401k Plan data: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN plan

VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

VIP COMMUNITY MENTAL HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: VIP COMMUNITY MENTAL HEALTH CENTER, INC.

Employer identification number (EIN): 300017808

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-07-01
001 2021-07-01 BIN LI 2023-02-27
001 2020-07-01 BIN LI 2022-02-15 BIN LI 2022-02-15
001 2019-07-01 BIN LI 2021-01-19
001 2018-07-01 BIN LI 2020-01-30 BIN LI 2020-01-30
001 2017-07-01
001 2016-07-01
001 2015-07-01
001 2014-07-01
001 2013-07-01 KELLY ARMALY 2015-01-14 KELLY ARMALY 2015-01-14
001 2012-07-01 KELLY ARMALY 2014-04-02 KELLY ARMALY 2014-04-02
001 2011-07-01 KELLY ARMALY 2013-01-04
001 2010-07-01 KELLY ARMALY 2012-02-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-07-01
001	2021-07-01	BIN LI	2023-02-27
001	2020-07-01	BIN LI	2022-02-15	BIN LI	2022-02-15
001	2019-07-01	BIN LI	2021-01-19
001	2018-07-01	BIN LI	2020-01-30	BIN LI	2020-01-30
001	2017-07-01
001	2016-07-01
001	2015-07-01
001	2014-07-01
001	2013-07-01	KELLY ARMALY	2015-01-14	KELLY ARMALY	2015-01-14
001	2012-07-01	KELLY ARMALY	2014-04-02	KELLY ARMALY	2014-04-02
001	2011-07-01	KELLY ARMALY	2013-01-04
001	2010-07-01	KELLY ARMALY	2012-02-29

Plan Statistics for VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 107
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 66
Number of retired or separated participants receiving benefits 2022-07-01 2
Number of other retired or separated participants entitled to future benefits 2022-07-01 39
Total of all active and inactive participants 2022-07-01 107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-07-01 0
Total participants 2022-07-01 107
Number of participants with account balances 2022-07-01 86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-07-01 0
2021: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 123
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 63
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 44
Total of all active and inactive participants 2021-07-01 107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 107
Number of participants with account balances 2021-07-01 90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 126
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 83
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 41
Total of all active and inactive participants 2020-07-01 124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 124
Number of participants with account balances 2020-07-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 131
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 56
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 52
Total of all active and inactive participants 2019-07-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 108
Number of participants with account balances 2019-07-01 106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 138
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 81
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 52
Total of all active and inactive participants 2018-07-01 133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 133
Number of participants with account balances 2018-07-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 127
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 78
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 60
Total of all active and inactive participants 2017-07-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 138
Number of participants with account balances 2017-07-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 116
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 89
Number of other retired or separated participants entitled to future benefits 2016-07-01 35
Total of all active and inactive participants 2016-07-01 124
Total participants 2016-07-01 124
Number of participants with account balances 2016-07-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 130
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 73
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 29
Total of all active and inactive participants 2015-07-01 102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 102
Number of participants with account balances 2015-07-01 102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0

Measure	Date	Value
2022: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	107
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	66
Number of retired or separated participants receiving benefits	2022-07-01	2
Number of other retired or separated participants entitled to future benefits	2022-07-01	39
Total of all active and inactive participants	2022-07-01	107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-07-01	0
Total participants	2022-07-01	107
Number of participants with account balances	2022-07-01	86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-07-01	0
2021: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	123
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	63
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	44
Total of all active and inactive participants	2021-07-01	107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	107
Number of participants with account balances	2021-07-01	90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	126
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	83
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	41
Total of all active and inactive participants	2020-07-01	124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	124
Number of participants with account balances	2020-07-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	131
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	56
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	52
Total of all active and inactive participants	2019-07-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	108
Number of participants with account balances	2019-07-01	106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	138
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	81
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	52
Total of all active and inactive participants	2018-07-01	133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	133
Number of participants with account balances	2018-07-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	127
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	78
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	60
Total of all active and inactive participants	2017-07-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	138
Number of participants with account balances	2017-07-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	116
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	89
Number of other retired or separated participants entitled to future benefits	2016-07-01	35
Total of all active and inactive participants	2016-07-01	124
Total participants	2016-07-01	124
Number of participants with account balances	2016-07-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	130
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	73
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	29
Total of all active and inactive participants	2015-07-01	102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	102
Number of participants with account balances	2015-07-01	102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0

Financial Data on VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2023 : VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2023 401k financial data
Total income from all sources (including contributions)	2023-06-30	$705,855
Total of all expenses incurred	2023-06-30	$99,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-06-30	$77,571
Expenses. Certain deemed distributions of participant loans	2023-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-06-30	$428,857
Value of total assets at end of year	2023-06-30	$3,016,508
Value of total assets at beginning of year	2023-06-30	$2,410,446
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-06-30	$22,222
Total interest from all sources	2023-06-30	$2,509
Total dividends received (eg from common stock, registered investment company shares)	2023-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-06-30	$0
Was this plan covered by a fidelity bond	2023-06-30	Yes
Value of fidelity bond cover	2023-06-30	$350,000
If this is an individual account plan, was there a blackout period	2023-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2023-06-30	No
Contributions received from participants	2023-06-30	$183,351
Participant contributions at end of year	2023-06-30	$31,305
Participant contributions at beginning of year	2023-06-30	$22,377
Participant contributions at end of year	2023-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2023-06-30	$40,342
Value of other receiveables (less allowance for doubtful accounts) at end of year	2023-06-30	$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	2023-06-30	No
Value of net income/loss	2023-06-30	$606,062
Value of net assets at end of year (total assets less liabilities)	2023-06-30	$3,016,508
Value of net assets at beginning of year (total assets less liabilities)	2023-06-30	$2,410,446
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-06-30	No
Were any leases to which the plan was party in default or uncollectible	2023-06-30	No
Value of interest in pooled separate accounts at end of year	2023-06-30	$2,707,117
Value of interest in pooled separate accounts at beginning of year	2023-06-30	$2,335,975
Interest on participant loans	2023-06-30	$1,909
Interest earned on other investments	2023-06-30	$600
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-06-30	$72,922
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-06-30	$52,094
Expenses. Payments to insurance carriers foe the provision of benefits	2023-06-30	$0
Net investment gain/loss from pooled separate accounts	2023-06-30	$274,489
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-06-30	No
Was there a failure to transmit to the plan any participant contributions	2023-06-30	No
Has the plan failed to provide any benefit when due under the plan	2023-06-30	No
Contributions received in cash from employer	2023-06-30	$205,164
Employer contributions (assets) at end of year	2023-06-30	$205,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-06-30	$77,571
Contract administrator fees	2023-06-30	$22,222
Did the plan have assets held for investment	2023-06-30	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	2023-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-06-30	No
Opinion of an independent qualified public accountant for this plan	2023-06-30	Unqualified
Accountancy firm name	2023-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2023-06-30	410746749
2022 : VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-06-30	$-176,467
Total of all expenses incurred	2022-06-30	$218,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$194,445
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$184,910
Value of total assets at end of year	2022-06-30	$2,410,446
Value of total assets at beginning of year	2022-06-30	$2,805,767
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$24,409
Total interest from all sources	2022-06-30	$1,663
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Administrative expenses professional fees incurred	2022-06-30	$24,409
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$250,000
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
Contributions received from participants	2022-06-30	$184,910
Participant contributions at end of year	2022-06-30	$22,377
Participant contributions at beginning of year	2022-06-30	$15,131
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	$-395,321
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$2,410,446
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$2,805,767
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
Value of interest in pooled separate accounts at end of year	2022-06-30	$2,335,975
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$2,743,262
Interest on participant loans	2022-06-30	$1,293
Interest earned on other investments	2022-06-30	$370
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$52,094
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$47,374
Net investment gain or loss from common/collective trusts	2022-06-30	$-363,040
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$194,445
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	Unqualified
Accountancy firm name	2022-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-06-30	410746749
2021 : VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-06-30	$950,559
Total of all expenses incurred	2021-06-30	$173,983
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$147,924
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$360,204
Value of total assets at end of year	2021-06-30	$2,805,767
Value of total assets at beginning of year	2021-06-30	$2,029,191
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$26,059
Total interest from all sources	2021-06-30	$1,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Administrative expenses professional fees incurred	2021-06-30	$26,059
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$250,000
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
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$135,140
Participant contributions at end of year	2021-06-30	$15,131
Participant contributions at beginning of year	2021-06-30	$24,185
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	$776,576
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$2,805,767
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$2,029,191
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
Value of interest in pooled separate accounts at end of year	2021-06-30	$2,743,262
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$1,958,315
Interest on participant loans	2021-06-30	$1,150
Interest earned on other investments	2021-06-30	$385
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$47,374
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$46,691
Net investment gain/loss from pooled separate accounts	2021-06-30	$588,820
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	Yes
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	$225,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$147,924
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-06-30	410746749
2020 : VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-06-30	$292,429
Total of all expenses incurred	2020-06-30	$144,858
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$135,472
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$207,880
Value of total assets at end of year	2020-06-30	$2,029,191
Value of total assets at beginning of year	2020-06-30	$1,881,620
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$9,386
Total interest from all sources	2020-06-30	$566
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Administrative expenses professional fees incurred	2020-06-30	$9,386
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$250,000
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
Contributions received from participants	2020-06-30	$85,063
Participant contributions at end of year	2020-06-30	$24,185
Participant contributions at beginning of year	2020-06-30	$9,863
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$8,547
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	$147,571
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$2,029,191
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$1,881,620
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
Value of interest in pooled separate accounts at end of year	2020-06-30	$1,958,315
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$1,794,209
Interest on participant loans	2020-06-30	$566
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$46,691
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$77,548
Net investment gain/loss from pooled separate accounts	2020-06-30	$83,983
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	Yes
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	$114,270
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$135,472
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-06-30	410746749
2019 : VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-06-30	$223,159
Total of all expenses incurred	2019-06-30	$536,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$529,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$134,126
Value of total assets at end of year	2019-06-30	$1,881,620
Value of total assets at beginning of year	2019-06-30	$2,195,007
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$6,741
Total interest from all sources	2019-06-30	$678
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	$250,000
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
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$111,817
Participant contributions at end of year	2019-06-30	$9,863
Participant contributions at beginning of year	2019-06-30	$20,706
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$22,309
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	$-313,387
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$1,881,620
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$2,195,007
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
Value of interest in pooled separate accounts at end of year	2019-06-30	$1,794,209
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$2,100,892
Interest on participant loans	2019-06-30	$678
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$77,548
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$73,409
Net investment gain/loss from pooled separate accounts	2019-06-30	$88,355
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	Yes
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$529,805
Contract administrator fees	2019-06-30	$6,741
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-06-30	410746749
2018 : VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total transfer of assets to this plan	2018-06-30	$0
Total transfer of assets from this plan	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$251,905
Total of all expenses incurred	2018-06-30	$215,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$204,574
Expenses. Certain deemed distributions of participant loans	2018-06-30	$8,308
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$86,299
Value of total assets at end of year	2018-06-30	$2,195,007
Value of total assets at beginning of year	2018-06-30	$2,158,705
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$2,721
Total interest from all sources	2018-06-30	$1,489
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$1,269
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	$250,000
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
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$86,299
Participant contributions at end of year	2018-06-30	$20,706
Participant contributions at beginning of year	2018-06-30	$36,741
Assets. Loans (other than to participants) at beginning of year	2018-06-30	$0
Other income not declared elsewhere	2018-06-30	$2,680
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	$36,302
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$2,195,007
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$2,158,705
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
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$2,039,894
Value of interest in pooled separate accounts at end of year	2018-06-30	$2,100,892
Income. Interest from loans (other than to participants)	2018-06-30	$1,489
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-06-30	$3,206
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-06-30	$3,206
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$73,409
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$160,168
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	Yes
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Employer contributions (assets) at beginning of year	2018-06-30	$78,864
Income. Dividends from common stock	2018-06-30	$1,269
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$204,574
Contract administrator fees	2018-06-30	$2,721
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-06-30	410746749
2017 : VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-06-30	$341,671
Total of all expenses incurred	2017-06-30	$100,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$94,385
Expenses. Certain deemed distributions of participant loans	2017-06-30	$4,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$178,672
Value of total assets at end of year	2017-06-30	$2,158,705
Value of total assets at beginning of year	2017-06-30	$1,917,607
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$1,644
Total interest from all sources	2017-06-30	$46,347
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	$200,000
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
Contributions received from participants	2017-06-30	$92,770
Participant contributions at end of year	2017-06-30	$36,741
Participant contributions at beginning of year	2017-06-30	$22,405
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$4,220
Assets. Loans (other than to participants) at end of year	2017-06-30	$0
Assets. Loans (other than to participants) at beginning of year	2017-06-30	$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	2017-06-30	No
Value of net income/loss	2017-06-30	$241,098
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$2,158,705
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$1,917,607
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$2,039,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$1,660,415
Income. Interest from loans (other than to participants)	2017-06-30	$1,861
Interest earned on other investments	2017-06-30	$422
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-06-30	$3,206
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-06-30	$1,122
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-06-30	$1,122
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-06-30	$44,064
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$116,652
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	Yes
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	$81,682
Employer contributions (assets) at end of year	2017-06-30	$78,864
Employer contributions (assets) at beginning of year	2017-06-30	$233,665
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$94,385
Contract administrator fees	2017-06-30	$1,644
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	NSBN LLP
Accountancy firm EIN	2017-06-30	952399533
2016 : VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total transfer of assets to this plan	2016-06-30	$0
Total transfer of assets from this plan	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$365,409
Total of all expenses incurred	2016-06-30	$350,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$346,128
Expenses. Certain deemed distributions of participant loans	2016-06-30	$3,980
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$353,803
Value of total assets at end of year	2016-06-30	$1,917,607
Value of total assets at beginning of year	2016-06-30	$1,902,637
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$331
Total interest from all sources	2016-06-30	$72,724
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	$200,000
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
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$101,210
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$18,928
Assets. Loans (other than to participants) at end of year	2016-06-30	$22,405
Assets. Loans (other than to participants) at beginning of year	2016-06-30	$17,609
Other income not declared elsewhere	2016-06-30	$423
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
Income. Non cash contributions	2016-06-30	$0
Value of net income/loss	2016-06-30	$14,970
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$1,917,607
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$1,902,637
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$1,660,415
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$1,780,243
Income. Interest from loans (other than to participants)	2016-06-30	$871
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-06-30	$1,122
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-06-30	$699
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-06-30	$699
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-30	$71,853
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-61,541
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	Yes
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	$233,665
Employer contributions (assets) at end of year	2016-06-30	$233,665
Employer contributions (assets) at beginning of year	2016-06-30	$104,086
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$346,128
Contract administrator fees	2016-06-30	$331
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	NSBN LLP
Accountancy firm EIN	2016-06-30	952399533

Form 5500 Responses for VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN

2022: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan funding arrangement – Trust	Yes
2022-07-01	Plan benefit arrangement - Trust	Yes
2021: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING 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: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING 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: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING 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: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING 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: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING 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: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING 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 – Trust	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: VIP COMMUNITY MENTAL HEALTH CENTER, INC. 401(K) PROFIT SHARING 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 – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

602158-000

Policy instance

Insurance contract or identification number	602158-000
Number of Individuals Covered	86
Insurance policy start date	2022-07-01
Insurance policy end date	2023-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,266
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	1266
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker organization code?	5

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

602158

Policy instance

Insurance contract or identification number	602158
Number of Individuals Covered	105
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,742
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	0
Additional information about fees paid to insurance broker	0

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

602158

Policy instance

Insurance contract or identification number	602158
Number of Individuals Covered	124
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 $1,454
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	0
Additional information about fees paid to insurance broker	FEES PAID/PURPOSE

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

602158

Policy instance

Insurance contract or identification number	602158
Number of Individuals Covered	108
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $4,199
Total amount of fees paid to insurance company	USD $957
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $4,199
Amount paid for insurance broker fees	0
Insurance broker organization code?	0

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

602158

Policy instance

Insurance contract or identification number	602158
Number of Individuals Covered	133
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $4,199
Total amount of fees paid to insurance company	USD $1,025
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $4,199
Amount paid for insurance broker fees	0
Insurance broker organization code?	0

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

602158

Policy instance

Insurance contract or identification number	602158
Number of Individuals Covered	138
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $11,345
Total amount of fees paid to insurance company	USD $3,103
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $11,345
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3
Insurance broker name	QBI, LLC

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Company Name:	VIP COMMUNITY MENTAL HEALTH CENTER, INC.
Employer identification number (EIN):	300017808
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists