401k Plan data: SALUD FAMILY HEALTH RETIREMENT PLAN plan

SALUD FAMILY HEALTH RETIREMENT PLAN 401k Plan overview

Plan Name	SALUD FAMILY HEALTH RETIREMENT PLAN
Plan identification number	001

SALUD FAMILY HEALTH RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

PLAN DE SALUD DEL VALLE, INC. has sponsored the creation of one or more 401k plans.

Company Name: PLAN DE SALUD DEL VALLE, INC.

Employer identification number (EIN): 840613540

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about PLAN DE SALUD DEL VALLE, INC.

Jurisdiction of Incorporation: Colorado Department of State

Incorporation Date: 1971-06-23

Company Identification Number: 19871231573

Legal Registered Office Address: 203 S Rollie Ave

Fort Lupton
United States of America (USA)
80621

More information about PLAN DE SALUD DEL VALLE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SALUD FAMILY HEALTH RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01 DAVID MADSEN
001 2015-07-01 DAVID MADSEN
001 2014-07-01 JOHN SANTISTEVAN
001 2013-07-01 JOHN SANTISTEVAN
001 2012-07-01 JOHN SANTISTEVAN
001 2011-07-01 JOHN SANTISTEVAN

Plan Statistics for SALUD FAMILY HEALTH RETIREMENT PLAN

401k plan membership statisitcs for SALUD FAMILY HEALTH RETIREMENT PLAN

Measure Date Value
2021: SALUD FAMILY HEALTH RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 0
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 396
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 473
Total of all active and inactive participants 2021-07-01 869
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 1
Total participants 2021-07-01 870
Number of participants with account balances 2021-07-01 870
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 48
2020: SALUD FAMILY HEALTH RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 1,087
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 594
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 494
Total of all active and inactive participants 2020-07-01 1,088
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 3
Total participants 2020-07-01 1,091
Number of participants with account balances 2020-07-01 1,084
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 23
2019: SALUD FAMILY HEALTH RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 1,025
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 704
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 381
Total of all active and inactive participants 2019-07-01 1,085
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 2
Total participants 2019-07-01 1,087
Number of participants with account balances 2019-07-01 1,076
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 3
2018: SALUD FAMILY HEALTH RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 937
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 648
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 374
Total of all active and inactive participants 2018-07-01 1,022
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 3
Total participants 2018-07-01 1,025
Number of participants with account balances 2018-07-01 1,020
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 2
2017: SALUD FAMILY HEALTH RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 908
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 554
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 381
Total of all active and inactive participants 2017-07-01 935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 2
Total participants 2017-07-01 937
Number of participants with account balances 2017-07-01 932
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 28
2016: SALUD FAMILY HEALTH RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 853
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 555
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 353
Total of all active and inactive participants 2016-07-01 908
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 908
Number of participants with account balances 2016-07-01 742
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 47
2015: SALUD FAMILY HEALTH RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 761
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 530
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 320
Total of all active and inactive participants 2015-07-01 850
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 3
Total participants 2015-07-01 853
Number of participants with account balances 2015-07-01 851
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 17
2014: SALUD FAMILY HEALTH RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 732
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 452
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 308
Total of all active and inactive participants 2014-07-01 760
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 1
Total participants 2014-07-01 761
Number of participants with account balances 2014-07-01 760
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 17
2013: SALUD FAMILY HEALTH RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 680
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 456
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 276
Total of all active and inactive participants 2013-07-01 732
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 732
Number of participants with account balances 2013-07-01 732
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 10
2012: SALUD FAMILY HEALTH RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 663
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 417
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 262
Total of all active and inactive participants 2012-07-01 679
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 1
Total participants 2012-07-01 680
Number of participants with account balances 2012-07-01 680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 16
2011: SALUD FAMILY HEALTH RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 618
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 428
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 235
Total of all active and inactive participants 2011-07-01 663
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 663
Number of participants with account balances 2011-07-01 663
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 7

Measure	Date	Value
2021: SALUD FAMILY HEALTH RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	0
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	396
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	473
Total of all active and inactive participants	2021-07-01	869
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	1
Total participants	2021-07-01	870
Number of participants with account balances	2021-07-01	870
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	48
2020: SALUD FAMILY HEALTH RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	1,087
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	594
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	494
Total of all active and inactive participants	2020-07-01	1,088
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	3
Total participants	2020-07-01	1,091
Number of participants with account balances	2020-07-01	1,084
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	23
2019: SALUD FAMILY HEALTH RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	1,025
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	704
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	381
Total of all active and inactive participants	2019-07-01	1,085
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	2
Total participants	2019-07-01	1,087
Number of participants with account balances	2019-07-01	1,076
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	3
2018: SALUD FAMILY HEALTH RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	937
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	648
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	374
Total of all active and inactive participants	2018-07-01	1,022
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	3
Total participants	2018-07-01	1,025
Number of participants with account balances	2018-07-01	1,020
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	2
2017: SALUD FAMILY HEALTH RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	908
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	554
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	381
Total of all active and inactive participants	2017-07-01	935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	2
Total participants	2017-07-01	937
Number of participants with account balances	2017-07-01	932
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	28
2016: SALUD FAMILY HEALTH RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	853
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	555
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	353
Total of all active and inactive participants	2016-07-01	908
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	908
Number of participants with account balances	2016-07-01	742
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	47
2015: SALUD FAMILY HEALTH RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	761
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	530
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	320
Total of all active and inactive participants	2015-07-01	850
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	3
Total participants	2015-07-01	853
Number of participants with account balances	2015-07-01	851
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	17
2014: SALUD FAMILY HEALTH RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	732
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	452
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	308
Total of all active and inactive participants	2014-07-01	760
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	1
Total participants	2014-07-01	761
Number of participants with account balances	2014-07-01	760
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	17
2013: SALUD FAMILY HEALTH RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	680
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	456
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	276
Total of all active and inactive participants	2013-07-01	732
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	732
Number of participants with account balances	2013-07-01	732
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	10
2012: SALUD FAMILY HEALTH RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	663
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	417
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	262
Total of all active and inactive participants	2012-07-01	679
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	1
Total participants	2012-07-01	680
Number of participants with account balances	2012-07-01	680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	16
2011: SALUD FAMILY HEALTH RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	618
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	428
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	235
Total of all active and inactive participants	2011-07-01	663
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	663
Number of participants with account balances	2011-07-01	663
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	7

Financial Data on SALUD FAMILY HEALTH RETIREMENT PLAN

Measure	Date	Value
2022 : SALUD FAMILY HEALTH RETIREMENT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-06-30	$0
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total transfer of assets to this plan	2022-06-30	$0
Total transfer of assets from this plan	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
Expenses. Interest paid	2022-06-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-3,086,199
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$1,784,365
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$1,715,202
Expenses. Certain deemed distributions of participant loans	2022-06-30	$29,330
Value of total corrective distributions	2022-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$497,664
Value of total assets at end of year	2022-06-30	$24,150,421
Value of total assets at beginning of year	2022-06-30	$29,020,985
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$39,833
Total income from rents	2022-06-30	$0
Total interest from all sources	2022-06-30	$58,123
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$422,503
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$422,503
Assets. Real estate other than employer real property at end of year	2022-06-30	$0
Assets. Real estate other than employer real property at beginning of year	2022-06-30	$0
Administrative expenses professional fees incurred	2022-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-06-30	$0
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$200,000
If this is an individual account plan, was there a blackout period	2022-06-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$0
Participant contributions at end of year	2022-06-30	$463,886
Participant contributions at beginning of year	2022-06-30	$0
Participant contributions at end of year	2022-06-30	$0
Participant contributions at beginning of year	2022-06-30	$0
Assets. Other investments not covered elsewhere at end of year	2022-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-06-30	$0
Assets. Loans (other than to participants) at end of year	2022-06-30	$0
Assets. Loans (other than to participants) at beginning of year	2022-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-06-30	$0
Other income not declared elsewhere	2022-06-30	$364,754
Administrative expenses (other) incurred	2022-06-30	$39,828
Total non interest bearing cash at end of year	2022-06-30	$0
Total non interest bearing cash at beginning of year	2022-06-30	$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	2022-06-30	No
Income. Non cash contributions	2022-06-30	$0
Value of net income/loss	2022-06-30	$-4,870,564
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$24,150,421
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$29,020,985
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
Assets. partnership/joint venture interests at end of year	2022-06-30	$0
Assets. partnership/joint venture interests at beginning of year	2022-06-30	$0
Investment advisory and management fees	2022-06-30	$5
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$18,459,085
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$0
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	$22,633,344
Interest on participant loans	2022-06-30	$16,645
Income. Interest from loans (other than to participants)	2022-06-30	$0
Interest earned on other investments	2022-06-30	$41,478
Income. Interest from US Government securities	2022-06-30	$0
Income. Interest from corporate debt instruments	2022-06-30	$0
Value of interest in master investment trust accounts at end of year	2022-06-30	$0
Value of interest in master investment trust accounts at beginning of year	2022-06-30	$0
Value of interest in common/collective trusts at end of year	2022-06-30	$0
Value of interest in common/collective trusts at beginning of year	2022-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-06-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2022-06-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$5,227,450
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$6,117,131
Expenses. Payments to insurance carriers foe the provision of benefits	2022-06-30	$0
Asset value of US Government securities at end of year	2022-06-30	$0
Asset value of US Government securities at beginning of year	2022-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-4,429,243
Net investment gain/loss from pooled separate accounts	2022-06-30	$0
Net investment gain or loss from common/collective trusts	2022-06-30	$0
Net gain/loss from 103.12 investment entities	2022-06-30	$0
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
Assets. Invements in employer securities at end of year	2022-06-30	$0
Assets. Invements in employer securities at beginning of year	2022-06-30	$0
Assets. Value of employer real property at end of year	2022-06-30	$0
Assets. Value of employer real property at beginning of year	2022-06-30	$0
Contributions received in cash from employer	2022-06-30	$497,664
Employer contributions (assets) at end of year	2022-06-30	$0
Employer contributions (assets) at beginning of year	2022-06-30	$270,510
Income. Dividends from preferred stock	2022-06-30	$0
Income. Dividends from common stock	2022-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$1,715,202
Asset. Corporate debt instrument preferred debt at end of year	2022-06-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-06-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-06-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-06-30	$0
Contract administrator fees	2022-06-30	$0
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	2022-06-30	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2022-06-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-06-30	$0
Liabilities. Value of benefit claims payable at end of year	2022-06-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-06-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2022-06-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-06-30	$0
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
Aggregate proceeds on sale of assets	2022-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2022-06-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2022-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2022-06-30	$0
Opinion of an independent qualified public accountant for this plan	2022-06-30	Disclaimer
Accountancy firm name	2022-06-30	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2022-06-30	410746749
2021 : SALUD FAMILY HEALTH RETIREMENT 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	$6,909,834
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$1,086,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$1,056,591
Expenses. Certain deemed distributions of participant loans	2021-06-30	$15,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$1,507,810
Value of total assets at end of year	2021-06-30	$29,020,985
Value of total assets at beginning of year	2021-06-30	$23,197,680
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$14,278
Total interest from all sources	2021-06-30	$76,849
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Administrative expenses professional fees incurred	2021-06-30	$14,278
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2021-06-30	$0
Minimum employer required contribution for this plan year	2021-06-30	$1,381,131
Amount contributed by the employer to the plan for this plan year	2021-06-30	$1,381,131
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$5,823,305
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$29,020,985
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$23,197,680
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 pooled separate accounts at end of year	2021-06-30	$22,633,344
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$17,188,229
Interest earned on other investments	2021-06-30	$76,849
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$6,117,131
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$5,899,024
Net investment gain/loss from pooled separate accounts	2021-06-30	$5,325,175
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	$1,507,810
Employer contributions (assets) at end of year	2021-06-30	$270,510
Employer contributions (assets) at beginning of year	2021-06-30	$110,427
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$1,056,591
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	Disclaimer
Accountancy firm name	2021-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-06-30	410746749
2020 : SALUD FAMILY HEALTH RETIREMENT 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	$2,473,749
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$435,465
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$411,599
Expenses. Certain deemed distributions of participant loans	2020-06-30	$23,866
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$1,618,918
Value of total assets at end of year	2020-06-30	$23,197,680
Value of total assets at beginning of year	2020-06-30	$21,159,396
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$0
Total interest from all sources	2020-06-30	$96,814
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
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
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	$2,038,284
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$23,197,680
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$21,159,396
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 pooled separate accounts at end of year	2020-06-30	$17,188,229
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$15,132,056
Interest earned on other investments	2020-06-30	$96,814
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$5,899,024
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$5,890,059
Net investment gain/loss from pooled separate accounts	2020-06-30	$758,017
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	$1,618,918
Employer contributions (assets) at end of year	2020-06-30	$110,427
Employer contributions (assets) at beginning of year	2020-06-30	$137,281
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$411,599
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-06-30	410746749
2019 : SALUD FAMILY HEALTH RETIREMENT 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	$2,583,301
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$767,186
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$793,084
Expenses. Certain deemed distributions of participant loans	2019-06-30	$-25,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$1,767,173
Value of total assets at end of year	2019-06-30	$21,159,396
Value of total assets at beginning of year	2019-06-30	$19,343,281
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$0
Total interest from all sources	2019-06-30	$96,814
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2019-06-30	$0
Minimum employer required contribution for this plan year	2019-06-30	$1,767,173
Amount contributed by the employer to the plan for this plan year	2019-06-30	$1,767,173
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Participant contributions at end of year	2019-06-30	$0
Participant contributions at beginning of year	2019-06-30	$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	2019-06-30	No
Value of net income/loss	2019-06-30	$1,816,115
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$21,159,396
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$19,343,281
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 pooled separate accounts at end of year	2019-06-30	$15,132,056
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$13,698,614
Interest earned on other investments	2019-06-30	$96,814
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$5,890,059
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$5,512,720
Net investment gain/loss from pooled separate accounts	2019-06-30	$719,314
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	$1,767,173
Employer contributions (assets) at end of year	2019-06-30	$137,281
Employer contributions (assets) at beginning of year	2019-06-30	$131,947
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$793,084
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-06-30	410746749
2018 : SALUD FAMILY HEALTH RETIREMENT 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	$2,779,518
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$199,469
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$164,804
Expenses. Certain deemed distributions of participant loans	2018-06-30	$34,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$1,563,111
Value of total assets at end of year	2018-06-30	$19,343,281
Value of total assets at beginning of year	2018-06-30	$16,763,232
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$0
Total interest from all sources	2018-06-30	$85,272
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
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
Funding deficiency by the employer to the plan for this plan year	2018-06-30	$0
Minimum employer required contribution for this plan year	2018-06-30	$1,563,111
Amount contributed by the employer to the plan for this plan year	2018-06-30	$1,563,111
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Participant contributions at end of year	2018-06-30	$0
Participant contributions at beginning of year	2018-06-30	$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	2018-06-30	No
Value of net income/loss	2018-06-30	$2,580,049
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$19,343,281
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$16,763,232
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in pooled separate accounts at end of year	2018-06-30	$13,698,614
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$11,330,989
Interest earned on other investments	2018-06-30	$85,272
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$5,512,720
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$5,319,951
Net investment gain/loss from pooled separate accounts	2018-06-30	$1,131,135
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	$1,563,111
Employer contributions (assets) at end of year	2018-06-30	$131,947
Employer contributions (assets) at beginning of year	2018-06-30	$112,292
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$164,804
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-06-30	410746749
2017 : SALUD FAMILY HEALTH RETIREMENT 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	$2,897,334
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$1,264,554
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$1,220,046
Expenses. Certain deemed distributions of participant loans	2017-06-30	$44,508
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$1,474,231
Value of total assets at end of year	2017-06-30	$16,763,232
Value of total assets at beginning of year	2017-06-30	$15,130,452
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$0
Total interest from all sources	2017-06-30	$87,081
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
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
Participant contributions at end of year	2017-06-30	$0
Participant contributions at beginning of year	2017-06-30	$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	2017-06-30	No
Value of net income/loss	2017-06-30	$1,632,780
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$16,763,232
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$15,130,452
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 pooled separate accounts at end of year	2017-06-30	$11,330,989
Value of interest in pooled separate accounts at beginning of year	2017-06-30	$9,123,904
Interest on participant loans	2017-06-30	$0
Interest earned on other investments	2017-06-30	$87,081
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$5,319,951
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$5,842,731
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$0
Net investment gain/loss from pooled separate accounts	2017-06-30	$1,336,022
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	$1,474,231
Employer contributions (assets) at end of year	2017-06-30	$112,292
Employer contributions (assets) at beginning of year	2017-06-30	$163,817
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$1,220,046
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2017-06-30	410746749
2016 : SALUD FAMILY HEALTH RETIREMENT 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	$1,364,942
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$1,444,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$1,391,792
Expenses. Certain deemed distributions of participant loans	2016-06-30	$52,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$1,390,139
Value of total assets at end of year	2016-06-30	$15,130,452
Value of total assets at beginning of year	2016-06-30	$15,210,020
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$0
Total interest from all sources	2016-06-30	$92,111
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	$2,000,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2016-06-30	$0
Minimum employer required contribution for this plan year	2016-06-30	$1,390,139
Amount contributed by the employer to the plan for this plan year	2016-06-30	$1,390,139
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Participant contributions at end of year	2016-06-30	$0
Participant contributions at beginning of year	2016-06-30	$350,637
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	$-79,568
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$15,130,452
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$15,210,020
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in pooled separate accounts at end of year	2016-06-30	$9,123,904
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$8,781,312
Interest on participant loans	2016-06-30	$0
Interest earned on other investments	2016-06-30	$92,111
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$5,842,731
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$5,879,372
Net investment gain/loss from pooled separate accounts	2016-06-30	$-117,308
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	$1,390,139
Employer contributions (assets) at end of year	2016-06-30	$163,817
Employer contributions (assets) at beginning of year	2016-06-30	$198,699
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$1,391,792
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-06-30	410746749
2015 : SALUD FAMILY HEALTH RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$1,630,293
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$222,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$197,820
Expenses. Certain deemed distributions of participant loans	2015-06-30	$23,684
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$1,164,814
Value of total assets at end of year	2015-06-30	$15,210,020
Value of total assets at beginning of year	2015-06-30	$13,802,581
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$1,350
Total interest from all sources	2015-06-30	$93,348
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
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	$2,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2015-06-30	$0
Minimum employer required contribution for this plan year	2015-06-30	$1,164,814
Amount contributed by the employer to the plan for this plan year	2015-06-30	$1,164,814
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Participant contributions at end of year	2015-06-30	$350,637
Participant contributions at beginning of year	2015-06-30	$323,047
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	$1,407,439
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$15,210,020
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$13,802,581
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	$8,781,312
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$7,776,039
Interest on participant loans	2015-06-30	$19,768
Interest earned on other investments	2015-06-30	$73,580
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$5,879,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$5,616,642
Net investment gain/loss from pooled separate accounts	2015-06-30	$372,131
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	$1,164,814
Employer contributions (assets) at end of year	2015-06-30	$198,699
Employer contributions (assets) at beginning of year	2015-06-30	$86,853
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$197,820
Contract administrator fees	2015-06-30	$1,350
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2015-06-30	410746749
2014 : SALUD FAMILY HEALTH RETIREMENT 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	$2,456,465
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$747,875
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$728,501
Expenses. Certain deemed distributions of participant loans	2014-06-30	$18,674
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$1,099,841
Value of total assets at end of year	2014-06-30	$13,802,581
Value of total assets at beginning of year	2014-06-30	$12,093,991
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$700
Total interest from all sources	2014-06-30	$103,079
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	$2,000,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2014-06-30	$0
Minimum employer required contribution for this plan year	2014-06-30	$1,099,841
Amount contributed by the employer to the plan for this plan year	2014-06-30	$1,099,841
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Participant contributions at end of year	2014-06-30	$323,047
Participant contributions at beginning of year	2014-06-30	$300,700
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	$1,708,590
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$13,802,581
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$12,093,991
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	$7,776,039
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$6,038,912
Interest on participant loans	2014-06-30	$21,796
Interest earned on other investments	2014-06-30	$81,283
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$5,616,642
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$5,605,449
Net investment gain/loss from pooled separate accounts	2014-06-30	$1,253,545
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	$1,099,841
Employer contributions (assets) at end of year	2014-06-30	$86,853
Employer contributions (assets) at beginning of year	2014-06-30	$148,930
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$728,501
Contract administrator fees	2014-06-30	$700
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2014-06-30	410746749
2013 : SALUD FAMILY HEALTH RETIREMENT 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	$1,825,910
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$236,838
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$205,590
Expenses. Certain deemed distributions of participant loans	2013-06-30	$30,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$1,003,599
Value of total assets at end of year	2013-06-30	$12,093,991
Value of total assets at beginning of year	2013-06-30	$10,504,919
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$1,100
Total interest from all sources	2013-06-30	$116,396
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	$2,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2013-06-30	$0
Minimum employer required contribution for this plan year	2013-06-30	$1,003,599
Amount contributed by the employer to the plan for this plan year	2013-06-30	$1,003,599
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Participant contributions at end of year	2013-06-30	$300,700
Participant contributions at beginning of year	2013-06-30	$310,331
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	$1,589,072
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$12,093,991
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$10,504,919
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	$6,038,912
Value of interest in pooled separate accounts at beginning of year	2013-06-30	$5,055,851
Interest on participant loans	2013-06-30	$18,162
Interest earned on other investments	2013-06-30	$98,234
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$5,605,449
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$4,981,884
Net investment gain/loss from pooled separate accounts	2013-06-30	$705,915
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	$1,003,599
Employer contributions (assets) at end of year	2013-06-30	$148,930
Employer contributions (assets) at beginning of year	2013-06-30	$156,853
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$205,590
Contract administrator fees	2013-06-30	$1,100
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2013-06-30	410746749
2012 : SALUD FAMILY HEALTH RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$1,174,169
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$267,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$249,874
Expenses. Certain deemed distributions of participant loans	2012-06-30	$16,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$996,885
Value of total assets at end of year	2012-06-30	$10,504,919
Value of total assets at beginning of year	2012-06-30	$9,597,779
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$800
Total interest from all sources	2012-06-30	$125,383
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2012-06-30	$0
Minimum employer required contribution for this plan year	2012-06-30	$996,885
Amount contributed by the employer to the plan for this plan year	2012-06-30	$996,885
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Participant contributions at end of year	2012-06-30	$310,331
Participant contributions at beginning of year	2012-06-30	$316,116
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	$907,140
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$10,504,919
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$9,597,779
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in pooled separate accounts at end of year	2012-06-30	$5,055,851
Value of interest in pooled separate accounts at beginning of year	2012-06-30	$4,483,989
Interest on participant loans	2012-06-30	$20,334
Interest earned on other investments	2012-06-30	$105,049
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$4,981,884
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$4,718,352
Net investment gain/loss from pooled separate accounts	2012-06-30	$51,901
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	$996,885
Employer contributions (assets) at end of year	2012-06-30	$156,853
Employer contributions (assets) at beginning of year	2012-06-30	$79,322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$249,874
Contract administrator fees	2012-06-30	$800
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2012-06-30	410746749
2011 : SALUD FAMILY HEALTH RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$1,932,129
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$226,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$192,708
Expenses. Certain deemed distributions of participant loans	2011-06-30	$32,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$982,581
Value of total assets at end of year	2011-06-30	$9,597,779
Value of total assets at beginning of year	2011-06-30	$7,892,470
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$1,150
Total interest from all sources	2011-06-30	$126,828
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
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	$2,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2011-06-30	$0
Minimum employer required contribution for this plan year	2011-06-30	$982,581
Amount contributed by the employer to the plan for this plan year	2011-06-30	$982,581
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Participant contributions at end of year	2011-06-30	$316,116
Participant contributions at beginning of year	2011-06-30	$278,050
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	$1,705,309
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$9,597,779
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$7,892,470
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	$4,483,989
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$3,264,612
Interest on participant loans	2011-06-30	$17,900
Interest earned on other investments	2011-06-30	$108,928
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$4,718,352
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$4,212,204
Net investment gain/loss from pooled separate accounts	2011-06-30	$822,720
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	$982,581
Employer contributions (assets) at end of year	2011-06-30	$79,322
Employer contributions (assets) at beginning of year	2011-06-30	$137,604
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$192,708
Contract administrator fees	2011-06-30	$1,150
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2011-06-30	410746749

Form 5500 Responses for SALUD FAMILY HEALTH RETIREMENT PLAN

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

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	0
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $4,566
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?	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 $0
Amount paid for insurance broker fees	4566
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3

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

Policy contract number

140044-01

Policy instance

Insurance contract or identification number	140044-01
Number of Individuals Covered	1009
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
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

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	1091
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $4,566
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,566
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	1087
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
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

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	1025
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,953
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
Amount paid for insurance broker fees	1953
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	937
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,599
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

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	853
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,032
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1032
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	DENVER REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	761
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,094
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1094
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	DENVER REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	732
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $623
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	623
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	DENVER REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	680
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $524
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	197
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	KEITH BERSTLER

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	663
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,025
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $12,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052748-H

Policy instance

Insurance contract or identification number	052748-H
Number of Individuals Covered	618
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $987
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $15,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	PLAN DE SALUD DEL VALLE, INC.
Employer identification number (EIN):	840613540
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Colorado Department of State
Incorporation Date:	1971-06-23
Company Identification Number:	19871231573
Legal Registered Office Address:	203 S Rollie Ave Fort Lupton United States of America (USA) 80621