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| Plan Name | ANGELS AT HOME DEFINED BENEFIT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | AMERICA AT HOME HEALTH CARE AND NURSING SERVICES LTD. DBA ANGELS AT |
| Employer identification number (EIN): | 900534381 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2010-01-01 | RACHAEL FITZPATRICK | RACHAEL FITZPATRICK | 2011-09-22 | |
| 001 | 2009-01-01 | GREGORY TAYLOR | GREGORY TAYLOR | 2010-08-25 |
| Measure | Date | Value |
|---|---|---|
| 2010: ANGELS AT HOME DEFINED BENEFIT PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 22 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 22 |
| Total of all active and inactive participants | 2010-01-01 | 22 |
| Total participants | 2010-01-01 | 22 |
| 2009: ANGELS AT HOME DEFINED BENEFIT PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 22 |
| Total of all active and inactive participants | 2009-01-01 | 22 |
| Total participants | 2009-01-01 | 22 |
| Measure | Date | Value |
|---|---|---|
| 2010 : ANGELS AT HOME DEFINED BENEFIT PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $64,386 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $0 |
| Total plan assets at end of year | 2010-12-31 | $225,299 |
| Total plan assets at beginning of year | 2010-12-31 | $160,913 |
| Other income received | 2010-12-31 | $64,386 |
| Net income (gross income less expenses) | 2010-12-31 | $64,386 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $225,299 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $160,913 |
| 2010: ANGELS AT HOME DEFINED BENEFIT PLAN 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2010-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2009: ANGELS AT HOME DEFINED BENEFIT PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2009-01-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
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