401k Plan data: JLS33, INC. 401(K) PLAN plan

JLS33, INC. 401(K) PLAN 401k Plan overview

Plan Name	JLS33, INC. 401(K) PLAN
Plan identification number	001

JLS33, INC. 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

JLS33, INC. has sponsored the creation of one or more 401k plans.

Company Name: JLS33, INC.

Employer identification number (EIN): 464369034

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

Additional information about JLS33, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 2013-12-17

Company Identification Number: C3626028

Legal Registered Office Address: 4617 9th St

Riverside
United States of America (USA)
92501

More information about JLS33, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JLS33, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-07-01 LAURA LEA SIERRA LAURA LEA SIERRA 2017-04-17
001 2015-07-01 LAURA LEA SIERRA LAURA LEA SIERRA 2017-11-15
001 2014-07-01 LAURA LEA SIERRA LAURA LEA SIERRA 2016-03-30
001 2013-12-18 LAURA LEA SIERRA

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-07-01	LAURA LEA SIERRA	LAURA LEA SIERRA	2017-04-17
001	2015-07-01	LAURA LEA SIERRA	LAURA LEA SIERRA	2017-11-15
001	2014-07-01	LAURA LEA SIERRA	LAURA LEA SIERRA	2016-03-30
001	2013-12-18	LAURA LEA SIERRA

Plan Statistics for JLS33, INC. 401(K) PLAN

401k plan membership statisitcs for JLS33, INC. 401(K) PLAN

Measure Date Value
2015: JLS33, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 13
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 1
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 2
Total of all active and inactive participants 2015-07-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 3
Number of participants with account balances 2015-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: JLS33, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 13
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 1
Total of all active and inactive participants 2014-07-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 14
Number of participants with account balances 2014-07-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: JLS33, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-12-18 0
Total number of active participants reported on line 7a of the Form 5500 2013-12-18 4
Number of retired or separated participants receiving benefits 2013-12-18 0
Number of other retired or separated participants entitled to future benefits 2013-12-18 0
Total of all active and inactive participants 2013-12-18 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-12-18 0
Total participants 2013-12-18 4
Number of participants with account balances 2013-12-18 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-12-18 0

Measure	Date	Value
2015: JLS33, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	13
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	1
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	2
Total of all active and inactive participants	2015-07-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	3
Number of participants with account balances	2015-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: JLS33, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	13
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	1
Total of all active and inactive participants	2014-07-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	14
Number of participants with account balances	2014-07-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: JLS33, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-12-18	0
Total number of active participants reported on line 7a of the Form 5500	2013-12-18	4
Number of retired or separated participants receiving benefits	2013-12-18	0
Number of other retired or separated participants entitled to future benefits	2013-12-18	0
Total of all active and inactive participants	2013-12-18	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-12-18	0
Total participants	2013-12-18	4
Number of participants with account balances	2013-12-18	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-12-18	0

Financial Data on JLS33, INC. 401(K) PLAN

Measure	Date	Value
2016 : JLS33, INC. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan	2016-06-30	$0
Total plan liabilities at end of year	2016-06-30	$0
Total plan liabilities at beginning of year	2016-06-30	$0
Total income from all sources	2016-06-30	$-8,820
Expenses. Total of all expenses incurred	2016-06-30	$143
Benefits paid (including direct rollovers)	2016-06-30	$143
Total plan assets at end of year	2016-06-30	$93,479
Total plan assets at beginning of year	2016-06-30	$102,442
Total contributions received or receivable from participants	2016-06-30	$812
Expenses. Other expenses not covered elsewhere	2016-06-30	$0
Contributions received from other sources (not participants or employers)	2016-06-30	$0
Other income received	2016-06-30	$-10,444
Noncash contributions received	2016-06-30	$0
Net income (gross income less expenses)	2016-06-30	$-8,963
Net plan assets at end of year (total assets less liabilities)	2016-06-30	$93,479
Net plan assets at beginning of year (total assets less liabilities)	2016-06-30	$102,442
Assets. Value of participant loans	2016-06-30	$18,547
Assets. Value of employer securities	2016-06-30	$49,250
Total contributions received or receivable from employer(s)	2016-06-30	$812
Value of certain deemed distributions of participant loans	2016-06-30	$0
Value of corrective distributions	2016-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-06-30	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
2015 : JLS33, INC. 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-06-30	$0
Total plan liabilities at beginning of year	2015-06-30	$0
Total income from all sources	2015-06-30	$-1,384
Expenses. Total of all expenses incurred	2015-06-30	$50
Benefits paid (including direct rollovers)	2015-06-30	$0
Total plan assets at end of year	2015-06-30	$102,442
Total plan assets at beginning of year	2015-06-30	$103,876
Total contributions received or receivable from participants	2015-06-30	$838
Expenses. Other expenses not covered elsewhere	2015-06-30	$0
Contributions received from other sources (not participants or employers)	2015-06-30	$0
Other income received	2015-06-30	$-3,045
Noncash contributions received	2015-06-30	$0
Net income (gross income less expenses)	2015-06-30	$-1,434
Net plan assets at end of year (total assets less liabilities)	2015-06-30	$102,442
Net plan assets at beginning of year (total assets less liabilities)	2015-06-30	$103,876
Assets. Value of participant loans	2015-06-30	$19,406
Assets. Value of employer securities	2015-06-30	$46,666
Total contributions received or receivable from employer(s)	2015-06-30	$823
Value of certain deemed distributions of participant loans	2015-06-30	$0
Value of corrective distributions	2015-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-06-30	$50
2014 : JLS33, INC. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-06-30	$0
Total plan liabilities at end of year	2014-06-30	$0
Total plan liabilities at beginning of year	2014-06-30	$0
Total income from all sources	2014-06-30	$103,961
Expenses. Total of all expenses incurred	2014-06-30	$85
Benefits paid (including direct rollovers)	2014-06-30	$0
Total plan assets at end of year	2014-06-30	$103,876
Total plan assets at beginning of year	2014-06-30	$0
Total contributions received or receivable from participants	2014-06-30	$264
Expenses. Other expenses not covered elsewhere	2014-06-30	$0
Contributions received from other sources (not participants or employers)	2014-06-30	$125,619
Other income received	2014-06-30	$-22,124
Noncash contributions received	2014-06-30	$0
Net income (gross income less expenses)	2014-06-30	$103,876
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$103,876
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$0
Assets. Value of participant loans	2014-06-30	$23,915
Assets. Value of employer securities	2014-06-30	$51,576
Total contributions received or receivable from employer(s)	2014-06-30	$202
Value of certain deemed distributions of participant loans	2014-06-30	$0
Value of corrective distributions	2014-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-06-30	$85

Form 5500 Responses for JLS33, INC. 401(K) PLAN

2015: JLS33, INC. 401(K) PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: JLS33, INC. 401(K) PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: JLS33, INC. 401(K) PLAN 2013 form 5500 responses
2013-12-18	Type of plan entity	Single employer plan
2013-12-18	First time form 5500 has been submitted	Yes
2013-12-18	Submission has been amended	No
2013-12-18	This submission is the final filing	No
2013-12-18	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-12-18	Plan is a collectively bargained plan	No
2013-12-18	Plan funding arrangement – Trust	Yes
2013-12-18	Plan benefit arrangement - Trust	Yes

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Company Name:	JLS33, INC.
Employer identification number (EIN):	464369034
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	2013-12-17
Company Identification Number:	C3626028
Legal Registered Office Address:	4617 9th St Riverside United States of America (USA) 92501