401k Plan data: CAMCARE HEALTH CORPORATION RETIREMENT PLAN plan

CAMCARE HEALTH CORPORATION RETIREMENT PLAN 401k Plan overview

Plan Name	CAMCARE HEALTH CORPORATION RETIREMENT PLAN
Plan identification number	002

CAMCARE HEALTH CORPORATION RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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

CAMCARE HEALTH CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: CAMCARE HEALTH CORPORATION

Employer identification number (EIN): 222192716

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Additional information about CAMCARE HEALTH CORPORATION

Jurisdiction of Incorporation: New Jersey Division of Revenue and Enterprise Services

Incorporation Date:

Company Identification Number: 0100057705

More information about CAMCARE HEALTH CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMCARE HEALTH CORPORATION RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-07-01 JILLIAN HUDSPETH 2023-04-16
002 2020-07-01 ROBERT CURATOLA 2022-04-17
002 2020-07-01 JILLIAN HUDSPETH 2022-12-21
002 2019-07-01 MARK ROBERTS 2021-04-13
002 2019-07-01 MARK ROBERTS 2021-08-25
002 2018-07-01 MARK ROBERTS 2020-07-14
002 2017-07-01 MARK ROBERTS 2019-04-12
002 2016-07-01
002 2015-07-01 PETER COUGHLAN
002 2014-07-01 PETER COUGHLAN
002 2013-07-01 NICHOLAS KELLMAYER
002 2012-07-01 DAVID WHALEY DAVID WHALEY 2014-04-16
002 2011-07-01 DAVID WHALEY DAVID WHALEY 2014-04-16
002 2009-07-01 DAVID WHALEY DAVID WHALEY 2011-04-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-07-01	JILLIAN HUDSPETH	2023-04-16
002	2020-07-01	ROBERT CURATOLA	2022-04-17
002	2020-07-01	JILLIAN HUDSPETH	2022-12-21
002	2019-07-01	MARK ROBERTS	2021-04-13
002	2019-07-01	MARK ROBERTS	2021-08-25
002	2018-07-01	MARK ROBERTS	2020-07-14
002	2017-07-01	MARK ROBERTS	2019-04-12
002	2016-07-01
002	2015-07-01	PETER COUGHLAN
002	2014-07-01	PETER COUGHLAN
002	2013-07-01	NICHOLAS KELLMAYER
002	2012-07-01	DAVID WHALEY		DAVID WHALEY	2014-04-16
002	2011-07-01	DAVID WHALEY		DAVID WHALEY	2014-04-16
002	2009-07-01	DAVID WHALEY		DAVID WHALEY	2011-04-15

Plan Statistics for CAMCARE HEALTH CORPORATION RETIREMENT PLAN

401k plan membership statisitcs for CAMCARE HEALTH CORPORATION RETIREMENT PLAN

Measure Date Value
2021: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 334
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 141
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 170
Total of all active and inactive participants 2021-07-01 311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 311
Number of participants with account balances 2021-07-01 311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 14
2020: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 288
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 150
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 150
Total of all active and inactive participants 2020-07-01 300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 300
Number of participants with account balances 2020-07-01 275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 153
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 143
Number of retired or separated participants receiving benefits 2019-07-01 154
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 297
Number of participants with account balances 2019-07-01 297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 290
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 143
Number of retired or separated participants receiving benefits 2018-07-01 154
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 297
Number of participants with account balances 2018-07-01 297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 8
2017: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 271
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 144
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 146
Total of all active and inactive participants 2017-07-01 290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 290
Number of participants with account balances 2017-07-01 267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 11
2016: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 301
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 149
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 119
Total of all active and inactive participants 2016-07-01 268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 268
Number of participants with account balances 2016-07-01 268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 264
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 155
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 125
Total of all active and inactive participants 2015-07-01 280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 280
Number of participants with account balances 2015-07-01 273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 258
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 143
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 121
Total of all active and inactive participants 2014-07-01 264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 264
Number of participants with account balances 2014-07-01 240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
Number of employers contributing to the scheme 2014-07-01 0
2013: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 267
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 146
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 112
Total of all active and inactive participants 2013-07-01 258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 258
Number of participants with account balances 2013-07-01 239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 12
2012: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 255
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 168
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 99
Total of all active and inactive participants 2012-07-01 267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 267
Number of participants with account balances 2012-07-01 243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 6
2011: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 284
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 165
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 90
Total of all active and inactive participants 2011-07-01 255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 255
Number of participants with account balances 2011-07-01 244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 11
2009: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 253
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 197
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 22
Total of all active and inactive participants 2009-07-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 219
Number of participants with account balances 2009-07-01 219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 4

Measure	Date	Value
2021: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	334
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	141
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	170
Total of all active and inactive participants	2021-07-01	311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	311
Number of participants with account balances	2021-07-01	311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	14
2020: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	288
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	150
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	150
Total of all active and inactive participants	2020-07-01	300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	300
Number of participants with account balances	2020-07-01	275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	153
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	143
Number of retired or separated participants receiving benefits	2019-07-01	154
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	297
Number of participants with account balances	2019-07-01	297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	290
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	143
Number of retired or separated participants receiving benefits	2018-07-01	154
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	297
Number of participants with account balances	2018-07-01	297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	8
2017: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	271
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	144
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	146
Total of all active and inactive participants	2017-07-01	290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	290
Number of participants with account balances	2017-07-01	267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	11
2016: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	301
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	149
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	119
Total of all active and inactive participants	2016-07-01	268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	268
Number of participants with account balances	2016-07-01	268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	264
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	155
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	125
Total of all active and inactive participants	2015-07-01	280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	280
Number of participants with account balances	2015-07-01	273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	258
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	143
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	121
Total of all active and inactive participants	2014-07-01	264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	264
Number of participants with account balances	2014-07-01	240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
Number of employers contributing to the scheme	2014-07-01	0
2013: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	267
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	146
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	112
Total of all active and inactive participants	2013-07-01	258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	258
Number of participants with account balances	2013-07-01	239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	12
2012: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	255
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	168
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	99
Total of all active and inactive participants	2012-07-01	267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	267
Number of participants with account balances	2012-07-01	243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	6
2011: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	284
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	165
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	90
Total of all active and inactive participants	2011-07-01	255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	255
Number of participants with account balances	2011-07-01	244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	11
2009: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	253
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	197
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	22
Total of all active and inactive participants	2009-07-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	219
Number of participants with account balances	2009-07-01	219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	4

Financial Data on CAMCARE HEALTH CORPORATION RETIREMENT PLAN

Measure	Date	Value
2022 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-244,829
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$470,244
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$460,565
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$334,796
Value of total assets at end of year	2022-06-30	$5,568,289
Value of total assets at beginning of year	2022-06-30	$6,283,362
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$9,679
Total interest from all sources	2022-06-30	$42,497
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$500,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Other income not declared elsewhere	2022-06-30	$7,422
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-715,073
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$5,568,289
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$6,283,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Investment advisory and management fees	2022-06-30	$9,679
Value of interest in pooled separate accounts at end of year	2022-06-30	$3,410,510
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$4,235,516
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-06-30	$42,497
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$1,822,983
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$1,741,025
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-629,544
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$334,796
Employer contributions (assets) at end of year	2022-06-30	$334,796
Employer contributions (assets) at beginning of year	2022-06-30	$306,821
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$460,565
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Disclaimer
Accountancy firm name	2022-06-30	JT GOLDSTEIN, LLC
Accountancy firm EIN	2022-06-30	203811563
2021 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$1,401,509
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$168,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$157,361
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$307,178
Value of total assets at end of year	2021-06-30	$6,291,141
Value of total assets at beginning of year	2021-06-30	$5,057,960
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$10,967
Total interest from all sources	2021-06-30	$39,191
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$500,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2021-06-30	$0
Minimum employer required contribution for this plan year	2021-06-30	$307,718
Amount contributed by the employer to the plan for this plan year	2021-06-30	$307,718
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Other income not declared elsewhere	2021-06-30	$2,645
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$1,233,181
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$6,291,141
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$5,057,960
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Investment advisory and management fees	2021-06-30	$10,967
Value of interest in pooled separate accounts at end of year	2021-06-30	$4,242,938
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$3,188,154
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-06-30	$39,191
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$1,741,025
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$1,564,814
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$1,052,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$307,178
Employer contributions (assets) at end of year	2021-06-30	$307,178
Employer contributions (assets) at beginning of year	2021-06-30	$304,992
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$157,361
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	JT GOLDSTEIN, LLC
Accountancy firm EIN	2021-06-30	203811563
2020 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$432,656
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$728,734
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$721,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$321,410
Value of total assets at end of year	2020-06-30	$5,057,960
Value of total assets at beginning of year	2020-06-30	$5,354,038
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$7,669
Total interest from all sources	2020-06-30	$37,148
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$-296,078
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$5,057,960
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$5,354,038
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Investment advisory and management fees	2020-06-30	$7,669
Value of interest in pooled separate accounts at end of year	2020-06-30	$3,188,154
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$3,504,992
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-06-30	$37,148
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$1,564,814
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$1,544,129
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$74,098
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$321,410
Employer contributions (assets) at end of year	2020-06-30	$304,992
Employer contributions (assets) at beginning of year	2020-06-30	$304,917
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$721,065
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	JT GOLDSTEIN, LLC
Accountancy firm EIN	2020-06-30	203811563
2019 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$469,739
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$309,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$301,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$304,917
Value of total assets at end of year	2019-06-30	$5,354,038
Value of total assets at beginning of year	2019-06-30	$5,194,009
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$8,175
Total interest from all sources	2019-06-30	$37,586
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$500,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2019-06-30	$0
Minimum employer required contribution for this plan year	2019-06-30	$304,226
Amount contributed by the employer to the plan for this plan year	2019-06-30	$304,226
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Administrative expenses (other) incurred	2019-06-30	$691
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$160,029
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$5,354,038
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$5,194,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Investment advisory and management fees	2019-06-30	$7,484
Value of interest in pooled separate accounts at end of year	2019-06-30	$3,504,992
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$3,306,762
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-06-30	$37,586
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$1,544,129
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$1,581,640
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$127,236
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$304,917
Employer contributions (assets) at end of year	2019-06-30	$304,917
Employer contributions (assets) at beginning of year	2019-06-30	$305,607
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$301,535
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	JT GOLDSTEIN, LLC
Accountancy firm EIN	2019-06-30	203811563
2018 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$617,470
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$558,407
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$550,507
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$305,607
Value of total assets at end of year	2018-06-30	$5,194,009
Value of total assets at beginning of year	2018-06-30	$5,134,946
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$7,900
Total interest from all sources	2018-06-30	$41,368
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$500,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2018-06-30	$0
Minimum employer required contribution for this plan year	2018-06-30	$305,607
Amount contributed by the employer to the plan for this plan year	2018-06-30	$305,607
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$59,063
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$5,194,009
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$5,134,946
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Investment advisory and management fees	2018-06-30	$7,900
Value of interest in pooled separate accounts at end of year	2018-06-30	$3,306,762
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$3,211,071
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-06-30	$41,368
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$1,581,640
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$1,618,683
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$270,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$305,607
Employer contributions (assets) at end of year	2018-06-30	$305,607
Employer contributions (assets) at beginning of year	2018-06-30	$305,192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$550,507
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	HOLMES & COMPANY, LLC
Accountancy firm EIN	2018-06-30	263450994
2017 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$749,935
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$613,824
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$606,080
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$305,192
Value of total assets at end of year	2017-06-30	$5,134,946
Value of total assets at beginning of year	2017-06-30	$4,998,835
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$7,744
Total interest from all sources	2017-06-30	$41,199
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$500,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$136,111
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$5,134,946
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$4,998,835
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Investment advisory and management fees	2017-06-30	$7,744
Value of interest in pooled separate accounts at end of year	2017-06-30	$3,211,071
Value of interest in pooled separate accounts at beginning of year	2017-06-30	$3,081,641
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-06-30	$41,199
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$1,618,683
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$1,600,155
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$403,544
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$305,192
Employer contributions (assets) at end of year	2017-06-30	$305,192
Employer contributions (assets) at beginning of year	2017-06-30	$317,039
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$606,080
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	HOLMES & COMPANY, LLC
Accountancy firm EIN	2017-06-30	263450994
2016 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$303,062
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$652,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$644,521
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$316,504
Value of total assets at end of year	2016-06-30	$4,998,835
Value of total assets at beginning of year	2016-06-30	$5,348,578
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$8,284
Total interest from all sources	2016-06-30	$41,850
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2016-06-30	$0
Minimum employer required contribution for this plan year	2016-06-30	$316,504
Amount contributed by the employer to the plan for this plan year	2016-06-30	$316,504
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Administrative expenses (other) incurred	2016-06-30	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-349,743
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$4,998,835
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$5,348,578
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Investment advisory and management fees	2016-06-30	$8,282
Value of interest in pooled separate accounts at end of year	2016-06-30	$3,081,641
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$3,380,555
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-30	$41,850
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$1,600,155
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$1,655,032
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-55,292
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$316,504
Employer contributions (assets) at end of year	2016-06-30	$317,039
Employer contributions (assets) at beginning of year	2016-06-30	$312,991
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$644,521
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	HOLMES & COMPANY, LLC
Accountancy firm EIN	2016-06-30	263450994
2015 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$426,660
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$193,867
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$185,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$312,845
Value of total assets at end of year	2015-06-30	$5,348,578
Value of total assets at beginning of year	2015-06-30	$5,115,785
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$8,143
Total interest from all sources	2015-06-30	$41,047
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2015-06-30	$0
Minimum employer required contribution for this plan year	2015-06-30	$312,991
Amount contributed by the employer to the plan for this plan year	2015-06-30	$312,991
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Administrative expenses (other) incurred	2015-06-30	$7,603
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$232,793
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$5,348,578
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$5,115,785
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Investment advisory and management fees	2015-06-30	$540
Value of interest in pooled separate accounts at end of year	2015-06-30	$3,380,555
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$3,296,360
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-06-30	$41,047
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$1,655,032
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$1,509,158
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$72,768
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$312,845
Employer contributions (assets) at end of year	2015-06-30	$312,991
Employer contributions (assets) at beginning of year	2015-06-30	$310,267
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$185,724
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	HOLMES & COMPANY
Accountancy firm EIN	2015-06-30	263450994
2014 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$851,665
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$309,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$303,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$310,267
Value of total assets at end of year	2014-06-30	$5,115,785
Value of total assets at beginning of year	2014-06-30	$4,573,941
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$6,786
Total interest from all sources	2014-06-30	$39,613
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$512,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2014-06-30	$0
Minimum employer required contribution for this plan year	2014-06-30	$310,267
Amount contributed by the employer to the plan for this plan year	2014-06-30	$310,267
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$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	2014-06-30	No
Value of net income/loss	2014-06-30	$541,844
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$5,115,785
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$4,573,941
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Investment advisory and management fees	2014-06-30	$6,786
Value of interest in pooled separate accounts at end of year	2014-06-30	$3,296,360
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$2,770,328
Value of interest in master investment trust accounts at end of year	2014-06-30	$0
Value of interest in master investment trust accounts at beginning of year	2014-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-06-30	$39,613
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$1,509,158
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$1,457,570
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$501,785
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$310,267
Employer contributions (assets) at end of year	2014-06-30	$310,267
Employer contributions (assets) at beginning of year	2014-06-30	$346,043
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$303,035
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	HOLMES & COMPANY LLC
Accountancy firm EIN	2014-06-30	263450994
2013 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$756,289
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$182,672
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$176,313
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$371,028
Value of total assets at end of year	2013-06-30	$4,573,941
Value of total assets at beginning of year	2013-06-30	$4,000,324
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$6,359
Total interest from all sources	2013-06-30	$36,496
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$400,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2013-06-30	$0
Minimum employer required contribution for this plan year	2013-06-30	$371,028
Amount contributed by the employer to the plan for this plan year	2013-06-30	$371,028
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$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	2013-06-30	No
Value of net income/loss	2013-06-30	$573,617
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$4,573,941
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$4,000,324
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Investment advisory and management fees	2013-06-30	$6,359
Value of interest in pooled separate accounts at end of year	2013-06-30	$2,770,328
Value of interest in master investment trust accounts at end of year	2013-06-30	$0
Value of interest in master investment trust accounts at beginning of year	2013-06-30	$2,388,380
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-06-30	$36,496
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$1,457,570
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$1,285,271
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$348,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$371,028
Employer contributions (assets) at end of year	2013-06-30	$346,043
Employer contributions (assets) at beginning of year	2013-06-30	$326,673
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$176,313
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	No
Opinion of an independent qualified public accountant for this plan	2013-06-30	Unqualified
Accountancy firm name	2013-06-30	MILLIGAN
Accountancy firm EIN	2013-06-30	233010968
2012 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$304,722
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$184,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$178,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$328,268
Value of total assets at end of year	2012-06-30	$4,000,324
Value of total assets at beginning of year	2012-06-30	$3,880,086
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$5,653
Total interest from all sources	2012-06-30	$36,972
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$400,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2012-06-30	$0
Minimum employer required contribution for this plan year	2012-06-30	$328,268
Amount contributed by the employer to the plan for this plan year	2012-06-30	$328,268
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$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	2012-06-30	No
Value of net income/loss	2012-06-30	$120,238
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$4,000,324
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$3,880,086
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Investment advisory and management fees	2012-06-30	$5,653
Value of interest in pooled separate accounts at end of year	2012-06-30	$2,388,380
Value of interest in master investment trust accounts at end of year	2012-06-30	$0
Value of interest in master investment trust accounts at beginning of year	2012-06-30	$2,302,400
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-06-30	$36,972
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$1,285,271
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$1,264,101
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$0
Net investment gain/loss from pooled separate accounts	2012-06-30	$-60,518
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$328,268
Employer contributions (assets) at end of year	2012-06-30	$326,673
Employer contributions (assets) at beginning of year	2012-06-30	$313,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$178,831
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	No
Opinion of an independent qualified public accountant for this plan	2012-06-30	Unqualified
Accountancy firm name	2012-06-30	MILLIGAN & C0MPANY, LLC
Accountancy firm EIN	2012-06-30	233010968
2010 : CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2010-06-30	$0
Minimum employer required contribution for this plan year	2010-06-30	$275,624
Amount contributed by the employer to the plan for this plan year	2010-06-30	$275,624

Form 5500 Responses for CAMCARE HEALTH CORPORATION RETIREMENT PLAN

2021: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	Yes
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: CAMCARE HEALTH CORPORATION RETIREMENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	265
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $5,015
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,461
Insurance broker organization code?	3

AXA EQUITABLE (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $610
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $610
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Number of Individuals Covered	256
Commission paid to Insurance Broker	USD $1,601
Insurance broker organization code?	3

AXA EQUITABLE (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Commission paid to Insurance Broker	USD $511
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	249
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $2,443
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,283
Insurance broker organization code?	3

AXA EQUITABLE (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Insurance broker organization code?	3

AXA EQUITABLE (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $556
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $556
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	248
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $7,889
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,511
Insurance broker organization code?	3

AXA EQUITABLE (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Number of Individuals Covered	32
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $538
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?	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

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	249
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $3,859
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?	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

AXA EQUITABLE (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $585
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Commission paid to Insurance Broker	USD $585
Insurance broker organization code?	3
Insurance broker name	ROSE, CHARLES,CHFC, CLU

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	239
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $5,072
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Commission paid to Insurance Broker	USD $3,012
Insurance broker organization code?	3
Insurance broker name

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	240
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $2,089
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Commission paid to Insurance Broker	USD $1,461
Insurance broker organization code?	3
Insurance broker name	KARANZALIS, GREGORY

AXA EQUITABLE (National Association of Insurance Commissioners NAIC id number: 62944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Number of Individuals Covered	36
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $598
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Commission paid to Insurance Broker	USD $598
Insurance broker organization code?	3
Insurance broker name	ROSE, CHARLES,CHFC, CLU

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Number of Individuals Covered	36
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $631
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Commission paid to Insurance Broker	USD $631
Insurance broker organization code?	3
Insurance broker name	CHARLES ROSE, CLU

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	239
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $4,615
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $3,042
Insurance broker organization code?	3
Insurance broker name	BYERS, DAVID(BRIAN)

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	243
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $5,032
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $4,572
Insurance broker organization code?	3
Insurance broker name	HOWELL, JUSTIN

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $628
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Commission paid to Insurance Broker	USD $628
Insurance broker organization code?	3
Insurance broker name	CHARLES ROSE, CLU

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

662052

Policy instance

Insurance contract or identification number	662052
Number of Individuals Covered	42
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $695
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

07437

Policy instance

Insurance contract or identification number	07437
Number of Individuals Covered	244
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $3,277
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	CAMCARE HEALTH CORPORATION
Employer identification number (EIN):	222192716
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Jurisdiction of Incorporation:	New Jersey Division of Revenue and Enterprise Services
Incorporation Date:
Company Identification Number:	0100057705