401k Plan data: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN plan

PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN
Plan identification number	001

PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.
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

PROVIDENCE CENTER, INC has sponsored the creation of one or more 401k plans.

Company Name: PROVIDENCE CENTER, INC

Employer identification number (EIN): 520741599

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVIDENCE CENTER, INC 401(K) RETIREMENT 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
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01 JOAN MILLER JOAN MILLER 2018-04-17
001 2015-07-01 JOAN MILLER
001 2015-07-01 JOAN MILLER
001 2014-07-01 JOAN MILLER
001 2014-07-01 JOAN MILLER
001 2013-07-01 JOAN MILLER JOAN MILLER 2015-04-15
001 2012-07-01 JOAN MILLER
001 2011-07-01 JENNIFER HOWERTON
001 2009-07-01 JENNIFER HOWERTOHN LORI HARE 2011-01-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2022-07-01
001	2021-07-01
001	2020-07-01
001	2019-07-01
001	2018-07-01
001	2017-07-01
001	2016-07-01	JOAN MILLER	JOAN MILLER	2018-04-17
001	2015-07-01	JOAN MILLER
001	2015-07-01	JOAN MILLER
001	2014-07-01	JOAN MILLER
001	2014-07-01	JOAN MILLER
001	2013-07-01	JOAN MILLER	JOAN MILLER	2015-04-15
001	2012-07-01	JOAN MILLER
001	2011-07-01	JENNIFER HOWERTON
001	2009-07-01	JENNIFER HOWERTOHN	LORI HARE	2011-01-28

Plan Statistics for PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN

401k plan membership statisitcs for PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN

Measure Date Value
2022: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 147
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 142
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 20
Total of all active and inactive participants 2022-07-01 162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-07-01 0
Total participants 2022-07-01 162
Number of participants with account balances 2022-07-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-07-01 2
2021: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 138
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 124
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 23
Total of all active and inactive participants 2021-07-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 147
Number of participants with account balances 2021-07-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 165
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 112
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 22
Total of all active and inactive participants 2020-07-01 134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 134
Number of participants with account balances 2020-07-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 8
2019: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 192
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 146
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 24
Total of all active and inactive participants 2019-07-01 170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 170
Number of participants with account balances 2019-07-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 23
2018: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 222
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 191
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 18
Total of all active and inactive participants 2018-07-01 209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 209
Number of participants with account balances 2018-07-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 5
2017: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 271
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 203
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 14
Total of all active and inactive participants 2017-07-01 217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 217
Number of participants with account balances 2017-07-01 53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 231
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 154
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 65
Total of all active and inactive participants 2016-07-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 219
Number of participants with account balances 2016-07-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 264
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 162
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 66
Total of all active and inactive participants 2015-07-01 228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 228
Number of participants with account balances 2015-07-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 1
2014: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 253
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 197
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 67
Total of all active and inactive participants 2014-07-01 264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 264
Number of participants with account balances 2014-07-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 4
2013: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 175
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 175
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 63
Total of all active and inactive participants 2013-07-01 238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 238
Number of participants with account balances 2013-07-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 1
2012: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 204
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 179
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 60
Total of all active and inactive participants 2012-07-01 239
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 239
Number of participants with account balances 2012-07-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 5
2011: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 108
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 142
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 59
Total of all active and inactive participants 2011-07-01 201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 201
Number of participants with account balances 2011-07-01 86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 2
2009: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 199
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 53
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 108
Total of all active and inactive participants 2009-07-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 161
Number of participants with account balances 2009-07-01 152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 4

Measure	Date	Value
2022: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	147
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	142
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	20
Total of all active and inactive participants	2022-07-01	162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-07-01	0
Total participants	2022-07-01	162
Number of participants with account balances	2022-07-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-07-01	2
2021: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	138
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	124
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	23
Total of all active and inactive participants	2021-07-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	147
Number of participants with account balances	2021-07-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	165
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	112
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	22
Total of all active and inactive participants	2020-07-01	134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	134
Number of participants with account balances	2020-07-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	8
2019: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	192
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	146
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	24
Total of all active and inactive participants	2019-07-01	170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	170
Number of participants with account balances	2019-07-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	23
2018: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	222
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	191
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	18
Total of all active and inactive participants	2018-07-01	209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	209
Number of participants with account balances	2018-07-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	5
2017: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	271
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	203
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	14
Total of all active and inactive participants	2017-07-01	217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	217
Number of participants with account balances	2017-07-01	53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	231
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	154
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	65
Total of all active and inactive participants	2016-07-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	219
Number of participants with account balances	2016-07-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	264
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	162
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	66
Total of all active and inactive participants	2015-07-01	228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	228
Number of participants with account balances	2015-07-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	1
2014: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	253
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	197
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	67
Total of all active and inactive participants	2014-07-01	264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	264
Number of participants with account balances	2014-07-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	4
2013: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	175
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	175
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	63
Total of all active and inactive participants	2013-07-01	238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	238
Number of participants with account balances	2013-07-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	1
2012: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	204
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	179
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	60
Total of all active and inactive participants	2012-07-01	239
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	239
Number of participants with account balances	2012-07-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	5
2011: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	108
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	142
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	59
Total of all active and inactive participants	2011-07-01	201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	201
Number of participants with account balances	2011-07-01	86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	2
2009: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	199
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	53
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	108
Total of all active and inactive participants	2009-07-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	161
Number of participants with account balances	2009-07-01	152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	4

Financial Data on PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN

Measure	Date	Value
2023 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-06-30	$0
Total income from all sources (including contributions)	2023-06-30	$385,327
Total loss/gain on sale of assets	2023-06-30	$0
Total of all expenses incurred	2023-06-30	$239,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-06-30	$227,307
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-06-30	$279,991
Value of total assets at end of year	2023-06-30	$1,283,107
Value of total assets at beginning of year	2023-06-30	$1,137,367
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-06-30	$12,280
Total interest from all sources	2023-06-30	$1,743
Total dividends received (eg from common stock, registered investment company shares)	2023-06-30	$804
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	$804
Was this plan covered by a fidelity bond	2023-06-30	Yes
Value of fidelity bond cover	2023-06-30	$91,787
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	$140,073
Participant contributions at end of year	2023-06-30	$23,832
Participant contributions at beginning of year	2023-06-30	$23,307
Income. Received or receivable in cash from other sources (including rollovers)	2023-06-30	$40,823
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	$145,740
Value of net assets at end of year (total assets less liabilities)	2023-06-30	$1,283,107
Value of net assets at beginning of year (total assets less liabilities)	2023-06-30	$1,137,367
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 registered invesment companies (eg mutual funds) at end of year	2023-06-30	$25,704
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-06-30	$18,073
Value of interest in pooled separate accounts at end of year	2023-06-30	$14,654
Value of interest in pooled separate accounts at beginning of year	2023-06-30	$8,407
Interest on participant loans	2023-06-30	$1,293
Interest earned on other investments	2023-06-30	$450
Value of interest in common/collective trusts at end of year	2023-06-30	$1,168,520
Value of interest in common/collective trusts at beginning of year	2023-06-30	$1,050,125
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-06-30	$50,397
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-06-30	$37,455
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-06-30	$1,177
Net investment gain/loss from pooled separate accounts	2023-06-30	$489
Net investment gain or loss from common/collective trusts	2023-06-30	$101,123
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	$99,095
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-06-30	$227,307
Contract administrator fees	2023-06-30	$12,280
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	MULLEN, SONDBERG, WIMBISH & STONE
Accountancy firm EIN	2023-06-30	521197902
2022 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$13,930
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$41,869
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$29,325
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$178,568
Value of total assets at end of year	2022-06-30	$1,137,367
Value of total assets at beginning of year	2022-06-30	$1,165,306
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$12,544
Total interest from all sources	2022-06-30	$1,271
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$587
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$587
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$91,787
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	$105,080
Participant contributions at end of year	2022-06-30	$23,307
Participant contributions at beginning of year	2022-06-30	$21,135
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	$-27,939
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$1,137,367
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$1,165,306
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 registered invesment companies (eg mutual funds) at end of year	2022-06-30	$18,073
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$15,623
Value of interest in pooled separate accounts at end of year	2022-06-30	$8,407
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$4,602
Interest on participant loans	2022-06-30	$1,106
Interest earned on other investments	2022-06-30	$165
Value of interest in common/collective trusts at end of year	2022-06-30	$1,050,125
Value of interest in common/collective trusts at beginning of year	2022-06-30	$1,117,154
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$37,455
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$6,792
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-3,090
Net investment gain/loss from pooled separate accounts	2022-06-30	$-1,278
Net investment gain or loss from common/collective trusts	2022-06-30	$-162,128
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$73,488
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$29,325
Contract administrator fees	2022-06-30	$12,544
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	Adverse
Accountancy firm name	2022-06-30	MULLEN SONBERG WINBERSH AND STONE
Accountancy firm EIN	2022-06-30	521197902
2021 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$366,804
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$96,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$74,810
Value of total corrective distributions	2021-06-30	$8,359
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$156,102
Value of total assets at end of year	2021-06-30	$1,165,306
Value of total assets at beginning of year	2021-06-30	$894,768
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$13,097
Total interest from all sources	2021-06-30	$894
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$667
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$667
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$91,787
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	$88,545
Participant contributions at end of year	2021-06-30	$21,135
Participant contributions at beginning of year	2021-06-30	$16,669
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-06-30	$6,655
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	$270,538
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$1,165,306
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$894,768
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 registered invesment companies (eg mutual funds) at end of year	2021-06-30	$15,623
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$18,236
Value of interest in pooled separate accounts at end of year	2021-06-30	$4,602
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$2,043
Interest on participant loans	2021-06-30	$894
Value of interest in common/collective trusts at end of year	2021-06-30	$1,117,154
Value of interest in common/collective trusts at beginning of year	2021-06-30	$768,448
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$6,792
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$27,358
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$2,044
Net investment gain/loss from pooled separate accounts	2021-06-30	$581
Net investment gain or loss from common/collective trusts	2021-06-30	$206,516
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$67,557
Employer contributions (assets) at beginning of year	2021-06-30	$62,014
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$68,155
Contract administrator fees	2021-06-30	$13,097
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	HAILU MENGESHA, CPA
Accountancy firm EIN	2021-06-30	521197902
2020 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-06-30	$0
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total transfer of assets to this plan	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$119,974
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$149,162
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$132,025
Expenses. Certain deemed distributions of participant loans	2020-06-30	$0
Value of total corrective distributions	2020-06-30	$6,222
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$90,259
Value of total assets at end of year	2020-06-30	$894,768
Value of total assets at beginning of year	2020-06-30	$923,956
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$10,915
Total income from rents	2020-06-30	$0
Total interest from all sources	2020-06-30	$716
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$471
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$471
Administrative expenses professional fees incurred	2020-06-30	$0
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$91,787
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
Amount of non-exempt transactions with any party-in-interest	2020-06-30	$0
Contributions received from participants	2020-06-30	$84,220
Participant contributions at end of year	2020-06-30	$16,669
Participant contributions at beginning of year	2020-06-30	$5,795
Participant contributions at end of year	2020-06-30	$0
Participant contributions at beginning of year	2020-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$1,939
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-06-30	$0
Other income not declared elsewhere	2020-06-30	$0
Administrative expenses (other) incurred	2020-06-30	$0
Liabilities. Value of operating payables at beginning of year	2020-06-30	$0
Total non interest bearing cash at end of year	2020-06-30	$0
Total non interest bearing cash at beginning of year	2020-06-30	$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	2020-06-30	No
Value of net income/loss	2020-06-30	$-29,188
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$894,768
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$923,956
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2020-06-30	$0
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2020-06-30	$0
Investment advisory and management fees	2020-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$18,236
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$5,094
Value of interest in pooled separate accounts at end of year	2020-06-30	$2,043
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$0
Interest on participant loans	2020-06-30	$653
Income. Interest from loans (other than to participants)	2020-06-30	$0
Interest earned on other investments	2020-06-30	$63
Income. Interest from US Government securities	2020-06-30	$0
Income. Interest from corporate debt instruments	2020-06-30	$0
Value of interest in common/collective trusts at end of year	2020-06-30	$768,448
Value of interest in common/collective trusts at beginning of year	2020-06-30	$855,153
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$27,358
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2020-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$375
Net investment gain/loss from pooled separate accounts	2020-06-30	$-4
Net investment gain or loss from common/collective trusts	2020-06-30	$28,157
Net gain/loss from 103.12 investment entities	2020-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$4,100
Employer contributions (assets) at end of year	2020-06-30	$62,014
Employer contributions (assets) at beginning of year	2020-06-30	$57,914
Income. Dividends from preferred stock	2020-06-30	$0
Income. Dividends from common stock	2020-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$132,025
Contract administrator fees	2020-06-30	$10,915
Liabilities. Value of benefit claims payable at beginning of year	2020-06-30	$0
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
Aggregate proceeds on sale of assets	2020-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2020-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-06-30	$0
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	MULLEN, SONDBERG, WIMBISH AND STONE
Accountancy firm EIN	2020-06-30	521499979
2019 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-06-30	$0
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total transfer of assets to this plan	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$237,610
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$68,159
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$57,440
Expenses. Certain deemed distributions of participant loans	2019-06-30	$0
Value of total corrective distributions	2019-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$200,960
Value of total assets at end of year	2019-06-30	$923,956
Value of total assets at beginning of year	2019-06-30	$754,505
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$10,719
Total income from rents	2019-06-30	$0
Total interest from all sources	2019-06-30	$349
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$16
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$16
Administrative expenses professional fees incurred	2019-06-30	$0
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$150,000
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	$90,529
Participant contributions at end of year	2019-06-30	$5,795
Participant contributions at beginning of year	2019-06-30	$10,246
Participant contributions at end of year	2019-06-30	$0
Participant contributions at beginning of year	2019-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$11,748
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-06-30	$0
Other income not declared elsewhere	2019-06-30	$0
Administrative expenses (other) incurred	2019-06-30	$0
Liabilities. Value of operating payables at beginning of year	2019-06-30	$0
Total non interest bearing cash at end of year	2019-06-30	$0
Total non interest bearing cash at beginning of year	2019-06-30	$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	2019-06-30	No
Value of net income/loss	2019-06-30	$169,451
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$923,956
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$754,505
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Investment advisory and management fees	2019-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$5,094
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$2,756
Value of interest in pooled separate accounts at end of year	2019-06-30	$0
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$195
Interest on participant loans	2019-06-30	$349
Income. Interest from loans (other than to participants)	2019-06-30	$0
Interest earned on other investments	2019-06-30	$0
Income. Interest from US Government securities	2019-06-30	$0
Income. Interest from corporate debt instruments	2019-06-30	$0
Value of interest in common/collective trusts at end of year	2019-06-30	$855,153
Value of interest in common/collective trusts at beginning of year	2019-06-30	$741,308
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$145
Net investment gain/loss from pooled separate accounts	2019-06-30	$-61
Net investment gain or loss from common/collective trusts	2019-06-30	$36,201
Net gain/loss from 103.12 investment entities	2019-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$98,683
Employer contributions (assets) at end of year	2019-06-30	$57,914
Employer contributions (assets) at beginning of year	2019-06-30	$0
Income. Dividends from preferred stock	2019-06-30	$0
Income. Dividends from common stock	2019-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$57,440
Contract administrator fees	2019-06-30	$10,719
Liabilities. Value of benefit claims payable at beginning of year	2019-06-30	$0
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
Aggregate proceeds on sale of assets	2019-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2019-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-06-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	No
Opinion of an independent qualified public accountant for this plan	2019-06-30	Qualified
Accountancy firm name	2019-06-30	MULLEN, SONDBERG, WIMBISH & STONE
Accountancy firm EIN	2019-06-30	521499979
2018 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-06-30	$0
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total transfer of assets to this plan	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Expenses. Interest paid	2018-06-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$84,480
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$131,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$124,545
Expenses. Certain deemed distributions of participant loans	2018-06-30	$0
Value of total corrective distributions	2018-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$64,623
Value of total assets at end of year	2018-06-30	$754,505
Value of total assets at beginning of year	2018-06-30	$801,791
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$7,221
Total income from rents	2018-06-30	$0
Total interest from all sources	2018-06-30	$724
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$11,716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$11,716
Administrative expenses professional fees incurred	2018-06-30	$0
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$150,000
If this is an individual account plan, was there a blackout period	2018-06-30	Yes
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
Amount of non-exempt transactions with any party-in-interest	2018-06-30	$0
Contributions received from participants	2018-06-30	$64,623
Participant contributions at end of year	2018-06-30	$10,246
Participant contributions at beginning of year	2018-06-30	$15,805
Participant contributions at end of year	2018-06-30	$0
Participant contributions at beginning of year	2018-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-06-30	$0
Other income not declared elsewhere	2018-06-30	$529
Administrative expenses (other) incurred	2018-06-30	$0
Liabilities. Value of operating payables at beginning of year	2018-06-30	$0
Total non interest bearing cash at end of year	2018-06-30	$0
Total non interest bearing cash at beginning of year	2018-06-30	$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	2018-06-30	No
Income. Non cash contributions	2018-06-30	$0
Value of net income/loss	2018-06-30	$-47,286
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$754,505
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$801,791
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2018-06-30	$0
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2018-06-30	$0
Investment advisory and management fees	2018-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$2,756
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$627,520
Value of interest in pooled separate accounts at end of year	2018-06-30	$195
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$0
Interest on participant loans	2018-06-30	$724
Income. Interest from loans (other than to participants)	2018-06-30	$0
Interest earned on other investments	2018-06-30	$0
Income. Interest from US Government securities	2018-06-30	$0
Income. Interest from corporate debt instruments	2018-06-30	$0
Value of interest in common/collective trusts at end of year	2018-06-30	$741,308
Value of interest in common/collective trusts at beginning of year	2018-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-06-30	$147,016
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-06-30	$147,016
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$28,844
Net investment gain/loss from pooled separate accounts	2018-06-30	$1
Net investment gain or loss from common/collective trusts	2018-06-30	$-21,957
Net gain/loss from 103.12 investment entities	2018-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$0
Employer contributions (assets) at end of year	2018-06-30	$0
Employer contributions (assets) at beginning of year	2018-06-30	$11,450
Income. Dividends from preferred stock	2018-06-30	$0
Income. Dividends from common stock	2018-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$124,545
Contract administrator fees	2018-06-30	$7,221
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-06-30	Yes
Liabilities. Value of benefit claims payable at beginning of year	2018-06-30	$0
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
Aggregate proceeds on sale of assets	2018-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2018-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-06-30	$0
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	MULLEN, SONDBERG, WIMBISH & STONE
Accountancy firm EIN	2018-06-30	521499979
2017 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$161,582
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$78,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$71,419
Expenses. Certain deemed distributions of participant loans	2017-06-30	$1,531
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$59,940
Value of total assets at end of year	2017-06-30	$801,791
Value of total assets at beginning of year	2017-06-30	$719,204
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$6,045
Total interest from all sources	2017-06-30	$534
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$9,488
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$9,488
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$150,000
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	$35,546
Participant contributions at end of year	2017-06-30	$15,805
Participant contributions at beginning of year	2017-06-30	$17,316
Participant contributions at end of year	2017-06-30	$0
Participant contributions at beginning of year	2017-06-30	$1,186
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$12,944
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	$82,587
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$801,791
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$719,204
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	$627,520
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$552,868
Interest on participant loans	2017-06-30	$534
Income. Interest from loans (other than to participants)	2017-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-06-30	$147,016
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-06-30	$140,070
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-06-30	$140,070
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$91,620
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$11,450
Employer contributions (assets) at end of year	2017-06-30	$11,450
Employer contributions (assets) at beginning of year	2017-06-30	$7,764
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$71,419
Contract administrator fees	2017-06-30	$6,045
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	No
Opinion of an independent qualified public accountant for this plan	2017-06-30	Qualified
Accountancy firm name	2017-06-30	MULLEN, SONDBERG, WIMBISH & STONE,
Accountancy firm EIN	2017-06-30	521499979
2016 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$13,961
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$43,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$41,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$34,186
Value of total assets at end of year	2016-06-30	$718,630
Value of total assets at beginning of year	2016-06-30	$748,475
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$2,606
Total interest from all sources	2016-06-30	$1,034
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$8,297
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$8,297
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$1,000,000
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	$25,818
Participant contributions at end of year	2016-06-30	$17,928
Participant contributions at beginning of year	2016-06-30	$21,521
Participant contributions at end of year	2016-06-30	$0
Participant contributions at beginning of year	2016-06-30	$944
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$604
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-29,845
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$718,630
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$748,475
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	$552,868
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$590,251
Interest on participant loans	2016-06-30	$839
Income. Interest from loans (other than to participants)	2016-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-06-30	$140,070
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-06-30	$129,075
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-06-30	$129,075
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-30	$195
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-29,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$7,764
Employer contributions (assets) at end of year	2016-06-30	$7,764
Employer contributions (assets) at beginning of year	2016-06-30	$6,684
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$41,200
Contract administrator fees	2016-06-30	$2,606
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	MULLEN, SONDBERG, WIMBISH&STONE, PA
Accountancy firm EIN	2016-06-30	521499979
2015 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$44,749
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$20,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$19,093
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$44,433
Value of total assets at end of year	2015-06-30	$747,531
Value of total assets at beginning of year	2015-06-30	$722,835
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$960
Total interest from all sources	2015-06-30	$722
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$9,318
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$9,318
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$37,749
Participant contributions at end of year	2015-06-30	$21,521
Participant contributions at beginning of year	2015-06-30	$15,461
Participant contributions at end of year	2015-06-30	$944
Participant contributions at beginning of year	2015-06-30	$3,554
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$24,696
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$747,531
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$722,835
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$590,251
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$566,445
Interest on participant loans	2015-06-30	$679
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-06-30	$129,075
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-06-30	$127,854
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-06-30	$127,854
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-06-30	$43
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$-9,724
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$6,684
Employer contributions (assets) at end of year	2015-06-30	$6,684
Employer contributions (assets) at beginning of year	2015-06-30	$9,521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$19,093
Contract administrator fees	2015-06-30	$960
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	No
Opinion of an independent qualified public accountant for this plan	2015-06-30	Qualified
Accountancy firm name	2015-06-30	MULLEN, SONDBERG, WIMBISH & STONE,
Accountancy firm EIN	2015-06-30	521499979
2014 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$152,682
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$51,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$50,622
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$54,310
Value of total assets at end of year	2014-06-30	$722,835
Value of total assets at beginning of year	2014-06-30	$621,585
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$810
Total interest from all sources	2014-06-30	$836
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$7,760
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$7,760
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$150,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$44,789
Participant contributions at end of year	2014-06-30	$15,461
Participant contributions at beginning of year	2014-06-30	$22,089
Participant contributions at end of year	2014-06-30	$3,554
Participant contributions at beginning of year	2014-06-30	$1,798
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$101,250
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$722,835
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$621,585
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$566,445
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$464,671
Interest on participant loans	2014-06-30	$796
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-06-30	$127,854
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-06-30	$124,403
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-06-30	$124,403
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-06-30	$40
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$89,776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$9,521
Employer contributions (assets) at end of year	2014-06-30	$9,521
Employer contributions (assets) at beginning of year	2014-06-30	$8,624
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$50,622
Contract administrator fees	2014-06-30	$810
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	MULLEN, SONDBERG, WIMBISH & STONE
Accountancy firm EIN	2014-06-30	521499979
2013 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$123,342
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$108,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$107,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$58,529
Value of total assets at end of year	2013-06-30	$621,585
Value of total assets at beginning of year	2013-06-30	$606,745
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$1,410
Total interest from all sources	2013-06-30	$1,099
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$7,211
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$7,211
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$150,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$49,906
Participant contributions at end of year	2013-06-30	$22,089
Participant contributions at beginning of year	2013-06-30	$23,910
Participant contributions at end of year	2013-06-30	$1,798
Participant contributions at beginning of year	2013-06-30	$3,212
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$14,840
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$621,585
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$606,745
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$464,671
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$438,837
Interest on participant loans	2013-06-30	$1,002
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-06-30	$124,403
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-06-30	$136,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-06-30	$136,543
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-06-30	$97
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$56,503
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$8,623
Employer contributions (assets) at end of year	2013-06-30	$8,624
Employer contributions (assets) at beginning of year	2013-06-30	$4,243
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$107,092
Contract administrator fees	2013-06-30	$1,410
Did the plan have assets held for investment	2013-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	MULLEN, SONDBERG, WIMBISH, & STONE,
Accountancy firm EIN	2013-06-30	521197902
2012 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$-1,694
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$117,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$116,454
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$32,863
Value of total assets at end of year	2012-06-30	$606,745
Value of total assets at beginning of year	2012-06-30	$726,003
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$1,110
Total interest from all sources	2012-06-30	$1,445
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$7,152
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-06-30	$7,152
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$150,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$28,620
Participant contributions at end of year	2012-06-30	$23,910
Participant contributions at beginning of year	2012-06-30	$37,772
Participant contributions at end of year	2012-06-30	$3,212
Participant contributions at beginning of year	2012-06-30	$1,328
Total non interest bearing cash at beginning of year	2012-06-30	$61
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$-119,258
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$606,745
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$726,003
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$438,837
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$679,847
Interest on participant loans	2012-06-30	$1,344
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-06-30	$136,543
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-06-30	$101
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-43,154
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$4,243
Employer contributions (assets) at end of year	2012-06-30	$4,243
Employer contributions (assets) at beginning of year	2012-06-30	$6,995
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$116,454
Contract administrator fees	2012-06-30	$1,110
Did the plan have assets held for investment	2012-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	MULLEN, SONDBERG, WIMBISH, & STONE,
Accountancy firm EIN	2012-06-30	521197902
2011 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$161,316
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$188,179
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$168,808
Expenses. Certain deemed distributions of participant loans	2011-06-30	$18,566
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$33,551
Value of total assets at end of year	2011-06-30	$726,003
Value of total assets at beginning of year	2011-06-30	$752,866
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$805
Total interest from all sources	2011-06-30	$882
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$7,684
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-06-30	$7,684
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$150,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$26,556
Participant contributions at end of year	2011-06-30	$37,772
Participant contributions at beginning of year	2011-06-30	$29,032
Participant contributions at end of year	2011-06-30	$1,328
Participant contributions at beginning of year	2011-06-30	$622
Total non interest bearing cash at end of year	2011-06-30	$61
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$-26,863
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$726,003
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$752,866
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$679,847
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$717,427
Interest on participant loans	2011-06-30	$800
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$82
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$119,199
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$6,995
Employer contributions (assets) at end of year	2011-06-30	$6,995
Employer contributions (assets) at beginning of year	2011-06-30	$5,785
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$168,808
Contract administrator fees	2011-06-30	$805
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	MULLEN, SONDBERG, WIMBISH & STONE
Accountancy firm EIN	2011-06-30	521197902
2010 : PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN

2022: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	This submission is the final filing	No
2022-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-07-01	Plan is a collectively bargained plan	No
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan funding arrangement – Trust	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement - Trust	Yes
2021: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
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: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
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: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
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: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
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: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	Yes
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: PROVIDENCE CENTER, INC 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

531167

Policy instance

Insurance contract or identification number	531167
Number of Individuals Covered	162
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	162
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

531167

Policy instance

Insurance contract or identification number	531167
Number of Individuals Covered	147
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	147
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

531167

Policy instance

Insurance contract or identification number	531167
Number of Individuals Covered	134
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	134
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

531167

Policy instance

Insurance contract or identification number	531167
Number of Individuals Covered	170
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	170
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	209
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

531167

Policy instance

Insurance contract or identification number	531167
Number of Individuals Covered	209
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	217
Insurance policy start date	2017-12-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

531167

Policy instance

Insurance contract or identification number	531167
Number of Individuals Covered	217
Insurance policy start date	2017-12-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	PROVIDENCE CENTER, INC
Employer identification number (EIN):	520741599
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations