401k Plan data: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN plan

TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 401k Plan overview

Plan Name	TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN
Plan identification number	001

TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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

TWIN HARBORS GROUP HOME ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: TWIN HARBORS GROUP HOME ASSOCIATION

Employer identification number (EIN): 910971802

NAIC Classification: 624200

Additional information about TWIN HARBORS GROUP HOME ASSOCIATION

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1976-06-03

Company Identification Number: 601141994

Legal Registered Office Address: 1201 LAFAYETTE ST

ABERDEEN
United States of America (USA)
98520

More information about TWIN HARBORS GROUP HOME ASSOCIATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 BARBARA OLSON 2022-08-23
001 2020-01-01 BARBARA OLSON 2021-10-12
001 2019-01-01 BARBARA OLSON 2020-10-09
001 2018-01-01 BARBARA OLSON 2019-09-03
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 BARBARA OLSON
001 2011-01-01 BARBARA OLSON
001 2009-01-01 BARBARA OLSON

Plan Statistics for TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN

401k plan membership statisitcs for TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN

Measure Date Value
2021: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 9
Number of other retired or separated participants entitled to future benefits 2021-01-01 3
Total of all active and inactive participants 2021-01-01 12
Total participants 2021-01-01 12
Number of participants with account balances 2021-01-01 12
2020: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 9
Number of retired or separated participants receiving benefits 2020-01-01 3
Total of all active and inactive participants 2020-01-01 12
Total participants 2020-01-01 12
Number of participants with account balances 2020-01-01 12
2019: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 9
Number of other retired or separated participants entitled to future benefits 2019-01-01 3
Total of all active and inactive participants 2019-01-01 12
Total participants 2019-01-01 12
Number of participants with account balances 2019-01-01 12
2018: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 9
Number of other retired or separated participants entitled to future benefits 2018-01-01 4
Total of all active and inactive participants 2018-01-01 13
Total participants 2018-01-01 13
2017: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 9
Number of other retired or separated participants entitled to future benefits 2017-01-01 6
Total of all active and inactive participants 2017-01-01 15
Total participants 2017-01-01 15
2016: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 9
Number of other retired or separated participants entitled to future benefits 2016-01-01 17
Total of all active and inactive participants 2016-01-01 26
Total participants 2016-01-01 26
2015: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 15
Total of all active and inactive participants 2015-01-01 17
Total participants 2015-01-01 17
2014: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 15
Total of all active and inactive participants 2014-01-01 18
Total participants 2014-01-01 18
2013: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
Number of other retired or separated participants entitled to future benefits 2013-01-01 15
Total of all active and inactive participants 2013-01-01 22
Total participants 2013-01-01 22
2012: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
Number of other retired or separated participants entitled to future benefits 2012-01-01 13
Total of all active and inactive participants 2012-01-01 24
Total participants 2012-01-01 24
2011: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 10
Number of other retired or separated participants entitled to future benefits 2011-01-01 13
Total of all active and inactive participants 2011-01-01 23
Total participants 2011-01-01 23
2009: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 14
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 19
Total participants 2009-01-01 19
Number of participants with account balances 2009-01-01 19

Measure	Date	Value
2021: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	9
Number of other retired or separated participants entitled to future benefits	2021-01-01	3
Total of all active and inactive participants	2021-01-01	12
Total participants	2021-01-01	12
Number of participants with account balances	2021-01-01	12
2020: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	9
Number of retired or separated participants receiving benefits	2020-01-01	3
Total of all active and inactive participants	2020-01-01	12
Total participants	2020-01-01	12
Number of participants with account balances	2020-01-01	12
2019: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	9
Number of other retired or separated participants entitled to future benefits	2019-01-01	3
Total of all active and inactive participants	2019-01-01	12
Total participants	2019-01-01	12
Number of participants with account balances	2019-01-01	12
2018: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	9
Number of other retired or separated participants entitled to future benefits	2018-01-01	4
Total of all active and inactive participants	2018-01-01	13
Total participants	2018-01-01	13
2017: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	9
Number of other retired or separated participants entitled to future benefits	2017-01-01	6
Total of all active and inactive participants	2017-01-01	15
Total participants	2017-01-01	15
2016: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	9
Number of other retired or separated participants entitled to future benefits	2016-01-01	17
Total of all active and inactive participants	2016-01-01	26
Total participants	2016-01-01	26
2015: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	15
Total of all active and inactive participants	2015-01-01	17
Total participants	2015-01-01	17
2014: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	15
Total of all active and inactive participants	2014-01-01	18
Total participants	2014-01-01	18
2013: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
Number of other retired or separated participants entitled to future benefits	2013-01-01	15
Total of all active and inactive participants	2013-01-01	22
Total participants	2013-01-01	22
2012: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
Number of other retired or separated participants entitled to future benefits	2012-01-01	13
Total of all active and inactive participants	2012-01-01	24
Total participants	2012-01-01	24
2011: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	10
Number of other retired or separated participants entitled to future benefits	2011-01-01	13
Total of all active and inactive participants	2011-01-01	23
Total participants	2011-01-01	23
2009: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	14
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	19
Total participants	2009-01-01	19
Number of participants with account balances	2009-01-01	19

Financial Data on TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN

Measure	Date	Value
2021 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2021 401k financial data
Total income from all sources	2021-12-31	$16,313
Expenses. Total of all expenses incurred	2021-12-31	$30
Total plan assets at end of year	2021-12-31	$241,173
Total plan assets at beginning of year	2021-12-31	$224,890
Total contributions received or receivable from participants	2021-12-31	$1,920
Other income received	2021-12-31	$14,393
Net income (gross income less expenses)	2021-12-31	$16,283
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$241,173
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$224,890
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$30
2020 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2020 401k financial data
Total income from all sources	2020-12-31	$13,949
Expenses. Total of all expenses incurred	2020-12-31	$30
Total plan assets at end of year	2020-12-31	$224,890
Total plan assets at beginning of year	2020-12-31	$210,971
Total contributions received or receivable from participants	2020-12-31	$1,840
Other income received	2020-12-31	$12,109
Net income (gross income less expenses)	2020-12-31	$13,919
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$224,890
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$210,971
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$30
2019 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2019 401k financial data
Total income from all sources	2019-12-31	$11,558
Expenses. Total of all expenses incurred	2019-12-31	$5,879
Benefits paid (including direct rollovers)	2019-12-31	$5,849
Total plan assets at end of year	2019-12-31	$210,971
Total plan assets at beginning of year	2019-12-31	$205,292
Total contributions received or receivable from participants	2019-12-31	$1,840
Other income received	2019-12-31	$9,718
Net income (gross income less expenses)	2019-12-31	$5,679
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$210,971
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$205,292
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$30
2018 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2018 401k financial data
Total income from all sources	2018-12-31	$7,053
Expenses. Total of all expenses incurred	2018-12-31	$25,111
Benefits paid (including direct rollovers)	2018-12-31	$25,081
Total plan assets at end of year	2018-12-31	$205,292
Total plan assets at beginning of year	2018-12-31	$223,350
Total contributions received or receivable from participants	2018-12-31	$1,650
Other income received	2018-12-31	$5,403
Net income (gross income less expenses)	2018-12-31	$-18,058
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$205,292
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$223,350
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$30
2017 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2017 401k financial data
Total income from all sources	2017-12-31	$10,419
Expenses. Total of all expenses incurred	2017-12-31	$16,336
Benefits paid (including direct rollovers)	2017-12-31	$16,306
Total plan assets at end of year	2017-12-31	$223,350
Total plan assets at beginning of year	2017-12-31	$229,267
Total contributions received or receivable from participants	2017-12-31	$1,490
Other income received	2017-12-31	$8,929
Net income (gross income less expenses)	2017-12-31	$-5,917
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$223,350
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$229,267
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$30
2016 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2016 401k financial data
Total income from all sources	2016-12-31	$7,065
Expenses. Total of all expenses incurred	2016-12-31	$6,095
Benefits paid (including direct rollovers)	2016-12-31	$6,065
Total plan assets at end of year	2016-12-31	$229,267
Total plan assets at beginning of year	2016-12-31	$228,297
Total contributions received or receivable from participants	2016-12-31	$250
Other income received	2016-12-31	$6,815
Net income (gross income less expenses)	2016-12-31	$970
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$229,267
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$228,297
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$30
2015 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2015 401k financial data
Total income from all sources	2015-12-31	$6,736
Expenses. Total of all expenses incurred	2015-12-31	$8,186
Benefits paid (including direct rollovers)	2015-12-31	$8,186
Total plan assets at end of year	2015-12-31	$228,297
Total plan assets at beginning of year	2015-12-31	$229,747
Total contributions received or receivable from participants	2015-12-31	$1,875
Other income received	2015-12-31	$4,861
Net income (gross income less expenses)	2015-12-31	$-1,450
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$228,297
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$229,747
2014 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2014 401k financial data
Total income from all sources	2014-12-31	$4,999
Expenses. Total of all expenses incurred	2014-12-31	$34,422
Benefits paid (including direct rollovers)	2014-12-31	$34,392
Total plan assets at end of year	2014-12-31	$229,747
Total plan assets at beginning of year	2014-12-31	$259,170
Total contributions received or receivable from participants	2014-12-31	$2,325
Other income received	2014-12-31	$2,674
Net income (gross income less expenses)	2014-12-31	$-29,423
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$229,747
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$259,170
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$30
2013 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2013 401k financial data
Total income from all sources	2013-12-31	$21,516
Expenses. Total of all expenses incurred	2013-12-31	$6,718
Benefits paid (including direct rollovers)	2013-12-31	$6,658
Total plan assets at end of year	2013-12-31	$259,170
Total plan assets at beginning of year	2013-12-31	$244,372
Total contributions received or receivable from participants	2013-12-31	$4,200
Other income received	2013-12-31	$17,316
Net income (gross income less expenses)	2013-12-31	$14,798
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$259,170
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$244,372
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$60
2012 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2012 401k financial data
Total income from all sources	2012-12-31	$19,661
Expenses. Total of all expenses incurred	2012-12-31	$12,750
Benefits paid (including direct rollovers)	2012-12-31	$12,750
Total plan assets at end of year	2012-12-31	$244,372
Total plan assets at beginning of year	2012-12-31	$237,461
Total contributions received or receivable from participants	2012-12-31	$4,225
Other income received	2012-12-31	$15,436
Net income (gross income less expenses)	2012-12-31	$6,911
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$244,372
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$237,461
2011 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2011 401k financial data
Total income from all sources	2011-12-31	$36,082
Expenses. Total of all expenses incurred	2011-12-31	$38,259
Benefits paid (including direct rollovers)	2011-12-31	$38,199
Total plan assets at end of year	2011-12-31	$237,461
Total plan assets at beginning of year	2011-12-31	$239,638
Total contributions received or receivable from participants	2011-12-31	$5,275
Other income received	2011-12-31	$30,807
Net income (gross income less expenses)	2011-12-31	$-2,177
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$237,461
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$239,638
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$60
2010 : TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2010 401k financial data
Total income from all sources	2010-12-31	$14,727
Expenses. Total of all expenses incurred	2010-12-31	$11,957
Benefits paid (including direct rollovers)	2010-12-31	$11,957
Total plan assets at end of year	2010-12-31	$239,638
Total plan assets at beginning of year	2010-12-31	$236,868
Total contributions received or receivable from participants	2010-12-31	$7,250
Other income received	2010-12-31	$7,477
Net income (gross income less expenses)	2010-12-31	$2,770
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$239,638
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$236,868
Assets. Value of participant loans	2010-12-31	$5,845

Form 5500 Responses for TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN

2021: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: TWIN HARBORS GROUP HOME ASSOCIATION 403B RETIREMEN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE,

Policy instance

Insurance contract or identification number	ART0112449EE,
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	12
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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
Insurance broker organization code?	7

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	12
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $36
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36
Amount paid for insurance broker fees	0
Insurance broker organization code?	7

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE,

Policy instance

Insurance contract or identification number	ART0112449EE,
Number of Individuals Covered	12
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	13
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $33
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33
Insurance broker organization code?	7

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE,

Policy instance

Insurance contract or identification number	ART0112449EE,
Number of Individuals Covered	12
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	17
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $28
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28
Insurance broker organization code?	7
Insurance broker name	MML INVESTORS SERVICES INC

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE,

Policy instance

Insurance contract or identification number	ART0112449EE,
Number of Individuals Covered	14
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	17
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $51
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28
Insurance broker organization code?	3
Insurance broker name	MML INVESTORS SERVICE

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	18
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $64
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40
Insurance broker organization code?	3
Insurance broker name	MML INVESTORS SERVICE

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE

Policy instance

Insurance contract or identification number	ART0112449EE
Number of Individuals Covered	18
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $41
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20
Insurance broker organization code?	3
Insurance broker name	MICHAEL J MALETTERI

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	22
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $86
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $44
Insurance broker organization code?	7
Insurance broker name	LARRY L ELLIOT

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE

Policy instance

Insurance contract or identification number	ART0112449EE
Number of Individuals Covered	19
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $89
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $47
Insurance broker organization code?	3
Insurance broker name	SPINDT, ERIC L

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE

Policy instance

Insurance contract or identification number	ART0112449EE
Number of Individuals Covered	19
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $89
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $51
Insurance broker organization code?	3
Insurance broker name	CHARMBERS, CRAIG DOUGLAS

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	24
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $87
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $47
Insurance broker organization code?	3
Insurance broker name	MML INVESTORS SERVICE

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	23
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $119
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE

Policy instance

Insurance contract or identification number	ART0112449EE
Number of Individuals Covered	23
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $117
Total amount of fees paid to insurance company	USD $1
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EA46

Policy instance

Insurance contract or identification number	EA46
Number of Individuals Covered	25
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $154
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )

Policy contract number

ART0112449EE

Policy instance

Insurance contract or identification number	ART0112449EE
Number of Individuals Covered	24
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $333
Total amount of fees paid to insurance company	USD $139
Are there contracts with allocated funds for individual policies?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	TWIN HARBORS GROUP HOME ASSOCIATION
Employer identification number (EIN):	910971802
NAIC Classification:	624200

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1976-06-03
Company Identification Number:	601141994
Legal Registered Office Address:	1201 LAFAYETTE ST ABERDEEN United States of America (USA) 98520

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	BARBARA OLSON	2022-08-23
001	2020-01-01	BARBARA OLSON	2021-10-12
001	2019-01-01	BARBARA OLSON	2020-10-09
001	2018-01-01	BARBARA OLSON	2019-09-03
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	BARBARA OLSON
001	2011-01-01	BARBARA OLSON
001	2009-01-01	BARBARA OLSON