520
Other income not declared elsewhere2018-09-30$4,934
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$330,103
Value of net assets at end of year (total assets less liabilities)2018-09-30$6,892,179
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$6,562,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$5,335,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$5,077,919
Interest on participant loans2018-09-30$3,857
Interest earned on other investments2018-09-30$28,860
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$1,250,375
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$1,246,122
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$218,347
Net investment gain/loss from pooled separate accounts2018-09-30$32,940
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30Yes
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$260,179
Employer contributions (assets) at end of year2018-09-30$144,212
Employer contributions (assets) at beginning of year2018-09-30$155,289
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$646,844
Contract administrator fees2018-09-30$52,959
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-09-30No
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN2018-09-30454771754
2017 : CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total income from all sources (including contributions)2017-09-30$1,462,319
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$561,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$533,040
Value of total corrective distributions2017-09-30$4,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$871,706
Value of total assets at end of year2017-09-30$6,562,076
Value of total assets at beginning of year2017-09-30$5,661,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$23,947
Total interest from all sources2017-09-30$32,048
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$45,353
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$45,353
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$371,931
Participant contributions at end of year2017-09-30$82,746
Participant contributions at beginning of year2017-09-30$82,166
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$213,417
Other income not declared elsewhere2017-09-30$-461
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$900,985
Value of net assets at end of year (total assets less liabilities)2017-09-30$6,562,076
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$5,661,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$5,077,919
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$4,073,170
Interest on participant loans2017-09-30$2,871
Interest earned on other investments2017-09-30$29,177
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$1,246,122
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$1,336,741
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$456,972
Net investment gain/loss from pooled separate accounts2017-09-30$56,701
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30Yes
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$286,358
Employer contributions (assets) at end of year2017-09-30$155,289
Employer contributions (assets) at beginning of year2017-09-30$169,014
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$533,040
Contract administrator fees2017-09-30$23,947
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-09-30No
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN2017-09-30454771754
2016 : CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total transfer of assets to this plan2016-09-30$1,432
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$1,046,678
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$508,909
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$484,722
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$700,876
Value of total assets at end of year2016-09-30$5,661,091
Value of total assets at beginning of year2016-09-30$5,121,890
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$24,187
Total interest from all sources2016-09-30$33,944
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$363,619
Participant contributions at end of year2016-09-30$82,166
Participant contributions at beginning of year2016-09-30$66,736
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$46,904
Other income not declared elsewhere2016-09-30$1,449
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$537,769
Value of net assets at end of year (total assets less liabilities)2016-09-30$5,661,091
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$5,121,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$4,073,170
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$3,493,067
Interest on participant loans2016-09-30$3,113
Interest earned on other investments2016-09-30$30,831
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$1,336,741
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$1,383,081
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$257,087
Net investment gain/loss from pooled separate accounts2016-09-30$53,322
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30Yes
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$290,353
Employer contributions (assets) at end of year2016-09-30$169,014
Employer contributions (assets) at beginning of year2016-09-30$179,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$484,722
Contract administrator fees2016-09-30$24,187
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30No
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN2016-09-30454771754
2015 : CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total transfer of assets to this plan2015-09-30$5,049,500
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$1,081,763
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$1,009,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$983,746
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$1,111,580
Value of total assets at end of year2015-09-30$5,121,890
Value of total assets at beginning of year2015-09-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$25,627
Total interest from all sources2015-09-30$33,960
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$128,444
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$128,444
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$404,858
Participant contributions at end of year2015-09-30$66,736
Participant contributions at beginning of year2015-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$104,994
Other income not declared elsewhere2015-09-30$-4
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$72,390
Value of net assets at end of year (total assets less liabilities)2015-09-30$5,121,890
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$3,493,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$0
Interest on participant loans2015-09-30$3,295
Interest earned on other investments2015-09-30$30,665
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$1,383,081
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-185,425
Net investment gain/loss from pooled separate accounts2015-09-30$-6,792
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30Yes
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$601,728
Employer contributions (assets) at end of year2015-09-30$179,006
Employer contributions (assets) at beginning of year2015-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$983,746
Contract administrator fees2015-09-30$25,627
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-09-30No
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN2015-09-30454771754

Form 5500 Responses for CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN

2021: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedYes
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedYes
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedYes
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: CHILDREN'S HOPE ALLIANCE TAX-DEFERRED ANNUITY PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01First time form 5500 has been submittedYes
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered268
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $90
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees89
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41366
Policy instance 3
Insurance contract or identification number41366
Number of Individuals Covered144
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $98
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees98
Additional information about fees paid to insurance brokerINVESTMENT ADVISORY
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered281
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $60
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees60
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008471-B
Policy instance 1
Insurance contract or identification number615255
Number of Individuals Covered211
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $6,792
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $154,790
Commission paid to Insurance BrokerUSD $6,792
Insurance broker organization code?3
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered295
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $88
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees88
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008471-B
Policy instance 1
Insurance contract or identification number008471-B
Number of Individuals Covered26
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41366
Policy instance 3
Insurance contract or identification number41366
Number of Individuals Covered151
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $103
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $93
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered379
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $77
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees77
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008471-B
Policy instance 1
Insurance contract or identification number008471-B
Number of Individuals Covered32
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41366
Policy instance 3
Insurance contract or identification number41366
Number of Individuals Covered165
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $91
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008471-B
Policy instance 1
Insurance contract or identification number008471-B
Number of Individuals Covered32
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered343
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $140
Total amount of fees paid to insurance companyUSD $62
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA753263
Policy instance 4
Insurance contract or identification numberGA753263
Number of Individuals Covered0
Insurance policy start date2014-10-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $894
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $894
Insurance broker organization code?3
Insurance broker nameWOODBURY FIN SVCS INC
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number41366
Policy instance 3
Insurance contract or identification number41366
Number of Individuals Covered194
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $222
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $172
Insurance broker organization code?3
Insurance broker nameMICHAEL SCHULTZ
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered313
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $319
Total amount of fees paid to insurance companyUSD $24
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $319
Insurance broker organization code?3
Amount paid for insurance broker fees24
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker nameMAXUS PLAN SOLUTIONS, INC
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008471-B
Policy instance 1
Insurance contract or identification number008471-B
Number of Individuals Covered43
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $329
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees329
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameMUTUAL OF AMERICA

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