401k Plan data: FOOTHILL FAMILY SERVICE 403(B) PLAN plan

FOOTHILL FAMILY SERVICE 403(B) PLAN 401k Plan overview

Plan Name	FOOTHILL FAMILY SERVICE 403(B) PLAN
Plan identification number	003

FOOTHILL FAMILY SERVICE 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 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

FOOTHILL FAMILY SERVICE has sponsored the creation of one or more 401k plans.

Company Name: FOOTHILL FAMILY SERVICE

Employer identification number (EIN): 951690990

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Additional information about FOOTHILL FAMILY SERVICE

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C0189469

More information about FOOTHILL FAMILY SERVICE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOOTHILL FAMILY SERVICE 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 JAMES SIEGRIST
003 2016-01-01 JAMES SIEGRIST
003 2015-01-01 JAMES SIEGRIST
003 2014-01-01 JAMES SIEGRIST
003 2013-01-01 JAMES SIEGRIST
003 2012-01-01 JAMES SIEGRIST JAMES SIEGRIST 2013-10-14
003 2011-01-01 JAMES SIEGRIST
003 2009-01-01 JAN LLEWELLYN

Plan Statistics for FOOTHILL FAMILY SERVICE 403(B) PLAN

401k plan membership statisitcs for FOOTHILL FAMILY SERVICE 403(B) PLAN

Measure Date Value
2022: FOOTHILL FAMILY SERVICE 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 406
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 279
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 122
Total of all active and inactive participants 2022-01-01 401
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 401
Number of participants with account balances 2022-01-01 391
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 36
2021: FOOTHILL FAMILY SERVICE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 400
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 278
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 128
Total of all active and inactive participants 2021-01-01 406
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 406
Number of participants with account balances 2021-01-01 395
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 47
2020: FOOTHILL FAMILY SERVICE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 436
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 291
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 109
Total of all active and inactive participants 2020-01-01 400
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 400
Number of participants with account balances 2020-01-01 391
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 28
2019: FOOTHILL FAMILY SERVICE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 388
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 327
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 110
Total of all active and inactive participants 2019-01-01 437
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 437
Number of participants with account balances 2019-01-01 398
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 37
2018: FOOTHILL FAMILY SERVICE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 382
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 298
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 90
Total of all active and inactive participants 2018-01-01 388
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 388
Number of participants with account balances 2018-01-01 332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 23
2017: FOOTHILL FAMILY SERVICE 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 339
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 301
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 83
Total of all active and inactive participants 2017-01-01 384
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 384
Number of participants with account balances 2017-01-01 323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 29
2016: FOOTHILL FAMILY SERVICE 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 350
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 262
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 77
Total of all active and inactive participants 2016-01-01 339
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 339
Number of participants with account balances 2016-01-01 313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 15
2015: FOOTHILL FAMILY SERVICE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 375
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 271
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 60
Total of all active and inactive participants 2015-01-01 331
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 331
Number of participants with account balances 2015-01-01 304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 9
2014: FOOTHILL FAMILY SERVICE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 335
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 244
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 77
Total of all active and inactive participants 2014-01-01 321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 321
Number of participants with account balances 2014-01-01 320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 12
2013: FOOTHILL FAMILY SERVICE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 224
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 111
Total of all active and inactive participants 2013-01-01 335
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 335
Number of participants with account balances 2013-01-01 311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 10
2012: FOOTHILL FAMILY SERVICE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 118
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 46
Total of all active and inactive participants 2012-01-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 164
Number of participants with account balances 2012-01-01 164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: FOOTHILL FAMILY SERVICE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 95
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 44
Total of all active and inactive participants 2011-01-01 139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 139
Number of participants with account balances 2011-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: FOOTHILL FAMILY SERVICE 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 262
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 239
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 39
Total of all active and inactive participants 2009-01-01 278
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 278
Number of participants with account balances 2009-01-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: FOOTHILL FAMILY SERVICE 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	406
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	279
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	122
Total of all active and inactive participants	2022-01-01	401
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	401
Number of participants with account balances	2022-01-01	391
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	36
2021: FOOTHILL FAMILY SERVICE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	400
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	278
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	128
Total of all active and inactive participants	2021-01-01	406
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	406
Number of participants with account balances	2021-01-01	395
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	47
2020: FOOTHILL FAMILY SERVICE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	436
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	291
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	109
Total of all active and inactive participants	2020-01-01	400
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	400
Number of participants with account balances	2020-01-01	391
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	28
2019: FOOTHILL FAMILY SERVICE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	388
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	327
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	110
Total of all active and inactive participants	2019-01-01	437
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	437
Number of participants with account balances	2019-01-01	398
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	37
2018: FOOTHILL FAMILY SERVICE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	382
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	298
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	90
Total of all active and inactive participants	2018-01-01	388
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	388
Number of participants with account balances	2018-01-01	332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	23
2017: FOOTHILL FAMILY SERVICE 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	339
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	301
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	83
Total of all active and inactive participants	2017-01-01	384
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	384
Number of participants with account balances	2017-01-01	323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	29
2016: FOOTHILL FAMILY SERVICE 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	350
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	262
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	77
Total of all active and inactive participants	2016-01-01	339
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	339
Number of participants with account balances	2016-01-01	313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	15
2015: FOOTHILL FAMILY SERVICE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	375
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	271
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	60
Total of all active and inactive participants	2015-01-01	331
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	331
Number of participants with account balances	2015-01-01	304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	9
2014: FOOTHILL FAMILY SERVICE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	335
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	244
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	77
Total of all active and inactive participants	2014-01-01	321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	321
Number of participants with account balances	2014-01-01	320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	12
2013: FOOTHILL FAMILY SERVICE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	224
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	111
Total of all active and inactive participants	2013-01-01	335
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	335
Number of participants with account balances	2013-01-01	311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	10
2012: FOOTHILL FAMILY SERVICE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	118
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	46
Total of all active and inactive participants	2012-01-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	164
Number of participants with account balances	2012-01-01	164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: FOOTHILL FAMILY SERVICE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	95
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	44
Total of all active and inactive participants	2011-01-01	139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	139
Number of participants with account balances	2011-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: FOOTHILL FAMILY SERVICE 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	262
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	239
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	39
Total of all active and inactive participants	2009-01-01	278
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	278
Number of participants with account balances	2009-01-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on FOOTHILL FAMILY SERVICE 403(B) PLAN

Measure	Date	Value
2022 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-1,753,730
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,340,230
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,288,183
Value of total corrective distributions	2022-12-31	$1,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,642,548
Value of total assets at end of year	2022-12-31	$16,342,800
Value of total assets at beginning of year	2022-12-31	$19,436,760
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$50,789
Total interest from all sources	2022-12-31	$17,704
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$402,706
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$402,706
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$953,250
Participant contributions at end of year	2022-12-31	$298,728
Participant contributions at beginning of year	2022-12-31	$279,662
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$96,785
Other income not declared elsewhere	2022-12-31	$4,609
Administrative expenses (other) incurred	2022-12-31	$50,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-3,093,960
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$16,342,800
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$19,436,760
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$14,748,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$17,216,099
Value of interest in pooled separate accounts at end of year	2022-12-31	$1,048,170
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$1,365,097
Interest on participant loans	2022-12-31	$14,000
Interest earned on other investments	2022-12-31	$3,704
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$247,835
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$575,902
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-3,551,051
Net investment gain/loss from pooled separate accounts	2022-12-31	$-270,246
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$592,513
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,288,183
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HARRINGTON GROUP, CPAS, LLP
Accountancy firm EIN	2022-12-31	954557617
2021 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$4,042,139
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$661,247
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$630,820
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,571,985
Value of total assets at end of year	2021-12-31	$19,436,760
Value of total assets at beginning of year	2021-12-31	$16,055,868
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$30,427
Total interest from all sources	2021-12-31	$23,939
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$557,538
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$557,538
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$914,812
Participant contributions at end of year	2021-12-31	$279,662
Participant contributions at beginning of year	2021-12-31	$275,829
Other income not declared elsewhere	2021-12-31	$4,629
Administrative expenses (other) incurred	2021-12-31	$30,427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$3,380,892
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$19,436,760
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$16,055,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$17,216,099
Value of interest in pooled separate accounts at end of year	2021-12-31	$1,365,097
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$14,903,668
Interest on participant loans	2021-12-31	$13,809
Interest earned on other investments	2021-12-31	$10,130
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$575,902
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$876,371
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,670,505
Net investment gain/loss from pooled separate accounts	2021-12-31	$213,543
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$657,173
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$630,820
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	2021-12-31	Yes
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HARRINGTON GROUP, CPAS, LLP
Accountancy firm EIN	2021-12-31	954557617
2020 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,029
Total income from all sources (including contributions)	2020-12-31	$3,427,491
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$643,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$607,469
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,400,131
Value of total assets at end of year	2020-12-31	$16,055,868
Value of total assets at beginning of year	2020-12-31	$13,274,023
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$36,148
Total interest from all sources	2020-12-31	$17,203
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$820,335
Participant contributions at end of year	2020-12-31	$275,829
Participant contributions at beginning of year	2020-12-31	$187,850
Participant contributions at beginning of year	2020-12-31	$92
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$29,472
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$2,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,783,874
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$16,055,868
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$13,271,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in pooled separate accounts at end of year	2020-12-31	$14,903,668
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$12,934,426
Interest on participant loans	2020-12-31	$9,283
Interest earned on other investments	2020-12-31	$7,920
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$876,371
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$151,608
Net investment gain/loss from pooled separate accounts	2020-12-31	$2,010,157
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$550,324
Employer contributions (assets) at beginning of year	2020-12-31	$47
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$607,469
Contract administrator fees	2020-12-31	$36,148
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	HARRINGTON GROUP, CPAS, LLP
Accountancy firm EIN	2020-12-31	954557617
2019 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,029
Total income from all sources (including contributions)	2019-12-31	$3,842,355
Total of all expenses incurred	2019-12-31	$496,552
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$488,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,559,518
Value of total assets at end of year	2019-12-31	$13,274,023
Value of total assets at beginning of year	2019-12-31	$9,926,191
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$7,876
Total interest from all sources	2019-12-31	$12,315
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$706,514
Participant contributions at end of year	2019-12-31	$187,850
Participant contributions at beginning of year	2019-12-31	$166,254
Participant contributions at end of year	2019-12-31	$92
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$344,164
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$2,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$3,345,803
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$13,271,994
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$9,926,191
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$12,934,426
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$9,645,741
Interest on participant loans	2019-12-31	$9,597
Interest earned on other investments	2019-12-31	$2,718
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$151,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$114,196
Net investment gain/loss from pooled separate accounts	2019-12-31	$2,270,522
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$508,840
Employer contributions (assets) at end of year	2019-12-31	$47
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$488,676
Contract administrator fees	2019-12-31	$7,876
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HARRINGTON GROUP, CPAS, LLP
Accountancy firm EIN	2019-12-31	954557617
2018 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$527,338
Total of all expenses incurred	2018-12-31	$895,329
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$888,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,168,544
Value of total assets at end of year	2018-12-31	$9,926,191
Value of total assets at beginning of year	2018-12-31	$10,294,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$6,796
Total interest from all sources	2018-12-31	$8,884
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$626,620
Participant contributions at end of year	2018-12-31	$166,254
Participant contributions at beginning of year	2018-12-31	$107,383
Participant contributions at beginning of year	2018-12-31	$108
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$61,542
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-367,991
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$9,926,191
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$10,294,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in pooled separate accounts at end of year	2018-12-31	$9,645,741
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$10,103,247
Interest on participant loans	2018-12-31	$7,017
Interest earned on other investments	2018-12-31	$1,867
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$114,196
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$83,336
Net investment gain/loss from pooled separate accounts	2018-12-31	$-650,090
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$480,382
Employer contributions (assets) at beginning of year	2018-12-31	$108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$888,533
Contract administrator fees	2018-12-31	$6,796
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	HARRINGTON GROUP, CPAS, LLP
Accountancy firm EIN	2018-12-31	954557617
2017 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$2,430,338
Total of all expenses incurred	2017-12-31	$767,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$760,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,074,706
Value of total assets at end of year	2017-12-31	$10,294,182
Value of total assets at beginning of year	2017-12-31	$8,631,277
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$7,171
Total interest from all sources	2017-12-31	$10,165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$577,807
Participant contributions at end of year	2017-12-31	$107,383
Participant contributions at beginning of year	2017-12-31	$147,763
Participant contributions at end of year	2017-12-31	$108
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$25,616
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,662,905
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$10,294,182
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$8,631,277
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$10,103,247
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$8,381,237
Interest on participant loans	2017-12-31	$8,409
Interest earned on other investments	2017-12-31	$1,756
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$83,336
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$102,277
Net investment gain/loss from pooled separate accounts	2017-12-31	$1,345,467
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$471,283
Employer contributions (assets) at end of year	2017-12-31	$108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$760,262
Contract administrator fees	2017-12-31	$7,171
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	HARRINGTON GROUP, CPAS, LLP
Accountancy firm EIN	2017-12-31	954557617
2016 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$1,950,007
Total of all expenses incurred	2016-12-31	$565,511
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$558,579
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,370,053
Value of total assets at end of year	2016-12-31	$8,631,277
Value of total assets at beginning of year	2016-12-31	$7,246,781
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$6,932
Total interest from all sources	2016-12-31	$9,557
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$300,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$584,925
Participant contributions at end of year	2016-12-31	$147,763
Participant contributions at beginning of year	2016-12-31	$137,336
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$287,223
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
Value of net income/loss	2016-12-31	$1,384,496
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$8,631,277
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,246,781
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
Value of interest in pooled separate accounts at end of year	2016-12-31	$8,381,237
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$7,072,803
Interest on participant loans	2016-12-31	$8,094
Interest earned on other investments	2016-12-31	$1,463
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$102,277
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$36,642
Net investment gain/loss from pooled separate accounts	2016-12-31	$570,397
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	$497,905
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$558,579
Contract administrator fees	2016-12-31	$6,932
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	No
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	ROGER A. BROWN & CO LLP
Accountancy firm EIN	2016-12-31	275023185
2015 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$1,149,242
Total of all expenses incurred	2015-12-31	$704,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$696,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,227,601
Value of total assets at end of year	2015-12-31	$7,246,781
Value of total assets at beginning of year	2015-12-31	$6,801,949
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$7,743
Total interest from all sources	2015-12-31	$6,942
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$300,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$587,991
Participant contributions at end of year	2015-12-31	$137,336
Participant contributions at beginning of year	2015-12-31	$110,795
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$103,634
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	$444,832
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$7,246,781
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,801,949
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
Value of interest in pooled separate accounts at end of year	2015-12-31	$7,072,803
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$6,612,575
Interest on participant loans	2015-12-31	$5,765
Interest earned on other investments	2015-12-31	$1,177
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$36,642
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$78,579
Net investment gain/loss from pooled separate accounts	2015-12-31	$-85,301
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
Contributions received in cash from employer	2015-12-31	$535,976
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$696,667
Contract administrator fees	2015-12-31	$7,743
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
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	ROGER A. BROWN & CO LLP
Accountancy firm EIN	2015-12-31	275023185
2014 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$4,347,107
Total of all expenses incurred	2014-12-31	$1,045,977
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,039,983
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,926,324
Value of total assets at end of year	2014-12-31	$6,801,949
Value of total assets at beginning of year	2014-12-31	$3,500,819
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$5,994
Total interest from all sources	2014-12-31	$4,547
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$300,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$578,540
Participant contributions at end of year	2014-12-31	$110,795
Participant contributions at beginning of year	2014-12-31	$5,549
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$2,822,189
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	$3,301,130
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,801,949
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,500,819
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,378,431
Value of interest in pooled separate accounts at end of year	2014-12-31	$6,612,575
Interest on participant loans	2014-12-31	$2,665
Interest earned on other investments	2014-12-31	$1,882
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$78,579
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$116,839
Net investment gain/loss from pooled separate accounts	2014-12-31	$416,236
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
Contributions received in cash from employer	2014-12-31	$525,595
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,039,983
Contract administrator fees	2014-12-31	$5,994
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
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	ROGER A. BROWN & CO LLP
Accountancy firm EIN	2014-12-31	275023185
2013 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$1,103,952
Total of all expenses incurred	2013-12-31	$1,064,866
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,064,375
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$398,874
Value of total assets at end of year	2013-12-31	$3,500,819
Value of total assets at beginning of year	2013-12-31	$3,461,733
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$491
Total interest from all sources	2013-12-31	$4,394
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$374,382
Participant contributions at end of year	2013-12-31	$5,549
Participant contributions at beginning of year	2013-12-31	$9,787
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$24,492
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	$39,086
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,500,819
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,461,733
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	$3,378,431
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,017,663
Interest earned on other investments	2013-12-31	$4,394
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$116,839
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$434,283
Net investment gain/loss from pooled separate accounts	2013-12-31	$700,684
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	No
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	$1,064,375
Contract administrator fees	2013-12-31	$491
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	Yes
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
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	ROGER A. BROWN & CO LLP
Accountancy firm EIN	2013-12-31	275023185
2012 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$765,891
Total of all expenses incurred	2012-12-31	$84,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$84,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$423,478
Value of total assets at end of year	2012-12-31	$3,461,733
Value of total assets at beginning of year	2012-12-31	$2,780,263
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$10,372
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$569,025
Amount contributed by the employer to the plan for this plan year	2012-12-31	$569,025
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$341,207
Participant contributions at end of year	2012-12-31	$9,787
Participant contributions at beginning of year	2012-12-31	$15,239
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$82,271
Administrative expenses (other) incurred	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Income. Non cash contributions	2012-12-31	$0
Value of net income/loss	2012-12-31	$681,470
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,461,733
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,780,263
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,017,663
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,411,067
Interest earned on other investments	2012-12-31	$10,372
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$434,283
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$353,957
Net investment gain/loss from pooled separate accounts	2012-12-31	$332,041
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
Contributions received in cash from employer	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$84,421
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
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	ROGER A. BROWN & COMPANY
Accountancy firm EIN	2012-12-31	953921995
2011 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$360,024
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$111,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$111,577
Expenses. Certain deemed distributions of participant loans	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$382,393
Value of total assets at end of year	2011-12-31	$2,780,263
Value of total assets at beginning of year	2011-12-31	$2,531,816
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$9,015
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$320,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$328,257
Participant contributions at end of year	2011-12-31	$15,239
Participant contributions at beginning of year	2011-12-31	$1,983
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$54,136
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$248,447
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,780,263
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,531,816
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,411,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,233,973
Interest on participant loans	2011-12-31	$0
Interest earned on other investments	2011-12-31	$9,015
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$353,957
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$295,860
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from pooled separate accounts	2011-12-31	$-31,384
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$111,577
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
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	ROGER A. BROWN & COMPANY
Accountancy firm EIN	2011-12-31	953921995
2010 : FOOTHILL FAMILY SERVICE 403(B) PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$637,596
Total of all expenses incurred	2010-12-31	$87,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$85,802
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$340,701
Value of total assets at end of year	2010-12-31	$2,531,816
Value of total assets at beginning of year	2010-12-31	$1,981,331
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,309
Total interest from all sources	2010-12-31	$8,359
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	$320,000
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	$299,811
Participant contributions at end of year	2010-12-31	$1,983
Participant contributions at beginning of year	2010-12-31	$1,983
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$40,890
Administrative expenses (other) incurred	2010-12-31	$1,309
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	$550,485
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,531,816
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,981,331
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	$2,233,973
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,703,549
Interest on participant loans	2010-12-31	$0
Interest earned on other investments	2010-12-31	$8,359
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$295,860
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$275,799
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	$288,536
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	No
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	$85,802
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	ROGER A. BROWN & COMPANY
Accountancy firm EIN	2010-12-31	953921995
2009 : FOOTHILL FAMILY SERVICE 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 FOOTHILL FAMILY SERVICE 403(B) PLAN

2022: FOOTHILL FAMILY SERVICE 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: FOOTHILL FAMILY SERVICE 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: FOOTHILL FAMILY SERVICE 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: FOOTHILL FAMILY SERVICE 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: FOOTHILL FAMILY SERVICE 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: FOOTHILL FAMILY SERVICE 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: FOOTHILL FAMILY SERVICE 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: FOOTHILL FAMILY SERVICE 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: FOOTHILL FAMILY SERVICE 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: FOOTHILL FAMILY SERVICE 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: FOOTHILL FAMILY SERVICE 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: FOOTHILL FAMILY SERVICE 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: FOOTHILL FAMILY SERVICE 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

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	29
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

664561

Policy instance

Insurance contract or identification number	664561
Number of Individuals Covered	401
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $113
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $113
Insurance broker organization code?	3

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62304

Policy instance

Insurance contract or identification number	G62304
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-02-10
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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

Policy contract number

664561

Policy instance

Insurance contract or identification number	664561
Number of Individuals Covered	406
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $138
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $138
Insurance broker organization code?	3

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

Policy contract number

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	31
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?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62304

Policy instance

Insurance contract or identification number	G62304
Number of Individuals Covered	353
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 unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	32
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
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62304

Policy instance

Insurance contract or identification number	G62304
Number of Individuals Covered	360
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 unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	32
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
Contracts With Unallocated Funds Deposit Administration	1
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

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	33
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62304

Policy instance

Insurance contract or identification number	G62304
Number of Individuals Covered	277
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62304

Policy instance

Insurance contract or identification number	G62304
Number of Individuals Covered	277
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 unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	35
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
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62304

Policy instance

Insurance contract or identification number	G62304
Number of Individuals Covered	252
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	38
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	43
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,174
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1174
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	LOS ANGELES REGIONAL OFFICE

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62304

Policy instance

Insurance contract or identification number	G62304
Number of Individuals Covered	270
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62304

Policy instance

Insurance contract or identification number	G62304
Number of Individuals Covered	262
Insurance policy start date	2013-09-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

248005-K

Policy instance

Insurance contract or identification number	248005-K
Number of Individuals Covered	57
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,593
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1593
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	LOS ANGELES REGIONAL OFFICE

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

Policy contract number

053869-C

Policy instance

Insurance contract or identification number	053869-C
Number of Individuals Covered	164
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,446
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	783
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	JOHN COTTEE

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

Policy contract number

248005K

Policy instance

Insurance contract or identification number	248005K
Number of Individuals Covered	139
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $787
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

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

Policy contract number

248005K

Policy instance

Insurance contract or identification number	248005K
Number of Individuals Covered	312
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 $912
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	411
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	3
Insurance broker name	TODD R. DIXON

Potentially related plans

FOOTHILL FAMILY PRACTICE MEDICAL GROUP, INC. PROFIT SHARING PLAN [EIN = 952701387]

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Company Name:	FOOTHILL FAMILY SERVICE
Employer identification number (EIN):	951690990
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C0189469