401k Plan data: THE ARC OF FAYETTE COUNTY 403(B) PLAN plan

THE ARC OF FAYETTE COUNTY 403(B) PLAN 401k Plan overview

Plan Name	THE ARC OF FAYETTE COUNTY 403(B) PLAN
Plan identification number	002

THE ARC OF FAYETTE COUNTY 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

THE ARC OF FAYETTE COUNTY has sponsored the creation of one or more 401k plans.

Company Name: THE ARC OF FAYETTE COUNTY

Employer identification number (EIN): 251121875

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ARC OF FAYETTE COUNTY 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 MARY MOSSBURG 2023-10-02 MARY MOSSBURG 2023-10-02
002 2021-01-01 MARY MOSSBURG 2022-10-05
002 2020-01-01 MARY MOSSBURG 2021-09-24
002 2019-01-01 MARY MOSSBURG 2020-10-05 MARY MOSSBURG 2020-10-05
002 2018-01-01 MARY MOSSBURG 2019-10-08 MARY MOSSBURG 2019-10-08
002 2017-01-01
002 2016-01-01
002 2015-01-01 MARY MOSSBURG
002 2014-01-01 AUDRA BAROZZINI
002 2013-01-01
002 2012-01-01 AUDRA BAROZZINI
002 2011-01-01 DEBBIE A SIKORA
002 2009-01-01 NANCY A. DAVIS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	MARY MOSSBURG	2023-10-02	MARY MOSSBURG	2023-10-02
002	2021-01-01	MARY MOSSBURG	2022-10-05
002	2020-01-01	MARY MOSSBURG	2021-09-24
002	2019-01-01	MARY MOSSBURG	2020-10-05	MARY MOSSBURG	2020-10-05
002	2018-01-01	MARY MOSSBURG	2019-10-08	MARY MOSSBURG	2019-10-08
002	2017-01-01
002	2016-01-01
002	2015-01-01	MARY MOSSBURG
002	2014-01-01	AUDRA BAROZZINI
002	2013-01-01
002	2012-01-01	AUDRA BAROZZINI
002	2011-01-01	DEBBIE A SIKORA
002	2009-01-01	NANCY A. DAVIS

Plan Statistics for THE ARC OF FAYETTE COUNTY 403(B) PLAN

401k plan membership statisitcs for THE ARC OF FAYETTE COUNTY 403(B) PLAN

Measure Date Value
2022: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 74
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 38
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 22
Total of all active and inactive participants 2022-01-01 60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 60
Number of participants with account balances 2022-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 75
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 36
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 32
Total of all active and inactive participants 2021-01-01 68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 68
Number of participants with account balances 2021-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 95
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 36
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 33
Total of all active and inactive participants 2020-01-01 69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 69
Number of participants with account balances 2020-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 90
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 58
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 26
Total of all active and inactive participants 2019-01-01 84
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 84
Number of participants with account balances 2019-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 70
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 28
Total of all active and inactive participants 2018-01-01 98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 98
Number of participants with account balances 2018-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 70
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 29
Total of all active and inactive participants 2017-01-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 99
Number of participants with account balances 2017-01-01 63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 98
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 79
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 23
Total of all active and inactive participants 2016-01-01 102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 102
Number of participants with account balances 2016-01-01 58
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 95
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 64
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 15
Total of all active and inactive participants 2015-01-01 79
Total participants 2015-01-01 79
Number of participants with account balances 2015-01-01 58
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 62
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 74
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 21
Total of all active and inactive participants 2014-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 95
Number of participants with account balances 2014-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 38
Number of other retired or separated participants entitled to future benefits 2013-01-01 24
Total of all active and inactive participants 2013-01-01 62
Total participants 2013-01-01 62
Number of participants with account balances 2013-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 36
Number of other retired or separated participants entitled to future benefits 2012-01-01 16
Total of all active and inactive participants 2012-01-01 52
Total participants 2012-01-01 52
Number of participants with account balances 2012-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 42
Number of other retired or separated participants entitled to future benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 59
Total participants 2011-01-01 59
Number of participants with account balances 2011-01-01 59
2009: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 77
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 61
Number of other retired or separated participants entitled to future benefits 2009-01-01 9
Total of all active and inactive participants 2009-01-01 70
Total participants 2009-01-01 70
Number of participants with account balances 2009-01-01 60

Measure	Date	Value
2022: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	74
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	38
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	22
Total of all active and inactive participants	2022-01-01	60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	60
Number of participants with account balances	2022-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	75
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	36
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	32
Total of all active and inactive participants	2021-01-01	68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	68
Number of participants with account balances	2021-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	95
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	36
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	33
Total of all active and inactive participants	2020-01-01	69
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	69
Number of participants with account balances	2020-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	90
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	58
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	26
Total of all active and inactive participants	2019-01-01	84
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	84
Number of participants with account balances	2019-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	70
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	28
Total of all active and inactive participants	2018-01-01	98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	98
Number of participants with account balances	2018-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	70
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	29
Total of all active and inactive participants	2017-01-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	99
Number of participants with account balances	2017-01-01	63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	98
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	79
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	23
Total of all active and inactive participants	2016-01-01	102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	102
Number of participants with account balances	2016-01-01	58
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	95
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	64
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	15
Total of all active and inactive participants	2015-01-01	79
Total participants	2015-01-01	79
Number of participants with account balances	2015-01-01	58
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	62
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	74
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	21
Total of all active and inactive participants	2014-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	95
Number of participants with account balances	2014-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	38
Number of other retired or separated participants entitled to future benefits	2013-01-01	24
Total of all active and inactive participants	2013-01-01	62
Total participants	2013-01-01	62
Number of participants with account balances	2013-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	36
Number of other retired or separated participants entitled to future benefits	2012-01-01	16
Total of all active and inactive participants	2012-01-01	52
Total participants	2012-01-01	52
Number of participants with account balances	2012-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	42
Number of other retired or separated participants entitled to future benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	59
Total participants	2011-01-01	59
Number of participants with account balances	2011-01-01	59
2009: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	77
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	61
Number of other retired or separated participants entitled to future benefits	2009-01-01	9
Total of all active and inactive participants	2009-01-01	70
Total participants	2009-01-01	70
Number of participants with account balances	2009-01-01	60

Financial Data on THE ARC OF FAYETTE COUNTY 403(B) PLAN

Measure	Date	Value
2022 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-89,716
Expenses. Total of all expenses incurred	2022-12-31	$50,879
Benefits paid (including direct rollovers)	2022-12-31	$49,969
Total plan assets at end of year	2022-12-31	$1,383,347
Total plan assets at beginning of year	2022-12-31	$1,523,942
Value of fidelity bond covering the plan	2022-12-31	$150,000
Total contributions received or receivable from participants	2022-12-31	$53,082
Expenses. Other expenses not covered elsewhere	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$16,713
Other income received	2022-12-31	$-205,049
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-140,595
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$1,383,347
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$1,523,942
Assets. Value of participant loans	2022-12-31	$17,945
Total contributions received or receivable from employer(s)	2022-12-31	$45,538
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$910
2021 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$265,583
Expenses. Total of all expenses incurred	2021-12-31	$171,224
Benefits paid (including direct rollovers)	2021-12-31	$170,309
Total plan assets at end of year	2021-12-31	$1,523,942
Total plan assets at beginning of year	2021-12-31	$1,429,583
Value of fidelity bond covering the plan	2021-12-31	$150,000
Total contributions received or receivable from participants	2021-12-31	$41,799
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$171,767
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$94,359
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,523,942
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,429,583
Assets. Value of participant loans	2021-12-31	$21,685
Total contributions received or receivable from employer(s)	2021-12-31	$52,017
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$915
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$282,605
Expenses. Total of all expenses incurred	2020-12-31	$146,495
Benefits paid (including direct rollovers)	2020-12-31	$145,585
Total plan assets at end of year	2020-12-31	$1,429,583
Total plan assets at beginning of year	2020-12-31	$1,293,473
Value of fidelity bond covering the plan	2020-12-31	$150,000
Total contributions received or receivable from participants	2020-12-31	$40,528
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$170,733
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$136,110
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,429,583
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,293,473
Assets. Value of participant loans	2020-12-31	$12,590
Total contributions received or receivable from employer(s)	2020-12-31	$71,344
Value of certain deemed distributions of participant loans	2020-12-31	$910
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$322,886
Expenses. Total of all expenses incurred	2019-12-31	$174,907
Benefits paid (including direct rollovers)	2019-12-31	$173,782
Total plan assets at end of year	2019-12-31	$1,293,473
Total plan assets at beginning of year	2019-12-31	$1,145,494
Value of fidelity bond covering the plan	2019-12-31	$150,000
Total contributions received or receivable from participants	2019-12-31	$49,662
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$206,967
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$147,979
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,293,473
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,145,494
Assets. Value of participant loans	2019-12-31	$24,112
Total contributions received or receivable from employer(s)	2019-12-31	$66,257
Value of certain deemed distributions of participant loans	2019-12-31	$1,125
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$57,459
Expenses. Total of all expenses incurred	2018-12-31	$109,502
Benefits paid (including direct rollovers)	2018-12-31	$104,113
Total plan assets at end of year	2018-12-31	$1,145,494
Total plan assets at beginning of year	2018-12-31	$1,197,537
Value of fidelity bond covering the plan	2018-12-31	$1,000,000
Total contributions received or receivable from participants	2018-12-31	$45,210
Contributions received from other sources (not participants or employers)	2018-12-31	$6,311
Other income received	2018-12-31	$-55,405
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-52,043
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,145,494
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,197,537
Assets. Value of participant loans	2018-12-31	$23,082
Total contributions received or receivable from employer(s)	2018-12-31	$61,343
Value of certain deemed distributions of participant loans	2018-12-31	$4,209
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$1,180
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$234,402
Expenses. Total of all expenses incurred	2017-12-31	$68,214
Benefits paid (including direct rollovers)	2017-12-31	$66,554
Total plan assets at end of year	2017-12-31	$1,197,537
Total plan assets at beginning of year	2017-12-31	$1,031,349
Value of fidelity bond covering the plan	2017-12-31	$1,000,000
Total contributions received or receivable from participants	2017-12-31	$36,861
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$139,804
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$166,188
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,197,537
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,031,349
Assets. Value of participant loans	2017-12-31	$31,220
Total contributions received or receivable from employer(s)	2017-12-31	$57,737
Value of certain deemed distributions of participant loans	2017-12-31	$1,660
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$195,128
Expenses. Total of all expenses incurred	2016-12-31	$67,145
Benefits paid (including direct rollovers)	2016-12-31	$60,262
Total plan assets at end of year	2016-12-31	$1,031,349
Total plan assets at beginning of year	2016-12-31	$903,366
Value of fidelity bond covering the plan	2016-12-31	$1,000,000
Total contributions received or receivable from participants	2016-12-31	$35,316
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$62,683
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$127,983
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,031,349
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$903,366
Assets. Value of participant loans	2016-12-31	$34,178
Total contributions received or receivable from employer(s)	2016-12-31	$97,129
Value of certain deemed distributions of participant loans	2016-12-31	$5,378
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$1,505
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$74,728
Expenses. Total of all expenses incurred	2015-12-31	$400,871
Benefits paid (including direct rollovers)	2015-12-31	$399,127
Total plan assets at end of year	2015-12-31	$903,366
Total plan assets at beginning of year	2015-12-31	$1,229,509
Value of fidelity bond covering the plan	2015-12-31	$1,000,000
Total contributions received or receivable from participants	2015-12-31	$34,613
Other income received	2015-12-31	$-4,498
Net income (gross income less expenses)	2015-12-31	$-326,143
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$903,366
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,229,509
Assets. Value of participant loans	2015-12-31	$37,156
Total contributions received or receivable from employer(s)	2015-12-31	$44,613
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$1,744
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$135,833
Expenses. Total of all expenses incurred	2014-12-31	$457,090
Benefits paid (including direct rollovers)	2014-12-31	$455,211
Total plan assets at end of year	2014-12-31	$1,229,509
Total plan assets at beginning of year	2014-12-31	$1,550,766
Value of fidelity bond covering the plan	2014-12-31	$1,000,000
Total contributions received or receivable from participants	2014-12-31	$38,063
Contributions received from other sources (not participants or employers)	2014-12-31	$10,423
Other income received	2014-12-31	$83,776
Net income (gross income less expenses)	2014-12-31	$-321,257
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,229,509
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,550,766
Assets. Value of participant loans	2014-12-31	$39,013
Total contributions received or receivable from employer(s)	2014-12-31	$3,571
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,879
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$363,554
Expenses. Total of all expenses incurred	2013-12-31	$145,019
Benefits paid (including direct rollovers)	2013-12-31	$143,504
Total plan assets at end of year	2013-12-31	$1,550,766
Total plan assets at beginning of year	2013-12-31	$1,332,231
Value of fidelity bond covering the plan	2013-12-31	$1,000,000
Total contributions received or receivable from participants	2013-12-31	$48,758
Contributions received from other sources (not participants or employers)	2013-12-31	$23,712
Other income received	2013-12-31	$231,717
Net income (gross income less expenses)	2013-12-31	$218,535
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,550,766
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,332,231
Assets. Value of participant loans	2013-12-31	$14,301
Total contributions received or receivable from employer(s)	2013-12-31	$59,367
Value of corrective distributions	2013-12-31	$119
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,396
2012 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$336,691
Expenses. Total of all expenses incurred	2012-12-31	$490,224
Benefits paid (including direct rollovers)	2012-12-31	$489,852
Total plan assets at end of year	2012-12-31	$1,332,231
Total plan assets at beginning of year	2012-12-31	$1,485,764
Total contributions received or receivable from participants	2012-12-31	$49,129
Contributions received from other sources (not participants or employers)	2012-12-31	$70,411
Other income received	2012-12-31	$153,606
Net income (gross income less expenses)	2012-12-31	$-153,533
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,332,231
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,485,764
Total contributions received or receivable from employer(s)	2012-12-31	$63,545
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$372
2011 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$153,555
Expenses. Total of all expenses incurred	2011-12-31	$168,168
Benefits paid (including direct rollovers)	2011-12-31	$168,168
Total plan assets at end of year	2011-12-31	$1,485,764
Total plan assets at beginning of year	2011-12-31	$1,500,377
Total contributions received or receivable from participants	2011-12-31	$76,370
Contributions received from other sources (not participants or employers)	2011-12-31	$5,752
Other income received	2011-12-31	$-8,429
Net income (gross income less expenses)	2011-12-31	$-14,613
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,485,764
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,500,377
Total contributions received or receivable from employer(s)	2011-12-31	$79,862
2010 : THE ARC OF FAYETTE COUNTY 403(B) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$308,295
Expenses. Total of all expenses incurred	2010-12-31	$135,208
Benefits paid (including direct rollovers)	2010-12-31	$134,723
Total plan assets at end of year	2010-12-31	$1,500,377
Total plan assets at beginning of year	2010-12-31	$1,325,424
Total contributions received or receivable from participants	2010-12-31	$77,579
Contributions received from other sources (not participants or employers)	2010-12-31	$22,862
Other income received	2010-12-31	$124,288
Net income (gross income less expenses)	2010-12-31	$173,087
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,500,377
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,325,424
Total contributions received or receivable from employer(s)	2010-12-31	$83,566
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$485

Form 5500 Responses for THE ARC OF FAYETTE COUNTY 403(B) PLAN

2022: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: THE ARC OF FAYETTE COUNTY 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

722626 001

Policy instance

Insurance contract or identification number	722626 001
Number of Individuals Covered	5
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

722626 001

Policy instance

Insurance contract or identification number	722626 001
Number of Individuals Covered	5
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

722626 001

Policy instance

Insurance contract or identification number	722626 001
Number of Individuals Covered	5
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

722626 001

Policy instance

Insurance contract or identification number	722626 001
Number of Individuals Covered	5
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

722626 001

Policy instance

Insurance contract or identification number	722626 001
Number of Individuals Covered	6
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

722626 001

Policy instance

Insurance contract or identification number	722626 001
Number of Individuals Covered	6
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	THE ARC OF FAYETTE COUNTY
Employer identification number (EIN):	251121875
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)