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BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 401k Plan overview

Plan NameBOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN
Plan identification number 003

BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BOYS & GIRLS CLUBS OF THE VALLEY, INC. has sponsored the creation of one or more 401k plans.

Company Name:BOYS & GIRLS CLUBS OF THE VALLEY, INC.
Employer identification number (EIN):860550646
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032023-01-01
0032022-01-01
0032021-01-01
0032020-01-01

Plan Statistics for BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN

401k plan membership statisitcs for BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN

Measure Date Value
2023: BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01310
Total number of active participants reported on line 7a of the Form 55002023-01-01173
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0178
Total of all active and inactive participants2023-01-01251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01251
Number of participants with account balances2023-01-01194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-017
2022: BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01301
Total number of active participants reported on line 7a of the Form 55002022-01-01152
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01110
Total of all active and inactive participants2022-01-01262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01262
Number of participants with account balances2022-01-01223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-018
2021: BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01290
Total number of active participants reported on line 7a of the Form 55002021-01-01133
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01136
Total of all active and inactive participants2021-01-01269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01269
Number of participants with account balances2021-01-01248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0115
2020: BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01282
Total number of active participants reported on line 7a of the Form 55002020-01-01154
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01109
Total of all active and inactive participants2020-01-01263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01263
Number of participants with account balances2020-01-01224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-019

Financial Data on BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN

Measure Date Value
2023 : BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,132,643
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$985,619
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$957,903
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$397,149
Value of total assets at end of year2023-12-31$4,827,245
Value of total assets at beginning of year2023-12-31$4,680,221
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$27,716
Total interest from all sources2023-12-31$542
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Participant contributions at end of year2023-12-31$0
Participant contributions at beginning of year2023-12-31$9,440
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$0
Total non interest bearing cash at end of year2023-12-31$0
Total non interest bearing cash at beginning of year2023-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$147,024
Value of net assets at end of year (total assets less liabilities)2023-12-31$4,827,245
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$4,680,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$9,942
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$4,423,231
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$4,337,593
Value of interest in pooled separate accounts at end of year2023-12-31$1,144
Value of interest in pooled separate accounts at beginning of year2023-12-31$1,324
Interest on participant loans2023-12-31$277
Interest earned on other investments2023-12-31$265
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$5,721
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$5,455
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$735,132
Net investment gain/loss from pooled separate accounts2023-12-31$-180
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$397,149
Employer contributions (assets) at end of year2023-12-31$397,149
Employer contributions (assets) at beginning of year2023-12-31$326,409
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$957,903
Contract administrator fees2023-12-31$8,941
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31KIMBERLIN COMPANY, PLLC
Accountancy firm EIN2023-12-31455497718
2022 : BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$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$0
Total income from all sources (including contributions)2022-12-31$-681,992
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$486,708
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$465,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$326,409
Value of total assets at end of year2022-12-31$4,680,221
Value of total assets at beginning of year2022-12-31$5,848,921
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$21,320
Total interest from all sources2022-12-31$995
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Participant contributions at end of year2022-12-31$9,440
Participant contributions at beginning of year2022-12-31$16,943
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,168,700
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,680,221
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,848,921
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$10,373
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,337,593
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$5,518,073
Value of interest in pooled separate accounts at end of year2022-12-31$1,324
Value of interest in pooled separate accounts at beginning of year2022-12-31$1,224
Interest on participant loans2022-12-31$772
Interest earned on other investments2022-12-31$223
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$5,455
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$6,164
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,009,496
Net investment gain/loss from pooled separate accounts2022-12-31$100
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$326,409
Employer contributions (assets) at end of year2022-12-31$326,409
Employer contributions (assets) at beginning of year2022-12-31$306,517
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$465,388
Contract administrator fees2022-12-31$10,947
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KIMBERLIN COMPANY, PLLC
Accountancy firm EIN2022-12-31455497718
2021 : BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$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$1,041,910
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$425,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$398,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$306,517
Value of total assets at end of year2021-12-31$5,848,921
Value of total assets at beginning of year2021-12-31$5,232,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$27,193
Total interest from all sources2021-12-31$2,996
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Participant contributions at end of year2021-12-31$16,943
Participant contributions at beginning of year2021-12-31$59,567
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$616,085
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,848,921
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,232,836
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$10,409
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$5,518,073
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$4,836,837
Value of interest in pooled separate accounts at end of year2021-12-31$1,224
Value of interest in pooled separate accounts at beginning of year2021-12-31$1,283
Interest on participant loans2021-12-31$1,708
Interest earned on other investments2021-12-31$1,288
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$6,164
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$47,477
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$732,192
Net investment gain/loss from pooled separate accounts2021-12-31$205
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$306,517
Employer contributions (assets) at end of year2021-12-31$306,517
Employer contributions (assets) at beginning of year2021-12-31$287,672
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$398,632
Contract administrator fees2021-12-31$16,784
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KIMBERLIN COMPANY, PLLC
Accountancy firm EIN2021-12-31455497718
2020 : BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$2,097,838
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$0
Total income from all sources (including contributions)2020-12-31$1,207,379
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$555,011
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$533,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$287,672
Value of total assets at end of year2020-12-31$5,232,836
Value of total assets at beginning of year2020-12-31$2,482,630
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$21,355
Total interest from all sources2020-12-31$5,690
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 year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$300,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Participant contributions at end of year2020-12-31$59,567
Participant contributions at beginning of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$914,028
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$652,368
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,232,836
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,482,630
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$8,830
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$4,836,837
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,203,652
Value of interest in pooled separate accounts at end of year2020-12-31$1,283
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,294
Interest on participant loans2020-12-31$2,640
Interest earned on other investments2020-12-31$3,050
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$47,477
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$87,160
Net investment gain/loss from pooled separate accounts2020-12-31$-11
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$287,672
Employer contributions (assets) at end of year2020-12-31$287,672
Employer contributions (assets) at beginning of year2020-12-31$190,524
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$533,656
Contract administrator fees2020-12-31$12,525
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31KIMBERLIN COMPANY, PLLC
Accountancy firm EIN2020-12-31455497718

Form 5500 Responses for BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN

2023: BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BOYS & GIRLS CLUBS OF THE VALLEY, INC. RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number358781
Policy instance 1
Insurance contract or identification number358781
Number of Individuals Covered5
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number358781
Policy instance 1
Insurance contract or identification number358781
Number of Individuals Covered5
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number358781
Policy instance 1
Insurance contract or identification number358781
Number of Individuals Covered6
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number358781
Policy instance 1
Insurance contract or identification number358781
Number of Individuals Covered21
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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