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| Plan Name | CENTER FOR COMMUNITY CHANGE GROUP SHORT TERM DISABILITY INSURANCE |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COMMUNITY CHANGE |
| Employer identification number (EIN): | 520888113 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about COMMUNITY CHANGE
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | |
| Company Identification Number: | C1120568 |
More information about COMMUNITY CHANGE
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2015-04-01 | RYAN YOUNG | |||
| 503 | 2014-04-01 | RYAN YOUNG |
| Measure | Date | Value |
|---|---|---|
| 2015: CENTER FOR COMMUNITY CHANGE GROUP SHORT TERM DISABILITY INSURANCE 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-04-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 76 |
| Number of retired or separated participants receiving benefits | 2015-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-04-01 | 0 |
| Total of all active and inactive participants | 2015-04-01 | 76 |
| 2014: CENTER FOR COMMUNITY CHANGE GROUP SHORT TERM DISABILITY INSURANCE 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-04-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-04-01 | 113 |
| Number of retired or separated participants receiving benefits | 2014-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-04-01 | 0 |
| Total of all active and inactive participants | 2014-04-01 | 113 |
| 2015: CENTER FOR COMMUNITY CHANGE GROUP SHORT TERM DISABILITY INSURANCE 2015 form 5500 responses | ||
|---|---|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Submission has been amended | No |
| 2015-04-01 | This submission is the final filing | No |
| 2015-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-04-01 | Plan is a collectively bargained plan | No |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: CENTER FOR COMMUNITY CHANGE GROUP SHORT TERM DISABILITY INSURANCE 2014 form 5500 responses | ||
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | First time form 5500 has been submitted | Yes |
| 2014-04-01 | Submission has been amended | No |
| 2014-04-01 | This submission is the final filing | No |
| 2014-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-04-01 | Plan is a collectively bargained plan | No |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G156936 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G156936 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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