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CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 401k Plan overview

Plan NameCAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN
Plan identification number 001

CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN Benefits

401k Plan TypeDefined 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CAROLINA COMMUNITY ACTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:CAROLINA COMMUNITY ACTIONS, INC.
Employer identification number (EIN):570475466
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01KAREN BRACKETT BROWNING
0012016-01-01WALTER H KELLOGG
0012015-01-01WALTER H KELLOGG
0012014-01-01WALTER H KELLOGG WALTER H KELLOGG2015-10-09
0012013-01-01WALTER H. KELLOGG
0012012-01-01WALTER H. KELLOGG
0012011-01-01WALTER H. KELLOGG
0012010-01-01WALTER H. KELLOGG
0012009-01-01WALTER H. KELLOGG

Plan Statistics for CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN

401k plan membership statisitcs for CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN

Measure Date Value
2022: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01236
Total number of active participants reported on line 7a of the Form 55002022-01-01117
Number of retired or separated participants receiving benefits2022-01-0113
Number of other retired or separated participants entitled to future benefits2022-01-0192
Total of all active and inactive participants2022-01-01222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01222
Number of participants with account balances2022-01-01208
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0110
2021: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01255
Total number of active participants reported on line 7a of the Form 55002021-01-01129
Number of retired or separated participants receiving benefits2021-01-019
Number of other retired or separated participants entitled to future benefits2021-01-0195
Total of all active and inactive participants2021-01-01233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01233
Number of participants with account balances2021-01-01221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0114
2020: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01250
Total number of active participants reported on line 7a of the Form 55002020-01-01159
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0197
Total of all active and inactive participants2020-01-01256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01256
Number of participants with account balances2020-01-01229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-018
2019: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01247
Total number of active participants reported on line 7a of the Form 55002019-01-01149
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0194
Total of all active and inactive participants2019-01-01243
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01243
Number of participants with account balances2019-01-01239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-018
2018: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01266
Total number of active participants reported on line 7a of the Form 55002018-01-01160
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0187
Total of all active and inactive participants2018-01-01247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01247
Number of participants with account balances2018-01-01238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01244
Total number of active participants reported on line 7a of the Form 55002017-01-01246
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01246
Number of participants with account balances2017-01-01246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01235
Total number of active participants reported on line 7a of the Form 55002016-01-01244
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-013
Total participants2016-01-01247
Number of participants with account balances2016-01-01244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01224
Total number of active participants reported on line 7a of the Form 55002015-01-01232
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-013
Total participants2015-01-01235
Number of participants with account balances2015-01-01232
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01221
Total number of active participants reported on line 7a of the Form 55002014-01-01223
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01223
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01224
Number of participants with account balances2014-01-01224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01241
Total number of active participants reported on line 7a of the Form 55002013-01-01221
Total of all active and inactive participants2013-01-01221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-013
Total participants2013-01-01224
Number of participants with account balances2013-01-01224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01237
Total number of active participants reported on line 7a of the Form 55002012-01-01237
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-012
Total participants2012-01-01239
Number of participants with account balances2012-01-01239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01235
Total number of active participants reported on line 7a of the Form 55002011-01-01233
Number of retired or separated participants receiving benefits2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01235
Number of participants with account balances2011-01-01235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01235
Total number of active participants reported on line 7a of the Form 55002010-01-01233
Number of retired or separated participants receiving benefits2010-01-012
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01235
Number of participants with account balances2010-01-01235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01213
Total number of active participants reported on line 7a of the Form 55002009-01-01211
Number of retired or separated participants receiving benefits2009-01-012
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01213
Number of participants with account balances2009-01-01213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN

Measure Date Value
2022 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-90,238
Total of all expenses incurred2022-12-31$541,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$508,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$511,946
Value of total assets at end of year2022-12-31$6,269,169
Value of total assets at beginning of year2022-12-31$6,900,451
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$32,701
Total interest from all sources2022-12-31$3,290
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$73,737
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$73,737
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$139,764
Participant contributions at end of year2022-12-31$75,859
Participant contributions at beginning of year2022-12-31$68,980
Participant contributions at end of year2022-12-31$5,578
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$42,418
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-631,282
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,269,169
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,900,451
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,277,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,716,031
Value of interest in pooled separate accounts at end of year2022-12-31$479,558
Value of interest in pooled separate accounts at beginning of year2022-12-31$619,203
Interest on participant loans2022-12-31$3,290
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,417,771
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$2,480,697
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-679,211
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$329,764
Employer contributions (assets) at end of year2022-12-31$12,895
Employer contributions (assets) at beginning of year2022-12-31$15,540
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$508,343
Contract administrator fees2022-12-31$32,701
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2022-12-31570692602
2021 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$969,667
Total of all expenses incurred2021-12-31$616,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$558,043
Expenses. Certain deemed distributions of participant loans2021-12-31$21,369
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$478,896
Value of total assets at end of year2021-12-31$6,900,451
Value of total assets at beginning of year2021-12-31$6,547,107
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$36,911
Total interest from all sources2021-12-31$5,056
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$72,988
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$72,988
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$141,769
Participant contributions at end of year2021-12-31$68,980
Participant contributions at beginning of year2021-12-31$108,105
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,001
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$353,344
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,900,451
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$6,547,107
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,716,031
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$3,359,305
Value of interest in pooled separate accounts at end of year2021-12-31$619,203
Value of interest in pooled separate accounts at beginning of year2021-12-31$599,763
Interest on participant loans2021-12-31$4,937
Interest earned on other investments2021-12-31$119
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$2,480,697
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$2,479,934
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$280,347
Net investment gain/loss from pooled separate accounts2021-12-31$59,541
Net investment gain or loss from common/collective trusts2021-12-31$72,839
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$336,126
Employer contributions (assets) at end of year2021-12-31$15,540
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$558,043
Contract administrator fees2021-12-31$36,911
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2021-12-31570692602
2020 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,052,268
Total of all expenses incurred2020-12-31$666,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$634,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$506,383
Value of total assets at end of year2020-12-31$6,547,107
Value of total assets at beginning of year2020-12-31$6,161,186
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$31,939
Total interest from all sources2020-12-31$4,191
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$150,245
Participant contributions at end of year2020-12-31$108,105
Participant contributions at beginning of year2020-12-31$38,529
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$385,921
Value of net assets at end of year (total assets less liabilities)2020-12-31$6,547,107
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,161,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$3,359,305
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,928,430
Value of interest in pooled separate accounts at end of year2020-12-31$599,763
Value of interest in pooled separate accounts at beginning of year2020-12-31$591,119
Interest on participant loans2020-12-31$4,191
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$2,479,934
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$2,603,108
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$541,694
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$356,138
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$634,408
Contract administrator fees2020-12-31$31,939
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2020-12-31570692602
2019 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$1,090,079
Total of all expenses incurred2019-12-31$871,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$820,031
Expenses. Certain deemed distributions of participant loans2019-12-31$23,887
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$489,768
Value of total assets at end of year2019-12-31$6,161,186
Value of total assets at beginning of year2019-12-31$5,942,244
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$27,219
Total interest from all sources2019-12-31$2,731
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$67,586
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$67,586
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$147,438
Participant contributions at end of year2019-12-31$38,529
Participant contributions at beginning of year2019-12-31$21,654
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$8,960
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Other income not declared elsewhere2019-12-31$45,570
Total non interest bearing cash at beginning of year2019-12-31$2,485,973
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$218,942
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,161,186
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,942,244
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,928,430
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$43,528
Value of interest in pooled separate accounts at end of year2019-12-31$591,119
Value of interest in pooled separate accounts at beginning of year2019-12-31$566,883
Interest on participant loans2019-12-31$2,731
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$2,603,108
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$2,824,206
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$316,017
Net investment gain/loss from pooled separate accounts2019-12-31$168,407
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$333,370
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$820,031
Contract administrator fees2019-12-31$27,219
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2019-12-31570692602
2018 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$579,225
Total of all expenses incurred2018-12-31$587,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$521,522
Expenses. Certain deemed distributions of participant loans2018-12-31$44,482
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$527,141
Value of total assets at end of year2018-12-31$5,942,244
Value of total assets at beginning of year2018-12-31$5,950,304
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$21,281
Total interest from all sources2018-12-31$2,494
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,029
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,029
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$170,462
Participant contributions at end of year2018-12-31$21,654
Participant contributions at beginning of year2018-12-31$51,736
Participant contributions at end of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$2,485,973
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-8,060
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,942,244
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,950,304
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$43,528
Value of interest in pooled separate accounts at end of year2018-12-31$566,883
Value of interest in pooled separate accounts at beginning of year2018-12-31$1,238,511
Interest on participant loans2018-12-31$2,494
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$2,824,206
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$4,660,057
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-319
Net investment gain/loss from pooled separate accounts2018-12-31$48,880
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$356,679
Employer contributions (assets) at end of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$521,522
Contract administrator fees2018-12-31$21,281
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31Yes
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2018-12-31570692602
2017 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$780,717
Total of all expenses incurred2017-12-31$545,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$510,494
Expenses. Certain deemed distributions of participant loans2017-12-31$3,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$531,260
Value of total assets at end of year2017-12-31$5,950,304
Value of total assets at beginning of year2017-12-31$5,715,324
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$32,082
Total interest from all sources2017-12-31$140,319
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$348,192
Participant contributions at end of year2017-12-31$51,736
Participant contributions at beginning of year2017-12-31$51,732
Administrative expenses (other) incurred2017-12-31$1,178
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$234,980
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,950,304
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,715,324
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$25,701
Value of interest in pooled separate accounts at end of year2017-12-31$1,238,511
Value of interest in pooled separate accounts at beginning of year2017-12-31$986,346
Interest on participant loans2017-12-31$2,316
Interest earned on other investments2017-12-31$138,003
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$4,660,057
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$4,677,246
Net investment gain/loss from pooled separate accounts2017-12-31$109,138
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$183,068
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$510,494
Contract administrator fees2017-12-31$5,203
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2017-12-31570692602
2016 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$691,857
Total of all expenses incurred2016-12-31$540,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$491,725
Expenses. Certain deemed distributions of participant loans2016-12-31$19,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$512,620
Value of total assets at end of year2016-12-31$5,715,324
Value of total assets at beginning of year2016-12-31$5,564,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$28,925
Total interest from all sources2016-12-31$137,177
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$184,582
Participant contributions at end of year2016-12-31$51,732
Participant contributions at beginning of year2016-12-31$72,867
Administrative expenses (other) incurred2016-12-31$2,947
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$151,210
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,715,324
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,564,114
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$20,424
Value of interest in pooled separate accounts at end of year2016-12-31$986,346
Value of interest in pooled separate accounts at beginning of year2016-12-31$940,843
Interest on participant loans2016-12-31$3,088
Interest earned on other investments2016-12-31$134,089
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$4,677,246
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$4,550,404
Net investment gain/loss from pooled separate accounts2016-12-31$42,060
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$328,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$491,725
Contract administrator fees2016-12-31$5,554
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2016-12-31570692602
2015 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$581,249
Total of all expenses incurred2015-12-31$435,260
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$396,721
Expenses. Certain deemed distributions of participant loans2015-12-31$10,788
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$472,446
Value of total assets at end of year2015-12-31$5,564,114
Value of total assets at beginning of year2015-12-31$5,418,125
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$27,751
Total interest from all sources2015-12-31$135,489
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$301,844
Participant contributions at end of year2015-12-31$72,867
Participant contributions at beginning of year2015-12-31$58,487
Participant contributions at beginning of year2015-12-31$6,663
Administrative expenses (other) incurred2015-12-31$2,941
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$145,989
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,564,114
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,418,125
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$19,723
Value of interest in pooled separate accounts at end of year2015-12-31$940,843
Value of interest in pooled separate accounts at beginning of year2015-12-31$931,231
Interest on participant loans2015-12-31$2,511
Interest earned on other investments2015-12-31$132,978
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$4,550,404
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$4,407,404
Net investment gain/loss from pooled separate accounts2015-12-31$-26,686
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$170,602
Employer contributions (assets) at beginning of year2015-12-31$14,340
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$396,721
Contract administrator fees2015-12-31$5,087
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2015-12-31570692602
2014 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$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$679,222
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$499,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$438,493
Expenses. Certain deemed distributions of participant loans2014-12-31$31,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$513,997
Value of total assets at end of year2014-12-31$5,418,125
Value of total assets at beginning of year2014-12-31$5,238,042
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$29,485
Total interest from all sources2014-12-31$130,985
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$182,526
Participant contributions at end of year2014-12-31$58,487
Participant contributions at beginning of year2014-12-31$68,604
Participant contributions at end of year2014-12-31$6,663
Participant contributions at beginning of year2014-12-31$0
Administrative expenses (other) incurred2014-12-31$4,566
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$180,083
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,418,125
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,238,042
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$19,558
Value of interest in pooled separate accounts at end of year2014-12-31$931,231
Value of interest in pooled separate accounts at beginning of year2014-12-31$898,496
Interest on participant loans2014-12-31$2,839
Interest earned on other investments2014-12-31$128,146
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$4,407,404
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$4,270,942
Net investment gain/loss from pooled separate accounts2014-12-31$34,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$331,471
Employer contributions (assets) at end of year2014-12-31$14,340
Employer contributions (assets) at beginning of year2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$438,493
Contract administrator fees2014-12-31$5,361
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2014-12-31570692602
2013 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$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$822,671
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$639,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$596,811
Expenses. Certain deemed distributions of participant loans2013-12-31$13,591
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$570,717
Value of total assets at end of year2013-12-31$5,238,042
Value of total assets at beginning of year2013-12-31$5,054,865
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$29,092
Total interest from all sources2013-12-31$130,691
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$212,177
Participant contributions at end of year2013-12-31$68,604
Participant contributions at beginning of year2013-12-31$70,661
Participant contributions at beginning of year2013-12-31$11,103
Administrative expenses (other) incurred2013-12-31$4,137
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$183,177
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,238,042
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,054,865
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$18,907
Value of interest in pooled separate accounts at end of year2013-12-31$898,496
Value of interest in pooled separate accounts at beginning of year2013-12-31$694,352
Interest on participant loans2013-12-31$3,436
Interest earned on other investments2013-12-31$127,255
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$4,270,942
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$4,256,921
Net investment gain/loss from pooled separate accounts2013-12-31$121,263
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$358,540
Employer contributions (assets) at beginning of year2013-12-31$21,828
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$596,811
Contract administrator fees2013-12-31$6,048
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BURKETT BURKETT & BURKETT CPAS PA
Accountancy firm EIN2013-12-31570692602
2012 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$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$760,887
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$272,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$249,956
Expenses. Certain deemed distributions of participant loans2012-12-31$11,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$581,725
Value of total assets at end of year2012-12-31$5,054,865
Value of total assets at beginning of year2012-12-31$4,566,571
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$10,767
Total interest from all sources2012-12-31$124,841
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$224,092
Participant contributions at end of year2012-12-31$70,661
Participant contributions at beginning of year2012-12-31$56,481
Participant contributions at end of year2012-12-31$11,103
Participant contributions at beginning of year2012-12-31$9,892
Administrative expenses (other) incurred2012-12-31$4,728
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$488,294
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,054,865
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,566,571
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$694,352
Value of interest in pooled separate accounts at beginning of year2012-12-31$569,394
Interest on participant loans2012-12-31$3,532
Interest earned on other investments2012-12-31$121,309
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$4,256,921
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$3,916,032
Net investment gain/loss from pooled separate accounts2012-12-31$54,321
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$357,633
Employer contributions (assets) at end of year2012-12-31$21,828
Employer contributions (assets) at beginning of year2012-12-31$14,772
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$249,956
Contract administrator fees2012-12-31$6,039
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BURKETT BURKETT & BURKETT CPAS, PA
Accountancy firm EIN2012-12-31570692602
2011 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$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$691,228
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$380,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$359,439
Expenses. Certain deemed distributions of participant loans2011-12-31$10,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$596,480
Value of total assets at end of year2011-12-31$4,566,571
Value of total assets at beginning of year2011-12-31$4,255,420
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$9,854
Total interest from all sources2011-12-31$114,832
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$356,518
Participant contributions at end of year2011-12-31$56,481
Participant contributions at beginning of year2011-12-31$71,289
Participant contributions at end of year2011-12-31$9,892
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$239,962
Administrative expenses (other) incurred2011-12-31$3,737
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$311,151
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,566,571
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,255,420
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$569,394
Value of interest in pooled separate accounts at beginning of year2011-12-31$525,416
Interest on participant loans2011-12-31$3,900
Interest earned on other investments2011-12-31$110,932
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$3,916,032
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$3,658,715
Net investment gain/loss from pooled separate accounts2011-12-31$-20,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Employer contributions (assets) at end of year2011-12-31$14,772
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$359,439
Contract administrator fees2011-12-31$6,117
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BURKETT BURKETT & BURKETT CPAS, PA
Accountancy firm EIN2011-12-31570692602
2010 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$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$709,054
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$354,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$318,881
Expenses. Certain deemed distributions of participant loans2010-12-31$26,723
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$551,610
Value of total assets at end of year2010-12-31$4,255,420
Value of total assets at beginning of year2010-12-31$3,901,364
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$9,394
Total interest from all sources2010-12-31$107,774
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$217,450
Participant contributions at end of year2010-12-31$71,289
Participant contributions at beginning of year2010-12-31$116,687
Administrative expenses (other) incurred2010-12-31$3,127
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$354,056
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,255,420
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,901,364
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$525,416
Value of interest in pooled separate accounts at beginning of year2010-12-31$391,478
Interest on participant loans2010-12-31$5,814
Interest earned on other investments2010-12-31$101,960
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$3,658,715
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$3,393,199
Net investment gain/loss from pooled separate accounts2010-12-31$49,670
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$334,160
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$318,881
Contract administrator fees2010-12-31$6,267
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BURKETT BURKETT & BURKETT CPAS, PA
Accountancy firm EIN2010-12-31570692602
2009 : CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2009 401k financial data
Total unrealized appreciation/depreciation of assets2009-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2009-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2009-12-31$0
Total income from all sources (including contributions)2009-12-31$689,609
Total loss/gain on sale of assets2009-12-31$0
Total of all expenses incurred2009-12-31$208,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2009-12-31$192,366
Expenses. Certain deemed distributions of participant loans2009-12-31$10,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)2009-12-31$492,819
Value of total assets at end of year2009-12-31$3,901,364
Value of total assets at beginning of year2009-12-31$3,419,960
Total of administrative expenses incurred including professional, contract, advisory and management fees2009-12-31$5,013
Total interest from all sources2009-12-31$106,645
Total dividends received (eg from common stock, registered investment company shares)2009-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2009-12-31No
Was this plan covered by a fidelity bond2009-12-31Yes
Value of fidelity bond cover2009-12-31$500,000
If this is an individual account plan, was there a blackout period2009-12-31No
Were there any nonexempt tranactions with any party-in-interest2009-12-31No
Contributions received from participants2009-12-31$187,313
Participant contributions at end of year2009-12-31$116,687
Participant contributions at beginning of year2009-12-31$30,640
Administrative expenses (other) incurred2009-12-31$112
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2009-12-31No
Value of net income/loss2009-12-31$481,404
Value of net assets at end of year (total assets less liabilities)2009-12-31$3,901,364
Value of net assets at beginning of year (total assets less liabilities)2009-12-31$3,419,960
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2009-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2009-12-31No
Were any leases to which the plan was party in default or uncollectible2009-12-31No
Value of interest in pooled separate accounts at end of year2009-12-31$391,478
Value of interest in pooled separate accounts at beginning of year2009-12-31$570,681
Interest on participant loans2009-12-31$2,945
Interest earned on other investments2009-12-31$103,700
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2009-12-31$3,393,199
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2009-12-31$2,818,639
Net investment gain/loss from pooled separate accounts2009-12-31$90,145
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2009-12-31No
Was there a failure to transmit to the plan any participant contributions2009-12-31No
Has the plan failed to provide any benefit when due under the plan2009-12-31No
Contributions received in cash from employer2009-12-31$305,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2009-12-31$192,366
Contract administrator fees2009-12-31$4,901
Did the plan have assets held for investment2009-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2009-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2009-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2009-12-31Yes
Opinion of an independent qualified public accountant for this plan2009-12-31Disclaimer
Accountancy firm name2009-12-31BURKETT BURKETT & BURKETT CPAS, PA
Accountancy firm EIN2009-12-31570692602

Form 5500 Responses for CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN

2022: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: CAROLINA COMMUNITY ACTIONS, INC. 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered157
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6
Additional information about fees paid to insurance brokerREFERRAL SERVICE FEE
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered101
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered162
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees4
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?5
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered106
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered174
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?5
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered111
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered161
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered117
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $221
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $166
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered128
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $17,407
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,013
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered159
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered246
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $18,468
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,528
Insurance broker organization code?3
Insurance broker nameR MOORE
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered224
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,691
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $462
Insurance broker organization code?3
Insurance broker nameJ THOMPSON
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered224
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $16,510
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $13,646
Insurance broker organization code?3
Insurance broker nameJ THOMPSON
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number719823 001
Policy instance 1
Insurance contract or identification number719823 001
Number of Individuals Covered224
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $15,688
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $13,765
Insurance broker organization code?3
Insurance broker nameS CRM PHILADELPHIA
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number526
Policy instance 1
Insurance contract or identification number526
Number of Individuals Covered239
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $19,712
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $17,358
Insurance broker organization code?3
Insurance broker nameM. SUMNER
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number526
Policy instance 1
Insurance contract or identification number526
Number of Individuals Covered239
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $16,505
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number526
Policy instance 1
Insurance contract or identification number526
Number of Individuals Covered235
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $17,328
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number526
Policy instance 1
Insurance contract or identification number526
Number of Individuals Covered211
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $14,004
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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