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| Plan Name | FOUR RIVERS RESOURCE SERVICES, INC. |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FOUR RIVERS RESOURCE SERVICES, INC. |
| Employer identification number (EIN): | 351665140 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-09-01 | THOMAS FRANKE | THOMAS FRANKE | 2018-04-16 | |
| 503 | 2016-09-01 | THOMAS FRANKE | THOMAS FRANKE | 2018-04-16 | |
| 503 | 2015-09-01 | STEVE SACKSTEDER | |||
| 503 | 2014-09-01 | STEVE SACKSTEDER |
| Measure | Date | Value |
|---|---|---|
| 2017: FOUR RIVERS RESOURCE SERVICES, INC. 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-09-01 | 219 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 0 |
| Total of all active and inactive participants | 2017-09-01 | 0 |
| Total participants | 2017-09-01 | 0 |
| 2016: FOUR RIVERS RESOURCE SERVICES, INC. 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-09-01 | 216 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 219 |
| Total of all active and inactive participants | 2016-09-01 | 219 |
| Total participants | 2016-09-01 | 219 |
| 2015: FOUR RIVERS RESOURCE SERVICES, INC. 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-09-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 216 |
| Total of all active and inactive participants | 2015-09-01 | 216 |
| Total participants | 2015-09-01 | 0 |
| 2014: FOUR RIVERS RESOURCE SERVICES, INC. 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-09-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 225 |
| Total of all active and inactive participants | 2014-09-01 | 225 |
| Total participants | 2014-09-01 | 0 |
| 2017: FOUR RIVERS RESOURCE SERVICES, INC. 2017 form 5500 responses | ||
|---|---|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Submission has been amended | No |
| 2017-09-01 | This submission is the final filing | Yes |
| 2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-09-01 | Plan is a collectively bargained plan | No |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: FOUR RIVERS RESOURCE SERVICES, INC. 2016 form 5500 responses | ||
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Submission has been amended | No |
| 2016-09-01 | This submission is the final filing | No |
| 2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-09-01 | Plan is a collectively bargained plan | No |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: FOUR RIVERS RESOURCE SERVICES, INC. 2015 form 5500 responses | ||
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: FOUR RIVERS RESOURCE SERVICES, INC. 2014 form 5500 responses | ||
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | First time form 5500 has been submitted | Yes |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00389667 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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