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COMMUNITY BASED CARE 401(K) PLAN 401k Plan overview

Plan NameCOMMUNITY BASED CARE 401(K) PLAN
Plan identification number 001

COMMUNITY BASED CARE 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

COMMUNITY BASED CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY BASED CARE, LLC
Employer identification number (EIN):474471803
NAIC Classification:561490

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY BASED CARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01KENNETH DUARTE2022-10-17 KENNETH DUARTE2022-10-17
0012020-01-01
0012019-01-01
0012018-01-01

Plan Statistics for COMMUNITY BASED CARE 401(K) PLAN

401k plan membership statisitcs for COMMUNITY BASED CARE 401(K) PLAN

Measure Date Value
2023: COMMUNITY BASED CARE 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-011,597
Total number of active participants reported on line 7a of the Form 55002023-01-014,677
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0129
Total of all active and inactive participants2023-01-014,706
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-012
Total participants2023-01-014,708
Number of participants with account balances2023-01-01191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: COMMUNITY BASED CARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,462
Total number of active participants reported on line 7a of the Form 55002022-01-011,558
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0139
Total of all active and inactive participants2022-01-011,597
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011,597
Number of participants with account balances2022-01-01142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: COMMUNITY BASED CARE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,822
Total number of active participants reported on line 7a of the Form 55002021-01-011,415
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0147
Total of all active and inactive participants2021-01-011,462
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,462
Number of participants with account balances2021-01-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010

Financial Data on COMMUNITY BASED CARE 401(K) PLAN

Measure Date Value
2023 : COMMUNITY BASED CARE 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$883,278
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$232,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$209,715
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$564,124
Value of total assets at end of year2023-12-31$2,216,041
Value of total assets at beginning of year2023-12-31$1,564,770
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$22,292
Total interest from all sources2023-12-31$23
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$43,051
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$43,051
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$200,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$292,541
Participant contributions at end of year2023-12-31$643
Participant contributions at beginning of year2023-12-31$1,006
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$271,583
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$651,271
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,216,041
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$1,564,770
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$6,750
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$2,166,183
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$1,522,336
Interest on participant loans2023-12-31$23
Value of interest in common/collective trusts at end of year2023-12-31$49,215
Value of interest in common/collective trusts at beginning of year2023-12-31$41,428
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$274,628
Net investment gain or loss from common/collective trusts2023-12-31$1,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$209,715
Contract administrator fees2023-12-31$15,542
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31BDG CPAS
Accountancy firm EIN2023-12-31222625944
2022 : COMMUNITY BASED CARE 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$16,638
Total income from all sources (including contributions)2022-12-31$-124,738
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$179,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$156,238
Value of total corrective distributions2022-12-31$16,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$192,407
Value of total assets at end of year2022-12-31$1,564,770
Value of total assets at beginning of year2022-12-31$1,885,772
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$6,750
Total interest from all sources2022-12-31$30
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$298
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$298
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$200,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$192,407
Participant contributions at end of year2022-12-31$1,006
Participant contributions at beginning of year2022-12-31$3,177
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$7,937
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$16,638
Other income not declared elsewhere2022-12-31$393
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-304,364
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,564,770
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,869,134
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,522,336
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$0
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$1,841,903
Interest on participant loans2022-12-31$30
Value of interest in common/collective trusts at end of year2022-12-31$41,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$32,755
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$3,230
Net investment gain/loss from pooled separate accounts2022-12-31$-321,141
Net investment gain or loss from common/collective trusts2022-12-31$45
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$156,238
Contract administrator fees2022-12-31$6,750
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BDG CPAS
Accountancy firm EIN2022-12-31222625944
2021 : COMMUNITY BASED CARE 401(K) PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$0
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$1,337,028
Total transfer of assets from this plan2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$16,638
Expenses. Interest paid2021-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022021-12-31$0
Total income from all sources (including contributions)2021-12-31$448,491
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$473,499
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$447,861
Expenses. Certain deemed distributions of participant loans2021-12-31$0
Value of total corrective distributions2021-12-31$16,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$234,593
Value of total assets at end of year2021-12-31$1,885,772
Value of total assets at beginning of year2021-12-31$557,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$9,000
Total interest from all sources2021-12-31$103
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$200,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$187,462
Participant contributions at end of year2021-12-31$3,177
Participant contributions at beginning of year2021-12-31$610
Participant contributions at end of year2021-12-31$7,937
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$47,064
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$16,638
Other income not declared elsewhere2021-12-31$0
Administrative expenses (other) incurred2021-12-31$9,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-25,008
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,869,134
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$557,114
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$0
Value of interest in pooled separate accounts at end of year2021-12-31$1,841,903
Value of interest in pooled separate accounts at beginning of year2021-12-31$556,504
Interest on participant loans2021-12-31$103
Income. Interest from loans (other than to participants)2021-12-31$0
Interest earned on other investments2021-12-31$0
Income. Interest from US Government securities2021-12-31$0
Income. Interest from corporate debt instruments2021-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$32,755
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$0
Net investment gain/loss from pooled separate accounts2021-12-31$213,795
Net investment gain or loss from common/collective trusts2021-12-31$0
Net gain/loss from 103.12 investment entities2021-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$67
Income. Dividends from preferred stock2021-12-31$0
Income. Dividends from common stock2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$447,861
Contract administrator fees2021-12-31$0
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$0
Aggregate carrying amount (costs) on sale of assets2021-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2021-12-31$0
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BDG CPAS
Accountancy firm EIN2021-12-31222625944

Form 5500 Responses for COMMUNITY BASED CARE 401(K) PLAN

2023: COMMUNITY BASED CARE 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: COMMUNITY BASED CARE 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: COMMUNITY BASED CARE 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG38953
Policy instance 1
Insurance contract or identification numberG38953
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-19
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG38953
Policy instance 1
Insurance contract or identification numberG38953
Number of Individuals Covered145
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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