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RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 401k Plan overview

Plan NameRETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC
Plan identification number 001

RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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

PENDER ADULT SERVICES, INC has sponsored the creation of one or more 401k plans.

Company Name:PENDER ADULT SERVICES, INC
Employer identification number (EIN):581482588
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about PENDER ADULT SERVICES, INC

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0131344

More information about PENDER ADULT SERVICES, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01WESLEY DAVIS2023-10-03 WESLEY DAVIS2023-10-03
0012021-07-01WESLEY DAVIS2022-10-10 WESLEY DAVIS2022-10-10
0012020-07-01WESLEY DAVIS2021-10-12 WESLEY DAVIS2021-10-12
0012019-07-01WESLEY DAVIS2021-03-04 WESLEY DAVIS2021-03-04
0012018-07-01WESLEY B. DAVIS2019-09-17 WESLEY B. DAVIS2019-09-17
0012017-07-01WESLEY B. DAVIS2018-11-30 WESLEY B. DAVIS2018-11-30
0012016-07-01WESLEY B. DAVIS2017-09-25 WESLEY B. DAVIS2017-09-25
0012015-07-01WESLEY B. DAVIS2017-02-06 WESLEY B. DAVIS2017-02-06
0012014-07-01WESLEY DAVIS
0012013-07-01WESLEY B. DAVIS
0012012-07-01WESLEY B. DAVIS2014-03-04 WESLEY B. DAVIS2014-03-04
0012012-01-01WESLEY B. DAVIS2013-09-23 WESLEY B. DAVIS2013-09-23
0012011-01-01WESLEY DAVIS
0012010-01-01WESLEY DAVIS
0012009-01-01WESLEY DAVIS WESLEY DAVIS2010-07-23
0012009-01-012010-07-23
0012007-01-01WESLEY DAVIS WERSLEY DAVIS2010-08-05

Plan Statistics for RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC

401k plan membership statisitcs for RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC

Measure Date Value
2014: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2014 401k membership
Total participants, beginning-of-year2014-07-01125
Total number of active participants reported on line 7a of the Form 55002014-07-0195
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-013
Total of all active and inactive participants2014-07-0198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0198
Number of participants with account balances2014-07-0141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2013 401k membership
Total participants, beginning-of-year2013-07-01129
Total number of active participants reported on line 7a of the Form 55002013-07-01118
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-017
Total of all active and inactive participants2013-07-01125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01125
Number of participants with account balances2013-07-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2011: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2011 401k membership
Total participants, beginning-of-year2011-01-01115
Total number of active participants reported on line 7a of the Form 55002011-01-0176
Number of retired or separated participants receiving benefits2011-01-014
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-012
Total participants2011-01-0186
Number of participants with account balances2011-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2010 401k membership
Total participants, beginning-of-year2010-01-0178
Total number of active participants reported on line 7a of the Form 55002010-01-0189
Number of retired or separated participants receiving benefits2010-01-016
Number of other retired or separated participants entitled to future benefits2010-01-0117
Total of all active and inactive participants2010-01-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-013
Total participants2010-01-01115
Number of participants with account balances2010-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2009 401k membership
Total participants, beginning-of-year2009-01-0180
Total number of active participants reported on line 7a of the Form 55002009-01-0154
Number of retired or separated participants receiving benefits2009-01-015
Number of other retired or separated participants entitled to future benefits2009-01-0117
Total of all active and inactive participants2009-01-0176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-012
Total participants2009-01-0178
Number of participants with account balances2009-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010
2007: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2007 401k membership
Total of all active and inactive participants2007-01-010
Total participants2007-01-010

Financial Data on RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC

Measure Date Value
2015 : RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$66,338
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$21,245
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$8,393
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$33,435
Value of total assets at end of year2015-06-30$912,380
Value of total assets at beginning of year2015-06-30$867,287
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$12,852
Total interest from all sources2015-06-30$610
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$11,588
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$11,588
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$100,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$33,435
Participant contributions at end of year2015-06-30$18,350
Participant contributions at beginning of year2015-06-30$12,504
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$45,093
Value of net assets at end of year (total assets less liabilities)2015-06-30$912,380
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$867,287
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$894,030
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$840,231
Interest on participant loans2015-06-30$610
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$20,705
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Employer contributions (assets) at beginning of year2015-06-30$14,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$8,393
Contract administrator fees2015-06-30$12,852
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30EARNEY & CO., LLP
Accountancy firm EIN2015-06-30561719839
2014 : RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$161,908
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$37,316
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$25,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$48,402
Value of total assets at end of year2014-06-30$867,287
Value of total assets at beginning of year2014-06-30$742,695
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$12,019
Total interest from all sources2014-06-30$165
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$10,041
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$10,041
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$100,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$33,850
Participant contributions at end of year2014-06-30$12,504
Participant contributions at beginning of year2014-06-30$1,097
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$124,592
Value of net assets at end of year (total assets less liabilities)2014-06-30$867,287
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$742,695
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$840,231
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$741,598
Interest on participant loans2014-06-30$165
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$103,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$14,552
Employer contributions (assets) at end of year2014-06-30$14,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$25,297
Contract administrator fees2014-06-30$12,019
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30EARNEY & CO., LLP
Accountancy firm EIN2014-06-30561719839
2011 : RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2011 401k financial data
Total income from all sources2011-12-31$57,216
Expenses. Total of all expenses incurred2011-12-31$97,995
Benefits paid (including direct rollovers)2011-12-31$94,052
Total plan assets at end of year2011-12-31$674,492
Total plan assets at beginning of year2011-12-31$715,271
Value of fidelity bond covering the plan2011-12-31$71,527
Total contributions received or receivable from participants2011-12-31$27,008
Expenses. Other expenses not covered elsewhere2011-12-31$1,719
Other income received2011-12-31$6,438
Net income (gross income less expenses)2011-12-31$-40,779
Net plan assets at end of year (total assets less liabilities)2011-12-31$674,492
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$715,271
Assets. Value of participant loans2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$23,770
Value of certain deemed distributions of participant loans2011-12-31$2,224
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2010 401k financial data
Total income from all sources2010-12-31$117,300
Expenses. Total of all expenses incurred2010-12-31$37,137
Benefits paid (including direct rollovers)2010-12-31$35,483
Total plan assets at end of year2010-12-31$715,271
Total plan assets at beginning of year2010-12-31$635,108
Value of fidelity bond covering the plan2010-12-31$63,511
Total contributions received or receivable from participants2010-12-31$31,310
Expenses. Other expenses not covered elsewhere2010-12-31$1,654
Other income received2010-12-31$57,681
Net income (gross income less expenses)2010-12-31$80,163
Net plan assets at end of year (total assets less liabilities)2010-12-31$715,271
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$635,108
Assets. Value of participant loans2010-12-31$2,449
Total contributions received or receivable from employer(s)2010-12-31$28,309
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC

2014: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement - TrustYes
2013: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement - TrustYes
2011: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2007: RETIREMENT SAVINGS PLAN FOR PENDER ADULT SERVICES, INC 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberFA068785
Policy instance 1
Insurance contract or identification numberFA068785
Number of Individuals Covered50
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberFA068785
Policy instance 1
Insurance contract or identification numberFA068785
Number of Individuals Covered71
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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

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