401k Plan data: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN plan

CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 401k Plan overview

Plan Name	CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN
Plan identification number	001

CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN Benefits

401k Plan Type

Defined 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.
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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

CHILDRENS CLINICS FOR REHABILITATIVE SERVICES has sponsored the creation of one or more 401k plans.

Company Name: CHILDRENS CLINICS FOR REHABILITATIVE SERVICES

Employer identification number (EIN): 860667510

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2020-01-01
001 2019-01-01 CHRIS FARLEY 2020-05-21
001 2018-01-01 WILLIAM J. VAN NOY 2019-09-09
001 2017-01-01 FRACKSON SAKALA 2018-10-12
001 2016-01-01 CATHY PETERSON 2017-10-10
001 2015-01-01 CATHY PETERSON 2016-07-22
001 2014-01-01 CATHY PETERSON 2015-07-31
001 2013-01-01 BETH FRANTZ 2014-09-30
001 2012-01-01 BETH FRANTZ 2013-07-10
001 2011-01-01 JILL BEMIS 2012-07-26
001 2010-01-01 JANIA ARNOLDI 2011-08-04 JILL BEMIS 2011-08-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2020-01-01
001	2019-01-01	CHRIS FARLEY	2020-05-21
001	2018-01-01	WILLIAM J. VAN NOY	2019-09-09
001	2017-01-01	FRACKSON SAKALA	2018-10-12
001	2016-01-01	CATHY PETERSON	2017-10-10
001	2015-01-01	CATHY PETERSON	2016-07-22
001	2014-01-01	CATHY PETERSON	2015-07-31
001	2013-01-01	BETH FRANTZ	2014-09-30
001	2012-01-01	BETH FRANTZ	2013-07-10
001	2011-01-01	JILL BEMIS	2012-07-26
001	2010-01-01	JANIA ARNOLDI	2011-08-04	JILL BEMIS	2011-08-05

Plan Statistics for CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN

401k plan membership statisitcs for CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN

Measure Date Value
2023: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 120
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 65
Total of all active and inactive participants 2023-01-01 185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 185
Number of participants with account balances 2023-01-01 167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 13
2022: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 103
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 51
Total of all active and inactive participants 2022-01-01 154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 154
Number of participants with account balances 2022-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 17
2021: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 104
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 38
Total of all active and inactive participants 2021-01-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 142
Number of participants with account balances 2021-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 11
2020: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 108
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 26
Total of all active and inactive participants 2020-01-01 134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 134
Number of participants with account balances 2020-01-01 121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 11

Measure	Date	Value
2023: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	120
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	65
Total of all active and inactive participants	2023-01-01	185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	185
Number of participants with account balances	2023-01-01	167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	13
2022: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	103
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	51
Total of all active and inactive participants	2022-01-01	154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	154
Number of participants with account balances	2022-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	17
2021: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	104
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	38
Total of all active and inactive participants	2021-01-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	142
Number of participants with account balances	2021-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	11
2020: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	108
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	26
Total of all active and inactive participants	2020-01-01	134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	134
Number of participants with account balances	2020-01-01	121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	11

Financial Data on CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN

Measure	Date	Value
2023 : CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$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	$1,968,291
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$538,704
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$473,446
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$779,819
Value of total assets at end of year	2023-12-31	$7,935,031
Value of total assets at beginning of year	2023-12-31	$6,505,444
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$65,258
Total interest from all sources	2023-12-31	$11,363
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$338,322
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$338,322
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$500,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$512,538
Participant contributions at end of year	2023-12-31	$15,030
Participant contributions at beginning of year	2023-12-31	$29,772
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$20,122
Other income not declared elsewhere	2023-12-31	$533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$1,429,587
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$7,935,031
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$6,505,444
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$7,316,837
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$5,527,712
Interest on participant loans	2023-12-31	$1,740
Interest earned on other investments	2023-12-31	$9,623
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-12-31	$603,164
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-12-31	$947,960
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$838,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$247,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$473,446
Did the plan have assets held for investment	2023-12-31	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	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	KIMBERLIN COMPANY PLLC
Accountancy firm EIN	2023-12-31	455497718
2022 : CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-562,057
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$292,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$256,475
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$756,781
Value of total assets at end of year	2022-12-31	$6,505,444
Value of total assets at beginning of year	2022-12-31	$7,360,142
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$36,166
Total interest from all sources	2022-12-31	$10,117
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$397,972
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$449,252
Participant contributions at end of year	2022-12-31	$29,772
Participant contributions at beginning of year	2022-12-31	$36,215
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$74,982
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	$-854,698
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$6,505,444
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$7,360,142
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
Investment advisory and management fees	2022-12-31	$32
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$5,527,712
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$6,532,798
Interest on participant loans	2022-12-31	$1,603
Interest earned on other investments	2022-12-31	$8,514
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$947,960
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$791,129
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,726,927
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$232,547
Income. Dividends from common stock	2022-12-31	$397,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$256,475
Contract administrator fees	2022-12-31	$36,134
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	KIMBERLIN COMPANY PLLC
Accountancy firm EIN	2022-12-31	455497718
2021 : CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$36
Total income from all sources (including contributions)	2021-12-31	$1,700,077
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$611,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$559,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$784,479
Value of total assets at end of year	2021-12-31	$7,360,142
Value of total assets at beginning of year	2021-12-31	$6,271,674
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$52,043
Total interest from all sources	2021-12-31	$10,338
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$365,308
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$365,308
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	Yes
Amount of non-exempt transactions with any party-in-interest	2021-12-31	$475
Contributions received from participants	2021-12-31	$442,756
Participant contributions at end of year	2021-12-31	$36,215
Participant contributions at beginning of year	2021-12-31	$48,337
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$113,942
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$36
Other income not declared elsewhere	2021-12-31	$25,816
Administrative expenses (other) incurred	2021-12-31	$2,850
Total non interest bearing cash at end of year	2021-12-31	$0
Total non interest bearing cash at beginning of year	2021-12-31	$46,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,088,504
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$7,360,142
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$6,271,638
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$6,532,798
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$5,451,612
Interest on participant loans	2021-12-31	$2,486
Interest earned on other investments	2021-12-31	$7,852
Value of interest in common/collective trusts at end of year	2021-12-31	$0
Value of interest in common/collective trusts at beginning of year	2021-12-31	$724,865
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$791,129
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$514,013
Net investment gain or loss from common/collective trusts	2021-12-31	$123
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$227,781
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$559,530
Contract administrator fees	2021-12-31	$49,193
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-12-31	Yes
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BEACH FLEISCHMAN PLLC
Accountancy firm EIN	2021-12-31	860680359
2020 : CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$36
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$26,653
Total income from all sources (including contributions)	2020-12-31	$1,360,306
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$531,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$502,230
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$587,370
Value of total assets at end of year	2020-12-31	$6,271,674
Value of total assets at beginning of year	2020-12-31	$5,469,888
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$29,673
Total interest from all sources	2020-12-31	$3,537
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$209,968
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$209,968
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$393,646
Participant contributions at end of year	2020-12-31	$48,337
Participant contributions at beginning of year	2020-12-31	$75,669
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$36
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$26,653
Total non interest bearing cash at end of year	2020-12-31	$46,860
Total non interest bearing cash at beginning of year	2020-12-31	$61,813
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$828,403
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$6,271,638
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$5,443,235
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$5,451,612
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,716,909
Interest on participant loans	2020-12-31	$3,537
Value of interest in common/collective trusts at end of year	2020-12-31	$724,865
Value of interest in common/collective trusts at beginning of year	2020-12-31	$615,497
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$547,815
Net investment gain or loss from common/collective trusts	2020-12-31	$11,616
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$193,724
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$502,230
Contract administrator fees	2020-12-31	$29,673
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BEACH FLEISCHMAN
Accountancy firm EIN	2020-12-31	860680359

Form 5500 Responses for CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN

2023: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

664TJ3

Policy instance

Insurance contract or identification number	664TJ3
Number of Individuals Covered	169
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

664TJ3

Policy instance

Insurance contract or identification number	664TJ3
Number of Individuals Covered	147
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

664TJ3

Policy instance

Insurance contract or identification number	664TJ3
Number of Individuals Covered	135
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CHILDRENS CLINICS FOR REHABILITATIVE SERVICES
Employer identification number (EIN):	860667510
NAIC Classification:	622000
NAIC Description:	Hospitals