401k Plan data: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN plan

CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN
Plan identification number	002

CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL has sponsored the creation of one or more 401k plans.

Company Name: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL

Employer identification number (EIN): 522157082

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 SHANNON R. GELLMAN
002 2011-01-01 HELENE S. OSKARD
002 2010-01-01 HELENE S. OSKARD
002 2009-01-01 HELENE S. OSKARD

Plan id#	Filing Submission Date	Name of Administrator
002	2012-01-01	SHANNON R. GELLMAN
002	2011-01-01	HELENE S. OSKARD
002	2010-01-01	HELENE S. OSKARD
002	2009-01-01	HELENE S. OSKARD

Plan Statistics for CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN

Measure Date Value
2012: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
2011: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 182
Total of all active and inactive participants 2011-01-01 182
Total participants 2011-01-01 182
Number of participants with account balances 2011-01-01 82
2010: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 175
Total of all active and inactive participants 2010-01-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 175
Number of participants with account balances 2010-01-01 78
2009: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 172
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 165
Total of all active and inactive participants 2009-01-01 165
Total participants 2009-01-01 165
Number of participants with account balances 2009-01-01 68

Measure	Date	Value
2012: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
2011: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	182
Total of all active and inactive participants	2011-01-01	182
Total participants	2011-01-01	182
Number of participants with account balances	2011-01-01	82
2010: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	175
Total of all active and inactive participants	2010-01-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	175
Number of participants with account balances	2010-01-01	78
2009: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	172
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	165
Total of all active and inactive participants	2009-01-01	165
Total participants	2009-01-01	165
Number of participants with account balances	2009-01-01	68

Financial Data on CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN

Measure	Date	Value
2012 : CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2012 401k financial data
Total transfer of assets from this plan	2012-12-31	$2,754,228
Value of total assets at beginning of year	2012-12-31	$2,754,228
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$400,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Participant contributions at beginning of year	2012-12-31	$21,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,754,228
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,532,661
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$153,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,046,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
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	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	No
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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	RUBINO & COMPANY, CHARTERED
Accountancy firm EIN	2012-12-31	521186096
2011 : CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$392,645
Total of all expenses incurred	2011-12-31	$101,466
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$101,466
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$361,315
Value of total assets at end of year	2011-12-31	$2,754,228
Value of total assets at beginning of year	2011-12-31	$2,463,049
Total interest from all sources	2011-12-31	$1,040
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$400,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$352,675
Participant contributions at end of year	2011-12-31	$21,337
Participant contributions at beginning of year	2011-12-31	$18,463
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$8,640
Other income not declared elsewhere	2011-12-31	$36,200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$291,179
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,754,228
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,463,049
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,532,661
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,408,060
Value of interest in pooled separate accounts at end of year	2011-12-31	$153,608
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$118,808
Interest earned on other investments	2011-12-31	$1,040
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,046,622
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$917,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-22,529
Net investment gain/loss from pooled separate accounts	2011-12-31	$16,619
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	Yes
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$101,466
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	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	RUBINO & COMPANY
Accountancy firm EIN	2011-12-31	521186096
2010 : CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$564,662
Total of all expenses incurred	2010-12-31	$11,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$11,841
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$373,017
Value of total assets at end of year	2010-12-31	$2,463,049
Value of total assets at beginning of year	2010-12-31	$1,910,228
Total interest from all sources	2010-12-31	$434
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$400,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$335,844
Participant contributions at end of year	2010-12-31	$18,463
Participant contributions at beginning of year	2010-12-31	$24,232
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$37,173
Other income not declared elsewhere	2010-12-31	$29,289
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$552,821
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,463,049
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,910,228
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,408,060
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,053,559
Value of interest in pooled separate accounts at end of year	2010-12-31	$118,808
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$95,018
Interest earned on other investments	2010-12-31	$434
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$917,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$737,419
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$148,983
Net investment gain/loss from pooled separate accounts	2010-12-31	$12,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$11,841
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	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	RUBINO & MCGEEHIN, CHARTERED
Accountancy firm EIN	2010-12-31	521186096
2009 : CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN

2012: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL 403(B) TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CARLOS ROSARIO INTERNATIONAL PUBLIC CHARTER SCHOOL
Employer identification number (EIN):	522157082
NAIC Classification:	611000