401k Plan data: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN plan

SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 401k Plan overview

Plan Name	SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN
Plan identification number	001

SECOND NATURE BLUE RIDGE CAROLINA 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.
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.

401k Sponsoring company profile

SECOND NATURE BLUE RIDGE CAROLINA, LLC has sponsored the creation of one or more 401k plans.

Company Name: SECOND NATURE BLUE RIDGE CAROLINA, LLC

Employer identification number (EIN): 208522075

NAIC Classification: 624310
NAIC Description: Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01 NITAL PATEL
001 2017-01-01 NITAL PATEL
001 2016-01-01 NITAL PATEL
001 2015-01-01 NITAL PATEL
001 2014-01-01 NITAL PATEL
001 2013-01-01 NITAL PATEL
001 2012-01-01 NITAL PATEL
001 2011-01-01 NITAL PATEL

Plan Statistics for SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN

401k plan membership statisitcs for SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN

Measure Date Value
2019: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
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 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
2018: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 8
Total of all active and inactive participants 2018-01-01 8
Total participants 2018-01-01 8
Number of participants with account balances 2018-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 7
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 21
Total of all active and inactive participants 2017-01-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 28
Number of participants with account balances 2017-01-01 22
2016: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 36
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 17
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 16
Total of all active and inactive participants 2016-01-01 33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 33
Number of participants with account balances 2016-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 12
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 15
Total of all active and inactive participants 2015-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 27
Number of participants with account balances 2015-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 18
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 5
Total of all active and inactive participants 2014-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 23
Number of participants with account balances 2014-01-01 15
2013: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 14
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 16
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 10
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 2
Total of all active and inactive participants 2012-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 12
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 6
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2019: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
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	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
2018: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	8
Total of all active and inactive participants	2018-01-01	8
Total participants	2018-01-01	8
Number of participants with account balances	2018-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	7
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	21
Total of all active and inactive participants	2017-01-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	28
Number of participants with account balances	2017-01-01	22
2016: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	36
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	17
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	16
Total of all active and inactive participants	2016-01-01	33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	33
Number of participants with account balances	2016-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	12
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	15
Total of all active and inactive participants	2015-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	27
Number of participants with account balances	2015-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	18
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	5
Total of all active and inactive participants	2014-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	23
Number of participants with account balances	2014-01-01	15
2013: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	14
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	16
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	10
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	2
Total of all active and inactive participants	2012-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	12
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	6
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN

Measure	Date	Value
2019 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2019 401k financial data
Transfers to/from the plan	2019-10-15	$-204,687
Total income from all sources	2019-10-15	$32,954
Expenses. Total of all expenses incurred	2019-10-15	$4,975
Benefits paid (including direct rollovers)	2019-10-15	$4,975
Total plan assets at end of year	2019-10-15	$0
Total plan assets at beginning of year	2019-10-15	$176,708
Value of fidelity bond covering the plan	2019-10-15	$20,000
Total contributions received or receivable from participants	2019-10-15	$4,751
Other income received	2019-10-15	$23,571
Net income (gross income less expenses)	2019-10-15	$27,979
Net plan assets at end of year (total assets less liabilities)	2019-10-15	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-10-15	$176,708
Total contributions received or receivable from employer(s)	2019-10-15	$4,632
2018 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-12,664
Expenses. Total of all expenses incurred	2018-12-31	$17,214
Benefits paid (including direct rollovers)	2018-12-31	$17,214
Total plan assets at end of year	2018-12-31	$176,708
Total plan assets at beginning of year	2018-12-31	$206,586
Value of fidelity bond covering the plan	2018-12-31	$20,000
Other income received	2018-12-31	$-12,664
Net income (gross income less expenses)	2018-12-31	$-29,878
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$176,708
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$206,586
2017 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$38,394
Expenses. Total of all expenses incurred	2017-12-31	$57,992
Benefits paid (including direct rollovers)	2017-12-31	$57,992
Total plan assets at end of year	2017-12-31	$206,586
Total plan assets at beginning of year	2017-12-31	$226,184
Value of fidelity bond covering the plan	2017-12-31	$20,000
Total contributions received or receivable from participants	2017-12-31	$1,710
Contributions received from other sources (not participants or employers)	2017-12-31	$382
Other income received	2017-12-31	$34,592
Net income (gross income less expenses)	2017-12-31	$-19,598
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$206,586
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$226,184
Total contributions received or receivable from employer(s)	2017-12-31	$1,710
2016 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$55,603
Expenses. Total of all expenses incurred	2016-12-31	$531
Benefits paid (including direct rollovers)	2016-12-31	$531
Total plan assets at end of year	2016-12-31	$226,184
Total plan assets at beginning of year	2016-12-31	$171,112
Value of fidelity bond covering the plan	2016-12-31	$30,000
Total contributions received or receivable from participants	2016-12-31	$19,280
Other income received	2016-12-31	$17,053
Net income (gross income less expenses)	2016-12-31	$55,072
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$226,184
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$171,112
Assets. Value of participant loans	2016-12-31	$3,401
Total contributions received or receivable from employer(s)	2016-12-31	$19,270
2015 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$34,200
Expenses. Total of all expenses incurred	2015-12-31	$49,547
Benefits paid (including direct rollovers)	2015-12-31	$49,547
Total plan assets at end of year	2015-12-31	$171,112
Total plan assets at beginning of year	2015-12-31	$186,459
Value of fidelity bond covering the plan	2015-12-31	$20,000
Total contributions received or receivable from participants	2015-12-31	$19,792
Other income received	2015-12-31	$-3,160
Net income (gross income less expenses)	2015-12-31	$-15,347
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$171,112
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$186,459
Assets. Value of participant loans	2015-12-31	$4,112
Total contributions received or receivable from employer(s)	2015-12-31	$17,568
2014 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$47,060
Expenses. Total of all expenses incurred	2014-12-31	$7,173
Benefits paid (including direct rollovers)	2014-12-31	$7,173
Total plan assets at end of year	2014-12-31	$186,459
Total plan assets at beginning of year	2014-12-31	$146,572
Value of fidelity bond covering the plan	2014-12-31	$20,000
Total contributions received or receivable from participants	2014-12-31	$18,369
Contributions received from other sources (not participants or employers)	2014-12-31	$7,474
Other income received	2014-12-31	$5,778
Net income (gross income less expenses)	2014-12-31	$39,887
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$186,459
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$146,572
Assets. Value of participant loans	2014-12-31	$2,219
Total contributions received or receivable from employer(s)	2014-12-31	$15,439
2013 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$98,191
Expenses. Total of all expenses incurred	2013-12-31	$21,077
Benefits paid (including direct rollovers)	2013-12-31	$21,077
Total plan assets at end of year	2013-12-31	$146,572
Total plan assets at beginning of year	2013-12-31	$69,458
Value of fidelity bond covering the plan	2013-12-31	$20,000
Total contributions received or receivable from participants	2013-12-31	$14,675
Contributions received from other sources (not participants or employers)	2013-12-31	$44,552
Other income received	2013-12-31	$26,475
Net income (gross income less expenses)	2013-12-31	$77,114
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$146,572
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$69,458
Assets. Value of participant loans	2013-12-31	$2,775
Total contributions received or receivable from employer(s)	2013-12-31	$12,489
2012 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$64,785
Total plan assets at end of year	2012-12-31	$69,458
Total plan assets at beginning of year	2012-12-31	$4,673
Value of fidelity bond covering the plan	2012-12-31	$10,000
Total contributions received or receivable from participants	2012-12-31	$11,463
Contributions received from other sources (not participants or employers)	2012-12-31	$40,569
Other income received	2012-12-31	$2,118
Net income (gross income less expenses)	2012-12-31	$64,785
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$69,458
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$4,673
Assets. Value of participant loans	2012-12-31	$4,964
Total contributions received or receivable from employer(s)	2012-12-31	$10,635
2011 : SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$4,673
Total plan assets at end of year	2011-12-31	$4,673
Total contributions received or receivable from participants	2011-12-31	$2,011
Contributions received from other sources (not participants or employers)	2011-12-31	$715
Other income received	2011-12-31	$21
Net income (gross income less expenses)	2011-12-31	$4,673
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$4,673
Total contributions received or receivable from employer(s)	2011-12-31	$1,926

Form 5500 Responses for SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN

2019: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SECOND NATURE BLUE RIDGE CAROLINA 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-10-15
Total amount of commissions paid to insurance broker	USD $488
Are there contracts with unallocated funds for contracts of type 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 $244
Insurance broker organization code?	3

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	8
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $620
Are there contracts with unallocated funds for contracts of type 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 $310
Insurance broker organization code?	3

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	22
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $638
Are there contracts with unallocated funds for contracts of type 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 $319
Insurance broker organization code?	3
Insurance broker name	RICHARD A BREGGER

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	29
Insurance policy start date	2016-01-01
Insurance policy end date	2016-12-31
Total amount of commissions paid to insurance broker	USD $570
Are there contracts with unallocated funds for contracts of type 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 $285
Insurance broker organization code?	3
Insurance broker name	RICHARD A BREGGER

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	24
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $463
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $197
Insurance broker organization code?	3
Insurance broker name	BRANDON O PATRICK

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	15
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $476
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $233
Insurance broker organization code?	3
Insurance broker name	BRANDON O PATRICK

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	9
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $307
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $172
Insurance broker organization code?	3
Insurance broker name	BRANDON O PATRICK

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	9
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $50
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $34
Insurance broker organization code?	3
Insurance broker name	BRANDON O PATRICK

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

668211

Policy instance

Insurance contract or identification number	668211
Number of Individuals Covered	7
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

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Company Name:	SECOND NATURE BLUE RIDGE CAROLINA, LLC
Employer identification number (EIN):	208522075
NAIC Classification:	624310
NAIC Description:	Vocational Rehabilitation Services

Plan id#	Filing Submission Date	Name of Administrator
001	2019-01-01
001	2018-01-01	NITAL PATEL
001	2017-01-01	NITAL PATEL
001	2016-01-01	NITAL PATEL
001	2015-01-01	NITAL PATEL
001	2014-01-01	NITAL PATEL
001	2013-01-01	NITAL PATEL
001	2012-01-01	NITAL PATEL
001	2011-01-01	NITAL PATEL