401k Plan data: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN plan

MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 401k Plan overview

Plan Name	MORAVIAN CARE EMPLOYEE RETIREMENT PLAN
Plan identification number	001

MORAVIAN CARE EMPLOYEE RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MORAVIAN CARE MINISTRIES DBA AUBURN HOMES & SERVICES has sponsored the creation of one or more 401k plans.

Company Name: MORAVIAN CARE MINISTRIES DBA AUBURN HOMES & SERVICES

Employer identification number (EIN): 411771225

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MORAVIAN CARE EMPLOYEE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-10-01
001 2018-10-01
001 2018-10-01
001 2017-10-01
001 2016-10-01 MICHAEL SENDEN
001 2015-10-01 MICHAEL SENDEN
001 2015-10-01
001 2014-10-01 MICHAEL SENDEN
001 2013-10-01 MICHAEL SENDEN
001 2012-10-01 MIKE SENDEN TONY RAND 2014-05-12
001 2011-10-01 DEBRA LARSEN
001 2009-10-01 DEBRA LARSEN
001 2009-10-01 DEBRA LARSEN
001 2009-10-01 DEBRA LARSEN
001 2009-10-01 DEBRA LARSEN
001 2009-10-01 DEBRA LARSEN

Plan Statistics for MORAVIAN CARE EMPLOYEE RETIREMENT PLAN

401k plan membership statisitcs for MORAVIAN CARE EMPLOYEE RETIREMENT PLAN

Measure Date Value
2021: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 673
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 403
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 366
Total of all active and inactive participants 2021-01-01 769
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 769
Number of participants with account balances 2021-01-01 672
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 35
2020: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 549
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 262
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 286
Total of all active and inactive participants 2020-01-01 548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 548
Number of participants with account balances 2020-01-01 506
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 142
2019: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 370
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 373
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 176
Total of all active and inactive participants 2019-10-01 549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-10-01 0
Total participants 2019-10-01 549
Number of participants with account balances 2019-10-01 408
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-10-01 77
2018: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 335
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 170
Number of other retired or separated participants entitled to future benefits 2018-10-01 132
Total of all active and inactive participants 2018-10-01 302
Total participants 2018-10-01 302
Number of participants with account balances 2018-10-01 302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-10-01 22
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-10-01 0
2017: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 314
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 209
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 126
Total of all active and inactive participants 2017-10-01 335
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 335
Number of participants with account balances 2017-10-01 330
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 21
2016: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 283
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 206
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 108
Total of all active and inactive participants 2016-10-01 314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 314
Number of participants with account balances 2016-10-01 309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 8
2015: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 253
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 190
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 93
Total of all active and inactive participants 2015-10-01 283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 283
Number of participants with account balances 2015-10-01 279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 9
2014: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 226
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 178
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 73
Total of all active and inactive participants 2014-10-01 251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 2
Total participants 2014-10-01 253
Number of participants with account balances 2014-10-01 248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 12
2013: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 176
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 152
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 73
Total of all active and inactive participants 2013-10-01 225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 1
Total participants 2013-10-01 226
Number of participants with account balances 2013-10-01 221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 15
2012: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 159
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 89
Number of retired or separated participants receiving benefits 2012-10-01 11
Number of other retired or separated participants entitled to future benefits 2012-10-01 75
Total of all active and inactive participants 2012-10-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 1
Total participants 2012-10-01 176
Number of participants with account balances 2012-10-01 164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 11
2011: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 159
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 85
Number of retired or separated participants receiving benefits 2011-10-01 12
Number of other retired or separated participants entitled to future benefits 2011-10-01 73
Total of all active and inactive participants 2011-10-01 170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 2
Total participants 2011-10-01 172
Number of participants with account balances 2011-10-01 159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 8
2009: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 138
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 114
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 48
Total of all active and inactive participants 2009-10-01 162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 162
Number of participants with account balances 2009-10-01 157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 6

Measure	Date	Value
2021: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	673
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	403
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	366
Total of all active and inactive participants	2021-01-01	769
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	769
Number of participants with account balances	2021-01-01	672
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	35
2020: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	549
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	262
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	286
Total of all active and inactive participants	2020-01-01	548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	548
Number of participants with account balances	2020-01-01	506
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	142
2019: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	370
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	373
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	176
Total of all active and inactive participants	2019-10-01	549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-10-01	0
Total participants	2019-10-01	549
Number of participants with account balances	2019-10-01	408
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-10-01	77
2018: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	335
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	170
Number of other retired or separated participants entitled to future benefits	2018-10-01	132
Total of all active and inactive participants	2018-10-01	302
Total participants	2018-10-01	302
Number of participants with account balances	2018-10-01	302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-10-01	22
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-10-01	0
2017: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	314
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	209
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	126
Total of all active and inactive participants	2017-10-01	335
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	335
Number of participants with account balances	2017-10-01	330
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	21
2016: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	283
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	206
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	108
Total of all active and inactive participants	2016-10-01	314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	314
Number of participants with account balances	2016-10-01	309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	8
2015: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	253
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	190
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	93
Total of all active and inactive participants	2015-10-01	283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	283
Number of participants with account balances	2015-10-01	279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	9
2014: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	226
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	178
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	73
Total of all active and inactive participants	2014-10-01	251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	2
Total participants	2014-10-01	253
Number of participants with account balances	2014-10-01	248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	12
2013: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	176
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	152
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	73
Total of all active and inactive participants	2013-10-01	225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	1
Total participants	2013-10-01	226
Number of participants with account balances	2013-10-01	221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	15
2012: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	159
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	89
Number of retired or separated participants receiving benefits	2012-10-01	11
Number of other retired or separated participants entitled to future benefits	2012-10-01	75
Total of all active and inactive participants	2012-10-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	1
Total participants	2012-10-01	176
Number of participants with account balances	2012-10-01	164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	11
2011: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	159
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	85
Number of retired or separated participants receiving benefits	2011-10-01	12
Number of other retired or separated participants entitled to future benefits	2011-10-01	73
Total of all active and inactive participants	2011-10-01	170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	2
Total participants	2011-10-01	172
Number of participants with account balances	2011-10-01	159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	8
2009: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	138
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	114
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	48
Total of all active and inactive participants	2009-10-01	162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	162
Number of participants with account balances	2009-10-01	157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	6

Financial Data on MORAVIAN CARE EMPLOYEE RETIREMENT PLAN

Measure	Date	Value
2021 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$19
Total income from all sources (including contributions)	2021-12-31	$1,211,868
Total of all expenses incurred	2021-12-31	$546,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$526,308
Expenses. Certain deemed distributions of participant loans	2021-12-31	$5,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$559,526
Value of total assets at end of year	2021-12-31	$5,765,336
Value of total assets at beginning of year	2021-12-31	$5,100,395
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$14,758
Total interest from all sources	2021-12-31	$12,007
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$76,702
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$76,702
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$327,251
Participant contributions at end of year	2021-12-31	$58,932
Participant contributions at end of year	2021-12-31	$12,745
Participant contributions at beginning of year	2021-12-31	$296
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$8,694
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$19
Other income not declared elsewhere	2021-12-31	$788
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$664,922
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$5,765,317
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$5,100,395
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$5,263,146
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$4,673,744
Interest on participant loans	2021-12-31	$1,568
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$10,439
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$419,166
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$426,355
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$562,845
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$223,581
Employer contributions (assets) at end of year	2021-12-31	$11,347
Employer contributions (assets) at beginning of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$526,308
Contract administrator fees	2021-12-31	$14,758
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CLIFTONLARSONALLENLLP
Accountancy firm EIN	2021-12-31	410746749
2020 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets to this plan	2020-12-31	$2,346,516
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$1,287,431
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$334,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$334,122
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$510,124
Value of total assets at end of year	2020-12-31	$5,100,395
Value of total assets at beginning of year	2020-12-31	$1,800,736
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$166
Total interest from all sources	2020-12-31	$11,407
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$282,109
Participant contributions at end of year	2020-12-31	$296
Participant contributions at beginning of year	2020-12-31	$20,028
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$4,954
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$953,143
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$5,100,395
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,800,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$166
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$4,673,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,644,898
Interest earned on other investments	2020-12-31	$11,407
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$426,355
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$127,511
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$765,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$223,061
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$8,299
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$334,122
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-12-31	410746749
2019 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$244,839
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,522
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$126,620
Value of total assets at end of year	2019-12-31	$1,800,736
Value of total assets at beginning of year	2019-12-31	$1,558,461
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$42
Total interest from all sources	2019-12-31	$866
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$68,863
Participant contributions at end of year	2019-12-31	$20,028
Participant contributions at beginning of year	2019-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$242,275
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,800,736
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,558,461
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$42
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,644,898
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,435,358
Interest earned on other investments	2019-12-31	$866
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$127,511
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$123,103
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$117,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$57,757
Employer contributions (assets) at end of year	2019-12-31	$8,299
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,522
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-12-31	410746749
Total unrealized appreciation/depreciation of assets	2019-09-30	$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	$222,123
Total loss/gain on sale of assets	2019-09-30	$0
Total of all expenses incurred	2019-09-30	$149,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-09-30	$149,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-09-30	$204,644
Value of total assets at end of year	2019-09-30	$1,558,461
Value of total assets at beginning of year	2019-09-30	$1,485,761
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-09-30	$161
Total interest from all sources	2019-09-30	$3,411
Total dividends received (eg from common stock, registered investment company shares)	2019-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-09-30	No
Was this plan covered by a fidelity bond	2019-09-30	Yes
Value of fidelity bond cover	2019-09-30	$500,000
If this is an individual account plan, was there a blackout period	2019-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-09-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-09-30	No
Value of net income/loss	2019-09-30	$72,700
Value of net assets at end of year (total assets less liabilities)	2019-09-30	$1,558,461
Value of net assets at beginning of year (total assets less liabilities)	2019-09-30	$1,485,761
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-09-30	No
Were any leases to which the plan was party in default or uncollectible	2019-09-30	No
Investment advisory and management fees	2019-09-30	$161
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-09-30	$1,435,358
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-09-30	$1,342,852
Interest earned on other investments	2019-09-30	$3,411
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-09-30	$123,103
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-09-30	$120,836
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-09-30	$14,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-09-30	No
Was there a failure to transmit to the plan any participant contributions	2019-09-30	No
Has the plan failed to provide any benefit when due under the plan	2019-09-30	No
Contributions received in cash from employer	2019-09-30	$204,644
Employer contributions (assets) at end of year	2019-09-30	$0
Employer contributions (assets) at beginning of year	2019-09-30	$22,073
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-09-30	$149,262
Did the plan have assets held for investment	2019-09-30	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	2019-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-09-30	Disclaimer
Accountancy firm name	2019-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-09-30	410746749
2018 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-09-30	$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
Total income from all sources (including contributions)	2018-09-30	$329,937
Total loss/gain on sale of assets	2018-09-30	$0
Total of all expenses incurred	2018-09-30	$73,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-09-30	$73,767
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-09-30	$193,964
Value of total assets at end of year	2018-09-30	$1,485,761
Value of total assets at beginning of year	2018-09-30	$1,229,743
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-09-30	$152
Total interest from all sources	2018-09-30	$3,117
Total dividends received (eg from common stock, registered investment company shares)	2018-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-09-30	No
Was this plan covered by a fidelity bond	2018-09-30	Yes
Value of fidelity bond cover	2018-09-30	$120,000
If this is an individual account plan, was there a blackout period	2018-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-09-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-09-30	No
Value of net income/loss	2018-09-30	$256,018
Value of net assets at end of year (total assets less liabilities)	2018-09-30	$1,485,761
Value of net assets at beginning of year (total assets less liabilities)	2018-09-30	$1,229,743
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-09-30	No
Were any leases to which the plan was party in default or uncollectible	2018-09-30	No
Investment advisory and management fees	2018-09-30	$152
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-09-30	$1,342,852
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-09-30	$1,097,819
Interest earned on other investments	2018-09-30	$3,117
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-09-30	$120,836
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-09-30	$126,340
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-09-30	$132,856
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-09-30	No
Was there a failure to transmit to the plan any participant contributions	2018-09-30	No
Has the plan failed to provide any benefit when due under the plan	2018-09-30	No
Contributions received in cash from employer	2018-09-30	$193,964
Employer contributions (assets) at end of year	2018-09-30	$22,073
Employer contributions (assets) at beginning of year	2018-09-30	$5,584
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-09-30	$73,767
Did the plan have assets held for investment	2018-09-30	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	2018-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-09-30	Disclaimer
Accountancy firm name	2018-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-09-30	410746749
2017 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-09-30	$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	$318,686
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$109,753
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$109,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$178,667
Value of total assets at end of year	2017-09-30	$1,229,743
Value of total assets at beginning of year	2017-09-30	$1,020,810
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$132
Total interest from all sources	2017-09-30	$3,373
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	No
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$120,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$208,933
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$1,229,743
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$1,020,810
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Investment advisory and management fees	2017-09-30	$132
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-09-30	$1,097,819
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-09-30	$889,444
Interest earned on other investments	2017-09-30	$3,373
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$126,340
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-09-30	$118,422
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-30	$136,646
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	No
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Contributions received in cash from employer	2017-09-30	$178,667
Employer contributions (assets) at end of year	2017-09-30	$5,584
Employer contributions (assets) at beginning of year	2017-09-30	$12,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$109,621
Did the plan have assets held for investment	2017-09-30	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	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2017-09-30	410746749
2016 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
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	$238,004
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$30,702
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$30,589
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$152,988
Value of total assets at end of year	2016-09-30	$1,020,810
Value of total assets at beginning of year	2016-09-30	$813,508
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$113
Total interest from all sources	2016-09-30	$3,103
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 year	2016-09-30	No
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$120,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$207,302
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$1,020,810
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$813,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Investment advisory and management fees	2016-09-30	$113
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-09-30	$889,444
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-09-30	$696,596
Interest earned on other investments	2016-09-30	$3,103
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$118,422
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-09-30	$113,121
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-09-30	$81,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Contributions received in cash from employer	2016-09-30	$152,988
Employer contributions (assets) at end of year	2016-09-30	$12,944
Employer contributions (assets) at beginning of year	2016-09-30	$3,791
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$30,589
Did the plan have assets held for investment	2016-09-30	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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-09-30	410746749
2015 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
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	$94,643
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$49,026
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$48,860
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$99,068
Value of total assets at end of year	2015-09-30	$813,508
Value of total assets at beginning of year	2015-09-30	$767,891
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$166
Total interest from all sources	2015-09-30	$3,070
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$120,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$45,617
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$813,508
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$767,891
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Investment advisory and management fees	2015-09-30	$166
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-09-30	$696,596
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-30	$653,293
Interest earned on other investments	2015-09-30	$3,070
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-30	$113,121
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-30	$111,340
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-30	$-7,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$99,068
Employer contributions (assets) at end of year	2015-09-30	$3,791
Employer contributions (assets) at beginning of year	2015-09-30	$3,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$48,860
Did the plan have assets held for investment	2015-09-30	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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2015-09-30	410746749
2014 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$151,201
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$51,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$50,812
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$83,412
Value of total assets at end of year	2014-09-30	$767,891
Value of total assets at beginning of year	2014-09-30	$668,236
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$734
Total interest from all sources	2014-09-30	$3,026
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$120,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$99,655
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$767,891
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$668,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Investment advisory and management fees	2014-09-30	$734
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-09-30	$653,293
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-09-30	$558,244
Interest earned on other investments	2014-09-30	$3,026
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-09-30	$111,340
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-09-30	$105,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-09-30	$64,763
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$83,412
Employer contributions (assets) at end of year	2014-09-30	$3,258
Employer contributions (assets) at beginning of year	2014-09-30	$4,642
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$50,812
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2014-09-30	410746749
2013 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$150,343
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$31,260
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$31,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$64,442
Value of total assets at end of year	2013-09-30	$668,236
Value of total assets at beginning of year	2013-09-30	$549,153
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$47
Total interest from all sources	2013-09-30	$2,837
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Participant contributions at end of year	2013-09-30	$0
Participant contributions at beginning of year	2013-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$119,083
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$668,236
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$549,153
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Investment advisory and management fees	2013-09-30	$47
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-09-30	$558,244
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-09-30	$451,595
Interest on participant loans	2013-09-30	$0
Interest earned on other investments	2013-09-30	$2,837
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-09-30	$105,350
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-09-30	$95,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-09-30	$83,064
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$64,442
Employer contributions (assets) at end of year	2013-09-30	$4,642
Employer contributions (assets) at beginning of year	2013-09-30	$2,339
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$31,213
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2013-09-30	410746749
2012 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-09-30	$139,564
Total of all expenses incurred	2012-09-30	$48,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$47,909
Expenses. Certain deemed distributions of participant loans	2012-09-30	$0
Value of total corrective distributions	2012-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$63,109
Value of total assets at end of year	2012-09-30	$549,153
Value of total assets at beginning of year	2012-09-30	$457,598
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$100
Total interest from all sources	2012-09-30	$2,723
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Participant contributions at end of year	2012-09-30	$0
Participant contributions at beginning of year	2012-09-30	$0
Administrative expenses (other) incurred	2012-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$91,555
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$549,153
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$457,598
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Investment advisory and management fees	2012-09-30	$100
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-09-30	$451,595
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-09-30	$369,785
Interest on participant loans	2012-09-30	$0
Interest earned on other investments	2012-09-30	$2,723
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-09-30	$95,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-09-30	$85,416
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-09-30	$73,732
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$63,109
Employer contributions (assets) at end of year	2012-09-30	$2,339
Employer contributions (assets) at beginning of year	2012-09-30	$2,397
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$47,909
Did the plan have assets held for investment	2012-09-30	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	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2012-09-30	410746749
2011 : MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-09-30	$65,518
Total of all expenses incurred	2011-09-30	$24,661
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$24,657
Expenses. Certain deemed distributions of participant loans	2011-09-30	$0
Value of total corrective distributions	2011-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$69,951
Value of total assets at end of year	2011-09-30	$457,598
Value of total assets at beginning of year	2011-09-30	$416,741
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$4
Total interest from all sources	2011-09-30	$2,668
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Participant contributions at end of year	2011-09-30	$0
Participant contributions at beginning of year	2011-09-30	$0
Administrative expenses (other) incurred	2011-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$40,857
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$457,598
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$416,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Investment advisory and management fees	2011-09-30	$4
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-09-30	$369,785
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-09-30	$336,503
Interest on participant loans	2011-09-30	$0
Interest earned on other investments	2011-09-30	$2,668
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-09-30	$85,416
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-09-30	$80,238
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-09-30	$-7,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$69,951
Employer contributions (assets) at end of year	2011-09-30	$2,397
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$24,657
Did the plan have assets held for investment	2011-09-30	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	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2011-09-30	410746749

Form 5500 Responses for MORAVIAN CARE EMPLOYEE RETIREMENT PLAN

2021: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2018: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2017: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2016: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2015: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	Yes
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2009: MORAVIAN CARE EMPLOYEE RETIREMENT PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	Yes
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

57987

Policy instance

Insurance contract or identification number	57987
Number of Individuals Covered	390
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $637
Total amount of fees paid to insurance company	USD $0
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 $573
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

814440

Policy instance

Insurance contract or identification number	814440
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

57987

Policy instance

Insurance contract or identification number	57987
Number of Individuals Covered	443
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

814440

Policy instance

Insurance contract or identification number	814440
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

57987

Policy instance

Insurance contract or identification number	57987
Number of Individuals Covered	506
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $6,888
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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 $6,430
Insurance broker organization code?	3

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

Policy contract number

57987

Policy instance

Insurance contract or identification number	57987
Number of Individuals Covered	404
Insurance policy start date	2019-10-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,101
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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 $1,502
Insurance broker organization code?	3

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

Policy contract number

57987

Policy instance

Insurance contract or identification number	57987
Number of Individuals Covered	356
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $2,466
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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 $2,254
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3

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

Policy contract number

57987

Policy instance

Insurance contract or identification number	57987
Number of Individuals Covered	330
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $2,314
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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:	MORAVIAN CARE MINISTRIES DBA AUBURN HOMES & SERVICES
Employer identification number (EIN):	411771225
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities