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VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 401k Plan overview

Plan NameVISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN
Plan identification number 001

VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

VISTA COMMUNITY CLINIC has sponsored the creation of one or more 401k plans.

Company Name:VISTA COMMUNITY CLINIC
Employer identification number (EIN):952815615
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about VISTA COMMUNITY CLINIC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0666905

More information about VISTA COMMUNITY CLINIC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01
0012017-07-01
0012016-07-01MICHELE LAMBERT
0012015-07-01MICHELE LAMBERT
0012014-07-01MICHELE LAMBERT MICHELE LAMBERT2016-04-14
0012013-07-01MICHELE LAMBERT MICHELE LAMBERT2015-04-15
0012012-07-01MICHELE LAMBERT MICHELE LAMBERT2014-01-30
0012011-07-01MICHELE LAMBERT MICHELE LAMBERT2013-03-12
0012010-07-01MICHELE LAMBERT
0012009-07-01MICHELE LAMBERT
0012008-07-01MICHELE LAMBERT

Plan Statistics for VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN

401k plan membership statisitcs for VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN

Measure Date Value
2021: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01839
Total number of active participants reported on line 7a of the Form 55002021-07-01824
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-0171
Total of all active and inactive participants2021-07-01895
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-01895
Number of participants with account balances2021-07-01442
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-011
2020: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01795
Total number of active participants reported on line 7a of the Form 55002020-07-01775
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0164
Total of all active and inactive participants2020-07-01839
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-01839
Number of participants with account balances2020-07-01409
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-010
2019: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01751
Total number of active participants reported on line 7a of the Form 55002019-07-01742
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0153
Total of all active and inactive participants2019-07-01795
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01795
Number of participants with account balances2019-07-01393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-011
2018: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01727
Total number of active participants reported on line 7a of the Form 55002018-07-01701
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-0141
Total of all active and inactive participants2018-07-01742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-012
Total participants2018-07-01744
Number of participants with account balances2018-07-01375
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
2017: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01709
Total number of active participants reported on line 7a of the Form 55002017-07-01675
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0150
Total of all active and inactive participants2017-07-01725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-012
Total participants2017-07-01727
Number of participants with account balances2017-07-01374
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-011
2016: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01663
Total number of active participants reported on line 7a of the Form 55002016-07-01658
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-0149
Total of all active and inactive participants2016-07-01707
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-012
Total participants2016-07-01709
Number of participants with account balances2016-07-01362
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-011
2015: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01275
Total number of active participants reported on line 7a of the Form 55002015-07-01622
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-0140
Total of all active and inactive participants2015-07-01662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-011
Total participants2015-07-01663
Number of participants with account balances2015-07-01332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-011
2014: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01339
Total number of active participants reported on line 7a of the Form 55002014-07-01273
Total of all active and inactive participants2014-07-01273
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01273
Number of participants with account balances2014-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-0114
2013: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01313
Total number of active participants reported on line 7a of the Form 55002013-07-01304
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-0138
Total of all active and inactive participants2013-07-01342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01342
Number of participants with account balances2013-07-01339
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-0119
2012: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01328
Total number of active participants reported on line 7a of the Form 55002012-07-01285
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-0127
Total of all active and inactive participants2012-07-01312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01312
Number of participants with account balances2012-07-01311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-0130
2011: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01390
Total number of active participants reported on line 7a of the Form 55002011-07-01302
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0127
Total of all active and inactive participants2011-07-01329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01329
Number of participants with account balances2011-07-01324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-0128
2010: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01301
Total number of active participants reported on line 7a of the Form 55002010-07-01312
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-0151
Total of all active and inactive participants2010-07-01363
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-01363
Number of participants with account balances2010-07-01353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-0129
2009: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01149
Total number of active participants reported on line 7a of the Form 55002009-07-01284
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-0119
Total of all active and inactive participants2009-07-01303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01303
Number of participants with account balances2009-07-01294
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-0120

Financial Data on VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN

Measure Date Value
2022 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$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$110,184
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$1,235,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$1,179,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$3,571,041
Value of total assets at end of year2022-06-30$21,841,574
Value of total assets at beginning of year2022-06-30$22,967,165
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$56,237
Total interest from all sources2022-06-30$33,850
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$1,348,245
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$1,348,245
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$1,000,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$2,278,466
Participant contributions at end of year2022-06-30$380,975
Participant contributions at beginning of year2022-06-30$369,952
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$345,233
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-1,125,591
Value of net assets at end of year (total assets less liabilities)2022-06-30$21,841,574
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$22,967,165
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$19,070,776
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$21,095,167
Interest on participant loans2022-06-30$17,061
Interest earned on other investments2022-06-30$16,789
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$2,389,823
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$1,502,046
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-4,842,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$947,342
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$1,179,538
Contract administrator fees2022-06-30$56,237
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Disclaimer
Accountancy firm name2022-06-30PORTER & HUNT LLP
Accountancy firm EIN2022-06-30260526155
2021 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$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$8,318,527
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$2,433,521
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$2,322,962
Expenses. Certain deemed distributions of participant loans2021-06-30$38,965
Value of total corrective distributions2021-06-30$21,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$3,051,795
Value of total assets at end of year2021-06-30$22,967,165
Value of total assets at beginning of year2021-06-30$17,082,159
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$50,433
Total interest from all sources2021-06-30$33,028
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$810,397
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$810,397
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$1,000,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$1,832,142
Participant contributions at end of year2021-06-30$369,952
Participant contributions at beginning of year2021-06-30$319,826
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$367,213
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$5,885,006
Value of net assets at end of year (total assets less liabilities)2021-06-30$22,967,165
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$17,082,159
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$21,095,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$15,970,656
Interest on participant loans2021-06-30$17,294
Interest earned on other investments2021-06-30$15,734
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$1,502,046
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$791,677
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$4,423,307
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$852,440
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$2,322,962
Contract administrator fees2021-06-30$50,433
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30PORTER & HUNT LLP
Accountancy firm EIN2021-06-30260526155
2020 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$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$3,337,367
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$1,473,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$1,401,527
Expenses. Certain deemed distributions of participant loans2020-06-30$31,027
Value of total corrective distributions2020-06-30$3,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$2,708,984
Value of total assets at end of year2020-06-30$17,082,159
Value of total assets at beginning of year2020-06-30$15,218,605
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$37,937
Total interest from all sources2020-06-30$31,824
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$564,217
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$564,217
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$1,000,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$1,651,859
Participant contributions at end of year2020-06-30$319,826
Participant contributions at beginning of year2020-06-30$294,853
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$309,171
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$1,863,554
Value of net assets at end of year (total assets less liabilities)2020-06-30$17,082,159
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$15,218,605
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$15,970,656
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$14,120,051
Interest on participant loans2020-06-30$17,456
Interest earned on other investments2020-06-30$14,368
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$791,677
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$803,701
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$32,342
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$747,954
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$1,401,527
Contract administrator fees2020-06-30$37,937
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30PORTER & HUNT LLP
Accountancy firm EIN2020-06-30260526155
2019 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$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$3,290,457
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$894,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$833,967
Expenses. Certain deemed distributions of participant loans2019-06-30$17,584
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$2,365,017
Value of total assets at end of year2019-06-30$15,218,605
Value of total assets at beginning of year2019-06-30$12,822,484
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$42,785
Total interest from all sources2019-06-30$25,267
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$624,501
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$624,501
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$1,000,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$1,587,087
Participant contributions at end of year2019-06-30$294,853
Participant contributions at beginning of year2019-06-30$340,909
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$54,161
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$2,396,121
Value of net assets at end of year (total assets less liabilities)2019-06-30$15,218,605
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$12,822,484
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$8,638
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$14,120,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$12,035,664
Interest on participant loans2019-06-30$16,785
Interest earned on other investments2019-06-30$8,482
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$803,701
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$445,911
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$275,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$723,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$833,967
Contract administrator fees2019-06-30$34,147
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30PORTER & HUNT LLP
Accountancy firm EIN2019-06-30260526155
2018 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$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
Total income from all sources (including contributions)2018-06-30$3,070,374
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$828,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$775,405
Expenses. Certain deemed distributions of participant loans2018-06-30$18,371
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$2,105,548
Value of total assets at end of year2018-06-30$12,822,484
Value of total assets at beginning of year2018-06-30$10,580,640
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$34,754
Total interest from all sources2018-06-30$22,684
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$392,291
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$392,291
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$1,000,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$1,340,141
Participant contributions at end of year2018-06-30$340,909
Participant contributions at beginning of year2018-06-30$239,842
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$119,845
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$2,241,844
Value of net assets at end of year (total assets less liabilities)2018-06-30$12,822,484
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$10,580,640
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$12,035,664
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$9,677,903
Interest on participant loans2018-06-30$13,361
Interest earned on other investments2018-06-30$9,323
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$445,911
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$662,895
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$549,851
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$645,562
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$775,405
Contract administrator fees2018-06-30$34,754
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30PORTER & HUNT LLP
Accountancy firm EIN2018-06-30260526155
2017 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$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$2,863,590
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$186,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$158,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$1,807,283
Value of total assets at end of year2017-06-30$10,580,640
Value of total assets at beginning of year2017-06-30$7,903,143
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$28,027
Total interest from all sources2017-06-30$17,899
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$265,146
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$265,146
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$1,000,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$1,096,059
Participant contributions at end of year2017-06-30$239,842
Participant contributions at beginning of year2017-06-30$207,276
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$177,520
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$2,677,497
Value of net assets at end of year (total assets less liabilities)2017-06-30$10,580,640
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$7,903,143
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$9,677,903
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$7,219,362
Interest on participant loans2017-06-30$9,599
Interest earned on other investments2017-06-30$8,300
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-06-30$662,895
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-06-30$476,505
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$773,262
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$533,704
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$158,066
Contract administrator fees2017-06-30$28,027
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30PORTER & HUNT LLP
Accountancy firm EIN2017-06-30260526155
2016 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$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$1,428,459
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$267,378
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$231,800
Expenses. Certain deemed distributions of participant loans2016-06-30$4,949
Value of total corrective distributions2016-06-30$9,335
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$1,383,434
Value of total assets at end of year2016-06-30$7,903,143
Value of total assets at beginning of year2016-06-30$6,742,062
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$21,294
Total interest from all sources2016-06-30$17,852
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$222,373
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$222,373
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$1,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$868,455
Participant contributions at end of year2016-06-30$207,276
Participant contributions at beginning of year2016-06-30$223,809
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$89,358
Other income not declared elsewhere2016-06-30$799
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$1,161,081
Value of net assets at end of year (total assets less liabilities)2016-06-30$7,903,143
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$6,742,062
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$7,219,362
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$6,231,489
Interest on participant loans2016-06-30$11,124
Interest earned on other investments2016-06-30$6,728
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-06-30$476,505
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$286,764
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-195,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$425,621
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$231,800
Contract administrator fees2016-06-30$21,294
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30PORTER & HUNT LLP
Accountancy firm EIN2016-06-30260526155
2015 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$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$1,682,979
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$504,795
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$471,039
Expenses. Certain deemed distributions of participant loans2015-06-30$9,491
Value of total corrective distributions2015-06-30$13,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$1,503,248
Value of total assets at end of year2015-06-30$6,742,062
Value of total assets at beginning of year2015-06-30$5,563,878
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$10,679
Total interest from all sources2015-06-30$15,309
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$708,746
Participant contributions at end of year2015-06-30$223,809
Participant contributions at beginning of year2015-06-30$184,636
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$585,823
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$1,178,184
Value of net assets at end of year (total assets less liabilities)2015-06-30$6,742,062
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$5,563,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$6,231,489
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$5,165,655
Interest on participant loans2015-06-30$8,133
Interest earned on other investments2015-06-30$7,176
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$286,764
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$213,587
Net investment gain/loss from pooled separate accounts2015-06-30$164,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$208,679
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$471,039
Contract administrator fees2015-06-30$10,679
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30PORTER & HUNT, LLP
Accountancy firm EIN2015-06-30260526155
2014 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$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$2,128,046
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$847,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$840,673
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$1,334,090
Value of total assets at end of year2014-06-30$5,563,878
Value of total assets at beginning of year2014-06-30$4,283,387
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$6,882
Total interest from all sources2014-06-30$10,721
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$565,968
Participant contributions at end of year2014-06-30$184,636
Participant contributions at beginning of year2014-06-30$82,814
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$1,280,491
Value of net assets at end of year (total assets less liabilities)2014-06-30$5,563,878
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$4,283,387
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$5,165,655
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$4,101,037
Interest on participant loans2014-06-30$5,890
Interest earned on other investments2014-06-30$4,831
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$213,587
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$99,536
Net investment gain/loss from pooled separate accounts2014-06-30$783,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$768,122
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$840,673
Contract administrator fees2014-06-30$6,882
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30PORTER & HUNT, LLP
Accountancy firm EIN2014-06-30260526155
2013 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$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$1,094,449
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$558,039
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$551,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$626,630
Value of total assets at end of year2013-06-30$4,283,387
Value of total assets at beginning of year2013-06-30$3,746,977
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$6,900
Total interest from all sources2013-06-30$5,206
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Was this plan covered by a fidelity bond2013-06-30No
If this is an individual account plan, was there a blackout period2013-06-30No
Funding deficiency by the employer to the plan for this plan year2013-06-30$0
Minimum employer required contribution for this plan year2013-06-30$0
Amount contributed by the employer to the plan for this plan year2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$370,669
Participant contributions at end of year2013-06-30$82,814
Participant contributions at beginning of year2013-06-30$71,442
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$8,832
Administrative expenses (other) incurred2013-06-30$6,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$536,410
Value of net assets at end of year (total assets less liabilities)2013-06-30$4,283,387
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$3,746,977
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$4,101,037
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$3,610,451
Interest on participant loans2013-06-30$2,740
Interest earned on other investments2013-06-30$2,466
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$99,536
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$65,084
Net investment gain/loss from pooled separate accounts2013-06-30$462,613
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$247,129
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$551,139
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30TCA PARTNERS, LLP
Accountancy firm EIN2013-06-30202707086
2012 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$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$476,320
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$233,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$231,287
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$513,905
Value of total assets at end of year2012-06-30$3,746,977
Value of total assets at beginning of year2012-06-30$3,504,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$2,062
Total interest from all sources2012-06-30$4,425
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Was this plan covered by a fidelity bond2012-06-30No
If this is an individual account plan, was there a blackout period2012-06-30No
Funding deficiency by the employer to the plan for this plan year2012-06-30$0
Minimum employer required contribution for this plan year2012-06-30$0
Amount contributed by the employer to the plan for this plan year2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$307,081
Participant contributions at end of year2012-06-30$71,442
Participant contributions at beginning of year2012-06-30$42,183
Administrative expenses (other) incurred2012-06-30$2,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$242,971
Value of net assets at end of year (total assets less liabilities)2012-06-30$3,746,977
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$3,504,006
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$3,610,451
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$3,401,985
Interest on participant loans2012-06-30$2,517
Interest earned on other investments2012-06-30$1,908
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$65,084
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$59,838
Net investment gain/loss from pooled separate accounts2012-06-30$-42,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$206,824
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$231,287
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30TCA PARTNERS, LLP
Accountancy firm EIN2012-06-30202707086
2011 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$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$1,204,659
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$104,133
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$102,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$731,836
Value of total assets at end of year2011-06-30$3,504,006
Value of total assets at beginning of year2011-06-30$2,403,480
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$1,212
Total interest from all sources2011-06-30$3,869
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Was this plan covered by a fidelity bond2011-06-30No
If this is an individual account plan, was there a blackout period2011-06-30No
Funding deficiency by the employer to the plan for this plan year2011-06-30$0
Minimum employer required contribution for this plan year2011-06-30$0
Amount contributed by the employer to the plan for this plan year2011-06-30$0
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$311,211
Participant contributions at end of year2011-06-30$42,183
Participant contributions at beginning of year2011-06-30$51,317
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$11,607
Administrative expenses (other) incurred2011-06-30$1,212
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$1,100,526
Value of net assets at end of year (total assets less liabilities)2011-06-30$3,504,006
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$2,403,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$3,401,985
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$2,313,262
Interest on participant loans2011-06-30$2,377
Interest earned on other investments2011-06-30$1,492
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$59,838
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$38,901
Net investment gain/loss from pooled separate accounts2011-06-30$468,954
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$409,018
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$102,921
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30TCA PARTNERS, LLP
Accountancy firm EIN2011-06-30202707086
2010 : VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2010 401k financial data
Funding deficiency by the employer to the plan for this plan year2010-06-30$0
Minimum employer required contribution for this plan year2010-06-30$0
Amount contributed by the employer to the plan for this plan year2010-06-30$0

Form 5500 Responses for VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN

2021: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2008: VISTA COMMUNITY CLINIC TAX-DEFERRED ANNUITY PLAN 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01Submission has been amendedNo
2008-07-01This submission is the final filingNo
2008-07-01This return/report is a short plan year return/report (less than 12 months)No
2008-07-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894120-007
Policy instance 1
Insurance contract or identification number894120-007
Number of Individuals Covered60
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894120-007
Policy instance 1
Insurance contract or identification number894120-007
Number of Individuals Covered58
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894120-007
Policy instance 1
Insurance contract or identification number894120-007
Number of Individuals Covered62
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894120-007
Policy instance 1
Insurance contract or identification number894120-007
Number of Individuals Covered61
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number894120-007
Policy instance 1
Insurance contract or identification number894120-007
Number of Individuals Covered69
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberVCC-001
Policy instance 1
Insurance contract or identification numberVCC-001
Number of Individuals Covered77
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750612
Policy instance 2
Insurance contract or identification numberGA-750612
Number of Individuals Covered0
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750612
Policy instance 1
Insurance contract or identification numberGA-750612
Number of Individuals Covered273
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $10,646
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $10,646
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750612
Policy instance 1
Insurance contract or identification numberGA-750612
Number of Individuals Covered339
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $19,971
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $19,971
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750612
Policy instance 1
Insurance contract or identification numberGA-750612
Number of Individuals Covered311
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $13,460
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $13,460
Insurance broker organization code?3
Insurance broker nameMORGANSTANLEY SMITHBARNEY
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750612
Policy instance 1
Insurance contract or identification numberGA-750612
Number of Individuals Covered324
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $11,104
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750612
Policy instance 1
Insurance contract or identification numberGA-750612
Number of Individuals Covered353
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $11,328
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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

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