401k Plan data: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST plan

COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan Name	COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST
Plan identification number	501

COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance

401k Sponsoring company profile

COMPASSIONATE HOME CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: COMPASSIONATE HOME CARE, INC.

Employer identification number (EIN): 352216247

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 DAVID FENSLER
501 2011-01-01 DAVID FENSLER
501 2010-01-01 DAVID FENSLER

Plan id#	Filing Submission Date	Name of Administrator
501	2012-01-01	DAVID FENSLER
501	2011-01-01	DAVID FENSLER
501	2010-01-01	DAVID FENSLER

Plan Statistics for COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST

Measure Date Value
2012: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
2011: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total of all active and inactive participants 2011-01-01 0
Total participants 2011-01-01 0
2010: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1
Total of all active and inactive participants 2010-01-01 1
Total participants 2010-01-01 1

Measure	Date	Value
2012: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total of all active and inactive participants	2011-01-01	0
Total participants	2011-01-01	0
2010: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1
Total of all active and inactive participants	2010-01-01	1
Total participants	2010-01-01	1

Financial Data on COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST

Measure	Date	Value
2012 : COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2012 401k financial data
Expenses. Total of all expenses incurred	2012-12-31	$242,668
Benefits paid (including direct rollovers)	2012-12-31	$242,668
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$242,668
Net income (gross income less expenses)	2012-12-31	$-242,668
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$242,668
2011 : COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$1,550
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$1,550
2010 : COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$1,550
Total income from all sources	2010-12-31	$1,550
Expenses. Total of all expenses incurred	2010-12-31	$1,550
Total plan assets at end of year	2010-12-31	$1,550
Expenses. Other expenses not covered elsewhere	2010-12-31	$1,550
Total contributions received or receivable from employer(s)	2010-12-31	$1,550

Form 5500 Responses for COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST

2012: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: COMPASSIONATE HOME CARE EMPLOYEE BENEFIT TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	COMPASSIONATE HOME CARE, INC.
Employer identification number (EIN):	352216247
NAIC Classification:	621610
NAIC Description:	Home Health Care Services