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CIRCLE OF CARE 401(K) PLAN 401k Plan overview

Plan NameCIRCLE OF CARE 401(K) PLAN
Plan identification number 001

CIRCLE OF CARE 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CTW HOME HEALTH, LLC has sponsored the creation of one or more 401k plans.

Company Name:CTW HOME HEALTH, LLC
Employer identification number (EIN):208886902
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CIRCLE OF CARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01TAMAR LOVE
0012016-01-01TAMAR LOVE
0012016-01-01
0012015-01-01TAMAR LOVE2016-06-01
0012014-01-01TAMAR LOVE
0012013-01-01TAMAR LOVE2014-10-14
0012012-01-01MELISSA STEWART2013-10-11
0012011-01-01MELISSA STEWART2013-10-11
0012010-01-01CRISTEN GASSEN2011-10-14

Plan Statistics for CIRCLE OF CARE 401(K) PLAN

401k plan membership statisitcs for CIRCLE OF CARE 401(K) PLAN

Measure Date Value
2023: CIRCLE OF CARE 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01653
Total number of active participants reported on line 7a of the Form 55002023-01-01523
Number of retired or separated participants receiving benefits2023-01-011
Number of other retired or separated participants entitled to future benefits2023-01-0198
Total of all active and inactive participants2023-01-01622
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01622
Number of participants with account balances2023-01-01210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: CIRCLE OF CARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01550
Total number of active participants reported on line 7a of the Form 55002022-01-01505
Number of retired or separated participants receiving benefits2022-01-013
Number of other retired or separated participants entitled to future benefits2022-01-0169
Total of all active and inactive participants2022-01-01577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01577
Number of participants with account balances2022-01-01203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: CIRCLE OF CARE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01340
Total number of active participants reported on line 7a of the Form 55002021-01-01389
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-0142
Total of all active and inactive participants2021-01-01432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01432
Number of participants with account balances2021-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: CIRCLE OF CARE 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01303
Total number of active participants reported on line 7a of the Form 55002020-01-01272
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-0139
Total of all active and inactive participants2020-01-01312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01312
Number of participants with account balances2020-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: CIRCLE OF CARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01274
Total number of active participants reported on line 7a of the Form 55002019-01-01234
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0143
Total of all active and inactive participants2019-01-01277
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01277
Number of participants with account balances2019-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CIRCLE OF CARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01222
Total number of active participants reported on line 7a of the Form 55002018-01-01197
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0139
Total of all active and inactive participants2018-01-01236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01236
Number of participants with account balances2018-01-0199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CIRCLE OF CARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01212
Total number of active participants reported on line 7a of the Form 55002017-01-01183
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0135
Total of all active and inactive participants2017-01-01218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01218
Number of participants with account balances2017-01-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CIRCLE OF CARE 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01163
Total number of active participants reported on line 7a of the Form 55002016-01-01180
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0119
Total of all active and inactive participants2016-01-01199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01199
Number of participants with account balances2016-01-01109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2014: CIRCLE OF CARE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01123
Total number of active participants reported on line 7a of the Form 55002014-01-01132
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01135
Number of participants with account balances2014-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0111

Financial Data on CIRCLE OF CARE 401(K) PLAN

Measure Date Value
2023 : CIRCLE OF CARE 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,264,278
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$425,237
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$402,783
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$696,056
Value of total assets at end of year2023-12-31$4,326,367
Value of total assets at beginning of year2023-12-31$3,487,326
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$22,454
Total interest from all sources2023-12-31$9,459
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$135,158
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$135,158
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$450,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$640,766
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$51,899
Assets. Loans (other than to participants) at end of year2023-12-31$118,403
Assets. Loans (other than to participants) at beginning of year2023-12-31$97,663
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$839,041
Value of net assets at end of year (total assets less liabilities)2023-12-31$4,326,367
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$3,487,326
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$10,951
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$4,207,964
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$3,389,663
Interest on participant loans2023-12-31$9,459
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$423,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$3,391
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$402,783
Contract administrator fees2023-12-31$7,518
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31PRICEKUBECKA, PLLC
Accountancy firm EIN2023-12-31752783674
2022 : CIRCLE OF CARE 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$368,566
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$424,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$410,648
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$904,054
Value of total assets at end of year2022-12-31$3,487,326
Value of total assets at beginning of year2022-12-31$3,542,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$13,581
Total interest from all sources2022-12-31$3,177
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$191,083
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$191,083
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$250,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$661,021
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$240,437
Assets. Loans (other than to participants) at end of year2022-12-31$97,663
Assets. Loans (other than to participants) at beginning of year2022-12-31$47,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-55,663
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,487,326
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,542,989
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$10,167
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,389,663
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,494,864
Interest on participant loans2022-12-31$3,177
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$181
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$181
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-729,748
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,596
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$410,648
Contract administrator fees2022-12-31$3,414
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PRICEKUBECKA, PLLC
Accountancy firm EIN2022-12-31752783674
2021 : CIRCLE OF CARE 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$947,726
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$185,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$161,846
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$498,316
Value of total assets at end of year2021-12-31$3,542,989
Value of total assets at beginning of year2021-12-31$2,781,066
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$23,957
Total interest from all sources2021-12-31$3,557
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$256,226
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$256,226
Administrative expenses professional fees incurred2021-12-31$7,000
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$250,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$417,281
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$81,033
Assets. Loans (other than to participants) at end of year2021-12-31$47,944
Assets. Loans (other than to participants) at beginning of year2021-12-31$71,818
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$761,923
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,542,989
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,781,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,494,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,688,725
Interest on participant loans2021-12-31$3,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$181
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$20,523
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$20,523
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$189,627
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$2
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$161,846
Contract administrator fees2021-12-31$16,957
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31PRICEKUBECKA, PLLC
Accountancy firm EIN2021-12-31752783674
2020 : CIRCLE OF CARE 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$628,065
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$207,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$185,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$284,213
Value of total assets at end of year2020-12-31$2,781,066
Value of total assets at beginning of year2020-12-31$2,360,323
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$21,353
Total interest from all sources2020-12-31$5,294
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$106,238
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$106,238
Administrative expenses professional fees incurred2020-12-31$6,750
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$250,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$245,252
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$38,961
Assets. Loans (other than to participants) at end of year2020-12-31$71,818
Assets. Loans (other than to participants) at beginning of year2020-12-31$78,395
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$420,743
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,781,066
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,360,323
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,688,725
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,261,825
Interest on participant loans2020-12-31$5,294
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$20,523
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$20,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$20,103
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$232,320
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$185,969
Contract administrator fees2020-12-31$14,603
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31PRICEKUBECKA, PLLC
Accountancy firm EIN2020-12-31752783674
2019 : CIRCLE OF CARE 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$669,047
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$426,935
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$372,894
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$182,553
Value of total assets at end of year2019-12-31$2,360,323
Value of total assets at beginning of year2019-12-31$2,118,211
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$54,041
Total interest from all sources2019-12-31$5,777
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$145,605
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$145,605
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$250,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$182,553
Assets. Loans (other than to participants) at end of year2019-12-31$78,395
Assets. Loans (other than to participants) at beginning of year2019-12-31$113,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$242,112
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,360,323
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,118,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,261,825
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,957,012
Interest on participant loans2019-12-31$5,777
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$20,103
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$48,077
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$48,077
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$335,112
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$372,894
Contract administrator fees2019-12-31$46,041
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31PRICEKUBECKA, PLLC
Accountancy firm EIN2019-12-31752783674
2018 : CIRCLE OF CARE 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$74,372
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$824,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$808,239
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$193,170
Value of total assets at end of year2018-12-31$2,118,211
Value of total assets at beginning of year2018-12-31$2,868,291
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$16,213
Total interest from all sources2018-12-31$7,202
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$146,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$146,524
Administrative expenses professional fees incurred2018-12-31$13,610
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$250,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$193,170
Assets. Loans (other than to participants) at end of year2018-12-31$113,122
Assets. Loans (other than to participants) at beginning of year2018-12-31$141,352
Other income not declared elsewhere2018-12-31$10,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-750,080
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,118,211
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,868,291
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,957,012
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,672,692
Interest on participant loans2018-12-31$6,716
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$48,077
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$54,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$54,247
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$486
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-283,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$808,239
Contract administrator fees2018-12-31$2,603
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31SOL SCHWARTZ & ASSOCIATES PC
Accountancy firm EIN2018-12-31742392222
2017 : CIRCLE OF CARE 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$650,684
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$190,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$184,619
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$294,613
Value of total assets at end of year2017-12-31$2,868,291
Value of total assets at beginning of year2017-12-31$2,407,956
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,730
Total interest from all sources2017-12-31$6,151
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$93,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$93,637
Administrative expenses professional fees incurred2017-12-31$3,500
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$250,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$294,621
Assets. Loans (other than to participants) at end of year2017-12-31$141,352
Assets. Loans (other than to participants) at beginning of year2017-12-31$77,342
Other income not declared elsewhere2017-12-31$10,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$460,335
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,868,291
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,407,956
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,672,692
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,302,726
Interest on participant loans2017-12-31$6,080
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$54,247
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$27,888
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$27,888
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$71
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$246,208
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$-8
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$184,619
Contract administrator fees2017-12-31$2,230
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31SOL SCHWARTZ & ASSOCIATES PC
Accountancy firm EIN2017-12-31742392222
2016 : CIRCLE OF CARE 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,097,202
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$169,873
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$167,778
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$439,112
Value of total assets at end of year2016-12-31$2,407,956
Value of total assets at beginning of year2016-12-31$1,480,627
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,095
Total interest from all sources2016-12-31$3,151
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$45,746
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$45,746
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$250,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$314,817
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$18,050
Assets. Loans (other than to participants) at end of year2016-12-31$77,342
Assets. Loans (other than to participants) at beginning of year2016-12-31$0
Other income not declared elsewhere2016-12-31$8,535
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$927,329
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,407,956
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,480,627
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,302,726
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,480,627
Interest on participant loans2016-12-31$3,151
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$27,888
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$600,658
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$106,245
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$167,778
Contract administrator fees2016-12-31$2,095
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31SOL SCHWARTZ & ASSOCIATES PC
Accountancy firm EIN2016-12-31742392222
2014 : CIRCLE OF CARE 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$671,191
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$562,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$560,980
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$596,441
Value of total assets at end of year2014-12-31$1,178,529
Value of total assets at beginning of year2014-12-31$1,069,816
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,498
Total interest from all sources2014-12-31$1,915
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$250,000
If this is an individual account plan, was there a blackout period2014-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$265,320
Participant contributions at end of year2014-12-31$49,592
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$138,473
Total non interest bearing cash at end of year2014-12-31$2,952
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Income. Non cash contributions2014-12-31$0
Value of net income/loss2014-12-31$108,713
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,178,529
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,069,816
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,125,985
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,069,816
Interest on participant loans2014-12-31$1,915
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$72,835
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$192,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$560,980
Contract administrator fees2014-12-31$1,498
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31Yes
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31SOL SCHWARTZ & ASSOCIATES, P.C.
Accountancy firm EIN2014-12-31742392222

Form 5500 Responses for CIRCLE OF CARE 401(K) PLAN

2023: CIRCLE OF CARE 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: CIRCLE OF CARE 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CIRCLE OF CARE 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CIRCLE OF CARE 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CIRCLE OF CARE 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CIRCLE OF CARE 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CIRCLE OF CARE 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CIRCLE OF CARE 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2014: CIRCLE OF CARE 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number112483
Policy instance 1
Insurance contract or identification number112483
Number of Individuals Covered58
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,640
Total amount of fees paid to insurance companyUSD $9,149
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?No
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 $0
Amount paid for insurance broker fees8487
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameNOVA 401(K) ASSOCIATES

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