401k Plan data: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN plan

COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 401k Plan overview

Plan Name	COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN
Plan identification number	002

COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.

401k Sponsoring company profile

COMMUNITY LIVING CONCEPTS OF NORTH CAROLINA, INC. has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY LIVING CONCEPTS OF NORTH CAROLINA, INC.

Employer identification number (EIN): 562405846

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2018-01-01 KATHY NAUER 2019-08-01
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01 KATHY NAUER
002 2013-01-01 KATHY NAUER
002 2012-01-01 KATHY NAUER
002 2011-01-01 KATHY NAUER KATHY NAUER 2012-10-15
002 2010-01-01 KATHY NAUER KATHY NAUER 2011-10-14
002 2009-01-01 KATHY NAUER KATHY NAUER 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2018-01-01	KATHY NAUER	2019-08-01
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01	KATHY NAUER
002	2013-01-01	KATHY NAUER
002	2012-01-01	KATHY NAUER
002	2011-01-01	KATHY NAUER		KATHY NAUER	2012-10-15
002	2010-01-01	KATHY NAUER		KATHY NAUER	2011-10-14
002	2009-01-01	KATHY NAUER		KATHY NAUER	2010-10-14

Plan Statistics for COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN

401k plan membership statisitcs for COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN

Measure Date Value
2018: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Number of participants with account balances 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 30
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 90
Total of all active and inactive participants 2017-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 120
Number of participants with account balances 2017-01-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 30
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 90
Total of all active and inactive participants 2016-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 120
Number of participants with account balances 2016-01-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 23
Number of other retired or separated participants entitled to future benefits 2015-01-01 93
Total of all active and inactive participants 2015-01-01 116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 116
Number of participants with account balances 2015-01-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 5
2014: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 33
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 85
Total of all active and inactive participants 2014-01-01 118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 118
Number of participants with account balances 2014-01-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 202
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 39
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 103
Total participants 2013-01-01 142
Number of participants with account balances 2013-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 18
2012: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 217
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 60
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 138
Total of all active and inactive participants 2012-01-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 198
Number of participants with account balances 2012-01-01 197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 11
2011: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 70
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 141
Total of all active and inactive participants 2011-01-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 211
Number of participants with account balances 2011-01-01 209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 10
2010: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 286
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 79
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 138
Total of all active and inactive participants 2010-01-01 217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 217
Number of participants with account balances 2010-01-01 214
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 14
2009: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 85
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 185
Total of all active and inactive participants 2009-01-01 270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 270
Number of participants with account balances 2009-01-01 268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 8

Measure	Date	Value
2018: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Number of participants with account balances	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	30
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	90
Total of all active and inactive participants	2017-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	120
Number of participants with account balances	2017-01-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	30
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	90
Total of all active and inactive participants	2016-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	120
Number of participants with account balances	2016-01-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	23
Number of other retired or separated participants entitled to future benefits	2015-01-01	93
Total of all active and inactive participants	2015-01-01	116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	116
Number of participants with account balances	2015-01-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	5
2014: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	33
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	85
Total of all active and inactive participants	2014-01-01	118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	118
Number of participants with account balances	2014-01-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	202
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	39
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	103
Total participants	2013-01-01	142
Number of participants with account balances	2013-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	18
2012: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	217
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	60
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	138
Total of all active and inactive participants	2012-01-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	198
Number of participants with account balances	2012-01-01	197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	11
2011: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	70
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	141
Total of all active and inactive participants	2011-01-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	211
Number of participants with account balances	2011-01-01	209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	10
2010: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	286
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	79
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	138
Total of all active and inactive participants	2010-01-01	217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	217
Number of participants with account balances	2010-01-01	214
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	14
2009: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	85
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	185
Total of all active and inactive participants	2009-01-01	270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	270
Number of participants with account balances	2009-01-01	268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	8

Financial Data on COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN

Measure	Date	Value
2018 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-10-10	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-10-10	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-10-10	$0
Total income from all sources (including contributions)	2018-10-10	$-15
Total loss/gain on sale of assets	2018-10-10	$0
Total of all expenses incurred	2018-10-10	$95,847
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-10-10	$95,847
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-10-10	$0
Value of total assets at end of year	2018-10-10	$0
Value of total assets at beginning of year	2018-10-10	$95,862
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-10-10	$0
Total interest from all sources	2018-10-10	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-10-10	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-10-10	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-10-10	$0
Was this plan covered by a fidelity bond	2018-10-10	Yes
Value of fidelity bond cover	2018-10-10	$200,000
If this is an individual account plan, was there a blackout period	2018-10-10	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-10-10	$0
Were there any nonexempt tranactions with any party-in-interest	2018-10-10	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-10-10	No
Value of net income/loss	2018-10-10	$-95,862
Value of net assets at end of year (total assets less liabilities)	2018-10-10	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-10-10	$95,862
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-10-10	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-10-10	No
Were any leases to which the plan was party in default or uncollectible	2018-10-10	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-10-10	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-10-10	$5,715
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-10-10	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-10-10	$86,627
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-10-10	$86,627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-10-10	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-10-10	$3,520
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-10-10	$-15
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-10-10	No
Was there a failure to transmit to the plan any participant contributions	2018-10-10	No
Has the plan failed to provide any benefit when due under the plan	2018-10-10	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-10-10	$95,847
Did the plan have assets held for investment	2018-10-10	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-10-10	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-10-10	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-10-10	No
Opinion of an independent qualified public accountant for this plan	2018-10-10	Unqualified
Accountancy firm name	2018-10-10	CENKO, VENDITTELLI HAYNES & TOKARZ
Accountancy firm EIN	2018-10-10	810584482
2017 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$13,829
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$17,699
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$17,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$0
Value of total assets at end of year	2017-12-31	$95,862
Value of total assets at beginning of year	2017-12-31	$99,732
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$531
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,472
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$1,472
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$200,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-3,870
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$95,862
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$99,732
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$531
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$5,715
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$91,858
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$86,627
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$1,872
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$1,872
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$3,520
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$6,002
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$12,357
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$17,168
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	CENKO, VENDITTELLI HAYNES & TOKARZ
Accountancy firm EIN	2017-12-31	810584482
2016 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$6,340
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$3,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$99,732
Value of total assets at beginning of year	2016-12-31	$96,656
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$527
Total interest from all sources	2016-12-31	$150
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,884
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$1,884
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$200,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$26
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$194
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$3,076
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$99,732
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$96,656
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$527
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$91,858
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$87,850
Interest earned on other investments	2016-12-31	$150
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$1,872
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$1,119
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$1,119
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$6,002
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$7,467
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$4,306
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,737
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	CENKO, VENDITTELLI HAYNES & TOKARZ
Accountancy firm EIN	2016-12-31	810584482
2015 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$-777
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$96,656
Value of total assets at beginning of year	2015-12-31	$99,702
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$652
Total interest from all sources	2015-12-31	$228
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,725
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,725
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$200,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$26
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$194
Total non interest bearing cash at beginning of year	2015-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-3,046
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$96,656
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$99,702
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$652
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$87,850
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$89,934
Interest earned on other investments	2015-12-31	$228
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$1,119
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,578
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,578
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$7,467
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$8,190
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-2,730
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,617
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	CENKO, VENDITTELLI HAYNES & TOKARZ
Accountancy firm EIN	2015-12-31	810584482
2014 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$5,636
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$35,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$34,557
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$0
Value of total assets at end of year	2014-12-31	$99,702
Value of total assets at beginning of year	2014-12-31	$129,271
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$648
Total interest from all sources	2014-12-31	$387
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,708
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$1,708
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$200,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-29,569
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$99,702
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$129,271
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$648
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$89,934
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$108,690
Interest earned on other investments	2014-12-31	$387
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,578
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$1,563
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$1,563
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$8,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$19,018
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$3,541
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$34,557
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	CENKO, VENDITTELLI & HAYNES, P.L.C.
Accountancy firm EIN	2014-12-31	810584482
2013 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$22,306
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$75,534
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$74,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$0
Value of total assets at end of year	2013-12-31	$129,271
Value of total assets at beginning of year	2013-12-31	$182,499
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$878
Total interest from all sources	2013-12-31	$544
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$2,275
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$2,275
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$200,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-53,228
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$129,271
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$182,499
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$878
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$108,690
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$161,747
Interest earned on other investments	2013-12-31	$544
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$1,563
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$3,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$3,479
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$19,018
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$17,273
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$19,487
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$74,656
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	CENKO, VENDITTELLI & HAYNES, P.L.C.
Accountancy firm EIN	2013-12-31	810584482
2012 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$22,951
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$28,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$27,053
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$974
Value of total assets at end of year	2012-12-31	$182,499
Value of total assets at beginning of year	2012-12-31	$187,818
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,217
Total interest from all sources	2012-12-31	$378
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$4,075
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$4,075
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$775
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-5,319
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$182,499
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$187,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$1,217
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$161,747
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$169,317
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$3,479
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$3,594
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$3,594
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$378
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$17,273
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$14,907
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$17,524
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$199
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$27,053
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	CENKO, VENDITTELLI & HAYNES, P.L.C.
Accountancy firm EIN	2012-12-31	810584482
2011 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$4,510
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$13,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$12,273
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$5,527
Value of total assets at end of year	2011-12-31	$187,818
Value of total assets at beginning of year	2011-12-31	$197,171
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,590
Total interest from all sources	2011-12-31	$184
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$4,820
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$4,820
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$200,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$4,401
Administrative expenses (other) incurred	2011-12-31	$1,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-9,353
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$187,818
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$197,171
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$169,317
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$185,916
Interest earned on other investments	2011-12-31	$184
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$3,594
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$5,815
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$5,815
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$14,907
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$5,440
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-6,021
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,126
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$12,273
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	COHNREZNICK LLP
Accountancy firm EIN	2011-12-31	221478099
2010 : COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$29,557
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$135,896
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$135,896
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$5,417
Value of total assets at end of year	2010-12-31	$197,171
Value of total assets at beginning of year	2010-12-31	$303,510
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$4,398
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$4,398
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$4,312
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-106,339
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$197,171
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$303,510
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$185,916
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$235,744
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$5,673
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$5,815
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$3,920
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$3,920
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$5,440
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$58,173
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$19,742
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,105
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$135,896
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	J.H. COHN LLP
Accountancy firm EIN	2010-12-31	221478099

Form 5500 Responses for COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN

2018: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: COMMUNITY LIVING CONCEPTS OF NC INC 403B/ERISA TAX SHELTERED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

13163638

Policy instance

Insurance contract or identification number	13163638
Number of Individuals Covered	120
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	1
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	COMMUNITY LIVING CONCEPTS OF NORTH CAROLINA, INC.
Employer identification number (EIN):	562405846
NAIC Classification:	611000