401k Plan data: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN plan

BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 401k Plan overview

Plan Name	BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN
Plan identification number	002

BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

BOYS & GIRLS CLUBS OF SAN FRANCISCO has sponsored the creation of one or more 401k plans.

Company Name: BOYS & GIRLS CLUBS OF SAN FRANCISCO

Employer identification number (EIN): 941156608

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 LOIS HOGANES
002 2015-01-01 LOIS HOGANES
002 2014-01-01 LOIS HOGANES
002 2013-01-01 LOIS HOGANES
002 2012-01-01 LOIS HOGANES
002 2011-01-01 LOIS HOGANES
002 2010-01-01 LOIS HOGANES LOIS HOGANES 2011-10-17
002 2009-01-01 LOIS HOGANES LOIS HOGANES 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	LOIS HOGANES
002	2015-01-01	LOIS HOGANES
002	2014-01-01	LOIS HOGANES
002	2013-01-01	LOIS HOGANES
002	2012-01-01	LOIS HOGANES
002	2011-01-01	LOIS HOGANES
002	2010-01-01	LOIS HOGANES	LOIS HOGANES	2011-10-17
002	2009-01-01	LOIS HOGANES	LOIS HOGANES	2010-10-15

Plan Statistics for BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN

401k plan membership statisitcs for BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN

Measure Date Value
2016: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 309
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 124
Total of all active and inactive participants 2015-01-01 124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 124
Number of participants with account balances 2015-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 225
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 191
Number of other retired or separated participants entitled to future benefits 2014-01-01 118
Total of all active and inactive participants 2014-01-01 309
Total participants 2014-01-01 309
Number of participants with account balances 2014-01-01 227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 171
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 54
Total of all active and inactive participants 2013-01-01 225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 225
Number of participants with account balances 2013-01-01 159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 210
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 98
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 72
Total of all active and inactive participants 2012-01-01 170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 170
Number of participants with account balances 2012-01-01 169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 163
Number of other retired or separated participants entitled to future benefits 2011-01-01 47
Total of all active and inactive participants 2011-01-01 210
Total participants 2011-01-01 210
Number of participants with account balances 2011-01-01 94
2010: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 108
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 29
Total of all active and inactive participants 2010-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 137
Number of participants with account balances 2010-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 109
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 27
Total of all active and inactive participants 2009-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 136
Number of participants with account balances 2009-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	309
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	124
Total of all active and inactive participants	2015-01-01	124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	124
Number of participants with account balances	2015-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	225
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	191
Number of other retired or separated participants entitled to future benefits	2014-01-01	118
Total of all active and inactive participants	2014-01-01	309
Total participants	2014-01-01	309
Number of participants with account balances	2014-01-01	227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	171
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	54
Total of all active and inactive participants	2013-01-01	225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	225
Number of participants with account balances	2013-01-01	159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	210
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	98
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	72
Total of all active and inactive participants	2012-01-01	170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	170
Number of participants with account balances	2012-01-01	169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	163
Number of other retired or separated participants entitled to future benefits	2011-01-01	47
Total of all active and inactive participants	2011-01-01	210
Total participants	2011-01-01	210
Number of participants with account balances	2011-01-01	94
2010: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	108
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	29
Total of all active and inactive participants	2010-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	137
Number of participants with account balances	2010-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	109
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	27
Total of all active and inactive participants	2009-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	136
Number of participants with account balances	2009-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN

Measure	Date	Value
2016 : BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$-19,470
Total loss/gain on sale of assets	2016-12-31	$-56,776
Total of all expenses incurred	2016-12-31	$585,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$582,968
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$605,057
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,619
Total interest from all sources	2016-12-31	$21
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$3,346
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$3,346
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$0
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$68,640
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$1,006
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Income. Non cash contributions	2016-12-31	$0
Value of net income/loss	2016-12-31	$-605,057
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$605,057
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$1,691
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$447,968
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$68,443
Interest earned on other investments	2016-12-31	$21
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest in common/collective trusts at beginning of year	2016-12-31	$4,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$14,837
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$33,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$0
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$582,968
Contract administrator fees	2016-12-31	$928
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	Yes
Aggregate proceeds on sale of assets	2016-12-31	$544,221
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$600,997
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	MARCUM, LLP
Accountancy firm EIN	2016-12-31	111986323
2015 : BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$126,554
Total loss/gain on sale of assets	2015-12-31	$-66,001
Total of all expenses incurred	2015-12-31	$1,030,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,010,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$203,199
Value of total assets at end of year	2015-12-31	$605,057
Value of total assets at beginning of year	2015-12-31	$1,509,340
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$20,604
Total interest from all sources	2015-12-31	$3,345
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$47,763
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$47,763
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$400,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$203,199
Participant contributions at end of year	2015-12-31	$68,640
Participant contributions at beginning of year	2015-12-31	$58,723
Total non interest bearing cash at end of year	2015-12-31	$1,006
Total non interest bearing cash at beginning of year	2015-12-31	$8,862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-904,283
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$605,057
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,509,340
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$7,015
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$447,968
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,341,895
Value of interest in pooled separate accounts at end of year	2015-12-31	$68,443
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$71,250
Interest on participant loans	2015-12-31	$3,345
Value of interest in common/collective trusts at end of year	2015-12-31	$4,163
Value of interest in common/collective trusts at beginning of year	2015-12-31	$14,182
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$14,837
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$14,428
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-61,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,010,233
Contract administrator fees	2015-12-31	$13,589
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	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Aggregate proceeds on sale of assets	2015-12-31	$1,418,560
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$1,484,561
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MARCUM, LLP
Accountancy firm EIN	2015-12-31	111986323
2014 : BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$337,681
Total loss/gain on sale of assets	2014-12-31	$45,191
Total of all expenses incurred	2014-12-31	$58,752
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$43,021
Expenses. Certain deemed distributions of participant loans	2014-12-31	$1,135
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$258,670
Value of total assets at end of year	2014-12-31	$1,509,340
Value of total assets at beginning of year	2014-12-31	$1,230,411
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$14,596
Total interest from all sources	2014-12-31	$2,747
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$59,147
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$59,147
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$400,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$210,516
Participant contributions at end of year	2014-12-31	$58,723
Participant contributions at beginning of year	2014-12-31	$56,686
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$48,154
Total non interest bearing cash at end of year	2014-12-31	$8,862
Total non interest bearing cash at beginning of year	2014-12-31	$635
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$278,929
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,509,340
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,230,411
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$6,029
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$1,341,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,091,381
Value of interest in pooled separate accounts at end of year	2014-12-31	$71,250
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$67,671
Interest on participant loans	2014-12-31	$2,747
Value of interest in common/collective trusts at end of year	2014-12-31	$14,182
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$14,428
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$14,038
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-28,074
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$43,021
Contract administrator fees	2014-12-31	$8,567
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	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$1,437,238
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$1,392,047
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	LUATZE & LAUTZE CPAS AND FINANCIAL
Accountancy firm EIN	2014-12-31	942513310
2013 : BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$303,773
Total loss/gain on sale of assets	2013-12-31	$29,984
Total of all expenses incurred	2013-12-31	$75,332
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$61,935
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$190,754
Value of total assets at end of year	2013-12-31	$1,230,411
Value of total assets at beginning of year	2013-12-31	$1,001,970
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$13,397
Total interest from all sources	2013-12-31	$2,255
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$43,702
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$43,702
Administrative expenses professional fees incurred	2013-12-31	$7,000
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$400,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$189,310
Participant contributions at end of year	2013-12-31	$56,686
Participant contributions at beginning of year	2013-12-31	$34,526
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$1,444
Total non interest bearing cash at end of year	2013-12-31	$635
Total non interest bearing cash at beginning of year	2013-12-31	$87
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$228,441
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,230,411
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,001,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$1,091,381
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$895,834
Value of interest in pooled separate accounts at end of year	2013-12-31	$67,671
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$55,915
Interest on participant loans	2013-12-31	$2,255
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$14,038
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$15,608
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$37,078
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$61,935
Contract administrator fees	2013-12-31	$6,397
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	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$478,998
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$449,014
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	LAUTZE & LAUTZE CPAS & FINANCIAL AD
Accountancy firm EIN	2013-12-31	942513310
2012 : BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$648
Total income from all sources (including contributions)	2012-12-31	$290,825
Total loss/gain on sale of assets	2012-12-31	$101
Total of all expenses incurred	2012-12-31	$70,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$54,909
Expenses. Certain deemed distributions of participant loans	2012-12-31	$1,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$195,354
Value of total assets at end of year	2012-12-31	$1,001,970
Value of total assets at beginning of year	2012-12-31	$781,947
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$13,945
Total interest from all sources	2012-12-31	$1,777
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$26,929
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$26,929
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$400,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$195,354
Participant contributions at end of year	2012-12-31	$34,526
Participant contributions at beginning of year	2012-12-31	$37,237
Participant contributions at beginning of year	2012-12-31	$8,602
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$666
Total non interest bearing cash at end of year	2012-12-31	$87
Total non interest bearing cash at beginning of year	2012-12-31	$742
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$220,671
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,001,970
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$781,299
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$4,308
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$895,834
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$629,880
Value of interest in pooled separate accounts at end of year	2012-12-31	$55,915
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$87,897
Interest on participant loans	2012-12-31	$1,777
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,678
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,678
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$15,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$15,245
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$58,943
Net investment gain/loss from pooled separate accounts	2012-12-31	$7,721
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$54,909
Contract administrator fees	2012-12-31	$9,637
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$648
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$49,462
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$49,361
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	LAUTZE & LAUTZE CPAS AND FINANCIAL
Accountancy firm EIN	2012-12-31	942513310
2011 : BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$648
Total income from all sources (including contributions)	2011-12-31	$194,984
Total loss/gain on sale of assets	2011-12-31	$4,717
Total of all expenses incurred	2011-12-31	$93,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$85,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$212,228
Value of total assets at end of year	2011-12-31	$781,947
Value of total assets at beginning of year	2011-12-31	$679,700
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$7,655
Total interest from all sources	2011-12-31	$2,545
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$19,406
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$19,406
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$400,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$207,234
Participant contributions at end of year	2011-12-31	$37,237
Participant contributions at end of year	2011-12-31	$8,602
Participant contributions at beginning of year	2011-12-31	$3,427
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$1,560
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$666
Other income not declared elsewhere	2011-12-31	$-746
Total non interest bearing cash at end of year	2011-12-31	$742
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$101,599
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$781,299
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$679,700
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$3,253
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$629,880
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$476,308
Value of interest in pooled separate accounts at end of year	2011-12-31	$87,897
Interest on participant loans	2011-12-31	$2,545
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,678
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$15,245
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$199,965
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-41,055
Net investment gain/loss from pooled separate accounts	2011-12-31	$-2,111
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$3,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$85,730
Contract administrator fees	2011-12-31	$4,402
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	2011-12-31	Yes
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$648
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$667,535
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$662,818
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	LAUTZE & LAUTZE CPAS AND FINANCIAL
Accountancy firm EIN	2011-12-31	942513310
2010 : BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$164,408
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$41,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$40,636
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$100,767
Value of total assets at end of year	2010-12-31	$679,700
Value of total assets at beginning of year	2010-12-31	$556,643
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$715
Total interest from all sources	2010-12-31	$5,005
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$400,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$97,907
Participant contributions at end of year	2010-12-31	$3,427
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$2,860
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$715
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$123,057
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$679,700
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$556,643
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$476,308
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$391,430
Interest on participant loans	2010-12-31	$0
Interest earned on other investments	2010-12-31	$5,005
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$199,965
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$165,213
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Net investment gain/loss from pooled separate accounts	2010-12-31	$58,636
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$40,636
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LAUTZE & LAUTZE
Accountancy firm EIN	2010-12-31	942513310
2009 : BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN

2016: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: BOYS & GIRLS CLUBS OF SAN FRANCISCO 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

055439-J

Policy instance

Insurance contract or identification number	055439-J
Number of Individuals Covered	12
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31

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

Policy contract number

055439-J

Policy instance

Insurance contract or identification number	055439-J
Number of Individuals Covered	13
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31

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

Policy contract number

055439-J

Policy instance

Insurance contract or identification number	055439-J
Number of Individuals Covered	13
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31

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

Policy contract number

055439-J

Policy instance

Insurance contract or identification number	055439-J
Number of Individuals Covered	15
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of fees paid to insurance company	USD $1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	3
Insurance broker name	ABBAS MOLOO

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

Policy contract number

055439-J

Policy instance

Insurance contract or identification number	055439-J
Number of Individuals Covered	18
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of fees paid to insurance company	USD $162
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

055439J

Policy instance

Insurance contract or identification number	055439J
Number of Individuals Covered	60
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $299
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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BOYS & GIRLS CLUBS OF SAN FRANCISCO
Employer identification number (EIN):	941156608
NAIC Classification:	624100
NAIC Description:	Individual and Family Services