401k Plan data: HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST plan

HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST 401k Plan overview

Plan Name	HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST
Plan identification number	001

HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Profit-sharing
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.
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.

401k Sponsoring company profile

HOME CONVALESCENT AIDS, INC. has sponsored the creation of one or more 401k plans.

Company Name: HOME CONVALESCENT AIDS, INC.

Employer identification number (EIN): 611003382

NAIC Classification: 446110
NAIC Description: Pharmacies and Drug Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 KENNETH DOVE 2017-10-13 KENNETH DOVE 2017-10-13
001 2016-01-01 KENNETH DOVE 2017-10-13 KENNETH DOVE 2017-10-13
001 2016-01-01 KENNETH DOVE 2017-09-20 KENNETH DOVE 2017-09-20
001 2015-01-01 KENNETH DOVE 2016-10-11 KENNETH DOVE 2016-10-11
001 2015-01-01 KENNETH DOVE 2016-10-11 KENNETH DOVE 2016-10-11
001 2014-01-01 KENNETH DOVE 2015-07-29 KENNETH DOVE 2015-07-29
001 2014-01-01 KENNETH DOVE 2015-07-29 KENNETH DOVE 2015-07-29
001 2013-01-01 KENNETH DOVE 2014-10-08 KENNETH DOVE 2014-10-08
001 2012-01-01 KENNETH DOVE 2013-07-30 KENNETH DOVE 2013-07-30
001 2011-01-01 KENNETH DOVE 2012-09-27 KENNETH DOVE 2012-09-27
001 2010-01-01 KENNETH DOVE 2011-10-07 KENNETH DOVE 2011-10-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	KENNETH DOVE	2017-10-13	KENNETH DOVE	2017-10-13
001	2016-01-01	KENNETH DOVE	2017-10-13	KENNETH DOVE	2017-10-13
001	2016-01-01	KENNETH DOVE	2017-09-20	KENNETH DOVE	2017-09-20
001	2015-01-01	KENNETH DOVE	2016-10-11	KENNETH DOVE	2016-10-11
001	2015-01-01	KENNETH DOVE	2016-10-11	KENNETH DOVE	2016-10-11
001	2014-01-01	KENNETH DOVE	2015-07-29	KENNETH DOVE	2015-07-29
001	2014-01-01	KENNETH DOVE	2015-07-29	KENNETH DOVE	2015-07-29
001	2013-01-01	KENNETH DOVE	2014-10-08	KENNETH DOVE	2014-10-08
001	2012-01-01	KENNETH DOVE	2013-07-30	KENNETH DOVE	2013-07-30
001	2011-01-01	KENNETH DOVE	2012-09-27	KENNETH DOVE	2012-09-27
001	2010-01-01	KENNETH DOVE	2011-10-07	KENNETH DOVE	2011-10-07

Plan Statistics for HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST

401k plan membership statisitcs for HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST

Measure Date Value
2016: HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST 2016 401k membership
Market value of plan assets 2016-12-31 738,108
Acturial value of plan assets 2016-12-31 738,108
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 9
Fundng target for terminated vested participants 2016-12-31 470,084
Active participant vested funding target 2016-12-31 0
Total funding liabilities for active participants 2016-12-31 0
Total participant count 2016-12-31 9
Total funding target for all participants 2016-12-31 470,084
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 0
Net shortfall amortization installment of oustanding balance 2016-12-31 0
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 0
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0

Measure	Date	Value
2016: HOME CONVALESCENT AIDS, INC. CASH BALANCE PENSION PLAN AND TRUST 2016 401k membership
Market value of plan assets	2016-12-31	738,108
Acturial value of plan assets	2016-12-31	738,108
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	9
Fundng target for terminated vested participants	2016-12-31	470,084
Active participant vested funding target	2016-12-31	0
Total funding liabilities for active participants	2016-12-31	0
Total participant count	2016-12-31	9
Total funding target for all participants	2016-12-31	470,084
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	0
Net shortfall amortization installment of oustanding balance	2016-12-31	0
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	0
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0

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Company Name:	HOME CONVALESCENT AIDS, INC.
Employer identification number (EIN):	611003382
NAIC Classification:	446110
NAIC Description:	Pharmacies and Drug Stores