401k Plan data: CAPITOL REHAB 401(K) AND PS PLAN plan

CAPITOL REHAB 401(K) AND PS PLAN 401k Plan overview

Plan Name	CAPITOL REHAB 401(K) AND PS PLAN
Plan identification number	001

CAPITOL REHAB 401(K) AND PS 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.

401k Sponsoring company profile

CAPITOL REHAB has sponsored the creation of one or more 401k plans.

Company Name: CAPITOL REHAB

Employer identification number (EIN): 223783853

NAIC Classification: 621310
NAIC Description: Offices of Chiropractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITOL REHAB 401(K) AND PS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 ANDREA MATCHETT
001 2014-01-01 ANDREA MATCHETT
001 2013-01-01 ANDREA MATCHETT
001 2012-08-01 ANDREA MATCHETT

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	ANDREA MATCHETT
001	2014-01-01	ANDREA MATCHETT
001	2013-01-01	ANDREA MATCHETT
001	2012-08-01	ANDREA MATCHETT

Plan Statistics for CAPITOL REHAB 401(K) AND PS PLAN

401k plan membership statisitcs for CAPITOL REHAB 401(K) AND PS PLAN

Measure Date Value
2014: CAPITOL REHAB 401(K) AND PS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CAPITOL REHAB 401(K) AND PS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 4
Number of participants with account balances 2013-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CAPITOL REHAB 401(K) AND PS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 0
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 3
Number of retired or separated participants receiving benefits 2012-08-01 0
Number of other retired or separated participants entitled to future benefits 2012-08-01 0
Total of all active and inactive participants 2012-08-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-08-01 0
Total participants 2012-08-01 3
Number of participants with account balances 2012-08-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-08-01 0

Measure	Date	Value
2014: CAPITOL REHAB 401(K) AND PS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CAPITOL REHAB 401(K) AND PS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	4
Number of participants with account balances	2013-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CAPITOL REHAB 401(K) AND PS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	3
Number of retired or separated participants receiving benefits	2012-08-01	0
Number of other retired or separated participants entitled to future benefits	2012-08-01	0
Total of all active and inactive participants	2012-08-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-08-01	0
Total participants	2012-08-01	3
Number of participants with account balances	2012-08-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-08-01	0

Financial Data on CAPITOL REHAB 401(K) AND PS PLAN

Measure	Date	Value
2014 : CAPITOL REHAB 401(K) AND PS PLAN 2014 401k financial data
Total income from all sources	2014-02-28	$219
Expenses. Total of all expenses incurred	2014-02-28	$17,580
Benefits paid (including direct rollovers)	2014-02-28	$17,530
Total plan assets at end of year	2014-02-28	$0
Total plan assets at beginning of year	2014-02-28	$17,361
Value of fidelity bond covering the plan	2014-02-28	$10,000
Total contributions received or receivable from participants	2014-02-28	$0
Expenses. Other expenses not covered elsewhere	2014-02-28	$50
Other income received	2014-02-28	$219
Net income (gross income less expenses)	2014-02-28	$-17,361
Net plan assets at end of year (total assets less liabilities)	2014-02-28	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-02-28	$17,361
Total contributions received or receivable from employer(s)	2014-02-28	$0
2013 : CAPITOL REHAB 401(K) AND PS PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total income from all sources	2013-12-31	$12,305
Expenses. Total of all expenses incurred	2013-12-31	$60
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$17,361
Total plan assets at beginning of year	2013-12-31	$5,116
Value of fidelity bond covering the plan	2013-12-31	$10,000
Total contributions received or receivable from participants	2013-12-31	$5,020
Expenses. Other expenses not covered elsewhere	2013-12-31	$60
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$2,265
Net income (gross income less expenses)	2013-12-31	$12,245
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$17,361
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$5,116
Assets. Value of participant loans	2013-12-31	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2013-12-31	$986
Total contributions received or receivable from employer(s)	2013-12-31	$5,020
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
2012 : CAPITOL REHAB 401(K) AND PS PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$5,146
Expenses. Total of all expenses incurred	2012-12-31	$30
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$5,116
Total plan assets at beginning of year	2012-12-31	$0
Value of fidelity bond covering the plan	2012-12-31	$10,000
Total contributions received or receivable from participants	2012-12-31	$2,527
Expenses. Other expenses not covered elsewhere	2012-12-31	$30
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$92
Net income (gross income less expenses)	2012-12-31	$5,116
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$5,116
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Assets. Value of participant loans	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$2,527
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0

Form 5500 Responses for CAPITOL REHAB 401(K) AND PS PLAN

2014: CAPITOL REHAB 401(K) AND PS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: CAPITOL REHAB 401(K) AND PS 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CAPITOL REHAB 401(K) AND PS PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	First time form 5500 has been submitted	Yes
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – Trust	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CAPITOL REHAB
Employer identification number (EIN):	223783853
NAIC Classification:	621310
NAIC Description:	Offices of Chiropractors