401k Plan data: COUNCIL OF COMMUNITY CLINICS 403(B) PLAN plan

COUNCIL OF COMMUNITY CLINICS 403(B) PLAN 401k Plan overview

Plan Name	COUNCIL OF COMMUNITY CLINICS 403(B) PLAN
Plan identification number	002

COUNCIL OF COMMUNITY CLINICS 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

COUNCIL OF COMMUNITY CLINICS has sponsored the creation of one or more 401k plans.

Company Name: COUNCIL OF COMMUNITY CLINICS

Employer identification number (EIN): 953008850

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about COUNCIL OF COMMUNITY CLINICS

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C0828925

More information about COUNCIL OF COMMUNITY CLINICS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COUNCIL OF COMMUNITY CLINICS 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01 TRACY GARMER 2024-09-11
002 2022-01-01 TRACY GARMER 2023-10-03
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01 TRACY GARMER 2015-05-15
002 2013-01-01 TRACY GARMER 2014-07-17
002 2012-01-01 TRACY GARMER 2013-07-09 TRACY GARMER 2013-07-09
002 2011-01-01 TRACY L. GARMER 2012-06-20 TRACY L. GARMER 2012-06-20
002 2010-01-01 TRACY GARMER 2011-07-19 TRACY GARMER 2011-07-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2023-01-01	TRACY GARMER	2024-09-11
002	2022-01-01	TRACY GARMER	2023-10-03
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01	TRACY GARMER	2015-05-15
002	2013-01-01	TRACY GARMER	2014-07-17
002	2012-01-01	TRACY GARMER	2013-07-09	TRACY GARMER	2013-07-09
002	2011-01-01	TRACY L. GARMER	2012-06-20	TRACY L. GARMER	2012-06-20
002	2010-01-01	TRACY GARMER	2011-07-19	TRACY GARMER	2011-07-19

Plan Statistics for COUNCIL OF COMMUNITY CLINICS 403(B) PLAN

401k plan membership statisitcs for COUNCIL OF COMMUNITY CLINICS 403(B) PLAN

Measure Date Value
2023: COUNCIL OF COMMUNITY CLINICS 403(B) PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 133
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 47
Total of all active and inactive participants 2023-01-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 180
Number of participants with account balances 2023-01-01 177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 7
2022: COUNCIL OF COMMUNITY CLINICS 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 117
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 48
Total of all active and inactive participants 2022-01-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 165
Number of participants with account balances 2022-01-01 165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 10

Measure	Date	Value
2023: COUNCIL OF COMMUNITY CLINICS 403(B) PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	133
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	47
Total of all active and inactive participants	2023-01-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	180
Number of participants with account balances	2023-01-01	177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	7
2022: COUNCIL OF COMMUNITY CLINICS 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	117
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	48
Total of all active and inactive participants	2022-01-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	165
Number of participants with account balances	2022-01-01	165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	10

Financial Data on COUNCIL OF COMMUNITY CLINICS 403(B) PLAN

Measure	Date	Value
2023 : COUNCIL OF COMMUNITY CLINICS 403(B) 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	$3,234,270
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$191,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$151,995
Expenses. Certain deemed distributions of participant loans	2023-12-31	$12,278
Value of total corrective distributions	2023-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$1,582,828
Value of total assets at end of year	2023-12-31	$11,987,132
Value of total assets at beginning of year	2023-12-31	$8,944,589
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$27,454
Total interest from all sources	2023-12-31	$332,809
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 year	2023-12-31	No
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	$1,144,796
Participant contributions at end of year	2023-12-31	$265,103
Participant contributions at beginning of year	2023-12-31	$103,241
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$30,962
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
Income. Non cash contributions	2023-12-31	$0
Value of net income/loss	2023-12-31	$3,042,543
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$11,987,132
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$8,944,589
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	$11,304,612
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$8,493,442
Interest on participant loans	2023-12-31	$9,008
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-12-31	$79,007
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-12-31	$48,298
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-12-31	$48,298
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-12-31	$323,801
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-12-31	$338,410
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-12-31	$299,608
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$1,318,633
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	$407,070
Employer contributions (assets) at end of year	2023-12-31	$0
Employer contributions (assets) at beginning of year	2023-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$151,995
Contract administrator fees	2023-12-31	$27,454
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	WIPFLI
Accountancy firm EIN	2023-12-31	390758449
2022 : COUNCIL OF COMMUNITY CLINICS 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-118,557
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$409,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$385,533
Expenses. Certain deemed distributions of participant loans	2022-12-31	$1,803
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,388,538
Value of total assets at end of year	2022-12-31	$8,944,589
Value of total assets at beginning of year	2022-12-31	$9,472,196
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$21,714
Total interest from all sources	2022-12-31	$2,164
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$404,792
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	$404,792
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	$1,019,154
Participant contributions at end of year	2022-12-31	$103,241
Participant contributions at beginning of year	2022-12-31	$62,565
Income. Received or receivable in cash from other sources (including rollovers)	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
Income. Non cash contributions	2022-12-31	$0
Value of net income/loss	2022-12-31	$-527,607
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$8,944,589
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$9,472,196
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$8,493,442
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$8,902,830
Interest on participant loans	2022-12-31	$2,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$48,298
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$35,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$35,402
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$299,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$296,449
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,914,051
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	$369,384
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$174,950
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$385,533
Contract administrator fees	2022-12-31	$21,714
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	WIPFLI
Accountancy firm EIN	2022-12-31	390758449

Form 5500 Responses for COUNCIL OF COMMUNITY CLINICS 403(B) PLAN

2023: COUNCIL OF COMMUNITY CLINICS 403(B) 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 – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: COUNCIL OF COMMUNITY CLINICS 403(B) 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 – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

507402-01

Policy instance

Insurance contract or identification number	507402-01
Number of Individuals Covered	42
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GROUP ANNUITY CONTRACT

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR30405

Policy instance

Insurance contract or identification number	CR30405
Number of Individuals Covered	16
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,256
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

507402-01

Policy instance

Insurance contract or identification number	507402-01
Number of Individuals Covered	32
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GROUP ANNUITY CONTRACT

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR30405

Policy instance

Insurance contract or identification number	CR30405
Number of Individuals Covered	16
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,438
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,438
Insurance broker organization code?	4

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Company Name:	COUNCIL OF COMMUNITY CLINICS
Employer identification number (EIN):	953008850
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C0828925