401k Plan data: BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN plan

BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN
Plan identification number	002

BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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

BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC has sponsored the creation of one or more 401k plans.

Company Name: BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC

Employer identification number (EIN): 611253525

NAIC Classification: 621340
NAIC Description: Offices of Physical, Occupational and Speech Therapists, and Audiologists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 DALE BROCKMAN 2016-12-07 DALE BROCKMAN 2016-12-07
002 2016-01-01 DALE BROCKMAN 2016-12-07 DALE BROCKMAN 2016-12-07
002 2016-01-01 DALE BROCKMAN 2016-12-07 DALE BROCKMAN 2016-12-07
002 2016-01-01 DALE BROCKMAN 2016-11-28 DALE BROCKMAN 2016-11-28
002 2015-01-01 DALE BROCKMAN 2016-06-29 DALE BROCKMAN 2016-06-29
002 2014-01-01 DALE BROCKMAN 2015-06-08 DALE BROCKMAN 2015-06-08
002 2013-01-01 DALE BROCKMAN 2014-05-21 DALE BROCKMAN 2014-05-21
002 2012-01-01 DALE BROCKMAN 2013-05-06 DALE BROCKMAN 2013-05-06
002 2011-01-01 DALE BROCKMAN 2012-05-02 DALE BROCKMAN 2012-05-02
002 2010-01-01 DALE BROCKMAN 2011-05-26 DALE BROCKMAN 2011-05-26
002 2009-01-01 DALE BROCKMAN, MS, PT DALE BROCKMAN, MS, PT 2010-07-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	DALE BROCKMAN	2016-12-07	DALE BROCKMAN	2016-12-07
002	2016-01-01	DALE BROCKMAN	2016-12-07	DALE BROCKMAN	2016-12-07
002	2016-01-01	DALE BROCKMAN	2016-12-07	DALE BROCKMAN	2016-12-07
002	2016-01-01	DALE BROCKMAN	2016-11-28	DALE BROCKMAN	2016-11-28
002	2015-01-01	DALE BROCKMAN	2016-06-29	DALE BROCKMAN	2016-06-29
002	2014-01-01	DALE BROCKMAN	2015-06-08	DALE BROCKMAN	2015-06-08
002	2013-01-01	DALE BROCKMAN	2014-05-21	DALE BROCKMAN	2014-05-21
002	2012-01-01	DALE BROCKMAN	2013-05-06	DALE BROCKMAN	2013-05-06
002	2011-01-01	DALE BROCKMAN	2012-05-02	DALE BROCKMAN	2012-05-02
002	2010-01-01	DALE BROCKMAN	2011-05-26	DALE BROCKMAN	2011-05-26
002	2009-01-01	DALE BROCKMAN, MS, PT		DALE BROCKMAN, MS, PT	2010-07-29

Plan Statistics for BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN

401k plan membership statisitcs for BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2009: BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 8
Number of participants with account balances 2009-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2009: BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	8
Number of participants with account balances	2009-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Form 5500 Responses for BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN

2009: BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC. 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BLUEGRASS PHYSICAL THERAPY & REHABILITATION, INC
Employer identification number (EIN):	611253525
NAIC Classification:	621340
NAIC Description:	Offices of Physical, Occupational and Speech Therapists, and Audiologists