401k Plan data: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE plan

EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 401k Plan overview

Plan Name	EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE
Plan identification number	003

EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
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

CHICAGO URBAN LEAGUE has sponsored the creation of one or more 401k plans.

Company Name: CHICAGO URBAN LEAGUE

Employer identification number (EIN): 362225483

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE

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 MARGUERITE CRUSOE 2022-07-14
003 2020-07-01 WEI ANITON 2021-07-16
003 2020-07-01 WEI ANITON 2021-07-28
003 2019-07-01 DYAMOND ROSS 2020-12-08
003 2019-07-01 DYAMOND ROSS 2021-05-26
003 2018-07-01
003 2018-07-01
003 2017-07-01 LAWRENCE WITRY 2019-04-05 LAWRENCE WITRY 2019-04-05
003 2016-07-01 LAWRENCW WITRY LAWRENCW WITRY 2018-03-13
003 2015-07-01 LAWRENCW WITRY
003 2014-07-01 LAWRENCE WITRY LAWRENCE WITRY 2016-04-07
003 2013-07-01 LAWRENCE WITRY LAWRENCE WITRY 2015-04-15

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	MARGUERITE CRUSOE	2022-07-14
003	2020-07-01	WEI ANITON	2021-07-16
003	2020-07-01	WEI ANITON	2021-07-28
003	2019-07-01	DYAMOND ROSS	2020-12-08
003	2019-07-01	DYAMOND ROSS	2021-05-26
003	2018-07-01
003	2018-07-01
003	2017-07-01	LAWRENCE WITRY	2019-04-05	LAWRENCE WITRY	2019-04-05
003	2016-07-01	LAWRENCW WITRY		LAWRENCW WITRY	2018-03-13
003	2015-07-01	LAWRENCW WITRY
003	2014-07-01	LAWRENCE WITRY		LAWRENCE WITRY	2016-04-07
003	2013-07-01	LAWRENCE WITRY		LAWRENCE WITRY	2015-04-15

Plan Statistics for EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE

Measure Date Value
2022: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2022 401k membership
Total participants, beginning-of-year 2022-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 130
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 39
Total of all active and inactive participants 2022-01-01 169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 169
Number of participants with account balances 2022-01-01 115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 7
2018: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2018 401k membership
Total participants, beginning-of-year 2018-07-01 127
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 59
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 33
Total of all active and inactive participants 2018-07-01 92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 92
Number of participants with account balances 2018-07-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 2
2017: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2017 401k membership
Total participants, beginning-of-year 2017-07-01 125
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 72
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 55
Total of all active and inactive participants 2017-07-01 127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 127
Number of participants with account balances 2017-07-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 3
2016: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2016 401k membership
Total participants, beginning-of-year 2016-07-01 128
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 71
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 54
Total of all active and inactive participants 2016-07-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 125
Number of participants with account balances 2016-07-01 106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 7
2015: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2015 401k membership
Total participants, beginning-of-year 2015-07-01 128
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 75
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 53
Total of all active and inactive participants 2015-07-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 128
Number of participants with account balances 2015-07-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 10
2014: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2014 401k membership
Total participants, beginning-of-year 2014-07-01 127
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 78
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 50
Total of all active and inactive participants 2014-07-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 128
Number of participants with account balances 2014-07-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 10
2013: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2013 401k membership
Total participants, beginning-of-year 2013-07-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 70
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 57
Total of all active and inactive participants 2013-07-01 127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 127
Number of participants with account balances 2013-07-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 3

Measure	Date	Value
2022: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2022 401k membership
Total participants, beginning-of-year	2022-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	130
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	39
Total of all active and inactive participants	2022-01-01	169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	169
Number of participants with account balances	2022-01-01	115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	7
2018: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2018 401k membership
Total participants, beginning-of-year	2018-07-01	127
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	59
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	33
Total of all active and inactive participants	2018-07-01	92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	92
Number of participants with account balances	2018-07-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	2
2017: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2017 401k membership
Total participants, beginning-of-year	2017-07-01	125
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	72
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	55
Total of all active and inactive participants	2017-07-01	127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	127
Number of participants with account balances	2017-07-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	3
2016: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2016 401k membership
Total participants, beginning-of-year	2016-07-01	128
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	71
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	54
Total of all active and inactive participants	2016-07-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	125
Number of participants with account balances	2016-07-01	106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	7
2015: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2015 401k membership
Total participants, beginning-of-year	2015-07-01	128
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	75
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	53
Total of all active and inactive participants	2015-07-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	128
Number of participants with account balances	2015-07-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	10
2014: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2014 401k membership
Total participants, beginning-of-year	2014-07-01	127
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	78
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	50
Total of all active and inactive participants	2014-07-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	128
Number of participants with account balances	2014-07-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	10
2013: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2013 401k membership
Total participants, beginning-of-year	2013-07-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	70
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	57
Total of all active and inactive participants	2013-07-01	127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	127
Number of participants with account balances	2013-07-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	3

Financial Data on EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE

Measure	Date	Value
2022 : EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 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	$-236,485
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$88,364
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$78,650
Expenses. Certain deemed distributions of participant loans	2022-12-31	$0
Value of total corrective distributions	2022-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$220,110
Value of total assets at end of year	2022-12-31	$2,800,904
Value of total assets at beginning of year	2022-12-31	$3,125,753
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$9,714
Total interest from all sources	2022-12-31	$1,977
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$99,040
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	$99,040
Assets. Real estate other than employer real property at beginning of year	2022-12-31	$0
Administrative expenses professional fees incurred	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-12-31	$0
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$311,636
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	$123,276
Participant contributions at end of year	2022-12-31	$39,126
Participant contributions at beginning of year	2022-12-31	$52,335
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$5,222
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Administrative expenses (other) incurred	2022-12-31	$0
Liabilities. Value of operating payables at beginning of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$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	2022-12-31	No
Value of net income/loss	2022-12-31	$-324,849
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,800,904
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,125,753
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
Assets. partnership/joint venture interests at beginning of year	2022-12-31	$0
Investment advisory and management fees	2022-12-31	$8,494
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,318,438
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,626,741
Value of interest in pooled separate accounts at end of year	2022-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$0
Interest on participant loans	2022-12-31	$1,977
Value of interest in master investment trust accounts at end of year	2022-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2022-12-31	$0
Value of interest in common/collective trusts at end of year	2022-12-31	$443,340
Value of interest in common/collective trusts at beginning of year	2022-12-31	$437,287
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-12-31	$0
Asset value of US Government securities at beginning of year	2022-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-557,612
Net investment gain/loss from pooled separate accounts	2022-12-31	$0
Net investment gain or loss from common/collective trusts	2022-12-31	$0
Net gain/loss from 103.12 investment entities	2022-12-31	$0
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
Assets. Invements in employer securities at beginning of year	2022-12-31	$0
Assets. Value of employer real property at beginning of year	2022-12-31	$0
Contributions received in cash from employer	2022-12-31	$96,834
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$4,168
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$78,650
Asset. Corporate debt instrument preferred debt at beginning of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-12-31	$0
Contract administrator fees	2022-12-31	$1,220
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	No
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-12-31	$0
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
Liabilities. Value of acquisition indebtedness at beginning of year	2022-12-31	$0
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	RINGOLD FINANCIALMANAGEMENTSERVICES
Accountancy firm EIN	2022-12-31	364583118
2019 : EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total transfer of assets from this plan	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$318,184
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$269,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$244,405
Expenses. Certain deemed distributions of participant loans	2019-06-30	$4,511
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$180,361
Value of total assets at end of year	2019-06-30	$2,430,113
Value of total assets at beginning of year	2019-06-30	$2,380,967
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$20,122
Total interest from all sources	2019-06-30	$881
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$92,079
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$92,079
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$239,000
If this is an individual account plan, was there a blackout period	2019-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$115,773
Participant contributions at end of year	2019-06-30	$37,849
Participant contributions at beginning of year	2019-06-30	$14,906
Administrative expenses (other) incurred	2019-06-30	$20,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$49,146
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$2,430,113
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$2,380,967
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$1,872,121
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$1,769,251
Interest on participant loans	2019-06-30	$881
Value of interest in common/collective trusts at end of year	2019-06-30	$520,143
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$588,978
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$29,216
Net investment gain or loss from common/collective trusts	2019-06-30	$13,002
Net gain/loss from 103.12 investment entities	2019-06-30	$2,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$64,588
Employer contributions (assets) at beginning of year	2019-06-30	$7,832
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$244,405
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-06-30	Yes
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	RINGOLD FINANCIAL MANAGEMENT SER
Accountancy firm EIN	2019-06-30	364583118
2018 : EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2018 401k financial data
Total income from all sources (including contributions)	2018-06-30	$314,697
Total of all expenses incurred	2018-06-30	$180,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$178,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$145,079
Value of total assets at end of year	2018-06-30	$2,380,967
Value of total assets at beginning of year	2018-06-30	$2,246,637
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$1,655
Total interest from all sources	2018-06-30	$721
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$224,664
If this is an individual account plan, was there a blackout period	2018-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$91,998
Participant contributions at end of year	2018-06-30	$14,906
Participant contributions at beginning of year	2018-06-30	$15,254
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$13,013
Administrative expenses (other) incurred	2018-06-30	$1,655
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$134,330
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$2,380,967
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$2,246,637
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$1,769,251
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$1,594,159
Interest on participant loans	2018-06-30	$721
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$588,978
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$637,224
Net investment gain/loss from pooled separate accounts	2018-06-30	$168,897
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$40,068
Employer contributions (assets) at end of year	2018-06-30	$7,832
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$178,712
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	ODELL HICKS & COMPANY LLC
Accountancy firm EIN	2018-06-30	363310351
2017 : EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$335,153
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$276,569
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$274,891
Expenses. Certain deemed distributions of participant loans	2017-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$131,274
Value of total assets at end of year	2017-06-30	$2,246,637
Value of total assets at beginning of year	2017-06-30	$2,188,053
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$1,678
Total interest from all sources	2017-06-30	$7,575
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Was this plan covered by a fidelity bond	2017-06-30	No
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$91,386
Participant contributions at end of year	2017-06-30	$15,254
Participant contributions at beginning of year	2017-06-30	$18,517
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$1,596
Other income not declared elsewhere	2017-06-30	$0
Administrative expenses (other) incurred	2017-06-30	$1,678
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$58,584
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$2,246,637
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$2,188,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$1,594,159
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$1,396,317
Interest on participant loans	2017-06-30	$606
Interest earned on other investments	2017-06-30	$6,969
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$637,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$773,219
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$0
Net investment gain/loss from pooled separate accounts	2017-06-30	$196,304
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$38,292
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$274,891
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	ODELL HICKS AND COMPANY LLC
Accountancy firm EIN	2017-06-30	363310351
2016 : EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$138,208
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$227,422
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$225,665
Expenses. Certain deemed distributions of participant loans	2016-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$147,358
Value of total assets at end of year	2016-06-30	$2,188,053
Value of total assets at beginning of year	2016-06-30	$2,277,267
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$1,757
Total interest from all sources	2016-06-30	$8,707
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	No
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$84,063
Participant contributions at end of year	2016-06-30	$18,517
Participant contributions at beginning of year	2016-06-30	$21,143
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$3,288
Other income not declared elsewhere	2016-06-30	$0
Administrative expenses (other) incurred	2016-06-30	$1,757
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-89,214
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$2,188,053
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$2,277,267
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$1,396,317
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$1,458,651
Interest on participant loans	2016-06-30	$892
Interest earned on other investments	2016-06-30	$7,815
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$773,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$797,473
Expenses. Payments to insurance carriers foe the provision of benefits	2016-06-30	$0
Net investment gain/loss from pooled separate accounts	2016-06-30	$-17,857
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$60,007
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$225,665
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	ODELL HICKS AND COMPANY LLC
Accountancy firm EIN	2016-06-30	363310351
2015 : EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$226,439
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$744,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$744,227
Expenses. Certain deemed distributions of participant loans	2015-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$135,177
Value of total assets at end of year	2015-06-30	$2,277,267
Value of total assets at beginning of year	2015-06-30	$2,795,355
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$300
Total interest from all sources	2015-06-30	$10,815
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	No
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$77,586
Participant contributions at end of year	2015-06-30	$21,143
Participant contributions at beginning of year	2015-06-30	$29,557
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$0
Other income not declared elsewhere	2015-06-30	$0
Administrative expenses (other) incurred	2015-06-30	$300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$-518,088
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$2,277,267
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$2,795,355
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$1,458,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$1,415,347
Interest on participant loans	2015-06-30	$1,098
Interest earned on other investments	2015-06-30	$9,717
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$797,473
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$1,350,451
Expenses. Payments to insurance carriers foe the provision of benefits	2015-06-30	$0
Net investment gain/loss from pooled separate accounts	2015-06-30	$80,447
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$57,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$744,227
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	ODELL HICKS AND COMPANY LLC
Accountancy firm EIN	2015-06-30	363310351
2014 : EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2014 401k financial data
Transfers to/from the plan	2014-06-30	$0
Total plan liabilities at end of year	2014-06-30	$0
Total plan liabilities at beginning of year	2014-06-30	$0
Total income from all sources	2014-06-30	$4,088,997
Expenses. Total of all expenses incurred	2014-06-30	$1,293,642
Benefits paid (including direct rollovers)	2014-06-30	$1,293,642
Total plan assets at end of year	2014-06-30	$2,795,355
Total plan assets at beginning of year	2014-06-30	$0
Total contributions received or receivable from participants	2014-06-30	$55,643
Expenses. Other expenses not covered elsewhere	2014-06-30	$0
Contributions received from other sources (not participants or employers)	2014-06-30	$88,037
Other income received	2014-06-30	$3,900,491
Net income (gross income less expenses)	2014-06-30	$2,795,355
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$2,795,355
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$0
Assets. Value of participant loans	2014-06-30	$29,557
Total contributions received or receivable from employer(s)	2014-06-30	$44,826
Value of certain deemed distributions of participant loans	2014-06-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE

2022: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 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 – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2018: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: EMPLOYEE BENEFIT PLAN OF CHICAGO URBAN LEAGUE 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	First time form 5500 has been submitted	Yes
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

050421-J

Policy instance

Insurance contract or identification number	050421-J
Number of Individuals Covered	0
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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

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

Policy contract number

050421-J

Policy instance

Insurance contract or identification number	050421-J
Number of Individuals Covered	127
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $401
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

050421J

Policy instance

Insurance contract or identification number	050421J
Number of Individuals Covered	128
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $442
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	442
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHICAGO REGIONAL OFFICE

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

Policy contract number

050421J

Policy instance

Insurance contract or identification number	050421J
Number of Individuals Covered	128
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $98
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	98
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHICAGO REGIONAL OFFICE

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

Policy contract number

050421J

Policy instance

Insurance contract or identification number	050421J
Number of Individuals Covered	127
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

Potentially related plans

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Company Name:	CHICAGO URBAN LEAGUE
Employer identification number (EIN):	362225483
NAIC Classification:	812990
NAIC Description:	All Other Personal Services