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FORM 5500 DATA

Erie-Huron Counties Community Action Commission, Inc. 403B Plan

Overview

Plan Information

  • Plan Year01/01/2017 — 12/31/2017
  • Date of Plan01/01/1994
  • Net Assets as of 12/31/2017 $972,425
  • Plan Number1
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance
  • Plan Benefit ArrangementInsurance

Participant Information as of 12/31/2017

  • Active (Eligible) Participants79
  • Retired or separated participants receiving benefits6
  • Other retired or separated participants entitled to future benefits34
  • Subtotal119
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total119
  • Total number of participants as of 01/01/2017112
  • Number of participants with account balances104
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address908 Seavers Way
  • CitySandusky
  • StateOH
  • Zip44870-4659
  • Telephone(419) 626-4320
  • EIN34-1001269
  • Industry Code611000
  • Named AdministratorSonja Nuby

Plan Administrator Information

  • Administrator NameCac of Erie, Huron & Richland Counties, Inc.
  • Address908 Seavers Way
  • CitySandusky
  • StateOH
  • Zip44870-4659
  • Telephone(419) 626-4320
  • Administrator EIN34-1001269

Audit Information

  • Audit StatusAudited
  • AuditorRayner, Foos, Kruse & Irwin
  • Auditor EIN34-1750347
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2L Code section 403(b)(1) arrangement A 403(b) plan, also known as a tax-sheltered annuity (TSA) plan, is a retirement plan for certain employees of public schools, employees of certain tax-exempt organizations, and certain ministers.

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $100,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $176,556
Contributions $88,400
Cash Contributions $88,400
Cash from Employers $39,151
Cash from Participants $40,560
Others (including rollovers) $8,689
Noncash Contributions $0
Total Earnings on Investments $88,156
Total Interest $3
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $3
Interest from Other Investments $0
Total Dividends $0
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $0
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $88,153
Other Income $0
Expenses $105,370
Total Benefit Payments $103,655
Directly to participants or beneficiaries, including direct rollovers $103,655
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $1,715
Professional Fees $0
Contract Administrator Fees $125
Investment Advisory and management fees $1,590
Other Administrative Fees $0
Net Income $71,186
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2017 12/31/2016 Change YOY
Total Assets $972,425 $901,239 7.90%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $7,721 $6,990 10.46%
Employer Contributions $3,917 $3,741 4.70%
Participant Contributions $3,804 $3,249 17.08%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $9,161 $9,434 -2.89%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $521,851 $475,447 9.76%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $0 $0 0.0%
Value of funds held in insurance co. general account $433,692 $409,368 5.94%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $972,425 $901,239 7.90%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Voya Retirement Insurance & Annuity

Other Service Providers Receiving Direct or Indirect Compensation

There are no service providers listed for this plan.

Indirect Compensation

There are no service providers with indirect compensation listed for this plan.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Map Contract Separate Account D Voya Retirement Insurance & Annuity Co DFE: Pooled Separate Account $521,851
Total $521,851

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Voya Life Insurance and Annuity Co 98
EIN 71-0294708
Industry Code 86509
Contract Number VF7061
Contract Year 01/01/2017 — 12/31/2017
Value in General Account at Year End $433,692
Value in Separate Accounts at Year End $521,851
Insurance Fees and Commissions $1,716
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Tobias Cardone 2760 Centennial Rd Toledo, OH 43617 Insurance Agent or Broker $1,623 $93 SUPPLEMENTAL CASH PAID, ALLOCATED NON-CASH COMP
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $409,368
Additions $154,843
Contributions Deposited during the year $67,214
Dividends and credits $0
Interest credited during the year $15,755
Transferred from separate account $62,664
Other $9,210
Total of Balance and Additions $564,211
Deductions $130,519
Disbursed from fund to pay benefits or purchase annuities during the year $83,556
Administration charge made by carrier $1,542
Transferred to Separate Account $26,796
Other $18,625
Balance at the end of the current year $433,692