401k Plan data: FIDELIS 401(K) PLAN plan

FIDELIS 401(K) PLAN 401k Plan overview

Plan Name	FIDELIS 401(K) PLAN
Plan identification number	001

FIDELIS 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

CONCERTO HEALTHCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: CONCERTO HEALTHCARE, INC.

Employer identification number (EIN): 061719046

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about CONCERTO HEALTHCARE, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2012-09-11

Company Identification Number: 0801653448

Legal Registered Office Address: 2030 MAIN ST STE 600

IRVINE
United States of America (USA)
92614

More information about CONCERTO HEALTHCARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIDELIS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 TOBY THOMAS
001 2016-01-01 TOBY THOMAS
001 2015-01-01 ROBERT WILSON 2016-08-08 ROBERT WILSON 2016-08-08
001 2014-01-01 KATHY ALTERGOTT 2015-03-16 KATHY ALTERGOTT 2015-03-16
001 2013-01-01 KATHY ALTERGOTT 2014-05-27 KATHY ALTERGOTT 2014-05-27
001 2012-01-01 KATHY ALTERGOTT 2013-07-18 KATHY ALTERGOTT 2013-07-18
001 2011-01-01 KATHY ALTERGOTT 2012-06-25 KATHY ALTERGOTT 2012-06-25
001 2010-01-01 KATHY ALTERGOTT 2011-05-16 KATHY ALTERGOTT 2011-05-16
001 2009-01-01 KATHY ALTERGOTT KATHY ALTERGOTT 2010-07-07
001 2009-01-01 KATHY ALTERGOTT KATHY ALTERGOTT 2010-07-29
001 2009-01-01 KATHY ALTERGOTT KATHY ALTERGOTT 2010-07-29
001 2009-01-01 KATHY ALTERGOTT KATHY ALTERGOTT 2010-08-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	TOBY THOMAS
001	2016-01-01	TOBY THOMAS
001	2015-01-01	ROBERT WILSON	2016-08-08	ROBERT WILSON	2016-08-08
001	2014-01-01	KATHY ALTERGOTT	2015-03-16	KATHY ALTERGOTT	2015-03-16
001	2013-01-01	KATHY ALTERGOTT	2014-05-27	KATHY ALTERGOTT	2014-05-27
001	2012-01-01	KATHY ALTERGOTT	2013-07-18	KATHY ALTERGOTT	2013-07-18
001	2011-01-01	KATHY ALTERGOTT	2012-06-25	KATHY ALTERGOTT	2012-06-25
001	2010-01-01	KATHY ALTERGOTT	2011-05-16	KATHY ALTERGOTT	2011-05-16
001	2009-01-01	KATHY ALTERGOTT		KATHY ALTERGOTT	2010-07-07
001	2009-01-01	KATHY ALTERGOTT		KATHY ALTERGOTT	2010-07-29
001	2009-01-01	KATHY ALTERGOTT		KATHY ALTERGOTT	2010-07-29
001	2009-01-01	KATHY ALTERGOTT		KATHY ALTERGOTT	2010-08-12

Plan Statistics for FIDELIS 401(K) PLAN

401k plan membership statisitcs for FIDELIS 401(K) PLAN

Measure Date Value
2020: FIDELIS 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 261
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
2019: FIDELIS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 485
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 120
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 141
Total of all active and inactive participants 2019-01-01 261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 261
Number of participants with account balances 2019-01-01 233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: FIDELIS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 378
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 387
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 97
Total of all active and inactive participants 2018-01-01 485
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 485
Number of participants with account balances 2018-01-01 340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: FIDELIS 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 172
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 328
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 50
Total of all active and inactive participants 2017-01-01 378
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 378
Number of participants with account balances 2017-01-01 228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: FIDELIS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 127
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 45
Total of all active and inactive participants 2016-01-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 172
Number of participants with account balances 2016-01-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2009: FIDELIS 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 36
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 49
Total of all active and inactive participants 2009-01-01 85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 85
Number of participants with account balances 2009-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2020: FIDELIS 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	261
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
2019: FIDELIS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	485
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	120
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	141
Total of all active and inactive participants	2019-01-01	261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	261
Number of participants with account balances	2019-01-01	233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: FIDELIS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	378
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	387
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	97
Total of all active and inactive participants	2018-01-01	485
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	485
Number of participants with account balances	2018-01-01	340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: FIDELIS 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	172
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	328
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	50
Total of all active and inactive participants	2017-01-01	378
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	378
Number of participants with account balances	2017-01-01	228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: FIDELIS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	127
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	45
Total of all active and inactive participants	2016-01-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	172
Number of participants with account balances	2016-01-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2009: FIDELIS 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	36
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	49
Total of all active and inactive participants	2009-01-01	85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	85
Number of participants with account balances	2009-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on FIDELIS 401(K) PLAN

Measure	Date	Value
2020 : FIDELIS 401(K) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-12-22	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-22	$0
Total unrealized appreciation/depreciation of assets	2020-12-22	$0
Total transfer of assets to this plan	2020-12-22	$0
Total transfer of assets from this plan	2020-12-22	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-22	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-22	$0
Expenses. Interest paid	2020-12-22	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-12-22	$0
Total income from all sources (including contributions)	2020-12-22	$1,230,172
Total loss/gain on sale of assets	2020-12-22	$0
Total of all expenses incurred	2020-12-22	$7,365,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-22	$7,314,484
Expenses. Certain deemed distributions of participant loans	2020-12-22	$1,916
Value of total corrective distributions	2020-12-22	$671
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-22	$872,652
Value of total assets at end of year	2020-12-22	$0
Value of total assets at beginning of year	2020-12-22	$6,135,050
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-22	$48,151
Total income from rents	2020-12-22	$0
Total interest from all sources	2020-12-22	$2,511
Total dividends received (eg from common stock, registered investment company shares)	2020-12-22	$10,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-22	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-12-22	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-22	$10,699
Assets. Real estate other than employer real property at end of year	2020-12-22	$0
Assets. Real estate other than employer real property at beginning of year	2020-12-22	$0
Administrative expenses professional fees incurred	2020-12-22	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-12-22	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-12-22	$0
Was this plan covered by a fidelity bond	2020-12-22	Yes
Value of fidelity bond cover	2020-12-22	$1,000,000
If this is an individual account plan, was there a blackout period	2020-12-22	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-22	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-22	No
Contributions received from participants	2020-12-22	$680,242
Participant contributions at end of year	2020-12-22	$0
Participant contributions at beginning of year	2020-12-22	$66,535
Participant contributions at end of year	2020-12-22	$0
Participant contributions at beginning of year	2020-12-22	$0
Assets. Other investments not covered elsewhere at end of year	2020-12-22	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-12-22	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-22	$45,106
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-22	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-22	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-22	$0
Assets. Loans (other than to participants) at end of year	2020-12-22	$0
Assets. Loans (other than to participants) at beginning of year	2020-12-22	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-22	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-22	$0
Other income not declared elsewhere	2020-12-22	$0
Administrative expenses (other) incurred	2020-12-22	$48,151
Liabilities. Value of operating payables at end of year	2020-12-22	$0
Liabilities. Value of operating payables at beginning of year	2020-12-22	$0
Total non interest bearing cash at end of year	2020-12-22	$0
Total non interest bearing cash at beginning of year	2020-12-22	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-22	No
Income. Non cash contributions	2020-12-22	$0
Value of net income/loss	2020-12-22	$-6,135,050
Value of net assets at end of year (total assets less liabilities)	2020-12-22	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-12-22	$6,135,050
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-22	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-22	No
Were any leases to which the plan was party in default or uncollectible	2020-12-22	No
Assets. partnership/joint venture interests at end of year	2020-12-22	$0
Assets. partnership/joint venture interests at beginning of year	2020-12-22	$0
Investment advisory and management fees	2020-12-22	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-22	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-22	$5,830,704
Value of interest in pooled separate accounts at end of year	2020-12-22	$0
Value of interest in pooled separate accounts at beginning of year	2020-12-22	$0
Interest on participant loans	2020-12-22	$2,511
Income. Interest from loans (other than to participants)	2020-12-22	$0
Interest earned on other investments	2020-12-22	$0
Income. Interest from US Government securities	2020-12-22	$0
Income. Interest from corporate debt instruments	2020-12-22	$0
Value of interest in master investment trust accounts at end of year	2020-12-22	$0
Value of interest in master investment trust accounts at beginning of year	2020-12-22	$0
Value of interest in common/collective trusts at end of year	2020-12-22	$0
Value of interest in common/collective trusts at beginning of year	2020-12-22	$237,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-22	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-22	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-22	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-22	$0
Assets. Value of investments in 103.12 investment entities at end of year	2020-12-22	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2020-12-22	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-22	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-22	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-22	$0
Asset value of US Government securities at end of year	2020-12-22	$0
Asset value of US Government securities at beginning of year	2020-12-22	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-22	$342,745
Net investment gain/loss from pooled separate accounts	2020-12-22	$0
Net investment gain or loss from common/collective trusts	2020-12-22	$1,565
Net gain/loss from 103.12 investment entities	2020-12-22	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-22	No
Was there a failure to transmit to the plan any participant contributions	2020-12-22	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-22	No
Assets. Invements in employer securities at end of year	2020-12-22	$0
Assets. Invements in employer securities at beginning of year	2020-12-22	$0
Assets. Value of employer real property at end of year	2020-12-22	$0
Assets. Value of employer real property at beginning of year	2020-12-22	$0
Contributions received in cash from employer	2020-12-22	$147,304
Employer contributions (assets) at end of year	2020-12-22	$0
Employer contributions (assets) at beginning of year	2020-12-22	$0
Income. Dividends from preferred stock	2020-12-22	$0
Income. Dividends from common stock	2020-12-22	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-22	$7,314,484
Asset. Corporate debt instrument preferred debt at end of year	2020-12-22	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2020-12-22	$0
Asset. Corporate debt instrument debt (other) at end of year	2020-12-22	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2020-12-22	$0
Contract administrator fees	2020-12-22	$0
Assets. Corporate common stocks other than exployer securities at end of year	2020-12-22	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-12-22	$0
Liabilities. Value of benefit claims payable at end of year	2020-12-22	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-12-22	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2020-12-22	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-12-22	$0
Did the plan have assets held for investment	2020-12-22	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-22	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-22	Yes
Aggregate carrying amount (costs) on sale of assets	2020-12-22	$0
Liabilities. Value of acquisition indebtedness at end of year	2020-12-22	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-12-22	$0
Opinion of an independent qualified public accountant for this plan	2020-12-22	Disclaimer
Accountancy firm name	2020-12-22	LTSP, INC.
Accountancy firm EIN	2020-12-22	953864890
2019 : FIDELIS 401(K) PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-12-31	$0
Unrealized appreciation/depreciation of real estate assets	2019-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at 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 liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Expenses. Interest paid	2019-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-12-31	$0
Expenses. Interest paid	2019-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$3,251,983
Total income from all sources (including contributions)	2019-12-31	$3,251,983
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$3,066,162
Total of all expenses incurred	2019-12-31	$3,066,162
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,999,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,999,060
Expenses. Certain deemed distributions of participant loans	2019-12-31	$1,882
Expenses. Certain deemed distributions of participant loans	2019-12-31	$1,882
Value of total corrective distributions	2019-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,885,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,885,981
Value of total assets at end of year	2019-12-31	$6,135,050
Value of total assets at end of year	2019-12-31	$6,135,050
Value of total assets at beginning of year	2019-12-31	$5,949,229
Value of total assets at beginning of year	2019-12-31	$5,949,229
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$65,220
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$65,220
Total income from rents	2019-12-31	$0
Total income from rents	2019-12-31	$0
Total interest from all sources	2019-12-31	$7,258
Total interest from all sources	2019-12-31	$7,258
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$220,089
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$220,089
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$220,089
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$220,089
Assets. Real estate other than employer real property at end of year	2019-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2019-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2019-12-31	$0
Administrative expenses professional fees incurred	2019-12-31	$0
Administrative expenses professional fees incurred	2019-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2019-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2019-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2019-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
Value of fidelity bond cover	2019-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,275,161
Contributions received from participants	2019-12-31	$1,275,161
Participant contributions at end of year	2019-12-31	$66,535
Participant contributions at end of year	2019-12-31	$66,535
Participant contributions at beginning of year	2019-12-31	$141,438
Participant contributions at beginning of year	2019-12-31	$141,438
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$62,404
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$62,404
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Assets. Loans (other than to participants) at end of year	2019-12-31	$0
Assets. Loans (other than to participants) at end of year	2019-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$65,220
Administrative expenses (other) incurred	2019-12-31	$65,220
Liabilities. Value of operating payables at end of year	2019-12-31	$0
Liabilities. Value of operating payables at end of year	2019-12-31	$0
Liabilities. Value of operating payables at beginning of year	2019-12-31	$0
Liabilities. Value of operating payables at beginning of year	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Income. Non cash contributions	2019-12-31	$0
Income. Non cash contributions	2019-12-31	$0
Value of net income/loss	2019-12-31	$185,821
Value of net income/loss	2019-12-31	$185,821
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,135,050
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,135,050
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,949,229
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,949,229
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Assets. partnership/joint venture interests at end of year	2019-12-31	$0
Assets. partnership/joint venture interests at end of year	2019-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2019-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2019-12-31	$0
Investment advisory and management fees	2019-12-31	$0
Investment advisory and management fees	2019-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,830,704
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,830,704
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$5,770,024
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$5,770,024
Value of interest in pooled separate accounts at end of year	2019-12-31	$0
Value of interest in pooled separate accounts at end of year	2019-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$0
Interest on participant loans	2019-12-31	$7,258
Interest on participant loans	2019-12-31	$7,258
Income. Interest from loans (other than to participants)	2019-12-31	$0
Income. Interest from loans (other than to participants)	2019-12-31	$0
Interest earned on other investments	2019-12-31	$0
Interest earned on other investments	2019-12-31	$0
Income. Interest from US Government securities	2019-12-31	$0
Income. Interest from US Government securities	2019-12-31	$0
Income. Interest from corporate debt instruments	2019-12-31	$0
Value of interest in master investment trust accounts at end of year	2019-12-31	$0
Value of interest in master investment trust accounts at end of year	2019-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2019-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2019-12-31	$0
Value of interest in common/collective trusts at end of year	2019-12-31	$237,811
Value of interest in common/collective trusts at end of year	2019-12-31	$237,811
Value of interest in common/collective trusts at beginning of year	2019-12-31	$37,767
Value of interest in common/collective trusts at beginning of year	2019-12-31	$37,767
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2019-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2019-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2019-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2019-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Asset value of US Government securities at end of year	2019-12-31	$0
Asset value of US Government securities at end of year	2019-12-31	$0
Asset value of US Government securities at beginning of year	2019-12-31	$0
Asset value of US Government securities at beginning of year	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,118,171
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,118,171
Net investment gain/loss from pooled separate accounts	2019-12-31	$0
Net investment gain/loss from pooled separate accounts	2019-12-31	$0
Net investment gain or loss from common/collective trusts	2019-12-31	$20,484
Net investment gain or loss from common/collective trusts	2019-12-31	$20,484
Net gain/loss from 103.12 investment entities	2019-12-31	$0
Net gain/loss from 103.12 investment entities	2019-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Assets. Invements in employer securities at end of year	2019-12-31	$0
Assets. Invements in employer securities at end of year	2019-12-31	$0
Assets. Invements in employer securities at beginning of year	2019-12-31	$0
Assets. Invements in employer securities at beginning of year	2019-12-31	$0
Assets. Value of employer real property at end of year	2019-12-31	$0
Assets. Value of employer real property at end of year	2019-12-31	$0
Assets. Value of employer real property at beginning of year	2019-12-31	$0
Assets. Value of employer real property at beginning of year	2019-12-31	$0
Contributions received in cash from employer	2019-12-31	$548,416
Contributions received in cash from employer	2019-12-31	$548,416
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Income. Dividends from preferred stock	2019-12-31	$0
Income. Dividends from preferred stock	2019-12-31	$0
Income. Dividends from common stock	2019-12-31	$0
Income. Dividends from common stock	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,999,060
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,999,060
Asset. Corporate debt instrument preferred debt at end of year	2019-12-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2019-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2019-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2019-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2019-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2019-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-12-31	$0
Contract administrator fees	2019-12-31	$0
Contract administrator fees	2019-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2019-12-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2019-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$0
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Aggregate proceeds on sale of assets	2019-12-31	$0
Aggregate proceeds on sale of assets	2019-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2019-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2019-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	LTSP, INC
Accountancy firm name	2019-12-31	LTSP, INC
Accountancy firm EIN	2019-12-31	953864890
Accountancy firm EIN	2019-12-31	953864890
2018 : FIDELIS 401(K) PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$0
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$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
Expenses. Interest paid	2018-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$3,030,393
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,201,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,145,757
Expenses. Certain deemed distributions of participant loans	2018-12-31	$1,400
Value of total corrective distributions	2018-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,367,748
Value of total assets at end of year	2018-12-31	$5,949,229
Value of total assets at beginning of year	2018-12-31	$4,120,470
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$54,477
Total income from rents	2018-12-31	$0
Total interest from all sources	2018-12-31	$7,392
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$302,053
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$302,053
Assets. Real estate other than employer real property at end of year	2018-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2018-12-31	$0
Administrative expenses professional fees incurred	2018-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2018-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,753,808
Participant contributions at end of year	2018-12-31	$141,438
Participant contributions at beginning of year	2018-12-31	$110,870
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$384,367
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$0
Assets. Loans (other than to participants) at end of year	2018-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Other income not declared elsewhere	2018-12-31	$0
Administrative expenses (other) incurred	2018-12-31	$54,477
Liabilities. Value of operating payables at end of year	2018-12-31	$0
Liabilities. Value of operating payables at beginning of year	2018-12-31	$0
Total non interest bearing cash at end of year	2018-12-31	$0
Total non interest bearing cash at beginning of year	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Income. Non cash contributions	2018-12-31	$0
Value of net income/loss	2018-12-31	$1,828,759
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,949,229
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,120,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Assets. partnership/joint venture interests at end of year	2018-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2018-12-31	$0
Investment advisory and management fees	2018-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$5,770,024
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$4,004,061
Value of interest in pooled separate accounts at end of year	2018-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$0
Interest on participant loans	2018-12-31	$7,392
Income. Interest from loans (other than to participants)	2018-12-31	$0
Interest earned on other investments	2018-12-31	$0
Income. Interest from US Government securities	2018-12-31	$0
Income. Interest from corporate debt instruments	2018-12-31	$0
Value of interest in master investment trust accounts at end of year	2018-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2018-12-31	$0
Value of interest in common/collective trusts at end of year	2018-12-31	$37,767
Value of interest in common/collective trusts at beginning of year	2018-12-31	$5,539
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2018-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2018-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Asset value of US Government securities at end of year	2018-12-31	$0
Asset value of US Government securities at beginning of year	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-647,396
Net investment gain/loss from pooled separate accounts	2018-12-31	$0
Net investment gain or loss from common/collective trusts	2018-12-31	$596
Net gain/loss from 103.12 investment entities	2018-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Assets. Invements in employer securities at end of year	2018-12-31	$0
Assets. Invements in employer securities at beginning of year	2018-12-31	$0
Assets. Value of employer real property at end of year	2018-12-31	$0
Assets. Value of employer real property at beginning of year	2018-12-31	$0
Contributions received in cash from employer	2018-12-31	$1,229,573
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$0
Income. Dividends from preferred stock	2018-12-31	$0
Income. Dividends from common stock	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,145,757
Asset. Corporate debt instrument preferred debt at end of year	2018-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2018-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2018-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-12-31	$0
Contract administrator fees	2018-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2018-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2018-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-12-31	$0
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Aggregate proceeds on sale of assets	2018-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2018-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	LTSP, INC
Accountancy firm EIN	2018-12-31	953864890
2017 : FIDELIS 401(K) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$0
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$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
Expenses. Interest paid	2017-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,246,055
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,215,130
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,178,068
Expenses. Certain deemed distributions of participant loans	2017-12-31	$0
Value of total corrective distributions	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,637,610
Value of total assets at end of year	2017-12-31	$4,120,470
Value of total assets at beginning of year	2017-12-31	$3,089,545
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$37,062
Total income from rents	2017-12-31	$0
Total interest from all sources	2017-12-31	$1,323
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$104,898
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$104,898
Assets. Real estate other than employer real property at end of year	2017-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2017-12-31	$0
Administrative expenses professional fees incurred	2017-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2017-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$956,987
Participant contributions at end of year	2017-12-31	$110,870
Participant contributions at beginning of year	2017-12-31	$5,867
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$92,327
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$0
Assets. Loans (other than to participants) at end of year	2017-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$0
Other income not declared elsewhere	2017-12-31	$0
Administrative expenses (other) incurred	2017-12-31	$37,062
Liabilities. Value of operating payables at end of year	2017-12-31	$0
Liabilities. Value of operating payables at beginning of year	2017-12-31	$0
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Income. Non cash contributions	2017-12-31	$0
Value of net income/loss	2017-12-31	$1,030,925
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,120,470
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,089,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Assets. partnership/joint venture interests at end of year	2017-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2017-12-31	$0
Investment advisory and management fees	2017-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$4,004,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$3,039,099
Value of interest in pooled separate accounts at end of year	2017-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$0
Interest on participant loans	2017-12-31	$1,323
Income. Interest from loans (other than to participants)	2017-12-31	$0
Interest earned on other investments	2017-12-31	$0
Income. Interest from US Government securities	2017-12-31	$0
Income. Interest from corporate debt instruments	2017-12-31	$0
Value of interest in master investment trust accounts at end of year	2017-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2017-12-31	$0
Value of interest in common/collective trusts at end of year	2017-12-31	$5,539
Value of interest in common/collective trusts at beginning of year	2017-12-31	$44,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2017-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2017-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$0
Asset value of US Government securities at end of year	2017-12-31	$0
Asset value of US Government securities at beginning of year	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$501,943
Net investment gain/loss from pooled separate accounts	2017-12-31	$0
Net investment gain or loss from common/collective trusts	2017-12-31	$281
Net gain/loss from 103.12 investment entities	2017-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Assets. Invements in employer securities at end of year	2017-12-31	$0
Assets. Invements in employer securities at beginning of year	2017-12-31	$0
Assets. Value of employer real property at end of year	2017-12-31	$0
Assets. Value of employer real property at beginning of year	2017-12-31	$0
Contributions received in cash from employer	2017-12-31	$588,296
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$0
Income. Dividends from preferred stock	2017-12-31	$0
Income. Dividends from common stock	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,178,068
Asset. Corporate debt instrument preferred debt at end of year	2017-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2017-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2017-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2017-12-31	$0
Contract administrator fees	2017-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2017-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2017-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-12-31	$0
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Aggregate proceeds on sale of assets	2017-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2017-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	LTSP, INC
Accountancy firm EIN	2017-12-31	953864890
2016 : FIDELIS 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$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	$1,884,536
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$897,467
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$888,684
Value of total corrective distributions	2016-12-31	$749
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,679,711
Value of total assets at end of year	2016-12-31	$3,089,545
Value of total assets at beginning of year	2016-12-31	$2,102,476
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$8,034
Total interest from all sources	2016-12-31	$262
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$88,263
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$88,263
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$836,058
Participant contributions at end of year	2016-12-31	$5,867
Participant contributions at beginning of year	2016-12-31	$9,545
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$42,523
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$321,120
Other income not declared elsewhere	2016-12-31	$143,386
Administrative expenses (other) incurred	2016-12-31	$8,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$987,069
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,089,545
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,102,476
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$3,039,099
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$0
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,982,865
Interest on participant loans	2016-12-31	$262
Value of interest in common/collective trusts at end of year	2016-12-31	$44,579
Value of interest in common/collective trusts at beginning of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$39,356
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$-27,396
Net investment gain or loss from common/collective trusts	2016-12-31	$310
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$522,533
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$28,187
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$888,684
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	LTSP, INC.
Accountancy firm EIN	2016-12-31	953864890
2008 : FIDELIS 401(K) PLAN 2008 401k financial data
Transfers to/from the plan	2008-12-31	$618,712
Total income from all sources	2008-12-31	$328,161
Expenses. Total of all expenses incurred	2008-12-31	$282,884
Benefits paid (including direct rollovers)	2008-12-31	$282,812
Total plan assets at end of year	2008-12-31	$663,989
Total contributions received or receivable from participants	2008-12-31	$364,981
Expenses. Other expenses not covered elsewhere	2008-12-31	$72
Contributions received from other sources (not participants or employers)	2008-12-31	$31,263
Other income received	2008-12-31	$-266,660
Net income (gross income less expenses)	2008-12-31	$45,277
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$663,989
Total contributions received or receivable from employer(s)	2008-12-31	$198,577

Form 5500 Responses for FIDELIS 401(K) PLAN

2020: FIDELIS 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: FIDELIS 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: FIDELIS 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: FIDELIS 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: FIDELIS 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2009: FIDELIS 401(K) 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

614871

Policy instance

Insurance contract or identification number	614871
Number of Individuals Covered	106
Insurance policy start date	2008-01-01
Insurance policy end date	2008-12-31
Total amount of commissions paid to insurance broker	USD $10,497
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,520
Insurance broker organization code?	3
Insurance broker name	CONNOR AND GALLAGHER BENEFITS

Potentially related plans

FIDELIS 401(K) PLAN [EIN = 320013542]

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Company Name:	CONCERTO HEALTHCARE, INC.
Employer identification number (EIN):	061719046
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2012-09-11
Company Identification Number:	0801653448
Legal Registered Office Address:	2030 MAIN ST STE 600 IRVINE United States of America (USA) 92614