401k Plan data: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN plan

COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN
Plan identification number	002

COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. has sponsored the creation of one or more 401k plans.

Company Name: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC.

Employer identification number (EIN): 580973468

NAIC Classification: 624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-07-01
002 2020-07-01
002 2019-07-01
002 2018-07-01
002 2017-07-01
002 2016-07-01 JOHN A. STARR
002 2015-07-01 JOHN A. STARR
002 2014-07-01 TRES HAMILTON 2016-04-15 TRES HAMILTON 2016-04-15
002 2013-07-01 TRES HAMILTON TRES HAMILTON 2015-01-29
002 2012-07-01 TRES HAMILTON TRES HAMILTON 2014-04-14
002 2011-07-01 TRES HAMILTON TRES HAMILTON 2013-04-15
002 2009-07-01 DANIELLE MEEK
002 2009-07-01 TRES HAMILTON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-07-01
002	2020-07-01
002	2019-07-01
002	2018-07-01
002	2017-07-01
002	2016-07-01	JOHN A. STARR
002	2015-07-01	JOHN A. STARR
002	2014-07-01	TRES HAMILTON	2016-04-15	TRES HAMILTON	2016-04-15
002	2013-07-01	TRES HAMILTON		TRES HAMILTON	2015-01-29
002	2012-07-01	TRES HAMILTON		TRES HAMILTON	2014-04-14
002	2011-07-01	TRES HAMILTON		TRES HAMILTON	2013-04-15
002	2009-07-01	DANIELLE MEEK
002	2009-07-01	TRES HAMILTON

Plan Statistics for COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN

Measure Date Value
2021: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 293
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 189
Number of retired or separated participants receiving benefits 2021-07-01 1
Number of other retired or separated participants entitled to future benefits 2021-07-01 42
Total of all active and inactive participants 2021-07-01 232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 1
Total participants 2021-07-01 233
Number of participants with account balances 2021-07-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 7
2020: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 310
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 238
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 54
Total of all active and inactive participants 2020-07-01 292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 1
Total participants 2020-07-01 293
Number of participants with account balances 2020-07-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 8
2019: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 233
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 233
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 29
Total of all active and inactive participants 2019-07-01 262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 262
Number of participants with account balances 2019-07-01 143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 282
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 237
Number of retired or separated participants receiving benefits 2018-07-01 1
Number of other retired or separated participants entitled to future benefits 2018-07-01 53
Total of all active and inactive participants 2018-07-01 291
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 1
Total participants 2018-07-01 292
Number of participants with account balances 2018-07-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 1
2017: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 230
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 200
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 53
Total of all active and inactive participants 2017-07-01 253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 1
Total participants 2017-07-01 254
Number of participants with account balances 2017-07-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 217
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 115
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 56
Total of all active and inactive participants 2016-07-01 171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 1
Total participants 2016-07-01 172
Number of participants with account balances 2016-07-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 9
2015: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 225
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 125
Number of retired or separated participants receiving benefits 2015-07-01 7
Number of other retired or separated participants entitled to future benefits 2015-07-01 1
Total of all active and inactive participants 2015-07-01 133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 133
Number of participants with account balances 2015-07-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 7
2014: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 207
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 219
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 219
Number of participants with account balances 2014-07-01 190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 7
2013: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 233
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 114
Number of retired or separated participants receiving benefits 2013-07-01 3
Total of all active and inactive participants 2013-07-01 117
Total participants 2013-07-01 117
Number of participants with account balances 2013-07-01 207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 1
2012: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 220
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 116
Number of retired or separated participants receiving benefits 2012-07-01 3
Total of all active and inactive participants 2012-07-01 119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 1
Total participants 2012-07-01 120
Number of participants with account balances 2012-07-01 179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 6
2011: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 235
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 211
Number of retired or separated participants receiving benefits 2011-07-01 2
Total of all active and inactive participants 2011-07-01 213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 1
Total participants 2011-07-01 214
Number of participants with account balances 2011-07-01 220
2009: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 189
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 192
Number of retired or separated participants receiving benefits 2009-07-01 49
Total of all active and inactive participants 2009-07-01 241
Total participants 2009-07-01 241
Number of participants with account balances 2009-07-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 1

Measure	Date	Value
2021: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	293
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	189
Number of retired or separated participants receiving benefits	2021-07-01	1
Number of other retired or separated participants entitled to future benefits	2021-07-01	42
Total of all active and inactive participants	2021-07-01	232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	1
Total participants	2021-07-01	233
Number of participants with account balances	2021-07-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	7
2020: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	310
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	238
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	54
Total of all active and inactive participants	2020-07-01	292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	1
Total participants	2020-07-01	293
Number of participants with account balances	2020-07-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	8
2019: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	233
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	233
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	29
Total of all active and inactive participants	2019-07-01	262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	262
Number of participants with account balances	2019-07-01	143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	282
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	237
Number of retired or separated participants receiving benefits	2018-07-01	1
Number of other retired or separated participants entitled to future benefits	2018-07-01	53
Total of all active and inactive participants	2018-07-01	291
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	1
Total participants	2018-07-01	292
Number of participants with account balances	2018-07-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	1
2017: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	230
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	200
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	53
Total of all active and inactive participants	2017-07-01	253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	1
Total participants	2017-07-01	254
Number of participants with account balances	2017-07-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	217
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	115
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	56
Total of all active and inactive participants	2016-07-01	171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	1
Total participants	2016-07-01	172
Number of participants with account balances	2016-07-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	9
2015: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	225
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	125
Number of retired or separated participants receiving benefits	2015-07-01	7
Number of other retired or separated participants entitled to future benefits	2015-07-01	1
Total of all active and inactive participants	2015-07-01	133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	133
Number of participants with account balances	2015-07-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	7
2014: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	207
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	219
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	219
Number of participants with account balances	2014-07-01	190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	7
2013: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	233
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	114
Number of retired or separated participants receiving benefits	2013-07-01	3
Total of all active and inactive participants	2013-07-01	117
Total participants	2013-07-01	117
Number of participants with account balances	2013-07-01	207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	1
2012: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	220
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	116
Number of retired or separated participants receiving benefits	2012-07-01	3
Total of all active and inactive participants	2012-07-01	119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	1
Total participants	2012-07-01	120
Number of participants with account balances	2012-07-01	179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	6
2011: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	235
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	211
Number of retired or separated participants receiving benefits	2011-07-01	2
Total of all active and inactive participants	2011-07-01	213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	1
Total participants	2011-07-01	214
Number of participants with account balances	2011-07-01	220
2009: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	189
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	192
Number of retired or separated participants receiving benefits	2009-07-01	49
Total of all active and inactive participants	2009-07-01	241
Total participants	2009-07-01	241
Number of participants with account balances	2009-07-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	1

Financial Data on COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2022 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-246,983
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$373,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$327,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$278,430
Value of total assets at end of year	2022-06-30	$3,353,604
Value of total assets at beginning of year	2022-06-30	$3,974,487
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$46,414
Total interest from all sources	2022-06-30	$4,431
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$430,341
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Administrative expenses professional fees incurred	2022-06-30	$46,414
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$500,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$154,243
Participant contributions at end of year	2022-06-30	$3,805
Participant contributions at beginning of year	2022-06-30	$3,767
Assets. Loans (other than to participants) at end of year	2022-06-30	$72,903
Assets. Loans (other than to participants) at beginning of year	2022-06-30	$104,580
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-620,883
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$3,353,604
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$3,974,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$3,214,164
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$3,819,779
Value of interest in pooled separate accounts at end of year	2022-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$0
Interest on participant loans	2022-06-30	$4,431
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$55,426
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$43,145
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-960,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$124,187
Employer contributions (assets) at end of year	2022-06-30	$7,306
Employer contributions (assets) at beginning of year	2022-06-30	$3,216
Income. Dividends from preferred stock	2022-06-30	$430,341
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$327,486
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	CLAUSELL & ASSOCIATES, CPA'S, PC
Accountancy firm EIN	2022-06-30	581798795
2021 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$980,969
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$313,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$275,369
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$254,392
Value of total assets at end of year	2021-06-30	$3,974,487
Value of total assets at beginning of year	2021-06-30	$3,306,679
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$37,792
Total interest from all sources	2021-06-30	$3,973
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$160,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$160,895
Administrative expenses professional fees incurred	2021-06-30	$37,792
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$500,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$141,136
Participant contributions at end of year	2021-06-30	$104,580
Participant contributions at beginning of year	2021-06-30	$86,194
Participant contributions at end of year	2021-06-30	$3,767
Participant contributions at beginning of year	2021-06-30	$3,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$667,808
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$3,974,487
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$3,306,679
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$3,819,779
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$3,202,263
Value of interest in pooled separate accounts at end of year	2021-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$0
Interest on participant loans	2021-06-30	$3,973
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$43,145
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$11,616
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$561,709
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$113,256
Employer contributions (assets) at end of year	2021-06-30	$3,216
Employer contributions (assets) at beginning of year	2021-06-30	$3,105
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$275,369
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Unqualified
Accountancy firm name	2021-06-30	CLAUSELL & ASSOCIATES, CPA'S, PC
Accountancy firm EIN	2021-06-30	581798795
2020 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$405,361
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$705,344
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$626,168
Expenses. Certain deemed distributions of participant loans	2020-06-30	$42,906
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$266,484
Value of total assets at end of year	2020-06-30	$3,306,679
Value of total assets at beginning of year	2020-06-30	$3,606,662
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$36,270
Total interest from all sources	2020-06-30	$6,581
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$414,734
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$414,734
Administrative expenses professional fees incurred	2020-06-30	$36,270
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$142,045
Participant contributions at end of year	2020-06-30	$86,194
Participant contributions at beginning of year	2020-06-30	$95,725
Participant contributions at end of year	2020-06-30	$3,501
Participant contributions at beginning of year	2020-06-30	$3,733
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$9,450
Other income not declared elsewhere	2020-06-30	$48,972
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$-299,983
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$3,306,679
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$3,606,662
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$3,202,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$3,168,667
Value of interest in pooled separate accounts at end of year	2020-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$61,645
Interest on participant loans	2020-06-30	$5,618
Interest earned on other investments	2020-06-30	$963
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$11,616
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$273,547
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$-331,410
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$114,989
Employer contributions (assets) at end of year	2020-06-30	$3,105
Employer contributions (assets) at beginning of year	2020-06-30	$3,345
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$626,168
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	CLAUSELL & ASSOCIATES, CPA'S, PC
Accountancy firm EIN	2020-06-30	581798795
2019 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$446,051
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$400,677
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$340,500
Expenses. Certain deemed distributions of participant loans	2019-06-30	$22,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$249,084
Value of total assets at end of year	2019-06-30	$3,606,662
Value of total assets at beginning of year	2019-06-30	$3,561,288
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$37,560
Total interest from all sources	2019-06-30	$4,748
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$173,909
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$173,909
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$500,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$137,728
Participant contributions at end of year	2019-06-30	$95,725
Participant contributions at beginning of year	2019-06-30	$93,027
Participant contributions at end of year	2019-06-30	$3,733
Participant contributions at beginning of year	2019-06-30	$3,440
Administrative expenses (other) incurred	2019-06-30	$801
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$45,374
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$3,606,662
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$3,561,288
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$3,168,667
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$2,988,856
Value of interest in pooled separate accounts at end of year	2019-06-30	$61,645
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$66,182
Interest on participant loans	2019-06-30	$4,046
Interest earned on other investments	2019-06-30	$702
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$273,547
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$406,819
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$6,730
Net investment gain/loss from pooled separate accounts	2019-06-30	$11,580
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$111,356
Employer contributions (assets) at end of year	2019-06-30	$3,345
Employer contributions (assets) at beginning of year	2019-06-30	$2,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$340,500
Contract administrator fees	2019-06-30	$36,759
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-06-30	No
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	CLAUSELL & ASSOCIATES, P.C.
Accountancy firm EIN	2019-06-30	581798795
2018 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$427,847
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$375,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$346,320
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$227,457
Value of total assets at end of year	2018-06-30	$3,566,078
Value of total assets at beginning of year	2018-06-30	$3,513,299
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$28,748
Total interest from all sources	2018-06-30	$3,955
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$135,882
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$135,882
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$135,413
Participant contributions at end of year	2018-06-30	$97,817
Participant contributions at beginning of year	2018-06-30	$148,460
Participant contributions at end of year	2018-06-30	$3,440
Participant contributions at beginning of year	2018-06-30	$3,438
Assets. Other investments not covered elsewhere at end of year	2018-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-06-30	$50,827
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$52,779
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$3,566,078
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$3,513,299
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Investment advisory and management fees	2018-06-30	$28,748
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$2,988,856
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$2,644,240
Value of interest in pooled separate accounts at end of year	2018-06-30	$66,182
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$61,727
Income. Interest from loans (other than to participants)	2018-06-30	$3,955
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$406,819
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$601,806
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$60,553
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$92,044
Employer contributions (assets) at end of year	2018-06-30	$2,964
Employer contributions (assets) at beginning of year	2018-06-30	$2,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$346,320
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-06-30	No
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	CLAUSELL & ASSOCIATES, CPA'S, PC
Accountancy firm EIN	2018-06-30	581798795
2017 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$550,537
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$894,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$867,054
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$229,192
Value of total assets at end of year	2017-06-30	$3,513,299
Value of total assets at beginning of year	2017-06-30	$3,856,967
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$27,151
Total interest from all sources	2017-06-30	$4,451
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$95,894
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$95,894
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$137,383
Participant contributions at end of year	2017-06-30	$148,460
Participant contributions at beginning of year	2017-06-30	$124,958
Participant contributions at end of year	2017-06-30	$3,438
Participant contributions at beginning of year	2017-06-30	$2,855
Assets. Other investments not covered elsewhere at end of year	2017-06-30	$50,827
Assets. Other investments not covered elsewhere at beginning of year	2017-06-30	$108,124
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$7,245
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$-343,668
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$3,513,299
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$3,856,967
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$2,644,240
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$2,731,841
Value of interest in pooled separate accounts at end of year	2017-06-30	$61,727
Value of interest in pooled separate accounts at beginning of year	2017-06-30	$47,105
Interest on participant loans	2017-06-30	$4,451
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$601,806
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$838,961
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$221,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$84,564
Employer contributions (assets) at end of year	2017-06-30	$2,801
Employer contributions (assets) at beginning of year	2017-06-30	$3,123
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$867,054
Contract administrator fees	2017-06-30	$27,151
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-06-30	No
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	CLAUSELL & ASSOCIATES, CPA'S, PC
Accountancy firm EIN	2017-06-30	581798795
2016 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$401,330
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$684,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$660,921
Expenses. Certain deemed distributions of participant loans	2016-06-30	$7,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$274,784
Value of total assets at end of year	2016-06-30	$3,856,967
Value of total assets at beginning of year	2016-06-30	$4,139,910
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$16,107
Total interest from all sources	2016-06-30	$30,537
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$156,270
Participant contributions at end of year	2016-06-30	$124,958
Participant contributions at beginning of year	2016-06-30	$116,653
Participant contributions at end of year	2016-06-30	$2,855
Participant contributions at beginning of year	2016-06-30	$2,570
Assets. Other investments not covered elsewhere at end of year	2016-06-30	$108,124
Assets. Other investments not covered elsewhere at beginning of year	2016-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-282,943
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$3,856,967
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$4,139,910
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Investment advisory and management fees	2016-06-30	$16,107
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$2,731,841
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$0
Value of interest in pooled separate accounts at end of year	2016-06-30	$47,105
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$2,086,356
Interest on participant loans	2016-06-30	$1,690
Interest earned on other investments	2016-06-30	$28,847
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$838,961
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$1,932,003
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$77,084
Net investment gain/loss from pooled separate accounts	2016-06-30	$18,925
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$118,514
Employer contributions (assets) at end of year	2016-06-30	$3,123
Employer contributions (assets) at beginning of year	2016-06-30	$2,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$660,921
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-06-30	No
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	CLAUSELL & ASSOCIATES, CPA'S, PC
Accountancy firm EIN	2016-06-30	581798795
2015 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-06-30	$429,098
Total of all expenses incurred	2015-06-30	$351,186
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$351,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$282,083
Value of total assets at end of year	2015-06-30	$4,139,910
Value of total assets at beginning of year	2015-06-30	$4,061,998
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$98
Total interest from all sources	2015-06-30	$67,312
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$148,214
Participant contributions at end of year	2015-06-30	$116,653
Participant contributions at beginning of year	2015-06-30	$106,922
Participant contributions at end of year	2015-06-30	$2,570
Participant contributions at beginning of year	2015-06-30	$3,213
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$77,912
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$4,139,910
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$4,061,998
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in pooled separate accounts at end of year	2015-06-30	$2,086,356
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$1,986,011
Interest on participant loans	2015-06-30	$775
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-06-30	$66,537
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$1,932,003
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$1,962,861
Net investment gain/loss from pooled separate accounts	2015-06-30	$79,703
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$133,869
Employer contributions (assets) at end of year	2015-06-30	$2,328
Employer contributions (assets) at beginning of year	2015-06-30	$2,991
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$351,088
Contract administrator fees	2015-06-30	$98
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	CLAUSELL & ASSOCIATES, CPA'S. P.C.
Accountancy firm EIN	2015-06-30	581798795
2014 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$716,887
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$69,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$69,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$320,605
Value of total assets at end of year	2014-06-30	$4,061,998
Value of total assets at beginning of year	2014-06-30	$3,414,300
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$154
Total interest from all sources	2014-06-30	$63,391
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$156,646
Participant contributions at end of year	2014-06-30	$106,922
Participant contributions at beginning of year	2014-06-30	$96,005
Participant contributions at end of year	2014-06-30	$3,213
Participant contributions at beginning of year	2014-06-30	$2,928
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$22,524
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$647,698
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$4,061,998
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$3,414,300
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in pooled separate accounts at end of year	2014-06-30	$1,986,011
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$1,538,574
Interest on participant loans	2014-06-30	$2,886
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-06-30	$60,505
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$1,962,861
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$1,774,182
Net investment gain/loss from pooled separate accounts	2014-06-30	$332,891
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$141,435
Employer contributions (assets) at end of year	2014-06-30	$2,991
Employer contributions (assets) at beginning of year	2014-06-30	$2,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$69,035
Contract administrator fees	2014-06-30	$154
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	CLAUSELL & ASSOCIATES, CPA'S, P.C.
Accountancy firm EIN	2014-06-30	581798795
2013 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$542,368
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$403,515
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$403,455
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$279,474
Value of total assets at end of year	2013-06-30	$3,414,300
Value of total assets at beginning of year	2013-06-30	$3,275,447
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$60
Total interest from all sources	2013-06-30	$61,838
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$146,815
Participant contributions at end of year	2013-06-30	$96,005
Participant contributions at beginning of year	2013-06-30	$113,521
Participant contributions at end of year	2013-06-30	$2,928
Participant contributions at beginning of year	2013-06-30	$2,671
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$138,853
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$3,414,300
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$3,275,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in pooled separate accounts at end of year	2013-06-30	$1,538,575
Value of interest in pooled separate accounts at beginning of year	2013-06-30	$1,260,407
Interest on participant loans	2013-06-30	$1,966
Interest earned on other investments	2013-06-30	$11
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-06-30	$59,861
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$1,774,182
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$1,895,420
Net investment gain/loss from pooled separate accounts	2013-06-30	$201,056
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$132,659
Employer contributions (assets) at end of year	2013-06-30	$2,610
Employer contributions (assets) at beginning of year	2013-06-30	$3,428
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$403,455
Contract administrator fees	2013-06-30	$60
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	CLAUSELL & ASSOCIATES, CPA'S, P.C.
Accountancy firm EIN	2013-06-30	581798795
2012 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-06-30	$332,041
Total of all expenses incurred	2012-06-30	$407,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$407,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$288,984
Value of total assets at end of year	2012-06-30	$3,256,284
Value of total assets at beginning of year	2012-06-30	$3,332,731
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$42
Total interest from all sources	2012-06-30	$65,675
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$320,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$151,359
Participant contributions at end of year	2012-06-30	$113,521
Participant contributions at beginning of year	2012-06-30	$103,652
Participant contributions at end of year	2012-06-30	$2,671
Participant contributions at beginning of year	2012-06-30	$5,029
Other income not declared elsewhere	2012-06-30	$-83
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$-75,896
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$3,256,284
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$3,332,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Interest on participant loans	2012-06-30	$3,427
Interest earned on other investments	2012-06-30	$62,248
Value of interest in common/collective trusts at end of year	2012-06-30	$1,252,737
Value of interest in common/collective trusts at beginning of year	2012-06-30	$1,251,444
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$1,883,927
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$1,966,920
Net investment gain/loss from pooled separate accounts	2012-06-30	$-22,535
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$137,625
Employer contributions (assets) at end of year	2012-06-30	$3,428
Employer contributions (assets) at beginning of year	2012-06-30	$5,686
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$407,895
Contract administrator fees	2012-06-30	$42
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	CLAUSELL & ASSOCIATES, CPA'S, P.C.
Accountancy firm EIN	2012-06-30	581798795
2011 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-06-30	$593,557
Total of all expenses incurred	2011-06-30	$296,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$296,311
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$287,364
Value of total assets at end of year	2011-06-30	$3,332,731
Value of total assets at beginning of year	2011-06-30	$3,044,295
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$262
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$320,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$147,522
Participant contributions at end of year	2011-06-30	$103,652
Participant contributions at beginning of year	2011-06-30	$110,612
Participant contributions at end of year	2011-06-30	$5,029
Participant contributions at beginning of year	2011-06-30	$4,879
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$562
Other income not declared elsewhere	2011-06-30	$71,055
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$296,984
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$3,332,731
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$3,044,295
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in pooled separate accounts at end of year	2011-06-30	$1,251,444
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$821,847
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$1,966,920
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$2,102,221
Net investment gain/loss from pooled separate accounts	2011-06-30	$235,138
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$139,280
Employer contributions (assets) at end of year	2011-06-30	$5,686
Employer contributions (assets) at beginning of year	2011-06-30	$4,736
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$296,311
Contract administrator fees	2011-06-30	$262
Did the plan have assets held for investment	2011-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	CLAUSELL & ASSOCIATES, CPA'S, P.C.
Accountancy firm EIN	2011-06-30	581798795
2010 : COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN

2021: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2009: COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC. TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	Yes
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VC5088

Policy instance

Insurance contract or identification number	VC5088
Number of Individuals Covered	1
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $1
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VC4138

Policy instance

Insurance contract or identification number	VC4138
Number of Individuals Covered	2
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $12
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6454

Policy instance

Insurance contract or identification number	VF6454
Number of Individuals Covered	8
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $19
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

373579-01

Policy instance

Insurance contract or identification number	373579-01
Number of Individuals Covered	12
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $151
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $151
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	RIA
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VC5088

Policy instance

Insurance contract or identification number	VC5088
Number of Individuals Covered	1
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $1
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VC4138

Policy instance

Insurance contract or identification number	VC4138
Number of Individuals Covered	2
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $12
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6454

Policy instance

Insurance contract or identification number	VF6454
Number of Individuals Covered	8
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $17
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

373579-01

Policy instance

Insurance contract or identification number	373579-01
Number of Individuals Covered	14
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $85
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $85
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	RIA
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VC5088

Policy instance

Insurance contract or identification number	VC5088
Number of Individuals Covered	1
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $1
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VC4138

Policy instance

Insurance contract or identification number	VC4138
Number of Individuals Covered	2
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $11
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6454

Policy instance

Insurance contract or identification number	VF6454
Number of Individuals Covered	8
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $70
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $70
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ALLOCATED NON-CASH COMP
Insurance broker organization code?	3

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

373579-01

Policy instance

Insurance contract or identification number	373579-01
Number of Individuals Covered	17
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $72
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	RIA
Insurance broker organization code?	3

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

373579-01

Policy instance

Insurance contract or identification number	373579-01
Number of Individuals Covered	10
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $200
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $100
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	RIA
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VC4138

Policy instance

Insurance contract or identification number	VC4138
Number of Individuals Covered	2
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $10
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VC5088

Policy instance

Insurance contract or identification number	VC5088
Number of Individuals Covered	1
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $1
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

373579-01

Policy instance

Insurance contract or identification number	373579-01
Number of Individuals Covered	9
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $80
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

VF6454

Policy instance

Insurance contract or identification number	VF6454
Number of Individuals Covered	28
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $481
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	COASTAL GEORGIA AREA COMMUNITY ACTION AUTHORITY, INC.
Employer identification number (EIN):	580973468
NAIC Classification:	624200