401k Plan data: NCGCARE, INC. 401(K) PROFIT SHARING PLAN plan

NCGCARE, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	NCGCARE, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

NCGCARE, INC. 401(K) PROFIT SHARING 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NCGCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: NCGCARE, INC.

Employer identification number (EIN): 474934539

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NCGCARE, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JAMES M. VEDDER 2023-10-16 JAMES M. VEDDER 2023-10-16
001 2022-01-01 ANGELA GRIDER 2024-02-06 JAMES M. VEDDER 2024-02-06
001 2021-01-01 HOPE B. CALLIS 2023-01-23 HOPE B. CALLIS 2023-01-23
001 2020-01-01 MICHELLE E. SCHROTZ 2021-10-15 JAMES M. VEDDER 2021-10-15
001 2020-01-01 MICHELLE SCHROTZ 2022-03-25 JAMES M. VEDDER 2022-05-25
001 2019-01-01 MICHELLE SCHROTZ 2020-11-19 JAMES M. VEDDER 2020-11-19
001 2019-01-01 MICHELLE SCHROTZ 2020-10-13 JAMES M. VEDDER 2020-10-13
001 2018-01-01 EMILY J. A. THUMMA 2019-10-15 EMILY J. A. THUMMA 2019-10-15
001 2018-01-01 JAMES M. VEDDER 2020-07-03 JAMES M. VEDDER 2020-07-03
001 2017-01-01
001 2017-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	JAMES M. VEDDER	2023-10-16	JAMES M. VEDDER	2023-10-16
001	2022-01-01	ANGELA GRIDER	2024-02-06	JAMES M. VEDDER	2024-02-06
001	2021-01-01	HOPE B. CALLIS	2023-01-23	HOPE B. CALLIS	2023-01-23
001	2020-01-01	MICHELLE E. SCHROTZ	2021-10-15	JAMES M. VEDDER	2021-10-15
001	2020-01-01	MICHELLE SCHROTZ	2022-03-25	JAMES M. VEDDER	2022-05-25
001	2019-01-01	MICHELLE SCHROTZ	2020-11-19	JAMES M. VEDDER	2020-11-19
001	2019-01-01	MICHELLE SCHROTZ	2020-10-13	JAMES M. VEDDER	2020-10-13
001	2018-01-01	EMILY J. A. THUMMA	2019-10-15	EMILY J. A. THUMMA	2019-10-15
001	2018-01-01	JAMES M. VEDDER	2020-07-03	JAMES M. VEDDER	2020-07-03
001	2017-01-01
001	2017-01-01

Plan Statistics for NCGCARE, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for NCGCARE, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 2,125
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,255
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 954
Total of all active and inactive participants 2022-01-01 2,209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 2,209
Number of participants with account balances 2022-01-01 1,364
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 2,275
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,266
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 895
Total of all active and inactive participants 2021-01-01 2,161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 2,161
Number of participants with account balances 2021-01-01 1,371
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 3
2020: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 2,436
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,379
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 851
Total of all active and inactive participants 2020-01-01 2,230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 2,230
Number of participants with account balances 2020-01-01 1,390
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 23
2019: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 2,150
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,437
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 725
Total of all active and inactive participants 2019-01-01 2,162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 2,162
Number of participants with account balances 2019-01-01 1,440
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 32
2018: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,739
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,384
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 569
Total of all active and inactive participants 2018-01-01 1,953
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,953
Number of participants with account balances 2018-01-01 1,503
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 51
2017: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,561
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,070
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 475
Total of all active and inactive participants 2017-01-01 1,545
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1,545
Number of participants with account balances 2017-01-01 1,356
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 127

Measure	Date	Value
2022: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	2,125
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,255
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	954
Total of all active and inactive participants	2022-01-01	2,209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	2,209
Number of participants with account balances	2022-01-01	1,364
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	2,275
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,266
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	895
Total of all active and inactive participants	2021-01-01	2,161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	2,161
Number of participants with account balances	2021-01-01	1,371
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	3
2020: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	2,436
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,379
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	851
Total of all active and inactive participants	2020-01-01	2,230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	2,230
Number of participants with account balances	2020-01-01	1,390
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	23
2019: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	2,150
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,437
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	725
Total of all active and inactive participants	2019-01-01	2,162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	2,162
Number of participants with account balances	2019-01-01	1,440
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	32
2018: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,739
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,384
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	569
Total of all active and inactive participants	2018-01-01	1,953
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,953
Number of participants with account balances	2018-01-01	1,503
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	51
2017: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,561
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,070
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	475
Total of all active and inactive participants	2017-01-01	1,545
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1,545
Number of participants with account balances	2017-01-01	1,356
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	127

Financial Data on NCGCARE, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$38,664
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$73,789
Total income from all sources (including contributions)	2022-12-31	$-980,073
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,384,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,197,223
Value of total corrective distributions	2022-12-31	$50,374
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,519,364
Value of total assets at end of year	2022-12-31	$12,532,608
Value of total assets at beginning of year	2022-12-31	$14,931,915
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$136,512
Total interest from all sources	2022-12-31	$13,851
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,375,638
Participant contributions at end of year	2022-12-31	$259,485
Participant contributions at beginning of year	2022-12-31	$271,091
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$140,567
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$38,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$73,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-2,364,182
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$12,493,944
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$14,858,126
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$25,084
Value of interest in pooled separate accounts at end of year	2022-12-31	$11,948,741
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$14,425,708
Interest on participant loans	2022-12-31	$13,851
Value of interest in common/collective trusts at end of year	2022-12-31	$290,067
Value of interest in common/collective trusts at beginning of year	2022-12-31	$170,378
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$34,315
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$37,961
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$37,961
Net investment gain/loss from pooled separate accounts	2022-12-31	$-2,513,288
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$3,159
Employer contributions (assets) at beginning of year	2022-12-31	$26,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,197,223
Contract administrator fees	2022-12-31	$111,428
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	PBMARES, LLP
Accountancy firm EIN	2022-12-31	540737372
2021 : NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$51,273
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$58,046
Total income from all sources (including contributions)	2021-12-31	$3,436,870
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$2,074,346
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,868,415
Value of total corrective distributions	2021-12-31	$58,046
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,321,586
Value of total assets at end of year	2021-12-31	$14,905,138
Value of total assets at beginning of year	2021-12-31	$13,549,387
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$147,885
Total interest from all sources	2021-12-31	$15,211
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,271,318
Participant contributions at end of year	2021-12-31	$271,091
Participant contributions at beginning of year	2021-12-31	$295,039
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$43,716
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$51,273
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$58,046
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	$1,362,524
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$14,853,865
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$13,491,341
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 pooled separate accounts at end of year	2021-12-31	$14,425,708
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$13,209,596
Interest on participant loans	2021-12-31	$15,211
Value of interest in common/collective trusts at end of year	2021-12-31	$170,378
Value of interest in common/collective trusts at beginning of year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$37,961
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$36,071
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$36,071
Net investment gain/loss from pooled separate accounts	2021-12-31	$2,100,073
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	No
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	$6,552
Employer contributions (assets) at end of year	2021-12-31	$26,777
Employer contributions (assets) at beginning of year	2021-12-31	$8,681
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,868,415
Contract administrator fees	2021-12-31	$147,885
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	BKD
Accountancy firm EIN	2021-12-31	540737372
2020 : NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$4,190,573
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,797,192
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,657,449
Value of total corrective distributions	2020-12-31	$3,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,136,167
Value of total assets at end of year	2020-12-31	$13,540,706
Value of total assets at beginning of year	2020-12-31	$11,147,325
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$136,199
Total interest from all sources	2020-12-31	$17,152
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
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,488,893
Participant contributions at end of year	2020-12-31	$295,039
Participant contributions at beginning of year	2020-12-31	$258,549
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$647,274
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$58,046
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$3,544
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	$2,393,381
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$13,540,706
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$11,147,325
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	$23,009
Value of interest in pooled separate accounts at end of year	2020-12-31	$13,209,596
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$10,856,616
Interest on participant loans	2020-12-31	$17,152
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$36,071
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$32,160
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$32,160
Net investment gain/loss from pooled separate accounts	2020-12-31	$2,037,254
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	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Employer contributions (assets) at end of year	2020-12-31	$8,681
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,657,449
Contract administrator fees	2020-12-31	$113,190
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	PBMARES, LLP
Accountancy firm EIN	2020-12-31	540737372
2019 : NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
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	$3,544
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$3,544
Total liabilities at beginning 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	$3,754,134
Total income from all sources (including contributions)	2019-12-31	$3,754,134
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$865,041
Total of all expenses incurred	2019-12-31	$865,041
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$736,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$736,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,695,045
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,695,045
Value of total assets at end of year	2019-12-31	$11,147,325
Value of total assets at end of year	2019-12-31	$11,147,325
Value of total assets at beginning of year	2019-12-31	$8,254,688
Value of total assets at beginning of year	2019-12-31	$8,254,688
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$128,939
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$128,939
Total interest from all sources	2019-12-31	$14,268
Total interest from all sources	2019-12-31	$14,268
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
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
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
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
Value of fidelity bond cover	2019-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,572,335
Contributions received from participants	2019-12-31	$1,572,335
Participant contributions at end of year	2019-12-31	$258,549
Participant contributions at end of year	2019-12-31	$258,549
Participant contributions at beginning of year	2019-12-31	$274,786
Participant contributions at beginning of year	2019-12-31	$274,786
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$122,710
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$122,710
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$3,544
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$3,544
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
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	$2,889,093
Value of net income/loss	2019-12-31	$2,889,093
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$11,143,781
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$11,143,781
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$8,254,688
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$8,254,688
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 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
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$10,856,616
Value of interest in pooled separate accounts at end of year	2019-12-31	$10,856,616
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$7,936,480
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$7,936,480
Interest on participant loans	2019-12-31	$14,268
Interest on participant loans	2019-12-31	$14,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$32,160
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$32,160
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$42,906
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$42,906
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$42,906
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$42,906
Net investment gain/loss from pooled separate accounts	2019-12-31	$2,044,821
Net investment gain/loss from pooled separate accounts	2019-12-31	$2,044,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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
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
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	$0
Contributions received in cash from employer	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$516
Employer contributions (assets) at beginning of year	2019-12-31	$516
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$736,102
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$736,102
Contract administrator fees	2019-12-31	$128,939
Contract administrator fees	2019-12-31	$128,939
Did the plan have assets held for investment	2019-12-31	Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	PBMARES, LLP
Accountancy firm name	2019-12-31	PBMARES, LLP
Accountancy firm EIN	2019-12-31	540737372
Accountancy firm EIN	2019-12-31	540737372
2018 : NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$37,749
Total income from all sources (including contributions)	2018-12-31	$1,102,866
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$920,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$786,383
Expenses. Certain deemed distributions of participant loans	2018-12-31	$37,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,801,478
Value of total assets at end of year	2018-12-31	$8,259,373
Value of total assets at beginning of year	2018-12-31	$8,114,592
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$96,204
Total interest from all sources	2018-12-31	$11,985
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,734,858
Participant contributions at end of year	2018-12-31	$274,786
Participant contributions at beginning of year	2018-12-31	$227,903
Participant contributions at end of year	2018-12-31	$5,201
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$66,620
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$37,749
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$182,530
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$8,259,373
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$8,076,843
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in pooled separate accounts at end of year	2018-12-31	$7,936,480
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$7,853,306
Interest on participant loans	2018-12-31	$11,985
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$42,906
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$33,383
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$33,383
Net investment gain/loss from pooled separate accounts	2018-12-31	$-710,597
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$786,383
Contract administrator fees	2018-12-31	$96,204
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	PBMARES, LLP
Accountancy firm EIN	2018-12-31	540737372
2017 : NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,729,490
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$780,140
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$647,042
Expenses. Certain deemed distributions of participant loans	2017-12-31	$31,041
Value of total corrective distributions	2017-12-31	$43,107
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,574,953
Value of total assets at end of year	2017-12-31	$8,114,592
Value of total assets at beginning of year	2017-12-31	$6,165,242
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$58,950
Total interest from all sources	2017-12-31	$10,141
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,388,656
Participant contributions at end of year	2017-12-31	$227,903
Participant contributions at beginning of year	2017-12-31	$257,013
Participant contributions at beginning of year	2017-12-31	$31,491
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$183,112
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$37,749
Other income not declared elsewhere	2017-12-31	$2,622
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Income. Non cash contributions	2017-12-31	$2,622
Value of net income/loss	2017-12-31	$1,949,350
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$8,114,592
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$6,165,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$7,853,306
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$5,747,163
Interest on participant loans	2017-12-31	$10,141
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$33,383
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$18,143
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$18,143
Net investment gain/loss from pooled separate accounts	2017-12-31	$1,144,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$563
Employer contributions (assets) at beginning of year	2017-12-31	$111,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$647,042
Contract administrator fees	2017-12-31	$58,950
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	PBMARES, LLP
Accountancy firm EIN	2017-12-31	540737372

Form 5500 Responses for NCGCARE, INC. 401(K) PROFIT SHARING PLAN

2022: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes
2020: NCGCARE, INC. 401(K) PROFIT SHARING 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: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	Yes
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: NCGCARE, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90873

Policy instance

Insurance contract or identification number	90873
Number of Individuals Covered	1432
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of fees paid to insurance company	USD $17,732
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	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
Amount paid for insurance broker fees	6512
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90873

Policy instance

Insurance contract or identification number	90873
Number of Individuals Covered	1507
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of fees paid to insurance company	USD $17,305
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	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
Amount paid for insurance broker fees	7170
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90873

Policy instance

Insurance contract or identification number	90873
Number of Individuals Covered	1488
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of fees paid to insurance company	USD $17,547
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	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
Amount paid for insurance broker fees	5817
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90873

Policy instance

Insurance contract or identification number	90873
Number of Individuals Covered	1513
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $19,329
Total amount of fees paid to insurance company	USD $16,230
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	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 $9,238
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	4860

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90873

Policy instance

Insurance contract or identification number	90873
Number of Individuals Covered	1663
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $20,951
Total amount of fees paid to insurance company	USD $21,434
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	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
Amount paid for insurance broker fees	8889
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $20,951

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90873

Policy instance

Insurance contract or identification number	90873
Number of Individuals Covered	1460
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $16,796
Total amount of fees paid to insurance company	USD $22,082
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	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 $1,648
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	18602
Insurance broker name	THE ROSE FINANCIAL GROUP, LLC

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Company Name:	NCGCARE, INC.
Employer identification number (EIN):	474934539
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers