401k Plan data: STAVROS RETIREMENT 403(B) PLAN plan

STAVROS RETIREMENT 403(B) PLAN 401k Plan overview

Plan Name	STAVROS RETIREMENT 403(B) PLAN
Plan identification number	001

STAVROS RETIREMENT 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

STAVROS CENTER FOR INDEPENDENT LIVING INC has sponsored the creation of one or more 401k plans.

Company Name: STAVROS CENTER FOR INDEPENDENT LIVING INC

Employer identification number (EIN): 510172014

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STAVROS RETIREMENT 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01 MICHELLE FITZBACK JAMES KRUIDENIER 2018-04-02
001 2015-07-01 MICHELLE FITZBACK
001 2014-07-01 MICHELLE FITZBACK
001 2013-07-01 SEREN DERIN
001 2012-07-01 SEREN DERIN
001 2011-07-01 SEREN DERIN
001 2009-07-01 SEREN DERIN

Plan Statistics for STAVROS RETIREMENT 403(B) PLAN

401k plan membership statisitcs for STAVROS RETIREMENT 403(B) PLAN

Measure Date Value
2021: STAVROS RETIREMENT 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 215
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 113
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 45
Total of all active and inactive participants 2021-07-01 158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 158
Number of participants with account balances 2021-07-01 89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: STAVROS RETIREMENT 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 190
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 174
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 41
Total of all active and inactive participants 2020-07-01 215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 215
Number of participants with account balances 2020-07-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: STAVROS RETIREMENT 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 188
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 157
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 33
Total of all active and inactive participants 2019-07-01 190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 190
Number of participants with account balances 2019-07-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: STAVROS RETIREMENT 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 187
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 160
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 28
Total of all active and inactive participants 2018-07-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 188
Number of participants with account balances 2018-07-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: STAVROS RETIREMENT 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 191
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 161
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 26
Total of all active and inactive participants 2017-07-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 187
Number of participants with account balances 2017-07-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: STAVROS RETIREMENT 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 196
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 167
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 24
Total of all active and inactive participants 2016-07-01 191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 191
Number of participants with account balances 2016-07-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: STAVROS RETIREMENT 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 164
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 176
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 20
Total of all active and inactive participants 2015-07-01 196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 196
Number of participants with account balances 2015-07-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: STAVROS RETIREMENT 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 174
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 144
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 18
Total of all active and inactive participants 2014-07-01 162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 2
Total participants 2014-07-01 164
Number of participants with account balances 2014-07-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: STAVROS RETIREMENT 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 156
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 136
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 19
Total of all active and inactive participants 2013-07-01 155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 155
Number of participants with account balances 2013-07-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: STAVROS RETIREMENT 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 161
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 134
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 22
Total of all active and inactive participants 2012-07-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 156
Number of participants with account balances 2012-07-01 122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: STAVROS RETIREMENT 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 160
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 137
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 23
Total of all active and inactive participants 2011-07-01 160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 1
Total participants 2011-07-01 161
Number of participants with account balances 2011-07-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: STAVROS RETIREMENT 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 123
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 135
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 135
Number of participants with account balances 2009-07-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2021: STAVROS RETIREMENT 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	215
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	113
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	45
Total of all active and inactive participants	2021-07-01	158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	158
Number of participants with account balances	2021-07-01	89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: STAVROS RETIREMENT 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	190
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	174
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	41
Total of all active and inactive participants	2020-07-01	215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	215
Number of participants with account balances	2020-07-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: STAVROS RETIREMENT 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	188
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	157
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	33
Total of all active and inactive participants	2019-07-01	190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	190
Number of participants with account balances	2019-07-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: STAVROS RETIREMENT 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	187
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	160
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	28
Total of all active and inactive participants	2018-07-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	188
Number of participants with account balances	2018-07-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: STAVROS RETIREMENT 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	191
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	161
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	26
Total of all active and inactive participants	2017-07-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	187
Number of participants with account balances	2017-07-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: STAVROS RETIREMENT 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	196
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	167
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	24
Total of all active and inactive participants	2016-07-01	191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	191
Number of participants with account balances	2016-07-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: STAVROS RETIREMENT 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	164
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	176
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	20
Total of all active and inactive participants	2015-07-01	196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	196
Number of participants with account balances	2015-07-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: STAVROS RETIREMENT 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	174
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	144
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	18
Total of all active and inactive participants	2014-07-01	162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	2
Total participants	2014-07-01	164
Number of participants with account balances	2014-07-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: STAVROS RETIREMENT 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	156
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	136
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	19
Total of all active and inactive participants	2013-07-01	155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	155
Number of participants with account balances	2013-07-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: STAVROS RETIREMENT 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	161
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	134
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	22
Total of all active and inactive participants	2012-07-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	156
Number of participants with account balances	2012-07-01	122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: STAVROS RETIREMENT 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	160
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	137
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	23
Total of all active and inactive participants	2011-07-01	160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	1
Total participants	2011-07-01	161
Number of participants with account balances	2011-07-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: STAVROS RETIREMENT 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	123
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	135
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	135
Number of participants with account balances	2009-07-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on STAVROS RETIREMENT 403(B) PLAN

Measure	Date	Value
2022 : STAVROS RETIREMENT 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-271,281
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$1,030,487
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$1,029,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$116,316
Value of total assets at end of year	2022-06-30	$2,483,040
Value of total assets at beginning of year	2022-06-30	$3,784,808
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$605
Total interest from all sources	2022-06-30	$5,166
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$111,337
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$111,337
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$116,316
Participant contributions at end of year	2022-06-30	$72,065
Participant contributions at beginning of year	2022-06-30	$78,232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-1,301,768
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$2,483,040
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$3,784,808
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$2,319,320
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$3,610,482
Interest on participant loans	2022-06-30	$546
Interest earned on other investments	2022-06-30	$4,596
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-06-30	$28,991
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-06-30	$10,287
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-06-30	$10,287
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-06-30	$24
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$62,664
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$85,807
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-504,100
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$1,029,882
Contract administrator fees	2022-06-30	$605
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	O'CONNOR AND DREW, P.C.
Accountancy firm EIN	2022-06-30	043000523
2021 : STAVROS RETIREMENT 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$1,036,541
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$161,888
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$161,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$146,433
Value of total assets at end of year	2021-06-30	$3,784,808
Value of total assets at beginning of year	2021-06-30	$2,910,155
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$550
Total interest from all sources	2021-06-30	$5,094
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$72,598
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$72,598
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$111,716
Participant contributions at end of year	2021-06-30	$78,232
Participant contributions at beginning of year	2021-06-30	$89,021
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$34,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$874,653
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$3,784,808
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$2,910,155
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$3,610,482
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$2,720,292
Interest on participant loans	2021-06-30	$534
Interest earned on other investments	2021-06-30	$4,558
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-06-30	$10,287
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-06-30	$15,639
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-06-30	$15,639
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-06-30	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$85,807
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$85,203
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$812,416
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$161,338
Contract administrator fees	2021-06-30	$550
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Unqualified
Accountancy firm name	2021-06-30	O'CONNOR AND DREW, P.C.
Accountancy firm EIN	2021-06-30	043000523
2020 : STAVROS RETIREMENT 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$318,976
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$419,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$418,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$162,001
Value of total assets at end of year	2020-06-30	$2,910,155
Value of total assets at beginning of year	2020-06-30	$3,010,370
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$475
Total interest from all sources	2020-06-30	$5,849
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$51,086
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$51,086
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$162,001
Participant contributions at end of year	2020-06-30	$89,021
Participant contributions at beginning of year	2020-06-30	$121,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$-100,215
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$2,910,155
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$3,010,370
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$2,720,292
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$2,796,254
Interest on participant loans	2020-06-30	$996
Interest earned on other investments	2020-06-30	$4,687
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-06-30	$15,639
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-06-30	$15,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-06-30	$15,492
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-06-30	$166
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$85,203
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$77,032
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$100,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$418,716
Contract administrator fees	2020-06-30	$475
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	O'CONNOR AND DREW, P.C.
Accountancy firm EIN	2020-06-30	043000523
2019 : STAVROS RETIREMENT 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$292,875
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$136,131
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$135,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$126,253
Value of total assets at end of year	2019-06-30	$3,010,370
Value of total assets at beginning of year	2019-06-30	$2,853,626
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$570
Total interest from all sources	2019-06-30	$5,949
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$49,018
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$49,018
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$126,253
Participant contributions at end of year	2019-06-30	$121,592
Participant contributions at beginning of year	2019-06-30	$107,866
Other income not declared elsewhere	2019-06-30	$1,606
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$156,744
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$3,010,370
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$2,853,626
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$2,796,254
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$2,648,013
Interest on participant loans	2019-06-30	$851
Interest earned on other investments	2019-06-30	$4,809
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-06-30	$15,492
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-06-30	$15,224
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-06-30	$15,224
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-06-30	$289
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$77,032
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$82,523
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$110,049
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$135,561
Contract administrator fees	2019-06-30	$570
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	WHITTLESEY, PC
Accountancy firm EIN	2019-06-30	060903326
2018 : STAVROS RETIREMENT 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$364,466
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$178,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$178,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$124,109
Value of total assets at end of year	2018-06-30	$2,853,626
Value of total assets at beginning of year	2018-06-30	$2,667,747
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$490
Total interest from all sources	2018-06-30	$5,782
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$34,864
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$34,864
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$124,109
Participant contributions at end of year	2018-06-30	$107,866
Participant contributions at beginning of year	2018-06-30	$106,372
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$185,879
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$2,853,626
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$2,667,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$2,648,013
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$2,456,932
Interest on participant loans	2018-06-30	$403
Interest earned on other investments	2018-06-30	$5,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-06-30	$15,224
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-06-30	$22,453
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-06-30	$22,453
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-06-30	$166
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$82,523
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$81,990
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$199,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$178,097
Contract administrator fees	2018-06-30	$490
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	WHITTLESEY PC
Accountancy firm EIN	2018-06-30	060903326
2017 : STAVROS RETIREMENT 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$424,624
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$53,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$29,282
Expenses. Certain deemed distributions of participant loans	2017-06-30	$23,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$129,209
Value of total assets at end of year	2017-06-30	$2,667,747
Value of total assets at beginning of year	2017-06-30	$2,296,342
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$620
Total interest from all sources	2017-06-30	$5,685
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$18,892
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$18,892
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$129,209
Participant contributions at end of year	2017-06-30	$106,372
Participant contributions at beginning of year	2017-06-30	$96,380
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$371,405
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$2,667,747
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$2,296,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$2,456,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$2,090,451
Interest on participant loans	2017-06-30	$408
Interest earned on other investments	2017-06-30	$5,171
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-06-30	$22,453
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-06-30	$32,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-06-30	$32,186
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-06-30	$106
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$81,990
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$77,325
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$270,838
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$29,282
Contract administrator fees	2017-06-30	$620
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	WHITTLESEY PC
Accountancy firm EIN	2017-06-30	060903326
2016 : STAVROS RETIREMENT 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$287,520
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$81,610
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$81,084
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$300,640
Value of total assets at end of year	2016-06-30	$2,296,342
Value of total assets at beginning of year	2016-06-30	$2,090,432
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$526
Total interest from all sources	2016-06-30	$5,153
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$22,317
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$22,317
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$124,730
Participant contributions at end of year	2016-06-30	$96,380
Participant contributions at beginning of year	2016-06-30	$97,295
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$175,910
Administrative expenses (other) incurred	2016-06-30	$491
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$205,910
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$2,296,342
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$2,090,432
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$2,090,451
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$1,892,851
Interest on participant loans	2016-06-30	$522
Interest earned on other investments	2016-06-30	$4,621
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-06-30	$32,186
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-06-30	$27,627
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-06-30	$27,627
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-30	$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$77,325
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$72,659
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-40,590
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$81,084
Contract administrator fees	2016-06-30	$35
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	WHITTLESEY & HADLEY, P.C.
Accountancy firm EIN	2016-06-30	060903326
2015 : STAVROS RETIREMENT 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$178,738
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$140,750
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$140,177
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$105,849
Value of total assets at end of year	2015-06-30	$2,090,432
Value of total assets at beginning of year	2015-06-30	$2,052,444
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$573
Total interest from all sources	2015-06-30	$4,605
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$10,480
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$10,480
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$105,849
Participant contributions at end of year	2015-06-30	$97,295
Participant contributions at beginning of year	2015-06-30	$88,127
Administrative expenses (other) incurred	2015-06-30	$538
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$37,988
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$2,090,432
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$2,052,444
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$1,892,851
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$1,885,478
Interest on participant loans	2015-06-30	$368
Interest earned on other investments	2015-06-30	$4,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-06-30	$27,627
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-06-30	$14,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-06-30	$14,533
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-06-30	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$72,659
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$64,306
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$57,804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$140,177
Contract administrator fees	2015-06-30	$35
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	WHITTLESEY & HADLEY, P.C.
Accountancy firm EIN	2015-06-30	060903326
2014 : STAVROS RETIREMENT 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$409,629
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$52,165
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$51,633
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$108,888
Value of total assets at end of year	2014-06-30	$2,052,444
Value of total assets at beginning of year	2014-06-30	$1,694,980
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$532
Total interest from all sources	2014-06-30	$4,608
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$12,422
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$12,422
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$108,888
Participant contributions at end of year	2014-06-30	$88,127
Participant contributions at beginning of year	2014-06-30	$97,815
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$357,464
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$2,052,444
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$1,694,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$1,885,478
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$1,517,764
Interest on participant loans	2014-06-30	$448
Interest earned on other investments	2014-06-30	$4,158
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-06-30	$14,533
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-06-30	$14,552
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-06-30	$14,552
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-06-30	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$64,306
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$64,849
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$283,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$51,633
Contract administrator fees	2014-06-30	$532
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	WHITTLESEY & HADLEY, P.C.
Accountancy firm EIN	2014-06-30	060903326
2013 : STAVROS RETIREMENT 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$270,407
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$61,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$61,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$98,441
Value of total assets at end of year	2013-06-30	$1,694,980
Value of total assets at beginning of year	2013-06-30	$1,486,479
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$673
Total interest from all sources	2013-06-30	$4,853
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$3,919
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$3,919
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$98,441
Participant contributions at end of year	2013-06-30	$97,815
Participant contributions at beginning of year	2013-06-30	$101,916
Administrative expenses (other) incurred	2013-06-30	$603
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$208,501
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$1,694,980
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$1,486,479
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$1,517,764
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$1,279,852
Interest on participant loans	2013-06-30	$684
Interest earned on other investments	2013-06-30	$4,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-06-30	$14,552
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-06-30	$49,729
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-06-30	$49,729
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-06-30	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$64,849
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$54,982
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$163,194
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$61,233
Contract administrator fees	2013-06-30	$70
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	LESTER HALPERN AND COMPANY, P.C.
Accountancy firm EIN	2013-06-30	042653334
2012 : STAVROS RETIREMENT 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$103,290
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$58,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$57,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$101,850
Value of total assets at end of year	2012-06-30	$1,486,479
Value of total assets at beginning of year	2012-06-30	$1,441,294
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$713
Total interest from all sources	2012-06-30	$4,470
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$2,690
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-06-30	$2,690
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$101,427
Participant contributions at end of year	2012-06-30	$101,916
Participant contributions at beginning of year	2012-06-30	$95,533
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$423
Administrative expenses (other) incurred	2012-06-30	$573
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$45,185
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$1,486,479
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$1,441,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$1,279,852
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$1,269,736
Interest on participant loans	2012-06-30	$887
Interest earned on other investments	2012-06-30	$3,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-06-30	$49,729
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-06-30	$27,352
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-06-30	$27,352
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-06-30	$4
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$54,982
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$48,673
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-5,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$57,392
Contract administrator fees	2012-06-30	$140
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	LESTER HALPERN AND COMPANY, P.C.
Accountancy firm EIN	2012-06-30	042653334
2011 : STAVROS RETIREMENT 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$350,617
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$106,776
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$105,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$101,913
Value of total assets at end of year	2011-06-30	$1,441,294
Value of total assets at beginning of year	2011-06-30	$1,197,453
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$878
Total interest from all sources	2011-06-30	$4,011
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$1,321
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-06-30	$1,321
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$100,515
Participant contributions at end of year	2011-06-30	$95,533
Participant contributions at beginning of year	2011-06-30	$80,916
Participant contributions at beginning of year	2011-06-30	$1,846
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$1,398
Administrative expenses (other) incurred	2011-06-30	$528
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$243,841
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$1,441,294
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$1,197,453
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$1,269,736
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$940,720
Interest on participant loans	2011-06-30	$766
Interest earned on other investments	2011-06-30	$3,242
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-06-30	$27,352
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-06-30	$24,088
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-06-30	$24,088
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$48,673
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$47,884
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$243,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Employer contributions (assets) at beginning of year	2011-06-30	$101,999
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$105,898
Contract administrator fees	2011-06-30	$350
Did the plan have assets held for investment	2011-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	LESTER HALPERN AND COMPANY, P.C.
Accountancy firm EIN	2011-06-30	042653334
2010 : STAVROS RETIREMENT 403(B) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for STAVROS RETIREMENT 403(B) PLAN

2021: STAVROS RETIREMENT 403(B) PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: STAVROS RETIREMENT 403(B) PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: STAVROS RETIREMENT 403(B) PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: STAVROS RETIREMENT 403(B) PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: STAVROS RETIREMENT 403(B) PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: STAVROS RETIREMENT 403(B) PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: STAVROS RETIREMENT 403(B) PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: STAVROS RETIREMENT 403(B) PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: STAVROS RETIREMENT 403(B) PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: STAVROS RETIREMENT 403(B) PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: STAVROS RETIREMENT 403(B) PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: STAVROS RETIREMENT 403(B) PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	71
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $4,497
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	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?	Yes
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 $4,497
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	82
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $4,775
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	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?	Yes
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 $4,775
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	87
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $4,725
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	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?	Yes
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 $4,725
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	87
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $4,556
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	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?	Yes
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 $4,502
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	95
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $4,883
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	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?	Yes
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	96
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $4,058
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
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 $4,058
Insurance broker organization code?	4
Insurance broker name	MARSH INSURANCE & INVESTMENTS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	101
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $4,511
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
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 $4,511
Insurance broker organization code?	4
Insurance broker name	MARSH INSURANCE & INVESTMENTS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	106
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $4,229
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
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 $4,229
Insurance broker organization code?	4
Insurance broker name	MARSH INSURANCE & INVESTMENTS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	111
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $3,794
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
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 $3,794
Insurance broker organization code?	4
Insurance broker name	MARSH INSURANCE & INVESTMENTS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	113
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $3,580
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

891979+001

Policy instance

Insurance contract or identification number	891979+001
Number of Individuals Covered	117
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $3,668
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
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:	STAVROS CENTER FOR INDEPENDENT LIVING INC
Employer identification number (EIN):	510172014
NAIC Classification:	624100
NAIC Description:	Individual and Family Services