401k Plan data: THE JEMICY SCHOOL RETIREMENT PLAN plan

THE JEMICY SCHOOL RETIREMENT PLAN 401k Plan overview

Plan Name	THE JEMICY SCHOOL RETIREMENT PLAN
Plan identification number	001

THE JEMICY SCHOOL RETIREMENT 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.

401k Sponsoring company profile

THE JEMICY SCHOOL has sponsored the creation of one or more 401k plans.

Company Name: THE JEMICY SCHOOL

Employer identification number (EIN): 520976194

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE JEMICY SCHOOL RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-09-01
001 2021-09-01
001 2020-09-01
001 2020-09-01
001 2019-09-01
001 2019-09-01
001 2018-09-01
001 2017-09-01
001 2016-09-01 EUGENIA GYFTOPOULOS
001 2015-09-01 EUGENIA GYFTOPOULOS
001 2015-09-01
001 2014-09-01 EUGENIA GYFTOPOULOS
001 2013-09-01 EUGENIA GYFTOPOULOS
001 2012-09-01 EUGENIA GYFTOPOULOS
001 2011-09-01 EUGENIA GYFTOPOULOS
001 2010-09-01 BEN SHIFRIN 2012-09-24

Plan Statistics for THE JEMICY SCHOOL RETIREMENT PLAN

401k plan membership statisitcs for THE JEMICY SCHOOL RETIREMENT PLAN

Measure Date Value
2021: THE JEMICY SCHOOL RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-09-01 272
Total number of active participants reported on line 7a of the Form 5500 2021-09-01 156
Number of retired or separated participants receiving benefits 2021-09-01 0
Number of other retired or separated participants entitled to future benefits 2021-09-01 116
Total of all active and inactive participants 2021-09-01 272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-09-01 3
Total participants 2021-09-01 275
Number of participants with account balances 2021-09-01 270
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-09-01 0
2020: THE JEMICY SCHOOL RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-09-01 260
Total number of active participants reported on line 7a of the Form 5500 2020-09-01 183
Number of retired or separated participants receiving benefits 2020-09-01 0
Number of other retired or separated participants entitled to future benefits 2020-09-01 87
Total of all active and inactive participants 2020-09-01 270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-09-01 2
Total participants 2020-09-01 272
Number of participants with account balances 2020-09-01 261
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-09-01 0
2019: THE JEMICY SCHOOL RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-09-01 250
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 171
Number of retired or separated participants receiving benefits 2019-09-01 0
Number of other retired or separated participants entitled to future benefits 2019-09-01 87
Total of all active and inactive participants 2019-09-01 258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-09-01 2
Total participants 2019-09-01 260
Number of participants with account balances 2019-09-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-09-01 0
2018: THE JEMICY SCHOOL RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 247
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 181
Number of retired or separated participants receiving benefits 2018-09-01 0
Number of other retired or separated participants entitled to future benefits 2018-09-01 67
Total of all active and inactive participants 2018-09-01 248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-09-01 2
Total participants 2018-09-01 250
Number of participants with account balances 2018-09-01 248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-09-01 0
2017: THE JEMICY SCHOOL RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 359
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 176
Number of retired or separated participants receiving benefits 2017-09-01 0
Number of other retired or separated participants entitled to future benefits 2017-09-01 70
Total of all active and inactive participants 2017-09-01 246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-09-01 1
Total participants 2017-09-01 247
Number of participants with account balances 2017-09-01 243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-09-01 0
2016: THE JEMICY SCHOOL RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 265
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 250
Number of retired or separated participants receiving benefits 2016-09-01 0
Number of other retired or separated participants entitled to future benefits 2016-09-01 109
Total of all active and inactive participants 2016-09-01 359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-09-01 0
Total participants 2016-09-01 359
Number of participants with account balances 2016-09-01 244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-09-01 0
2015: THE JEMICY SCHOOL RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 255
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 157
Number of retired or separated participants receiving benefits 2015-09-01 0
Number of other retired or separated participants entitled to future benefits 2015-09-01 108
Total of all active and inactive participants 2015-09-01 265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-09-01 0
Total participants 2015-09-01 265
Number of participants with account balances 2015-09-01 243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-09-01 0
2014: THE JEMICY SCHOOL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 271
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 159
Number of retired or separated participants receiving benefits 2014-09-01 0
Number of other retired or separated participants entitled to future benefits 2014-09-01 96
Total of all active and inactive participants 2014-09-01 255
Total participants 2014-09-01 255
Number of participants with account balances 2014-09-01 222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-09-01 0
2013: THE JEMICY SCHOOL RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 277
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 204
Number of retired or separated participants receiving benefits 2013-09-01 0
Number of other retired or separated participants entitled to future benefits 2013-09-01 67
Total of all active and inactive participants 2013-09-01 271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-09-01 0
Total participants 2013-09-01 271
Number of participants with account balances 2013-09-01 220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-09-01 0
2012: THE JEMICY SCHOOL RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 278
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 162
Number of retired or separated participants receiving benefits 2012-09-01 0
Number of other retired or separated participants entitled to future benefits 2012-09-01 112
Total of all active and inactive participants 2012-09-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-09-01 0
Total participants 2012-09-01 274
Number of participants with account balances 2012-09-01 206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-09-01 0
2011: THE JEMICY SCHOOL RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 126
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 162
Number of retired or separated participants receiving benefits 2011-09-01 0
Number of other retired or separated participants entitled to future benefits 2011-09-01 113
Total of all active and inactive participants 2011-09-01 275
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-09-01 0
Total participants 2011-09-01 275
Number of participants with account balances 2011-09-01 200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-09-01 0

Measure	Date	Value
2021: THE JEMICY SCHOOL RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-09-01	272
Total number of active participants reported on line 7a of the Form 5500	2021-09-01	156
Number of retired or separated participants receiving benefits	2021-09-01	0
Number of other retired or separated participants entitled to future benefits	2021-09-01	116
Total of all active and inactive participants	2021-09-01	272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-09-01	3
Total participants	2021-09-01	275
Number of participants with account balances	2021-09-01	270
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-09-01	0
2020: THE JEMICY SCHOOL RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-09-01	260
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	183
Number of retired or separated participants receiving benefits	2020-09-01	0
Number of other retired or separated participants entitled to future benefits	2020-09-01	87
Total of all active and inactive participants	2020-09-01	270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-09-01	2
Total participants	2020-09-01	272
Number of participants with account balances	2020-09-01	261
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-09-01	0
2019: THE JEMICY SCHOOL RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	250
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	171
Number of retired or separated participants receiving benefits	2019-09-01	0
Number of other retired or separated participants entitled to future benefits	2019-09-01	87
Total of all active and inactive participants	2019-09-01	258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-09-01	2
Total participants	2019-09-01	260
Number of participants with account balances	2019-09-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-09-01	0
2018: THE JEMICY SCHOOL RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	247
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	181
Number of retired or separated participants receiving benefits	2018-09-01	0
Number of other retired or separated participants entitled to future benefits	2018-09-01	67
Total of all active and inactive participants	2018-09-01	248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-09-01	2
Total participants	2018-09-01	250
Number of participants with account balances	2018-09-01	248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-09-01	0
2017: THE JEMICY SCHOOL RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	359
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	176
Number of retired or separated participants receiving benefits	2017-09-01	0
Number of other retired or separated participants entitled to future benefits	2017-09-01	70
Total of all active and inactive participants	2017-09-01	246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-09-01	1
Total participants	2017-09-01	247
Number of participants with account balances	2017-09-01	243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-09-01	0
2016: THE JEMICY SCHOOL RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	265
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	250
Number of retired or separated participants receiving benefits	2016-09-01	0
Number of other retired or separated participants entitled to future benefits	2016-09-01	109
Total of all active and inactive participants	2016-09-01	359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-09-01	0
Total participants	2016-09-01	359
Number of participants with account balances	2016-09-01	244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-09-01	0
2015: THE JEMICY SCHOOL RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	255
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	157
Number of retired or separated participants receiving benefits	2015-09-01	0
Number of other retired or separated participants entitled to future benefits	2015-09-01	108
Total of all active and inactive participants	2015-09-01	265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-09-01	0
Total participants	2015-09-01	265
Number of participants with account balances	2015-09-01	243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-09-01	0
2014: THE JEMICY SCHOOL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	271
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	159
Number of retired or separated participants receiving benefits	2014-09-01	0
Number of other retired or separated participants entitled to future benefits	2014-09-01	96
Total of all active and inactive participants	2014-09-01	255
Total participants	2014-09-01	255
Number of participants with account balances	2014-09-01	222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-09-01	0
2013: THE JEMICY SCHOOL RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	277
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	204
Number of retired or separated participants receiving benefits	2013-09-01	0
Number of other retired or separated participants entitled to future benefits	2013-09-01	67
Total of all active and inactive participants	2013-09-01	271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-09-01	0
Total participants	2013-09-01	271
Number of participants with account balances	2013-09-01	220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-09-01	0
2012: THE JEMICY SCHOOL RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	278
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	162
Number of retired or separated participants receiving benefits	2012-09-01	0
Number of other retired or separated participants entitled to future benefits	2012-09-01	112
Total of all active and inactive participants	2012-09-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-09-01	0
Total participants	2012-09-01	274
Number of participants with account balances	2012-09-01	206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-09-01	0
2011: THE JEMICY SCHOOL RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	126
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	162
Number of retired or separated participants receiving benefits	2011-09-01	0
Number of other retired or separated participants entitled to future benefits	2011-09-01	113
Total of all active and inactive participants	2011-09-01	275
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-09-01	0
Total participants	2011-09-01	275
Number of participants with account balances	2011-09-01	200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-09-01	0

Financial Data on THE JEMICY SCHOOL RETIREMENT PLAN

Measure	Date	Value
2022 : THE JEMICY SCHOOL RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-08-31	$0
Total transfer of assets to this plan	2022-08-31	$1,076
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-08-31	$0
Total income from all sources (including contributions)	2022-08-31	$-1,020,239
Total loss/gain on sale of assets	2022-08-31	$0
Total of all expenses incurred	2022-08-31	$1,480,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-08-31	$1,420,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-08-31	$1,559,292
Value of total assets at end of year	2022-08-31	$18,634,796
Value of total assets at beginning of year	2022-08-31	$21,134,623
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-08-31	$60,468
Total interest from all sources	2022-08-31	$104,678
Total dividends received (eg from common stock, registered investment company shares)	2022-08-31	$378,347
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-08-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-08-31	$378,347
Was this plan covered by a fidelity bond	2022-08-31	Yes
Value of fidelity bond cover	2022-08-31	$500,000
If this is an individual account plan, was there a blackout period	2022-08-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-08-31	No
Contributions received from participants	2022-08-31	$775,602
Participant contributions at end of year	2022-08-31	$174,548
Participant contributions at beginning of year	2022-08-31	$154,838
Income. Received or receivable in cash from other sources (including rollovers)	2022-08-31	$217,050
Other income not declared elsewhere	2022-08-31	$1,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-08-31	No
Value of net income/loss	2022-08-31	$-2,500,903
Value of net assets at end of year (total assets less liabilities)	2022-08-31	$18,634,796
Value of net assets at beginning of year (total assets less liabilities)	2022-08-31	$21,134,623
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-08-31	No
Were any leases to which the plan was party in default or uncollectible	2022-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-08-31	$15,310,736
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-08-31	$17,964,293
Value of interest in pooled separate accounts at end of year	2022-08-31	$239,456
Value of interest in pooled separate accounts at beginning of year	2022-08-31	$144,049
Interest on participant loans	2022-08-31	$6,694
Interest earned on other investments	2022-08-31	$97,984
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-08-31	$2,910,056
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-08-31	$2,871,443
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-08-31	$-3,094,656
Net investment gain/loss from pooled separate accounts	2022-08-31	$30,875
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-08-31	No
Was there a failure to transmit to the plan any participant contributions	2022-08-31	No
Has the plan failed to provide any benefit when due under the plan	2022-08-31	No
Contributions received in cash from employer	2022-08-31	$566,640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-08-31	$1,420,196
Contract administrator fees	2022-08-31	$60,468
Did the plan have assets held for investment	2022-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-08-31	No
Opinion of an independent qualified public accountant for this plan	2022-08-31	Disclaimer
Accountancy firm name	2022-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2022-08-31	262404897
2021 : THE JEMICY SCHOOL RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-08-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-08-31	$0
Total income from all sources (including contributions)	2021-08-31	$4,947,191
Total loss/gain on sale of assets	2021-08-31	$0
Total of all expenses incurred	2021-08-31	$878,749
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-08-31	$819,465
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-08-31	$1,449,031
Value of total assets at end of year	2021-08-31	$21,134,623
Value of total assets at beginning of year	2021-08-31	$17,066,181
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-08-31	$59,284
Total interest from all sources	2021-08-31	$101,538
Total dividends received (eg from common stock, registered investment company shares)	2021-08-31	$217,383
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-08-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-08-31	$217,383
Was this plan covered by a fidelity bond	2021-08-31	Yes
Value of fidelity bond cover	2021-08-31	$500,000
If this is an individual account plan, was there a blackout period	2021-08-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-08-31	No
Contributions received from participants	2021-08-31	$748,381
Participant contributions at end of year	2021-08-31	$154,838
Participant contributions at beginning of year	2021-08-31	$73,722
Participant contributions at end of year	2021-08-31	$0
Participant contributions at beginning of year	2021-08-31	$31,305
Income. Received or receivable in cash from other sources (including rollovers)	2021-08-31	$166,378
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-08-31	No
Value of net income/loss	2021-08-31	$4,068,442
Value of net assets at end of year (total assets less liabilities)	2021-08-31	$21,134,623
Value of net assets at beginning of year (total assets less liabilities)	2021-08-31	$17,066,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-08-31	No
Were any leases to which the plan was party in default or uncollectible	2021-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-08-31	$17,964,293
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-08-31	$13,905,397
Value of interest in pooled separate accounts at end of year	2021-08-31	$144,049
Value of interest in pooled separate accounts at beginning of year	2021-08-31	$143,632
Interest on participant loans	2021-08-31	$4,253
Interest earned on other investments	2021-08-31	$97,285
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-08-31	$2,871,443
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-08-31	$2,887,237
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-08-31	$3,166,498
Net investment gain/loss from pooled separate accounts	2021-08-31	$12,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-08-31	No
Was there a failure to transmit to the plan any participant contributions	2021-08-31	No
Has the plan failed to provide any benefit when due under the plan	2021-08-31	No
Contributions received in cash from employer	2021-08-31	$534,272
Employer contributions (assets) at end of year	2021-08-31	$0
Employer contributions (assets) at beginning of year	2021-08-31	$24,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-08-31	$819,465
Contract administrator fees	2021-08-31	$59,284
Did the plan have assets held for investment	2021-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-08-31	No
Opinion of an independent qualified public accountant for this plan	2021-08-31	Disclaimer
Accountancy firm name	2021-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2021-08-31	262404897
2020 : THE JEMICY SCHOOL RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-08-31	$0
Total transfer of assets to this plan	2020-08-31	$58,667
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-08-31	$0
Total income from all sources (including contributions)	2020-08-31	$3,220,993
Total loss/gain on sale of assets	2020-08-31	$0
Total of all expenses incurred	2020-08-31	$1,535,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-08-31	$1,484,466
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-08-31	$1,199,566
Value of total assets at end of year	2020-08-31	$17,009,989
Value of total assets at beginning of year	2020-08-31	$15,266,249
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-08-31	$51,454
Total interest from all sources	2020-08-31	$104,428
Total dividends received (eg from common stock, registered investment company shares)	2020-08-31	$181,758
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-08-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-08-31	$181,758
Was this plan covered by a fidelity bond	2020-08-31	Yes
Value of fidelity bond cover	2020-08-31	$500,000
If this is an individual account plan, was there a blackout period	2020-08-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-08-31	No
Contributions received from participants	2020-08-31	$695,404
Participant contributions at end of year	2020-08-31	$73,722
Participant contributions at beginning of year	2020-08-31	$37,902
Participant contributions at end of year	2020-08-31	$0
Participant contributions at beginning of year	2020-08-31	$33,362
Income. Received or receivable in cash from other sources (including rollovers)	2020-08-31	$1,079
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-08-31	No
Value of net income/loss	2020-08-31	$1,685,073
Value of net assets at end of year (total assets less liabilities)	2020-08-31	$17,009,989
Value of net assets at beginning of year (total assets less liabilities)	2020-08-31	$15,266,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-08-31	No
Were any leases to which the plan was party in default or uncollectible	2020-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-08-31	$13,905,398
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-08-31	$11,883,188
Value of interest in pooled separate accounts at end of year	2020-08-31	$143,632
Value of interest in pooled separate accounts at beginning of year	2020-08-31	$183,533
Interest on participant loans	2020-08-31	$2,387
Interest earned on other investments	2020-08-31	$102,041
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-08-31	$2,887,237
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-08-31	$3,104,264
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-08-31	$1,734,692
Net investment gain/loss from pooled separate accounts	2020-08-31	$549
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-08-31	No
Was there a failure to transmit to the plan any participant contributions	2020-08-31	No
Has the plan failed to provide any benefit when due under the plan	2020-08-31	No
Contributions received in cash from employer	2020-08-31	$503,083
Employer contributions (assets) at end of year	2020-08-31	$0
Employer contributions (assets) at beginning of year	2020-08-31	$24,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-08-31	$1,484,466
Contract administrator fees	2020-08-31	$51,454
Did the plan have assets held for investment	2020-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-08-31	Yes
Opinion of an independent qualified public accountant for this plan	2020-08-31	Disclaimer
Accountancy firm name	2020-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2020-08-31	262404897
2019 : THE JEMICY SCHOOL RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-08-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-08-31	$0
Total income from all sources (including contributions)	2019-08-31	$1,571,620
Total loss/gain on sale of assets	2019-08-31	$0
Total of all expenses incurred	2019-08-31	$2,578,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-08-31	$2,533,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-08-31	$1,251,946
Value of total assets at end of year	2019-08-31	$15,266,249
Value of total assets at beginning of year	2019-08-31	$16,272,970
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-08-31	$44,703
Total interest from all sources	2019-08-31	$114,844
Total dividends received (eg from common stock, registered investment company shares)	2019-08-31	$166,866
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-08-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-08-31	$166,866
Was this plan covered by a fidelity bond	2019-08-31	Yes
Value of fidelity bond cover	2019-08-31	$500,000
If this is an individual account plan, was there a blackout period	2019-08-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-08-31	No
Contributions received from participants	2019-08-31	$713,619
Participant contributions at end of year	2019-08-31	$37,902
Participant contributions at beginning of year	2019-08-31	$0
Participant contributions at end of year	2019-08-31	$33,362
Participant contributions at beginning of year	2019-08-31	$30,444
Income. Received or receivable in cash from other sources (including rollovers)	2019-08-31	$24,259
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-08-31	No
Value of net income/loss	2019-08-31	$-1,006,721
Value of net assets at end of year (total assets less liabilities)	2019-08-31	$15,266,249
Value of net assets at beginning of year (total assets less liabilities)	2019-08-31	$16,272,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-08-31	No
Were any leases to which the plan was party in default or uncollectible	2019-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-08-31	$11,883,188
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-08-31	$12,690,455
Value of interest in pooled separate accounts at end of year	2019-08-31	$183,533
Value of interest in pooled separate accounts at beginning of year	2019-08-31	$223,145
Interest on participant loans	2019-08-31	$1,315
Interest earned on other investments	2019-08-31	$113,529
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-08-31	$3,104,264
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-08-31	$3,305,129
Expenses. Payments to insurance carriers foe the provision of benefits	2019-08-31	$1,454
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-08-31	$28,460
Net investment gain/loss from pooled separate accounts	2019-08-31	$9,504
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-08-31	No
Was there a failure to transmit to the plan any participant contributions	2019-08-31	No
Has the plan failed to provide any benefit when due under the plan	2019-08-31	No
Contributions received in cash from employer	2019-08-31	$514,068
Employer contributions (assets) at end of year	2019-08-31	$24,000
Employer contributions (assets) at beginning of year	2019-08-31	$23,797
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-08-31	$2,532,184
Contract administrator fees	2019-08-31	$44,703
Did the plan have assets held for investment	2019-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-08-31	No
Opinion of an independent qualified public accountant for this plan	2019-08-31	Disclaimer
Accountancy firm name	2019-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2019-08-31	262404897
2018 : THE JEMICY SCHOOL RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-08-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-08-31	$0
Total income from all sources (including contributions)	2018-08-31	$2,835,026
Total loss/gain on sale of assets	2018-08-31	$0
Total of all expenses incurred	2018-08-31	$819,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-08-31	$807,172
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-08-31	$1,258,428
Value of total assets at end of year	2018-08-31	$16,272,970
Value of total assets at beginning of year	2018-08-31	$14,257,032
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-08-31	$11,916
Total interest from all sources	2018-08-31	$126,315
Total dividends received (eg from common stock, registered investment company shares)	2018-08-31	$8,997
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-08-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-08-31	$8,997
Was this plan covered by a fidelity bond	2018-08-31	Yes
Value of fidelity bond cover	2018-08-31	$500,000
If this is an individual account plan, was there a blackout period	2018-08-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-08-31	No
Contributions received from participants	2018-08-31	$622,585
Participant contributions at end of year	2018-08-31	$30,444
Participant contributions at beginning of year	2018-08-31	$22,687
Income. Received or receivable in cash from other sources (including rollovers)	2018-08-31	$159,792
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-08-31	No
Value of net income/loss	2018-08-31	$2,015,938
Value of net assets at end of year (total assets less liabilities)	2018-08-31	$16,272,970
Value of net assets at beginning of year (total assets less liabilities)	2018-08-31	$14,257,032
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-08-31	No
Were any leases to which the plan was party in default or uncollectible	2018-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-08-31	$12,690,455
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-08-31	$9,899,180
Value of interest in pooled separate accounts at end of year	2018-08-31	$223,145
Value of interest in pooled separate accounts at beginning of year	2018-08-31	$487,323
Interest earned on other investments	2018-08-31	$126,315
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-08-31	$3,305,129
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-08-31	$3,829,285
Expenses. Payments to insurance carriers foe the provision of benefits	2018-08-31	$807,172
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-08-31	$1,423,974
Net investment gain/loss from pooled separate accounts	2018-08-31	$17,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-08-31	No
Was there a failure to transmit to the plan any participant contributions	2018-08-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-08-31	No
Contributions received in cash from employer	2018-08-31	$476,051
Employer contributions (assets) at end of year	2018-08-31	$23,797
Employer contributions (assets) at beginning of year	2018-08-31	$18,557
Contract administrator fees	2018-08-31	$11,916
Did the plan have assets held for investment	2018-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-08-31	No
Opinion of an independent qualified public accountant for this plan	2018-08-31	Disclaimer
Accountancy firm name	2018-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2018-08-31	262404897
2017 : THE JEMICY SCHOOL RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-08-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-08-31	$0
Total income from all sources (including contributions)	2017-08-31	$2,542,106
Total loss/gain on sale of assets	2017-08-31	$0
Total of all expenses incurred	2017-08-31	$921,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-08-31	$920,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-08-31	$1,251,743
Value of total assets at end of year	2017-08-31	$14,257,032
Value of total assets at beginning of year	2017-08-31	$12,636,145
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-08-31	$700
Total interest from all sources	2017-08-31	$132,468
Total dividends received (eg from common stock, registered investment company shares)	2017-08-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-08-31	No
Was this plan covered by a fidelity bond	2017-08-31	Yes
Value of fidelity bond cover	2017-08-31	$500,000
If this is an individual account plan, was there a blackout period	2017-08-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-08-31	No
Contributions received from participants	2017-08-31	$518,079
Participant contributions at end of year	2017-08-31	$22,687
Participant contributions at beginning of year	2017-08-31	$14,073
Income. Received or receivable in cash from other sources (including rollovers)	2017-08-31	$321,036
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-08-31	No
Value of net income/loss	2017-08-31	$1,620,887
Value of net assets at end of year (total assets less liabilities)	2017-08-31	$14,257,032
Value of net assets at beginning of year (total assets less liabilities)	2017-08-31	$12,636,145
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-08-31	No
Were any leases to which the plan was party in default or uncollectible	2017-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-08-31	$9,899,180
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-08-31	$8,640,207
Value of interest in pooled separate accounts at end of year	2017-08-31	$487,323
Value of interest in pooled separate accounts at beginning of year	2017-08-31	$452,539
Interest earned on other investments	2017-08-31	$132,468
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-08-31	$3,829,285
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-08-31	$3,513,082
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-08-31	$1,139,219
Net investment gain/loss from pooled separate accounts	2017-08-31	$18,676
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-08-31	No
Was there a failure to transmit to the plan any participant contributions	2017-08-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-08-31	No
Contributions received in cash from employer	2017-08-31	$412,628
Employer contributions (assets) at end of year	2017-08-31	$18,557
Employer contributions (assets) at beginning of year	2017-08-31	$16,244
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-08-31	$920,519
Contract administrator fees	2017-08-31	$700
Did the plan have assets held for investment	2017-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-08-31	No
Opinion of an independent qualified public accountant for this plan	2017-08-31	Disclaimer
Accountancy firm name	2017-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2017-08-31	262404897
2016 : THE JEMICY SCHOOL RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-08-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-08-31	$0
Total income from all sources (including contributions)	2016-08-31	$1,488,358
Total loss/gain on sale of assets	2016-08-31	$0
Total of all expenses incurred	2016-08-31	$640,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-08-31	$639,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-08-31	$785,585
Value of total assets at end of year	2016-08-31	$12,636,145
Value of total assets at beginning of year	2016-08-31	$11,788,186
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-08-31	$650
Total interest from all sources	2016-08-31	$122,516
Total dividends received (eg from common stock, registered investment company shares)	2016-08-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-08-31	No
Was this plan covered by a fidelity bond	2016-08-31	Yes
Value of fidelity bond cover	2016-08-31	$500,000
If this is an individual account plan, was there a blackout period	2016-08-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-08-31	No
Contributions received from participants	2016-08-31	$372,319
Participant contributions at end of year	2016-08-31	$14,073
Participant contributions at beginning of year	2016-08-31	$13,425
Income. Received or receivable in cash from other sources (including rollovers)	2016-08-31	$40,272
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-08-31	No
Value of net income/loss	2016-08-31	$847,959
Value of net assets at end of year (total assets less liabilities)	2016-08-31	$12,636,145
Value of net assets at beginning of year (total assets less liabilities)	2016-08-31	$11,788,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-08-31	No
Were any leases to which the plan was party in default or uncollectible	2016-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-08-31	$8,640,207
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-08-31	$8,056,031
Value of interest in pooled separate accounts at end of year	2016-08-31	$452,539
Value of interest in pooled separate accounts at beginning of year	2016-08-31	$402,878
Interest earned on other investments	2016-08-31	$122,516
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-08-31	$3,513,082
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-08-31	$3,301,295
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-08-31	$555,302
Net investment gain/loss from pooled separate accounts	2016-08-31	$24,955
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-08-31	No
Was there a failure to transmit to the plan any participant contributions	2016-08-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-08-31	No
Contributions received in cash from employer	2016-08-31	$372,994
Employer contributions (assets) at end of year	2016-08-31	$16,244
Employer contributions (assets) at beginning of year	2016-08-31	$14,557
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-08-31	$639,749
Contract administrator fees	2016-08-31	$650
Did the plan have assets held for investment	2016-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-08-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-08-31	Disclaimer
Accountancy firm name	2016-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2016-08-31	262404897
2015 : THE JEMICY SCHOOL RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-08-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-08-31	$0
Total income from all sources (including contributions)	2015-08-31	$741,762
Total loss/gain on sale of assets	2015-08-31	$0
Total of all expenses incurred	2015-08-31	$1,157,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-08-31	$1,156,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-08-31	$681,537
Value of total assets at end of year	2015-08-31	$11,788,186
Value of total assets at beginning of year	2015-08-31	$12,203,688
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-08-31	$775
Total interest from all sources	2015-08-31	$118,181
Total dividends received (eg from common stock, registered investment company shares)	2015-08-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-08-31	No
Was this plan covered by a fidelity bond	2015-08-31	Yes
Value of fidelity bond cover	2015-08-31	$500,000
If this is an individual account plan, was there a blackout period	2015-08-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-08-31	No
Contributions received from participants	2015-08-31	$313,083
Participant contributions at end of year	2015-08-31	$13,425
Participant contributions at beginning of year	2015-08-31	$12,155
Income. Received or receivable in cash from other sources (including rollovers)	2015-08-31	$15,140
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-08-31	No
Value of net income/loss	2015-08-31	$-415,502
Value of net assets at end of year (total assets less liabilities)	2015-08-31	$11,788,186
Value of net assets at beginning of year (total assets less liabilities)	2015-08-31	$12,203,688
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-08-31	No
Were any leases to which the plan was party in default or uncollectible	2015-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-08-31	$8,056,031
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-08-31	$8,614,996
Value of interest in pooled separate accounts at end of year	2015-08-31	$402,878
Value of interest in pooled separate accounts at beginning of year	2015-08-31	$354,051
Interest earned on other investments	2015-08-31	$118,181
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-08-31	$3,301,295
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-08-31	$3,208,485
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-08-31	$-95,056
Net investment gain/loss from pooled separate accounts	2015-08-31	$37,100
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-08-31	No
Was there a failure to transmit to the plan any participant contributions	2015-08-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-08-31	No
Contributions received in cash from employer	2015-08-31	$353,314
Employer contributions (assets) at end of year	2015-08-31	$14,557
Employer contributions (assets) at beginning of year	2015-08-31	$14,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-08-31	$1,156,489
Contract administrator fees	2015-08-31	$775
Did the plan have assets held for investment	2015-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-08-31	No
Opinion of an independent qualified public accountant for this plan	2015-08-31	Disclaimer
Accountancy firm name	2015-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2015-08-31	262404897
2014 : THE JEMICY SCHOOL RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-08-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-08-31	$0
Total income from all sources (including contributions)	2014-08-31	$2,198,089
Total loss/gain on sale of assets	2014-08-31	$0
Total of all expenses incurred	2014-08-31	$256,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-08-31	$255,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-08-31	$659,363
Value of total assets at end of year	2014-08-31	$12,203,688
Value of total assets at beginning of year	2014-08-31	$10,262,009
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-08-31	$725
Total interest from all sources	2014-08-31	$115,245
Total dividends received (eg from common stock, registered investment company shares)	2014-08-31	$0
Was this plan covered by a fidelity bond	2014-08-31	Yes
Value of fidelity bond cover	2014-08-31	$500,000
If this is an individual account plan, was there a blackout period	2014-08-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-08-31	No
Contributions received from participants	2014-08-31	$284,116
Participant contributions at end of year	2014-08-31	$12,155
Participant contributions at beginning of year	2014-08-31	$22,582
Income. Received or receivable in cash from other sources (including rollovers)	2014-08-31	$21,133
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-08-31	No
Value of net income/loss	2014-08-31	$1,941,679
Value of net assets at end of year (total assets less liabilities)	2014-08-31	$12,203,688
Value of net assets at beginning of year (total assets less liabilities)	2014-08-31	$10,262,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-08-31	No
Were any leases to which the plan was party in default or uncollectible	2014-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-08-31	$8,614,996
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-08-31	$7,099,396
Value of interest in pooled separate accounts at end of year	2014-08-31	$354,051
Value of interest in pooled separate accounts at beginning of year	2014-08-31	$296,295
Interest earned on other investments	2014-08-31	$115,245
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-08-31	$3,208,485
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-08-31	$2,818,791
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-08-31	$1,389,873
Net investment gain/loss from pooled separate accounts	2014-08-31	$33,608
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-08-31	No
Was there a failure to transmit to the plan any participant contributions	2014-08-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-08-31	No
Contributions received in cash from employer	2014-08-31	$354,114
Employer contributions (assets) at end of year	2014-08-31	$14,001
Employer contributions (assets) at beginning of year	2014-08-31	$24,945
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-08-31	$255,685
Contract administrator fees	2014-08-31	$725
Did the plan have assets held for investment	2014-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-08-31	No
Opinion of an independent qualified public accountant for this plan	2014-08-31	Disclaimer
Accountancy firm name	2014-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2014-08-31	262404897
2013 : THE JEMICY SCHOOL RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-08-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-08-31	$0
Total income from all sources (including contributions)	2013-08-31	$1,711,137
Total loss/gain on sale of assets	2013-08-31	$0
Total of all expenses incurred	2013-08-31	$277,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-08-31	$276,444
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-08-31	$703,202
Value of total assets at end of year	2013-08-31	$10,262,009
Value of total assets at beginning of year	2013-08-31	$8,828,091
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-08-31	$775
Total interest from all sources	2013-08-31	$97,340
Total dividends received (eg from common stock, registered investment company shares)	2013-08-31	$0
Was this plan covered by a fidelity bond	2013-08-31	Yes
Value of fidelity bond cover	2013-08-31	$500,000
If this is an individual account plan, was there a blackout period	2013-08-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-08-31	No
Contributions received from participants	2013-08-31	$287,624
Participant contributions at end of year	2013-08-31	$22,582
Participant contributions at beginning of year	2013-08-31	$12,126
Income. Received or receivable in cash from other sources (including rollovers)	2013-08-31	$107,412
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-08-31	No
Value of net income/loss	2013-08-31	$1,433,918
Value of net assets at end of year (total assets less liabilities)	2013-08-31	$10,262,009
Value of net assets at beginning of year (total assets less liabilities)	2013-08-31	$8,828,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-08-31	No
Were any leases to which the plan was party in default or uncollectible	2013-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-08-31	$7,099,396
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-08-31	$6,010,385
Value of interest in pooled separate accounts at end of year	2013-08-31	$296,295
Value of interest in pooled separate accounts at beginning of year	2013-08-31	$245,021
Interest earned on other investments	2013-08-31	$97,340
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-08-31	$2,818,791
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-08-31	$2,547,682
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-08-31	$887,187
Net investment gain/loss from pooled separate accounts	2013-08-31	$23,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-08-31	No
Was there a failure to transmit to the plan any participant contributions	2013-08-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-08-31	No
Contributions received in cash from employer	2013-08-31	$308,166
Employer contributions (assets) at end of year	2013-08-31	$24,945
Employer contributions (assets) at beginning of year	2013-08-31	$12,877
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-08-31	$276,444
Contract administrator fees	2013-08-31	$775
Did the plan have assets held for investment	2013-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-08-31	No
Opinion of an independent qualified public accountant for this plan	2013-08-31	Disclaimer
Accountancy firm name	2013-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2013-08-31	262404897
2012 : THE JEMICY SCHOOL RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-08-31	$0
Total transfer of assets to this plan	2012-08-31	$2,176,857
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-08-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-08-31	$0
Total income from all sources (including contributions)	2012-08-31	$1,410,642
Total loss/gain on sale of assets	2012-08-31	$0
Total of all expenses incurred	2012-08-31	$359,935
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-08-31	$359,135
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-08-31	$732,248
Value of total assets at end of year	2012-08-31	$8,828,091
Value of total assets at beginning of year	2012-08-31	$5,600,527
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-08-31	$800
Total interest from all sources	2012-08-31	$90,967
Total dividends received (eg from common stock, registered investment company shares)	2012-08-31	$0
Was this plan covered by a fidelity bond	2012-08-31	Yes
Value of fidelity bond cover	2012-08-31	$500,000
If this is an individual account plan, was there a blackout period	2012-08-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-08-31	No
Contributions received from participants	2012-08-31	$295,552
Participant contributions at end of year	2012-08-31	$12,126
Participant contributions at beginning of year	2012-08-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-08-31	$143,474
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-08-31	No
Value of net income/loss	2012-08-31	$1,050,707
Value of net assets at end of year (total assets less liabilities)	2012-08-31	$8,828,091
Value of net assets at beginning of year (total assets less liabilities)	2012-08-31	$5,600,527
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-08-31	No
Were any leases to which the plan was party in default or uncollectible	2012-08-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-08-31	$6,010,385
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-08-31	$3,913,932
Value of interest in pooled separate accounts at end of year	2012-08-31	$245,021
Value of interest in pooled separate accounts at beginning of year	2012-08-31	$158,212
Interest earned on other investments	2012-08-31	$90,967
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-08-31	$2,547,682
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-08-31	$1,528,383
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-08-31	$566,291
Net investment gain/loss from pooled separate accounts	2012-08-31	$21,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-08-31	No
Was there a failure to transmit to the plan any participant contributions	2012-08-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-08-31	No
Contributions received in cash from employer	2012-08-31	$293,222
Employer contributions (assets) at end of year	2012-08-31	$12,877
Employer contributions (assets) at beginning of year	2012-08-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-08-31	$359,135
Contract administrator fees	2012-08-31	$800
Did the plan have assets held for investment	2012-08-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-08-31	No
Opinion of an independent qualified public accountant for this plan	2012-08-31	Disclaimer
Accountancy firm name	2012-08-31	BENEFIT AUDIT GROUP LLC
Accountancy firm EIN	2012-08-31	262404897

Form 5500 Responses for THE JEMICY SCHOOL RETIREMENT PLAN

2021: THE JEMICY SCHOOL RETIREMENT PLAN 2021 form 5500 responses
2021-09-01	Type of plan entity	Single employer plan
2021-09-01	Submission has been amended	No
2021-09-01	This submission is the final filing	No
2021-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-09-01	Plan is a collectively bargained plan	No
2021-09-01	Plan funding arrangement – Insurance	Yes
2021-09-01	Plan funding arrangement – Trust	Yes
2021-09-01	Plan benefit arrangement – Insurance	Yes
2021-09-01	Plan benefit arrangement - Trust	Yes
2020: THE JEMICY SCHOOL RETIREMENT PLAN 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	Submission has been amended	No
2020-09-01	This submission is the final filing	No
2020-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-09-01	Plan is a collectively bargained plan	No
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan funding arrangement – Trust	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement - Trust	Yes
2019: THE JEMICY SCHOOL RETIREMENT PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	Submission has been amended	No
2019-09-01	This submission is the final filing	No
2019-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-09-01	Plan is a collectively bargained plan	No
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan funding arrangement – Trust	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement - Trust	Yes
2018: THE JEMICY SCHOOL RETIREMENT PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Submission has been amended	No
2018-09-01	This submission is the final filing	No
2018-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-09-01	Plan is a collectively bargained plan	No
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan funding arrangement – Trust	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement - Trust	Yes
2017: THE JEMICY SCHOOL RETIREMENT PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Submission has been amended	No
2017-09-01	This submission is the final filing	No
2017-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-09-01	Plan is a collectively bargained plan	No
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan funding arrangement – Trust	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement - Trust	Yes
2016: THE JEMICY SCHOOL RETIREMENT PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Submission has been amended	No
2016-09-01	This submission is the final filing	No
2016-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-09-01	Plan is a collectively bargained plan	No
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan funding arrangement – Trust	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement - Trust	Yes
2015: THE JEMICY SCHOOL RETIREMENT PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Submission has been amended	Yes
2015-09-01	This submission is the final filing	No
2015-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-09-01	Plan is a collectively bargained plan	No
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan funding arrangement – Trust	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement - Trust	Yes
2014: THE JEMICY SCHOOL RETIREMENT PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan funding arrangement – Trust	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement - Trust	Yes
2013: THE JEMICY SCHOOL RETIREMENT PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan funding arrangement – Trust	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement - Trust	Yes
2012: THE JEMICY SCHOOL RETIREMENT PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan funding arrangement – Trust	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement - Trust	Yes
2011: THE JEMICY SCHOOL RETIREMENT PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan funding arrangement – Trust	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	126
Insurance policy start date	2021-09-01
Insurance policy end date	2022-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	47
Insurance policy start date	2021-09-01
Insurance policy end date	2022-08-31
Total amount of commissions paid to insurance broker	USD $6,397
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 $6,397
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	4

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	126
Insurance policy start date	2020-09-01
Insurance policy end date	2021-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	50
Insurance policy start date	2020-09-01
Insurance policy end date	2021-08-31
Total amount of commissions paid to insurance broker	USD $7,901
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 $7,901
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	4

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	126
Insurance policy start date	2019-09-01
Insurance policy end date	2020-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	53
Insurance policy start date	2019-09-01
Insurance policy end date	2020-08-31
Total amount of commissions paid to insurance broker	USD $7,223
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 $7,223
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	4

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	127
Insurance policy start date	2018-09-01
Insurance policy end date	2019-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	58
Insurance policy start date	2018-09-01
Insurance policy end date	2019-08-31
Total amount of commissions paid to insurance broker	USD $7,630
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 $7,630
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	4

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	136
Insurance policy start date	2017-09-01
Insurance policy end date	2018-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	63
Insurance policy start date	2017-09-01
Insurance policy end date	2018-08-31
Total amount of commissions paid to insurance broker	USD $11,680
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

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	88
Insurance policy start date	2014-09-01
Insurance policy end date	2015-08-31
Total amount of commissions paid to insurance broker	USD $23,743
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 $23,743
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	137
Insurance policy start date	2014-09-01
Insurance policy end date	2015-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	88
Insurance policy start date	2013-09-01
Insurance policy end date	2014-08-31
Total amount of commissions paid to insurance broker	USD $23,309
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 $23,309
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	136
Insurance policy start date	2013-09-01
Insurance policy end date	2014-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	80
Insurance policy start date	2012-09-01
Insurance policy end date	2013-08-31
Total amount of commissions paid to insurance broker	USD $21,023
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 $21,023
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	129
Insurance policy start date	2012-09-01
Insurance policy end date	2013-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GP02237

Policy instance

Insurance contract or identification number	GP02237
Number of Individuals Covered	82
Insurance policy start date	2011-09-01
Insurance policy end date	2012-08-31
Total amount of commissions paid to insurance broker	USD $17,325
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 $17,325
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

386637

Policy instance

Insurance contract or identification number	386637
Number of Individuals Covered	123
Insurance policy start date	2011-09-01
Insurance policy end date	2012-08-31
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	THE JEMICY SCHOOL
Employer identification number (EIN):	520976194
NAIC Classification:	611000