401k Plan data: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN plan

CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN
Plan identification number	001

CHILDREN NORTHWEST RETIREMENT SAVINGS 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CHILDREN NORTHWEST has sponsored the creation of one or more 401k plans.

Company Name: CHILDREN NORTHWEST

Employer identification number (EIN): 911337639

NAIC Classification: 561300

Additional information about CHILDREN NORTHWEST

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1986-02-27

Company Identification Number: 601323691

Legal Registered Office Address: 4400 NE 122ND AVE BLDG B

VANCOUVER
United States of America (USA)
986826836

More information about CHILDREN NORTHWEST

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01 MARNIE ALLEN 2019-09-06
001 2017-01-01
001 2016-09-01

Plan Statistics for CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN

Measure Date Value
2018: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 189
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 9
Number of other retired or separated participants entitled to future benefits 2018-01-01 53
Total of all active and inactive participants 2018-01-01 62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 62
Number of participants with account balances 2018-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 142
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 26
Total of all active and inactive participants 2017-01-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 168
Number of participants with account balances 2017-01-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 20
2016: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 145
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 137
Number of retired or separated participants receiving benefits 2016-09-01 0
Number of other retired or separated participants entitled to future benefits 2016-09-01 4
Total of all active and inactive participants 2016-09-01 141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-09-01 0
Total participants 2016-09-01 141
Number of participants with account balances 2016-09-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-09-01 2

Measure	Date	Value
2018: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	189
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	9
Number of other retired or separated participants entitled to future benefits	2018-01-01	53
Total of all active and inactive participants	2018-01-01	62
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	62
Number of participants with account balances	2018-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	142
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	26
Total of all active and inactive participants	2017-01-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	168
Number of participants with account balances	2017-01-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	20
2016: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	145
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	137
Number of retired or separated participants receiving benefits	2016-09-01	0
Number of other retired or separated participants entitled to future benefits	2016-09-01	4
Total of all active and inactive participants	2016-09-01	141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-09-01	0
Total participants	2016-09-01	141
Number of participants with account balances	2016-09-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-09-01	2

Financial Data on CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN

Measure	Date	Value
2018 : CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$1
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$1,175
Total income from all sources (including contributions)	2018-12-31	$135,011
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$307,379
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$294,746
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$160,143
Value of total assets at end of year	2018-12-31	$117,247
Value of total assets at beginning of year	2018-12-31	$290,789
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$12,633
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-12-31	$0
Administrative expenses professional fees incurred	2018-12-31	$6,097
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$100,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$111,651
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$6,544
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$311
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$193
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$0
Liabilities. Value of operating payables at end of year	2018-12-31	$1
Liabilities. Value of operating payables at beginning of year	2018-12-31	$1,175
Total non interest bearing cash at end of year	2018-12-31	$1
Total non interest bearing cash at beginning of year	2018-12-31	$1,190
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-172,368
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$117,246
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$289,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$1,761
Value of interest in pooled separate accounts at end of year	2018-12-31	$114,797
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$271,189
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$2,256
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$9,313
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$87
Net investment gain/loss from pooled separate accounts	2018-12-31	$-25,219
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$48,181
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$2,553
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$294,746
Contract administrator fees	2018-12-31	$4,775
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	HOFFMAN, STEWART & SCHMIDT, P.C.
Accountancy firm EIN	2018-12-31	930743240
2017 : CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$1,175
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$152
Total income from all sources (including contributions)	2017-12-31	$241,029
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$16,271
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$13,299
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$216,927
Value of total assets at end of year	2017-12-31	$290,789
Value of total assets at beginning of year	2017-12-31	$65,008
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,972
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$1,023
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$100,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$147,785
Participant contributions at end of year	2017-12-31	$6,544
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$773
Other income not declared elsewhere	2017-12-31	$-4
Liabilities. Value of operating payables at end of year	2017-12-31	$1,175
Liabilities. Value of operating payables at beginning of year	2017-12-31	$152
Total non interest bearing cash at end of year	2017-12-31	$1,190
Total non interest bearing cash at beginning of year	2017-12-31	$152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$224,758
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$289,614
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$64,856
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$656
Value of interest in pooled separate accounts at end of year	2017-12-31	$271,189
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$61,838
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$9,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$3,034
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$48
Net investment gain/loss from pooled separate accounts	2017-12-31	$24,058
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$68,369
Employer contributions (assets) at end of year	2017-12-31	$2,553
Employer contributions (assets) at beginning of year	2017-12-31	$-16
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$13,299
Contract administrator fees	2017-12-31	$1,293
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	HOFFMAN, STEWART & SCHMIDT, P.C.
Accountancy firm EIN	2017-12-31	930743240
2016 : CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$152
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$65,356
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$278
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$64,263
Value of total assets at end of year	2016-12-31	$65,008
Value of total assets at beginning of year	2016-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$222
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$152
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$100,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$43,367
Liabilities. Value of operating payables at end of year	2016-12-31	$152
Liabilities. Value of operating payables at beginning of year	2016-12-31	$0
Total non interest bearing cash at end of year	2016-12-31	$152
Total non interest bearing cash at beginning of year	2016-12-31	$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	2016-12-31	No
Value of net income/loss	2016-12-31	$64,856
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$64,856
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$61,838
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$3,034
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$3
Net investment gain/loss from pooled separate accounts	2016-12-31	$1,090
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$20,896
Employer contributions (assets) at end of year	2016-12-31	$-16
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$278
Contract administrator fees	2016-12-31	$70
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No

Form 5500 Responses for CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN

2018: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: CHILDREN NORTHWEST RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	First time form 5500 has been submitted	Yes
2016-09-01	Submission has been amended	No
2016-09-01	This submission is the final filing	No
2016-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-09-01	Plan is a collectively bargained plan	No
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

807533-000

Policy instance

Insurance contract or identification number	807533-000
Number of Individuals Covered	62
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $178
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	178
Additional information about fees paid to insurance broker	TPA PAYMENTS
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

807533-000

Policy instance

Insurance contract or identification number	807533-000
Number of Individuals Covered	178
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $246
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	246
Additional information about fees paid to insurance broker	TPA PAYMENTS
Insurance broker organization code?	5
Insurance broker name	PENSION PLANNERS NORTHWEST, INC.

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Company Name:	CHILDREN NORTHWEST
Employer identification number (EIN):	911337639
NAIC Classification:	561300

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1986-02-27
Company Identification Number:	601323691
Legal Registered Office Address:	4400 NE 122ND AVE BLDG B VANCOUVER United States of America (USA) 986826836

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-01-01
001	2018-01-01	MARNIE ALLEN	2019-09-06
001	2017-01-01
001	2016-09-01