401k Plan data: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN plan

WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 401k Plan overview

Plan Name	WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN
Plan identification number	510

WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

NYSARC, INC. WARREN WASHINGTON & ALBANY COUNTIES CHAPTER has sponsored the creation of one or more 401k plans.

Company Name: NYSARC, INC. WARREN WASHINGTON & ALBANY COUNTIES CHAPTER

Employer identification number (EIN): 141560053

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2013-01-01 JOHN VON AHN
510 2012-01-01 JOHN VON AHN
510 2011-01-01 JOHN VON AHN JOHN VON AHN 2012-06-28
510 2009-07-01 JOHN VON AHN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
510	2013-01-01	JOHN VON AHN
510	2012-01-01	JOHN VON AHN
510	2011-01-01	JOHN VON AHN	JOHN VON AHN	2012-06-28
510	2009-07-01	JOHN VON AHN

Plan Statistics for WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN

401k plan membership statisitcs for WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN

Measure Date Value
2013: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 179
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 60
Total of all active and inactive participants 2013-01-01 60
2012: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 179
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 179
2011: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 234
Total of all active and inactive participants 2011-01-01 234
2009: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 248
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 241
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 241

Measure	Date	Value
2013: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	179
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	60
Total of all active and inactive participants	2013-01-01	60
2012: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	179
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	179
2011: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	234
Total of all active and inactive participants	2011-01-01	234
2009: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	248
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	241
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	241

Form 5500 Responses for WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN

2013: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: WARREN WASHINGTON ARC STANDALONE SECTION 105 PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	NYSARC, INC. WARREN WASHINGTON & ALBANY COUNTIES CHAPTER
Employer identification number (EIN):	141560053
NAIC Classification:	621610
NAIC Description:	Home Health Care Services